Cooking with CQL or How to Express eCQMs using …...2020/04/23 · Cooking with CQL: or How to Express eCQMs using CQL, QDM, and FHIR® Webinar Supplemental Slides for the April
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Cooking with CQL: or How to Express eCQMs
using CQL, QDM, and FHIR® Webinar
Supplemental Slides for the April 23, 2020
Session – FHIR and CQL
Shanna Hartman
Centers for Medicare & Medicaid Services
and
Bryn Rhodes, ESAC, Inc.
Cooking with CQL
Agenda
• Fast Healthcare Interoperability Resources
(FHIR®) and Clinical Quality Language
(CQL)
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FHIR and CQL
• Primitives
• Choice Types
• Slices
• Extensions
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Patient Resource
Cooking with CQL
• Elements• name• cardinality• type
4/23/2020 http://hl7.org/fhir/patient.html 4
Patient in CQL
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Cooking with CQL
BP
ConstraintsSlices
http://hl7.org/fhir/bp.html
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BP in FHIR
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Cooking with CQL
Cooking with CQL
Extensions (US Core Patient)
4/23/2020 http://hl7.org/fhir/us/core/STU3.1/StructureDefinition-us-core-patient.html 8
Extensions in CQL
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Cooking with CQL
FHIRHelpers
• A library of conversion functions for use
with FHIR
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Cooking with CQL
System-defined Types
CQL Type FHIR Type
Boolean boolean
Integer integer
Decimal decimal
String string
Date date
DateTime dateTime
Time time
Quantity Quantity
Ratio Ratio
Code Coding
Concept CodeableConcept
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Patient w/ Helpers
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BP in FHIR with Helpers
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Extensions with Helpers
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Complex Extensions with Helpers
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QICore
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Cooking with CQL
Slices in QICore
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Extensions in QICore
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Cooking with CQL
Complex Extensions in QICore
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Resources
• HL7 Standard: Clinical Quality Language Specification, Release 1 STU2
▪ http://cql.hl7.org
• HL7 CDS Workgroup Project Homepage▪ http://wiki.hl7.org/index.php?title=Clinical_Quality_Lan
guage
• GitHub Tools Repository
▪ https://github.com/cqframework/clinical_quality_language
• eCQI Resource Center - https://ecqi.healthit.gov
▪ CQL Space - https://ecqi.healthit.gov/cql
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FHIR Resources
• HL7 Fast Healthcare Interoperability Resources (FHIR)
▪ http://hl7.org/fhir/
• Quality Improvement Core (QI-Core) Implementation Guide
▪ http://hl7.org/fhir/us/qicore/
• FHIR Quality Measure Implementation Guide
▪ http://hl7.org/fhir/us/cqfmeasures/
• Example FHIR Measures (based on 2020 program year)
▪ http://hl7.org/fhir/us/cqfmeasures/
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Cooking with CQL
Soliciting Examples for the Next
Session
• Feedback Survey pop up at the close of this session
• ESAC CQL Email Account
▪ cql-esac@esacinc.com
• ONC JIRA CQL Issue Tracker
▪ https://oncprojectracking.healthit.gov/support/browse/
CQLIT
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