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Section 1c: FHIR®
Section 3: Implementation Guides

HL7 FHIR® Implementation Guide: Data Exchange for Quality Measures STU3.1 for FHIR R4 - US Realm

DESCRIPTION

The purpose of this implementation guide is to support value based care data exchange in the US Realm. It describes three groups of quality reporting scenarios. The first group is exchange scenarios which focus on exchanging subsets of the data of interest for a particular measure or set of measures throughout the measurement period. Note that there are use cases for sharing data from a consumer to a producer as well (for example, payers may share screening information with providers). The second group is Reporting Scenarios which focus on communicating the results of a quality measure at the end of a measurement period as part of a quality improvement initiative. The third group is Gaps in Care Reporting scenarios, which focus on communicating actual or perceived gaps in care between systems, such as the payer’s system and provider’s EMR.

The purpose of this STU update is for DEQM IG to have a version that is based on US Core 3.1.1 which is named in regulation. The changes are limited to update the IG dependencies only, which include

  1. update from US Core 3.1.0 to US Core 3.1.1 because US Core 3.1.1 is referenced in regulation.
  2. update from QI Core 3.1.0 to QI Core 4.1.1 (QI Core 4.1.1 is based on US Core 3.1.1)
  3. update from Quality Measure IG 2.0.0 to Quality Measure IG 3.0.0. 

See the standard at http://hl7.org/fhir/us/davinci-deqm/STU3.1

 

ALTERNATIVE NAMES

HL7 FHIR® Implementation Guide: Data Exchange for Quality Measures STU3.1 for FHIR R4 - US Realm may also go by the following names or acronyms:

"HL7 FHIR® IG: Data Exchange for Quality Measures, R1", DEQM, Data Exchange for Quality Measures

BENEFITS

  • Enables automatic data collection and submission limiting the need for manual processing and intervention
  • Enable a national standard based on FHIR for data structure and exchange to reduce the burden on clinicians of transforming data between systems
  • Defines a FHIR based data model harmonized between clinical decision support and quality measures and quality measure reporting use cases.

IMPLEMENTATIONS/CASE STUDIES

  • Centers for Medicare and Medicaid Services (CMS)- Quality Reporting Pilot

DEVELOPMENT BACKGROUND

This Implementation Guide is supported by the Da Vinci initiative which is a private effort to accelerate the adoption of Health Level Seven International Fast Healthcare Interoperability Resources (HL7® FHIR®) as the standard to support and integrate value-based care (VBC) data exchange across communities. Like all Da Vinci Implementation Guides, it follows the HL7 Da Vinci Guiding Principles for exchange of patient health information. The guide is based upon the prior work from the US Core, QI Core, and HEDIS Implementation Guides and the QRDA Category I and III reporting specifications. Changes to this specification are managed by the sponsoring HL7 Clinical Quality Information (CQI) and Clinical Decision Support (CDS) workgroups and are incorporated as part of the standard HL7 balloting process.

 

RELATED DOCUMENTS

HL7 FHIR® Implementation Guide: Data Exchange for Quality Measures STU3.1 for FHIR R4 - US Realm

STU DOCUMENTS

HL7 FHIR® Implementation Guide: Data Exchange for Quality Measures, STU3.1 for FHIR R4 - US Realm See the standard at http://hl7.org/fhir/us/davinci-deqm/STU3.1/. (Submit Feedback on STU)
HL7 FHIR® Implementation Guide: Data Exchange for Quality Measures, STU3 for FHIR R4 - US Realm See the standard at http://hl7.org/fhir/us/davinci-deqm/STU3. (Submit Feedback on STU)
HL7 FHIR® Implementation Guide: Data Exchange for Quality Measures, Release 1 STU2 for FHIR R4– US Realm Please see the resource detail for link and download instructions. Expiration Aug 2022
HL7 FHIR® Implementation Guide: Data Exchange for Quality Measures STU1 for FHIR STU3, Release 1 - US Realm Please see the resource detail for link and download instructions. Expiration Dec 2021

ADDITIONAL DETAILS

TOPICS

  • Clinical Quality
  • Decision Support

BALLOT TYPE

  • STU

STATUS DATE

2021-06-21

RESPONSIBLE WORK GROUP

Clinical Quality Information

PRODUCT TYPE

  • Implementation Guide

STAKEHOLDERS

  • Clinical Decision Support Systems Vendors
  • EHR, PHR Vendors
  • Healthcare Institutions
  • Local and State Departments of Health
  • Payors
  • Quality Reporting Agencies
  • Regulatory Agency
  • Standards Development Organizations (SDOs)

FAMILY

  • FHIR

CURRENT STATE

  • Active

REALM

  • US Realm