×

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

 
Return to Search

CQL-based HQMF Implementation Guide

Return to Search

Basics

CQL-based HQMF Implementation Guide

1142
Ballot - STU to Normative


V3 Documents-Knowledge

Revise Current Standard

Details

As part of the Clinical Quality Framework S and I initiative, and HL7’s CQI and CDS workgroups, work is underway to develop a harmonized data model and expression language to define electronic Clinical Quality Measures (eMeasures) and Clinical Decision Support artifacts. The Quality Improvement and Clinical Knowledge (QUICK) data model and Clinical Quality Language (CQL) are products developed within the HL7 family to address the harmonization requirement.

The Health Quality Measure Format (HQMF) and the related US-realm Implementation Guide, the QDM-based HQMF implementation guide, is currently used to define eMeasures in the US.

The scope of this project is to develop an implementation guide that defines how HQMF is used in combination with CQL and QDM to define clinical quality measures. The implementation guide will define the mechanisms for identifying concrete CQL artifacts in HQMF and referencing the expressions defined in such artifacts for measure definition purposes.


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. Existing projects are underway to define a shared logical data model (QUICK) and a shared expression language (CQL). This project will develop an implementation guide which is part of the evolution to CQL and QUICK, using CQL and the existing QDM to specify how these common components are used in conjunction with HQMF to define clinical quality measures.

An existing IG (the QDM-based HQMF IG) defines how Quality Data Model (QDM) constructs are represented using native HQMF. In the future it is expected that the QDM will be supplanted by the combination of CQL and QUICK. When this happens, a future CQL-based HQMF IG will similarly supplant this version of CQL-based HQMF IG. The timing of this transition is not currently clear. The scope of the two IGs is different:

- The QDM-based HQMF IG defines, via templates, how an abstract data model and expression language (the QDM) is mapped to HQMF to represent a clinical quality measure.

- The CQL-based HQMF IG will define how concrete CQL logic artifacts (which incorporate templates from QDM) are combined with HQMF to represent a clinical quality measure.

It is anticipated that this project, while not directly focused on quality reporting, will be relevant to, and may inform, the evolution of the QRDA-based quality reporting set of specifications.



Ballot for Comment: CQL-based HQMF Implementation Guide - Target: January 2015 WGM DSTU Ballot - Target: May 2015 WGM Complete Ballot Reconciliation - Target: August 2015 Final DSTU Published - Target: September 2015 DSTU Updates - Target: August 2015 - August 2017 STU Ballot (R2) to incorporate CQL changes and QDM templates - Target: January 2017 STU Updates - Target: May 2017 - December 2019 Project End Date (all objectives have been met) - Target: TBD Original Target Dates: Ballot for Comment: CQF-based HQMF Implementation Guide - Target: January 2015 WGM DSTU Ballot - Target: May 2015 WGM Complete Ballot Reconciliation - Target: August 2015 Request DSTU Publication - Target: 2015 September DSTU Period - 24 months - Target: 2015 Sept - 2017 Sept DSTU updates as required - Target: 2015 Sept - 2017 Sept Submit for Normative Ballot - Target: 2017 Sept Ballot


http://wiki.hl7.org/index.php?title=Harmonization_of_Health_Quality_Information_model

ONC S and I Clinical Quality Framework Initiative

Dependent on HQMF R1 Normative which will be balloted at the same time (January 2017). The CQI WG expects to be able to successfully ballot the STU with the normative HQMF ballot. Project ID for HQMF is project 508.

Immunization Registries, Quality Reporting Agencies, Regulatory Agency, Standards Development Organizations (SDOs), Payors,Clinical and Public Health Laboratories; Local and State Departments of Health; Healthcare Institutions (hospitals, long term care, home care, mental health),EHR, PHR

1) CMS 2) MITRE 3) Telligen 4) The Joint Commission

In the US the Centers for Medicare and Medicaid Services (CMS) is publishing electronic clinical quality measures (eCQMs) as part of performance measurement initiatives for government programs. The program will move from using the current (in 2015-2016) QDM logic to CQL logic, possibly staring with measure development in Fall 2017. The CQL-based HQMF is needed for that effort. Testing of measure development using CQL-based HQMF has already started in May 2016.

