×

To enhance security, Multi-Factor Authentication (MFA) is mandatory for all HL7 users. More information

 
Return to Search

Harmonization of Health Quality Information Models - FHIR

Return to Search

Basics

Harmonization of Health Quality Information Models - FHIR

1125
Ballot - STU to Normative



Revise Current Standard

Details

Scope update, April 2026: The scope of this project is to develop and maintain FHIR artifacts needed for clinical quality measurement and clinical decision support.

This project defines FHIR artifacts and provides guidance to enable interoperable representation and exchange of data used for quality measurement, quality reporting, and clinical decision support, including digital quality measures (dQMs), electronic clinical quality measures (eCQMs), and CDS artifacts. The profiles developed through this project will continue to derive from the US Core profiles wherever possible and incorporate quality improvement requirements such as USCDI+ Quality to provide a common, consistent data model for quality improvement and related use cases in the US Realm.

Original Scope, May 2017:

The scope of this project is to develop FHIR artifacts needed for clinical quality measurement and clinical decision support. The information is based on the Quality Information Domain Analysis Model balloted in 2013 and has expanded to develop a set of FHIR resources with some constraints based on needs for clinical decision support and quality evaluation. The result, QI Core and the logical view, QUICK (Quality Improvement Clinical Knowledge) was developed and published for piloting in 2015. The plan is to evolve the existing requirements and model to CIMI detailed clinical models to enable a standard methodology to manage data models across HL7 standards.


This project is part of a broader effort to align the HL7 Product Family related to Health Quality using the Interoperability Specification Matrix of the HL7 Services Aware Interoperability Framework as a guiding framework. The expression of clinically relevant information for use in quality measurement and clinical decision support has historically been viewed from different perspectives, based on the different specific needs of each domain. However, the existing artifacts provide significantly different approaches to representation of what are essentially the same underlying concepts. This project seeks to identify and align the information models used for quality measurement, reporting and clinical decision support.



Submit for STU Ballot - Target: 2016 Sep WGM Complete STU Reconciliation - Target: 2016 November Submit for 2nd STU Ballot with additional content - Target: 2017 Jan Ballot Complete STU Reconciliation - Target:2017 May WGM STU Period Publication - Target: 2017 Jun - 2019 Jun Submit for Normative Ballot - Target: 2019 May Ballot Complete Normative Reconciliation - Target: 2019 Sep WGM Submit Publication Request - Target: 2019 Oct Receive ANSI Approval - Target: 2019 Nov Project End Date (all objectives have been met) - Target: 2019 Dec Original Dates: Ballot for Comment: FHIR Profiles, Resources, and potentially an Implementation Guide for Health Quality Improvement Sept 2014 WGM DSTU Ballot Jan 2015 WGM DSTU Updates Jan 2015-Jan 2017 Normative Ballot Jan 2017


https://confluence.hl7.org/spaces/CQIWC/pages/453912070/US+Quality+Core http://www.hl7.org/implement/standards/fhir/qicore/qicore.html http://hl7docs.appspot.com/quick/index.html

This effort will consult with activities of the US Clinical Quality Framework Initiative for piloting efforts.

This project will depend on other projects related to aligning the Product Family related to Health Quality. CQI Harmonization of Health Quality Information - FHIR Resources - Project 1125 CQI Harmonization of Health Quality Information Models - Project 1045 CQI Harmonization of Health Quality Information - Logical Model - Project 1127

Clinical and Public Health Laboratories, Immunization Registries, Quality Reporting Agencies, Regulatory Agency, Standards Development Organizations (SDOs),Clinical and Public Health Laboratories; Local and State Departments of Health; Healthcare Institutions (hospitals, long term care, home care, mental health),Pharmaceutical; EHR, PHR; Health Care IT; Clinical Decision Support Systems; Lab; HIS

1) Clinical Quality Framework 2) CMS

Standardization of information to manage clinical decision support and quality evaluation addressing clinical workflow is a clear requirement to support value based care such in US and other government programs.

