Harmonization of Health Quality Information Models - FHIR (PSS-2766)

== Revised Project Scope description language ==

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 May 2017 PSS Project Scope description language ==

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 ({+}Qu{+}ality {+}I{+}mprovement {+}C{+}linical {+}K{+}nowledge) 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. Specifically, the project will focus on several high-value models and demonstrate a process for mapping from the CIMI model representation to FHIR resources and profiles that allow for developers and measure authors to be able to interact with instances of the model using the same view of the information. This will require a methodology for mapping from CIMI models to FHIR resources and/or profiles, as well as tooling to ensure that:

Primitive values can be treated as primitives directly

Extensions can be accessed as first-class properties

References can be followed simply

When requirements drive changes to core resources, these changes will be applied through the standard process of making changes to FHIR core resources, or submitting new resources as appropriate. For profiles, these changes will be applied to the QI-Core profiles and published as part of the QI-Core Implementation Guide.

In addition, the project will work to ensure the suitability of the resulting QI-Core profiles for use by payers. In particular, profiles for the Claim and Coverage resources will be added to QI-Core.