Difference between revisions of "Quality Measure FHIR IG Proposal"

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=PutProposedIGNameHere=
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=FHIR Quality Measure Implementation Guide=
  
 
<!-- Resource names should meet the following characteristics:
 
<!-- Resource names should meet the following characteristics:
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<!-- The name of the committee that is proposed to have responsibility for developing and maintaining the IG. -->
 
<!-- The name of the committee that is proposed to have responsibility for developing and maintaining the IG. -->
[[YourWorkGroupName]]
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[[Clinical Quality Information]]
  
 
==Committee Approval Date:==
 
==Committee Approval Date:==
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<!-- Additional work groups that may have an interest in contributing to, or reviewing  the content of the IG (optional) -->
 
<!-- Additional work groups that may have an interest in contributing to, or reviewing  the content of the IG (optional) -->
* Work Group Name
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[[Clinical Decision Support]]
* or link
 
* or "None"
 
  
 
==FHIR Development Project Insight ID==
 
==FHIR Development Project Insight ID==
  
<!-- Please specify the id of your work group’s PSS for doing FHIR work that covers the development and maintenance of this IG.  (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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Pending PSS Approval?
  
 
==Scope of coverage==
 
==Scope of coverage==
  
<!-- Define the full scope of coverage for the IG. The scope must be clearly delineated such that it does not overlap with any other existing or expected HL7 Int'l-maintained IG.  The scope will be used to govern "what is the set of potential applications to consider when evaluating what elements are 'core' – i.e. in the 80%"
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The scope of the Implementation Guide is the specification of clinical quality measures, including patient-based and non-patient-based, process measures, outcome measures, structure measures, and composite measures. The scope does not include the creation of profiles for the representation of data involved in the measures.
  
Scope should consider numerous aspects of breadth of scope, including:
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The scope is intended to be universal (i.e. nothing in the IG should restrict its usage to the U.S. Realm).
* Subject: Human vs. non-human vs. non-patient (e.g. lab bench medicine)
 
* Disciplines: Environmental Health, Palliative, Respiratory, Psychology, Maternity, Clinical Research
 
* Delivery environment (Community, Geriatric, Home care, Emergency, Inpatient, Intensive, Neonatal, Pediatric, Primary)
 
* Locale: Country, region
 
-->
 
  
 
==IG Purpose==
 
==IG Purpose==
  
<!-- Why is this IG necessary? -->
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This implementation guide will provide additional profiles and guidance to enable the use of FHIR to specify quality measures beyond the core functionality provided by the FHIR base specification. These profiles will involve extensions and/or constraints specific to the various types of measures, and where appropriate, will provide feedback to the core Measure resource.
  
 
==Content location==
 
==Content location==
  
<!-- What is the path within the HL7 github repository (i.e. https://github.com/HL7/xxx) or what is the Simplifier project name? -->
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This work will build on functionality that was started as part of connectathon testing and preparation, so there is already an established repository as part of the Clinical Quality Framework initiative github organization:
  
 +
https://github.com/cqframework/cqf-measures
  
 
==Proposed IG realm and code==
 
==Proposed IG realm and code==
  
<!-- What is the realm code (2-character country code or 'uv') and IG code to use for the path when the IG is published under http://hl7.org/fhir?  E.g. us/ccda -->
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US
 +
 
 +
NOTE: The IG is not intended to be US Realm specific, but we recognize that without international participation we cannot claim Universal realm. We are actively seeking international participation for this reason.
  
 
==Maintenance Plan==
 
==Maintenance Plan==
  
<!-- What commitment does the WG have to maintaining this IG as the FHIR core specification continues to evolve - particularly if the initial project sponsors are no longer providing resources -->
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There are many stakeholders with a need for the ability to represent measure specifications in the FHIR space including payers, quality reporting vendors and agencies, and quality assurance organizations. Many of these organizations are active members of the Clinical Quality Information Work Group, and so the Work Group is committed to producing and maintaining this guidance.
  
 
==Short Description==
 
==Short Description==
  
<!-- 1-2 sentences describing the purpose/scope of the IG for inclusion in the registry -->
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Provides profiles and guidance for the representation of clinical quality measures in FHIR and Clincal Quality Language (CQL).
  
  
 
==Long Description==
 
==Long Description==
  
<!-- 1 paragraph describing the purpose/scope of the IG in more detail for inclusion in the version history -->
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This Implementation Guide defines an approach to using the FHIR Measure resource and Clinical Quality Language (CQL) to define and share clinical quality measure specifications. The IG defines profiles for proportion, ratio, continuous variable, and composite measures, and provides guidance and conformance requirements regarding the use of Clinical Quality Language to reliably express and evaluate the measures.
  