QI Core, QUICK, FHIR Quality, QUICK Logical View

QI Core v2

N/A

Don't Know

No

2026 Feb: TSC approved an STU Extension Request for QI-Core STU 6 2025 June: TSC approved STU publication of HL7 FHIR® R4 Implementation Guide: QI-Core, Edition 1.7 - US Realm for 2 years 2024 February: TSC approved STU Publication Request for HL7 FHIR R4 Implementation Guide: QI-Core, Edition 1.6 US Realm for 2 years 2024 January: TSC approved STU Extension Request for HL7 FHIR Profile: Quality, Release 1 - US Realm for 2 years 2023 March: TSC approved STU Publication Request for HL7 FHIR Profile: Quality, Release 1 - US Realm for 2 years 2020 March: TSC approved STU Publication Request for HL7 FHIR Profile: Quality, Release 1 - US Realm through March 24, 2022 2019 Jan: TSC approved Unballoted STU Update Request for HL7 FHIR Profile: Quality, Release 1 - US Realm 2018 August: TSC approved STU Publication Request for HL7 FHIR Profile: Quality, Release 1 - US Realm at TSC Tracker 17494 thru September 12, 2020 2017 Nov: CQI WG submitted STU Publication Request for HL7 FHIR Profile: Quality, Release 1 - US Realm at TSC Tracker 14106 through December 5, 2019. 2017 Jan: CQI WG submitted revised PSS May 2016: Today, the CQI WG approved an update to the PSS for project 1125, Harmonization of Health Quality Information Models - FHIR. We plan to ballot in September 2016. Since this is a US Realm ballot we request approval by the US Realm Task Force so we can submit to the DESD before the May 22, 2016 deadline for the upcoming ballot cycle. The co-sponsors, CDS and CIMI workgroups have also approved the PSS update on the same date as indicated in the attached file.
Organization & Realm

Realm Specific - Enter "U.S." or name of HL7 Affiliate below

U.S.
People

Bryn Rhodes



Clinical Quality Information Work Group

Clinical Information Modeling Initiative Work Group; Clinical Decision Support Work Group

Status & Dates

Active

STU - Reconcile

07/03/2014

05/01/2028

2028 Jan WGM/Ballot

09/15/2026

2026 Sept WGM/Ballot

2025 Sept Ballot Cycle Info: STU Ballot results: Met basic vote requirements. 1 Negative to reconcile Document Name: HL7 FHIR R4 Implementation Guide: QI-Core, Edition 8 - US Realm 2024 Sept Ballot Cycle Info: STU Ballot results: Met basic vote requirements. 5 Negatives to reconcile Document Name: HL7 FHIR Profile: Quality, Release 1 - US Realm 2023 Sept Ballot Cycle Info: STU Ballot results: Met basic vote requirements. 5 Negatives to reconcile Document Name: HL7 FHIR Profile: Quality, Release 1 - US Realm 2022 Sept Ballot Cycle Info: STU Ballot results: Met basic vote requirements. 4 Negatives to reconcile Document Name: HL7 FHIR Profile: Quality, Release 1 - US Realm (See Jira Ballot Dashboard) 2019 Sept Ballot Cycle Info: STU Ballot results: Did not meet basic vote requirements. 32 Negatives to reconcile Document Name: HL7 FHIR Profile: Quality, Release 1 - US Realm 2018 Jan Ballot Cycle Info: STU Ballot results: Met basic vote requirements. 6 Negatives to reconcile Document Name: HL7 FHIR; Profile: Quality, Release 1 - US Realm 2016 Sept Ballot Cycle Info: STU Ballot results: Met basic vote requirements. 5 Negatives to reconcile Document Name: HL7 FHIR; Profile: Quality, Release 1 - US Realm 2016 Jan Ballot Cycle Info: DSTU Ballot results: Withdrawn? Document Name: HL7 FHIR® Profile: QI-Core, Release 1- US Realm 2015 May Ballot Cycle Info: DSTU Ballot results: Met basic vote requirements. 19 Negatives to reconcile Document Name: HL7 FHIR Profile: Quality, Release 1 - US Realm 2015 Jan Ballot Cycle Info: COMMENT ONLY Ballot results: Met basic vote requirements. 48 Negatives to reconcile Document Name: HL7 FHIR(®) Profile: Quality, Release 1 - US Realm
Approvals

12/21/2017


Received


All Received




System Info



https://jira.hl7.org/browse/PSS-2766
View Ballot Items (with NIBs)



05/04/2026

Anne Wizauer
Return to Search