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Difference between revisions of "Measure FHIR Resource Proposal"

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This page documents a [[:category:Pending FHIR Resource Proposal|Pending]] [[:category:FHIR Resource Proposal|FHIR Resource Proposal]]
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This page documents a [[:category:Approved FHIR Resource Proposal|Approved]] [[:category:FHIR Resource Proposal|FHIR Resource Proposal]]
 
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[[Category:FHIR Resource Proposal]]
 
[[Category:FHIR Resource Proposal]]
[[Category:Pending FHIR Resource Proposal]]
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[[Category:Approved FHIR Resource Proposal]]
  
  
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=PutProposedResourceNameHere=
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=Measure=
  
 
<!-- Resource names should meet the following characteristics:
 
<!-- Resource names should meet the following characteristics:
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* Be consistent with other similar resources
 
* Be consistent with other similar resources
 
  -->
 
  -->
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The Measure resource represents the definition of a quality measure. Quality measures are a quantitative tool used to assess the performance of an individual or organization with respect to a specified standard of care. The resource captures metadata about the measure as well as the structure and intended reporting requirements.
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The intent of the resource is to establish a standard mechanism to enable automated sharing of a clinical quality measure. The resource is derived from [http://www.hl7.org/implement/standards/product_brief.cfm?product_id=97 HL7 Version 3 Standard: Representation of the Health Quality Measure Format (eMeasure) DSTU, Release 2] and informed by and aligned with [http://www.hl7.org/implement/standards/product_brief.cfm?product_id=337 HL7 Standard: Clinical Decision Support Knowledge Artifact Specification].
  
 
==Owning committee name==
 
==Owning committee name==
  
<!-- The name of the committee that is proposed to have responsibility for developing and maintaining the resources. -->
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[[Clinical_Quality_Information_Work_Group|Clinical Quality Information Work Group]]
[[YourCommitteeName]]
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==Committee Approval Date:==
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The resource proposal was approved on 2016-03-18 [http://www.hl7.org/Special/committees/_common/documentProperties.cfm?wg_document_id=17246&returnHREF=%2FSpecial%2Fcommittees%2Fcqi%2Fminutes%2Ecfm%3F minutes].
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STU3 Ballot Submission: 2016-08-05
  
 
==Contributing or Reviewing Work Groups==
 
==Contributing or Reviewing Work Groups==
  
<!-- Additional work groups that may have an interest in contributing to, or reviewing  the content of the resource (optional) -->
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*[[Clinical_Decision_Support_Workgroup|Clinical Decision Support Work Group]]
* Work Group Name
 
* or link
 
* or "None"
 
  
 
==FHIR Resource Development Project Insight ID==
 
==FHIR Resource Development Project Insight ID==
  
<!-- Please specify the id of your work group’s PSS for doing FHIR work.  (If submitted but not yet approved, just write “pending”.) The link to the PSS template can be found here: http://gforge.hl7.org/gf/download/docmanfileversion/6832/9398/HL7FHIR_DSTUballotPSS-20120529.doc -->
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[http://www.hl7.org/Special/committees/dss/projects.cfm?action=edit&ProjectNumber=1234 1234: FHIR-Based Clinical Quality Framework (CQF-on-FHIR)]
  
 
==Scope of coverage==
 
==Scope of coverage==
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As a rule, resources should encompass all of these aspects.
 
As a rule, resources should encompass all of these aspects.
 
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  -->
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A Measure is a knowledge artifact that enables automated sharing of a clinical quality measure. Because it is definitional in nature, it is not a patient-specific resource. The resource captures the structure of a quality measure as defined by HQMF and is flexible enough to be used to describe quality measures for any discipline and locale. It is intended to be used by quality measurement content providers as a means of distributed quality measures, as well as by quality reporting agencies, decision support service providers, and other healthcare delivery systems as a means of reliabaly calculating quality measures and deriving related artifacts.
  
 
==RIM scope==
 
==RIM scope==
  
 
<!-- Identify the formal RIM mapping for the root concept of the resource.  The expectation is that the RIM mapping will be sufficiently precise so as to not overlap with any other resource definition. -->
 
<!-- Identify the formal RIM mapping for the root concept of the resource.  The expectation is that the RIM mapping will be sufficiently precise so as to not overlap with any other resource definition. -->
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<!-- I think HQMF maps to Document in the RIM. -->
  
 
==Resource appropriateness==
 
==Resource appropriateness==
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* Have the characteristics of high cohesion & low coupling – need to explore whether coupling is good some places, not elsewhere – layers from Bo’s document  
 
* Have the characteristics of high cohesion & low coupling – need to explore whether coupling is good some places, not elsewhere – layers from Bo’s document  
 
  -->
 
  -->
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Quality measurement is an important aspect of improving clinical outcomes for any population. HQMF and the CQL-Based HQMF IG provide a standards-based mechanism for representing and distributing that content. Enabling measures to be represented as a FHIR resource will extend the reach of those specifications. In addition, defining measures as a FHIR resource will allow implementers to use the FHIR stack and all its associated tooling and specifications to expose the content, effectively enabling another potential role of a FHIR server as a Quality Measure repository.
  
 
==Expected implementations==
 
==Expected implementations==
  
 
<!--Key resources are justified by CCDA, for resources not deemed "key", what interest is there by implementers in using this particular resource. Provide named implementations if possible - ideally provide multiple independent implementations. -->
 
<!--Key resources are justified by CCDA, for resources not deemed "key", what interest is there by implementers in using this particular resource. Provide named implementations if possible - ideally provide multiple independent implementations. -->
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In addition to general interest from the Quality Measurement community, several vendors have expressed interest in using the Measure and MeasureReport resources to enable various quality measurement and quality reporting scenarios.
  
