HL7 FHIR® Implementation Guide: Common CQL Artifacts for FHIR, Edition 2 - US Realm

DESCRIPTION

This implementation guide contains architectural guidance and re-usable libraries that facilitate the use of Clinical Quality Language (CQL) with FHIR in the US Realm, with an initial use case of Prior Authorization Support Questionnaires as described in the DaVinci Documentation Templates and Rules (DTR) implementation guide.

See the specification at http://hl7.org/fhir/us/cql/2.0.0

ALTERNATIVE NAMES

HL7 FHIR® Implementation Guide: Common CQL Artifacts for FHIR, Edition 2 - US Realm may also go by the following names or acronyms:

BENEFITS

• Reduces burden by establishing best practices and reusable expressions not only for common questions across questionnaires, but for common concepts across different types of artifacts such as questionnaires, decision support rules, quality measures, case reports and others, both currently and into the future.

IMPLEMENTATIONS/CASE STUDIES

• Smile Digital Health
• Reason Healthcare
• MITRE (Encender)

DEVELOPMENT BACKGROUND

Much of the guidance and content presented here is built on work done in the quality measurement domain, including patterns established by measure developers as part of testing and developing quality measures for use with FHIR. These patterns have been generalized to support US Core as well as harmonized to be usable across use cases.

RELATED DOCUMENTS

HL7 FHIR® Implementation Guide: Common CQL Artifacts for FHIR, Edition 2 - US Realm

TOPICS

• Clinical Quality
• Decision Support

BALLOT TYPE

• STU

STATUS DATE

2026-08-21

RESPONSIBLE WORK GROUP

PRODUCT TYPE

• Implementation Guide

STAKEHOLDERS

• Clinical Decision Support Systems Vendors
• EHR, PHR Vendors
• Health Care IT Vendors
• Healthcare Institutions
• Local and State Departments of Health
• Medical Imaging Service Providers
• Quality Reporting Agencies
• Regulatory Agency

FAMILY

• FHIR

CURRENT STATE

• Active

REALM

• US Realm