CQL-based HQMF

CQL-based HQMF R1.1


Yes

No

2025 March: TSC approved STU Extension Request for HL7 Version 3 Implementation Guide: Clinical Quality Language (CQL)-based Health Quality Measure Format (HQMF), Release 1, STU 4.1 - US Realm for two years 2022 December: TSC approved STU Extension Request for HL7 Version 3 Implementation Guide: Clinical Quality Language (CQL)-based Health Quality Measure Format (HQMF), Release 1 - STU 4.1 US Realm 2021 Mar: TSC approved Unballoted STU Update Publication Request for HL7 Version 3 Implementation Guide: Clinical Quality Language (CQL)-based Health Quality Measure Format (HQMF), Release 1, STU 4.1 - US Realm 2020 July: TSC approved STU Extension Request for HL7 Version 3 Implementation Guide: Clinical Quality Language (CQL)-based Health Quality Measure Format (HQMF), Release 1 - STU 3 US Realm for 12 months. 2019 June: TSC approved STU Publication Request for HL7 Version 3 Implementation Guide: Clinical Quality Language (CQL)-based Health Quality Measure Format (HQMF), Release 1, STU 4 - US Realm 2018 August: TSC approved STU publication request for for HL7 Version 3 Implementation Guide: Clinical Quality Language (CQL)-based Health Quality Measure Format (HQMF) - Release 1, US Realm STU 3 at TSC Tracker 17546 thru August 3, 2020. 2017 August: TSC approved an updated STU publication request for HL7 Version 3 Implementation Guide: Clinical Quality Language (CQL)-based Health Quality Measure Format (HQMF), Release 1, STU Release 2.1 - US Realm for 24 months at TSC Tracker 13766 through July 5, 2019. 2017 June: TSC approved STU Publication Request for HL7 Version 3 Implementation Guide: Clinical Quality Language (CQL)-based Health Quality Measure Format (HQMF) - Release 1, STU 2 - US Realm at TSC Tracker 13490 through 2019-07-05. 2016 October: Submitted revised PSS. 2015 July: Work Group requested DSTU Publication of HL7 Version 3 Implementation Guide: Clinical Quality Language (CQL)-based Health Quality Measure Format (HQMF), Release 1 through 2017-09-01. 2015 Jan: F. Eisenberg submitted an updated PSS.
Organization & Realm

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

U.S.
People

Bryn Rhodes



Clinical Quality Information Work Group

Clinical Decision Support Work Group

Status & Dates

Active

STU - Test Period/Accepting Comments

10/03/2014

05/01/2027

2027 May WGM/Ballot

05/01/2027

2027 May WGM/Ballot

2019 May Ballot Cycle Info: STU Ballot results: Met basic vote requirements. 4 Negatives to reconcile Document Name: HL7 Version 3 Implementation Guide: Clinical Quality Language (CQL)-based Health Quality Measure Format (HQMF), Release 1 - US Realm 2018 May Ballot Cycle Info: STU Ballot results: Met basic vote requirements. 9 Negatives to reconcile Document Name: HL7 Version 3 Implementation Guide: Clinical Quality Language (CQL)-based Health Quality Measure Format (HQMF), Release 1 - US Realm 2017 Jan Ballot Cycle Info: STU Ballot results: Met basic vote requirements. 8 Negatives to reconcile Document Name: HL7 Version 3 Implementation Guide: Clinical Quality Language (CQL)-based Health Quality Measure Format (HQMF), Release 1 - US Realm Submitter: Lynn Laakso MPA 2015 May Ballot Cycle Info: DSTU Ballot results: Met basic vote requirements. 3 Negatives to reconcile Document Name: HL7 Version 3 Implementation Guide: Clinical Quality Language (CQL)-based Health Quality Measure Format (HQMF), Release 1 - US Realm 2015 Jan Ballot Cycle Info: COMMENT ONLY Ballot results: Met basic vote requirements. 5 Negatives to reconcile Document Name: HL7 Version 3 Implementation Guide: Clinical Quality Framework (CQF)-based Health Quality Measure Format (HQMF), Release 1 - US Realm
Approvals

10/24/2016


Received


Not Needed




System Info



View Ballot Items (with NIBs)




Return to Search