![]() FHIR Quality Measure replaces HQMF for eCQM structure.QI-Core is a version-specific data model built directly on top of FHIR resources (US Core and base FHIR resources). Quality Improvement Core Framework (QI-Core) replaces QDM for clinical data.The goal is to align quality measurement standards for eCQM development and reporting: Structure: The container and sections describing measure metadata, numerator, denominator, exclusions, exceptionsĪ FHIR eCQM uses the FHIR Quality Measure Implementation Guide and the Data Exchange for Quality Measures (DEQM) Implementation Guide.Expression Logic: How to calculate the result and evaluate the performance.Data Model: How to describe the patient’s medical record data needed to calculate the measure.An eCQM is composed of three primary parts, the data model, expression logic, and structure. In order to assess the transition to FHIR quality measurement, it is important to understand the components of an eCQM and how the components will evolve with FHIR. However, the FHIR standard has potential to better align with the EHR's ability to share data in clinical settings, to improve alignment with clinical decision support initiatives, and to reduce overall burden on measure developers and implementers. Currently used quality standards, Quality Data Model ( QDM), Clinical Quality Language ( CQL), Health Quality Measure Format ( HQMF), and Quality Reporting Document Architecture ( QRDA), remain the backbone of electronic clinical quality measure ( eCQM) development and reporting. The healthcare community and CMS are exploring a potential transition to FHIR-based quality measurement beginning with research and testing. FHIR focuses on implementation and uses the latest web technologies to aid rapid adoption. FHIR combines the best features of previous standards into a common specification, while being flexible enough to meet needs of a wide variety of use cases within the healthcare ecosystem. Electronic health records (EHRs) represent patient data in different ways (e.g., medications, encounters) and FHIR provides a means for representing and sharing information among clinicians and organizations in a standard way regardless of the ways local EHRs represent or store the data. The healthcare community is adopting this next generation exchange framework to advance interoperability. Fast Healthcare Interoperability Resources (FHIR) is a Health Level Seven International® (HL7®) standard for exchanging healthcare information electronically.
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