Sharing Quality Measure Artifacts for Quality Reporting Initiatives

Type	Standard / Implementation Specification	Standards Process Maturity	Implementation Maturity	Adoption Level	Federally required	Cost	Test Tool Availability
Standard	HL7® V3: Representation of the Health Quality Measures Format (eMeasure), DSTU Release 2.1	Final	Production		No	Free	Yes
Standard	HL7 Standard: Clinical Quality Language Specification, Release 1, R5 (CQL 1.5)	Final	Production		No	Free	Yes
Standard	HL7 Cross-Paradigm Specification: CQL Release 1 STU 4	Balloted Draft	Production		No	Free	Yes
Standard	HL7 FHIR® Clinical Reasoning STU Release 3	Balloted Draft	Production		No	Free	Yes
Standard	HL7 CQL-based HQMF Implementation Guide STU 4 based on HQMF R1	In Development	Production		No	Free	Yes
Standard	HL7 FHIR Clinical Reasoning STU Release 4	In Development	Pilot	Feedback Requested	No	Free
Implementation Specification	HL7 CQL-based HQMF, Release 2 DSTU 3 (based on HQMF 2.1 - US Realm	Balloted Draft	Production		No	Free	Yes
Implementation Specification	HL7 FHIR profile: Quality (QI Core) STU 4.0	Balloted Draft	Production		No	Free	Yes
Implementation Specification	HL7 FHIR Quality Measure IG STU 2 for FHIR R4	Balloted Draft	Production		No	Free	Yes

Limitations, Dependencies, and Preconditions for Consideration	Applicable Security Patterns for Consideration
QI Core Profiles are used to express the data involved in a shareable measure and depend on US Core profiles. Note that the maturity level of FHIR resources may vary. The FHIR Maturity Model and each of the levels is described on the HL7 wiki.	Feedback requested.

Comment

Submitted by shellyspiro on 2018-10-01

Pharmacy HIT Collaborative's Comments on ONC's Proposed 2018 ISA

The Pharmacy HIT Collaborative supports combining the previous Sections II-D and II-E into a single Section II-D, and the addition of the balloted editions: HL7 Version 3: Representation of the Health Quality Measures Format (eMeasures) DSTU Release 2.1; HL7 FHIR Profile: Quality, Release 1; HL7 Cross-Paradigm Specification: Clinical Quality (CQL) Language, Release 1, STU Release 1.1; HL7 Version 3 Implementation Guide: Quality Data Model (QDM)-based Health Quality Measure Format (HQMF), Release 1.4 DSTU (based on HAMF 2.1 - US Realm); HL7 Version 3 Implementation Guide: Clinical Quality Language (CQL)-based Health Quality Measure Format (HQM)F, Release 1.1 DTSU 2 (based on HQMF 2.1 - US Realm); HL7 Version 3 Implementation Guide: Clinical Quality Language (CQL)-based Health Quality Measure Format (HQM)F, Release 2 DTSU 32 (based on HQMF 2.1 - US Realm). The Collaborative also supports HL7 FHIR Implementation Guide: Clinical Quality Framework (CQF on FHIR) and HL7 Fast Healthcare Interoperability Resources (FHIR) Clinical Reasoning STU Release 3, which are in development.