  
 
==Involved parties==
 
==Involved parties==
  
<!-- 1 paragraph describing who is sponsoring or involved in creating the IG for inclusion in the version history -->
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NCQA
 
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Medisolv
 +
MITRE
 +
TJC
 +
Mathematica
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ESAC
  
 
==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. -->
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NCQA
 +
Medisolve
 +
MITRE
  
 
==Content sources==
 
==Content sources==
  
<!-- List all of the specifications (beyond those in the "standard" (FHIR_Design_Requirements_Sources) list of source specifications) that you’re planning to consult
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Health Quality Measures Format
 
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CQL-Based HQMF Implementation Guide
Are there any source specifications that you wish to consult but are concerned about access to or expertise to consider? -->
 
  
 
==Example Scenarios==
 
==Example Scenarios==
  
<!-- Provide a listing of the types of scenarios to be represented in the examples produced for this IG.  They should demonstrate the full scope of the IG and allow exercising of the IG's capabilities (all profiles, different types of applications, etc.) -->
+
Full set of examples from the CQL-Based HQMF Implementation Guide
 +
Example content from previous connectathons, including CMS130, 124, and 127
 +
Other potential examples illustrating the sharing of content between decision support and quality measurement
  
 
==IG Relationships==
 
==IG Relationships==
  
<!-- Are there any IGs this resource depends on or that depend on this IG? -->
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Not a specific dependency, but Data Exchange for Quality Measures will make use of measures authored according to the guidance developed in this IG. It's not clear at this time whether there is a need for an explicit dependency (DEQM has already been using measure content developed without this IG in place).
  
 
==Timelines==
 
==Timelines==
  
<!-- Indicate the target date for having the IGcomplete from a committee perspective and ready for vetting and voting -->
+
Given that most of the content already exists, we plan to have the content feature complete by 2/17, and ready for review/approval by CQI on 3/10.
  
 
==When IG Proposal Is Complete==
 
==When IG Proposal Is Complete==

Revision as of 00:55, 5 February 2019



FHIR Quality Measure Implementation Guide

Owning work group name

Clinical Quality Information

Committee Approval Date:

Please enter the date that the committee approved this IGproposal

Contributing or Reviewing Work Groups

Clinical Decision Support

FHIR Development Project Insight ID

Pending PSS Approval?

Scope of coverage

The scope of the Implementation Guide is the specification of clinical quality measures, including patient-based and non-patient-based, process measures, outcome measures, structure measures, and composite measures. The scope does not include the creation of profiles for the representation of data involved in the measures.

The scope is intended to be universal (i.e. nothing in the IG should restrict its usage to the U.S. Realm).

IG Purpose

This implementation guide will provide additional profiles and guidance to enable the use of FHIR to specify quality measures beyond the core functionality provided by the FHIR base specification. These profiles will involve extensions and/or constraints specific to the various types of measures, and where appropriate, will provide feedback to the core Measure resource.

Content location

This work will build on functionality that was started as part of connectathon testing and preparation, so there is already an established repository as part of the Clinical Quality Framework initiative github organization:

https://github.com/cqframework/cqf-measures

Proposed IG realm and code

US

NOTE: The IG is not intended to be US Realm specific, but we recognize that without international participation we cannot claim Universal realm. We are actively seeking international participation for this reason.

Maintenance Plan

There are many stakeholders with a need for the ability to represent measure specifications in the FHIR space including payers, quality reporting vendors and agencies, and quality assurance organizations. Many of these organizations are active members of the Clinical Quality Information Work Group, and so the Work Group is committed to producing and maintaining this guidance.

Short Description

Provides profiles and guidance for the representation of clinical quality measures in FHIR and Clincal Quality Language (CQL).


Long Description

This Implementation Guide defines an approach to using the FHIR Measure resource and Clinical Quality Language (CQL) to define and share clinical quality measure specifications. The IG defines profiles for proportion, ratio, continuous variable, and composite measures, and provides guidance and conformance requirements regarding the use of Clinical Quality Language to reliably express and evaluate the measures.


Involved parties

NCQA Medisolv MITRE TJC Mathematica ESAC

Expected implementations

NCQA Medisolve MITRE

Content sources

Health Quality Measures Format CQL-Based HQMF Implementation Guide

Example Scenarios

Full set of examples from the CQL-Based HQMF Implementation Guide Example content from previous connectathons, including CMS130, 124, and 127 Other potential examples illustrating the sharing of content between decision support and quality measurement

IG Relationships

Not a specific dependency, but Data Exchange for Quality Measures will make use of measures authored according to the guidance developed in this IG. It's not clear at this time whether there is a need for an explicit dependency (DEQM has already been using measure content developed without this IG in place).

Timelines

Given that most of the content already exists, we plan to have the content feature complete by 2/17, and ready for review/approval by CQI on 3/10.

When IG Proposal Is Complete

When you have completed your proposal, please send an email to FMGcontact@HL7.org

FMG Notes