Quality Measures on FHIR
summary
Joint Commission translates hospital eCQMs from QDM to FHIR using the QI-Core IG, mapping QDM elements to FHIR profiles and CQL in the measure authoring tool. Conversion uncovers gaps: no principal procedure mapping (workaround risked wrong exclusions) and no nutrition resource (feeding coded as Procedure). Engagement through IG ballot reviews, HL7 Connect and working groups leads to fixes: QI-Core procedure extension adds rank/integer for principal procedure and nutrition intake resource plus nutrition product approved June 2020. QI-Core R5 (Apr 2023) aligns with US Core R5; conversions sometimes require multiple FHIR elements (e.g., assessment→Observation+category).
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chapters (8)
- 0:00Introduction and background
- 1:04FHIR for quality measurement
- 2:29QI Core overview and profiles
- 3:54Converting ecqm to FHIR measure
- 6:48Limitations in QI Core profiles
- 10:04Addressing challenges and feedback
- 11:50IG updates and future changes
- 14:14Q&A
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