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Section 1e: Version 3 (V3)
Section 2: Clinical and Administrative Domains

HL7 Domain Analysis Model: Harmonization of Health Quality Artifact Reasoning and Expression Logic

DESCRIPTION

This document seeks to define the common concepts and semantics involved in modeling reasoning within the various aspects of the health quality domain, with the goal of providing a common conceptual foundation that other specifications can use whenever the need to express and communicate expression logic arises.

ALTERNATIVE NAMES

HL7 Domain Analysis Model: Harmonization of Health Quality Artifact Reasoning and Expression Logic may also go by the following names or acronyms:

"HL7 DAM: Harmonization of Health Quality Artifact Reasoning and Expression Logic, R1", Expression Logic Harmonization,

TARGETS

  • Quality Reporting Agencies
  • Standards Development Organizations (SDOs)
  • EHR, PHR Vendors
  • Clinical Decision Support Systems Vendors

BENEFITS

  • Defines common conceptual requirements for the representation of reasoning within quality measures and decision support artifacts.
  • Enables harmonization of the different standards currently in use to represent that reasoning.

IMPLEMENTATIONS/CASE STUDIES

  • ONC
  • MITRE

DEVELOPMENT BACKGROUND

The ability to unambiguously represent and share reasoning is a critical component of many different aspects of Health Quality, including measurement, management, and improvement. For example, quality measures require the description and communication of various population criteria, as well as the computations that must be performed to evaluate the measure overall. Similarly, decision support artifacts must capture criteria describing whether a patient should be the recipient of a particular intervention. These and many other motivating examples make clear that the ability to express and unambiguously share expression logic should be a central component of an overall health quality approach.

Although standards exist for this purpose, the domains of quality measurement and clinical decision support use different standards to do so. Harmonization of these different approaches would enable broader sharing of computable clinical knowledge, as well as reduce the burden on authors and implementers responsible for producing and consuming that knowledge. To enable that harmonization, this document describes the underlying concepts and behavior necessary to enable the expression and accurate communication of health quality reasoning across both quality domains.

RELATED DOCUMENTS

HL7 Domain Analysis Model: Harmonization of Health Quality Artifact Reasoning and Expression Logic

(Download) (495 KB)

TOPIC

  • Decision Support

BALLOT TYPE

  • Informative

STATUS DATE

2014-05-06

RESPONSIBLE WORK GROUP

Clinical Decision Support

PRODUCT TYPE

  • Domain Analysis Model

STAKEHOLDERS

  • Clinical Decision Support Systems Vendors
  • EHR, PHR Vendors
  • Quality Reporting Agencies
  • Standards Development Organizations (SDOs)

FAMILY

  • V3

CURRENT STATE

  • Stable

REALM

  • Universal
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