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

HL7 Domain Analysis Model: Health Quality Improvement, Release 1

DESCRIPTION

This specification defines a conceptual model for health data for use in the health quality domain. It harmonizes the requirements for patient data use in quality measurement and clinical decision-support enabling a single model to be used in both aspects of quality improvement. This model will facilitate the development of unified knowledge representation standards such as structured formats for quality measures and clinical decision-support knowledge artifacts.

ALTERNATIVE NAMES

HL7 Domain Analysis Model: Health Quality Improvement, Release 1 may also go by the following names or acronyms:

"HL7 Domain Analysis Model: Health Quality, Release 1",

TARGETS

  • Clinical and Public Health Laboratories
  • Immunization Registries
  • Other registries and measures developers
  • Quality Reporting Agencies
  •  Standards Development Organizations (SDOs)
  • Regulatory Agency
  • Payors
  • Pharmaceutical Vendors
  • EHR, PHR Vendors
  • Health Care IT Vendors
  • Clinical Decision Support Systems Vendors
  • Lab Vendors
  • HIS Vendors
  • Local and State Departments of Health
  • Medical Imaging Service Providers
  • Healthcare Institutions (hospitals, long term care, home care, mental health)

BENEFITS

  • Defines common conceptual requirements for the representation of health data for the quality improvement domain, i.e., in quality measurement and clinical decision support (CDS)
  • Enables harmonization of the different standards currently in use to represent and reason about data within clinical decision-support knowledge artifacts and clinical quality measures

IMPLEMENTATIONS/CASE STUDIES

  • Office of the National Coordinator for Health Information Technology

DEVELOPMENT BACKGROUND

This specification, the Health Quality Improvement Domain Analysis Model (QIDAM), is a conceptual data model that can be used as the basis for a logical data model for the health quality improvement domain. The QIDAM identifies the requirements for the logical model and, in particular, the types of elements needed in the model. More broadly, the primary purpose of the logical model derived from the QIDAM is to serve as a model of clinical data within data mapping expressions, logical criteria, population criteria, formulae, and other expressions in health quality improvement artifacts. The QIDAM thus provides the foundation for consistency in format across Electronic Clinical Quality Measures (eCQMs) and CDS artifacts.

The QIDAM harmonizes the elements from the existing eCQM and CDS data models into a single, unified conceptual model. This model can be mapped onto existing logical models while defining the structure and domain concepts required by eCQMs and CDS artifacts.

RELATED DOCUMENTS

HL7 Domain Analysis Model: Health Quality Improvement, Release 1

(Download) (1.65 MB)

TOPIC

  • Decision Support

BALLOT TYPE

  • Informative

STATUS DATE

2014-11-07

RESPONSIBLE WORK GROUP

Clinical Quality Information

PRODUCT TYPE

  • Domain Analysis Model

STAKEHOLDERS

  • Clinical and Public Health Laboratories
  • Clinical Decision Support Systems Vendors
  • EHR, PHR Vendors
  • Health Care IT Vendors
  • Healthcare Institutions
  • HIS Vendors
  • Immunization Registries
  • Lab Vendors
  • Local and State Departments of Health
  • Medical Imaging Service Providers
  • Payors
  • Pharmaceutical Vendors
  • Quality Reporting Agencies
  • Regulatory Agency
  • Standards Development Organizations (SDOs)

FAMILY

  • V3

CURRENT STATE

  • Stable

REALM

  • Universal
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