 
==Content sources==
 
==Content sources==
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Are there any source specifications that you wish to consult but are concerned about access to or expertise to consider? -->
 
Are there any source specifications that you wish to consult but are concerned about access to or expertise to consider? -->
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*[http://www.hl7.org/implement/standards/product_brief.cfm?product_id=391 Clinical Quality Common Metadata Conceptual Model]
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*[http://www.hl7.org/implement/standards/product_brief.cfm?product_id=337 Clinical Decision Support Knowledge Artifact Specification]
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*[http://www.hl7.org/implement/standards/product_brief.cfm?product_id=97 Health Quality Measure Format]
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*[http://www.hl7.org/implement/standards/product_brief.cfm?product_id=405 CQL-Based HQMF IG]
  
 
==Example Scenarios==
 
==Example Scenarios==
  
 
<!-- Provide a listing of the types of scenarios to be represented in the examples produced for this resource.  They should demonstrate the full scope of the resource and allow exercising of the resources capabilities (full element coverage, inclusion & omission of optional elements, repeating and singleton repeating elements, etc.) -->
 
<!-- Provide a listing of the types of scenarios to be represented in the examples produced for this resource.  They should demonstrate the full scope of the resource and allow exercising of the resources capabilities (full element coverage, inclusion & omission of optional elements, repeating and singleton repeating elements, etc.) -->
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===Exclusive Breastfeeding===
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See the [http://wiki.hl7.org/index.php?title=Library_FHIR_Resource_Proposal Library] resource proposal for a description of this example scenario.
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In particular, this resource is being used to describe the quality measure to support evaluation of the measure by a CQL engine.
  
 
==Resource Relationships==
 
==Resource Relationships==
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Reference to resources is really only relevant at the "same or higher level" (Bo – fix this wording)
 
Reference to resources is really only relevant at the "same or higher level" (Bo – fix this wording)
 
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This resource will make use of the [http://hl7.org/fhir/2016May/library.html Library] resource to represent any logic involved in the ECA rule.
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The [http://hl7.org/fhir/2016May/measurereport.html MeasureReport] resource references Measure to indicate which measure is being reported.
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In addition, the resource makes use of the following common data types:
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* [http://hl7.org/fhir/2016May/modulemetadata.html ModuleMetadata]
  
 
==Timelines==
 
==Timelines==
  
 
<!-- Indicate the target date for having the resource complete from a committee perspective and ready for vetting and voting -->
 
<!-- Indicate the target date for having the resource complete from a committee perspective and ready for vetting and voting -->
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May 2016 Ballot Cycle in support of the [http://hl7.org/fhir/2016May/cqif/cqif.html CQF IG].
  
 
==gForge Users==
 
==gForge Users==
  
 
<!-- Identify the userids who will require commit access to gForge to maintain the resource.  (Ensure all users have registered for gForge.) -->
 
<!-- Identify the userids who will require commit access to gForge to maintain the resource.  (Ensure all users have registered for gForge.) -->
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brynrhodes

Latest revision as of 14:53, 21 August 2017



Measure

The Measure resource represents the definition of a quality measure. Quality measures are a quantitative tool used to assess the performance of an individual or organization with respect to a specified standard of care. The resource captures metadata about the measure as well as the structure and intended reporting requirements.

The intent of the resource is to establish a standard mechanism to enable automated sharing of a clinical quality measure. The resource is derived from HL7 Version 3 Standard: Representation of the Health Quality Measure Format (eMeasure) DSTU, Release 2 and informed by and aligned with HL7 Standard: Clinical Decision Support Knowledge Artifact Specification.

Owning committee name

Clinical Quality Information Work Group

Committee Approval Date:

The resource proposal was approved on 2016-03-18 minutes.

STU3 Ballot Submission: 2016-08-05

Contributing or Reviewing Work Groups

FHIR Resource Development Project Insight ID

1234: FHIR-Based Clinical Quality Framework (CQF-on-FHIR)

Scope of coverage

A Measure is a knowledge artifact that enables automated sharing of a clinical quality measure. Because it is definitional in nature, it is not a patient-specific resource. The resource captures the structure of a quality measure as defined by HQMF and is flexible enough to be used to describe quality measures for any discipline and locale. It is intended to be used by quality measurement content providers as a means of distributed quality measures, as well as by quality reporting agencies, decision support service providers, and other healthcare delivery systems as a means of reliabaly calculating quality measures and deriving related artifacts.

RIM scope

Resource appropriateness

Quality measurement is an important aspect of improving clinical outcomes for any population. HQMF and the CQL-Based HQMF IG provide a standards-based mechanism for representing and distributing that content. Enabling measures to be represented as a FHIR resource will extend the reach of those specifications. In addition, defining measures as a FHIR resource will allow implementers to use the FHIR stack and all its associated tooling and specifications to expose the content, effectively enabling another potential role of a FHIR server as a Quality Measure repository.

Expected implementations

In addition to general interest from the Quality Measurement community, several vendors have expressed interest in using the Measure and MeasureReport resources to enable various quality measurement and quality reporting scenarios.

Content sources

Example Scenarios

Exclusive Breastfeeding

See the Library resource proposal for a description of this example scenario.

In particular, this resource is being used to describe the quality measure to support evaluation of the measure by a CQL engine.

Resource Relationships

This resource will make use of the Library resource to represent any logic involved in the ECA rule.

The MeasureReport resource references Measure to indicate which measure is being reported.

In addition, the resource makes use of the following common data types:

Timelines

May 2016 Ballot Cycle in support of the CQF IG.

gForge Users

brynrhodes