From Authoring to Evaluating an Electronic Health Quality Measure - Applying Logic to FHIR® with CQL for Calculating Immunization Coverage.

Autor: LIN, Anna M., SCHWAB, Anja, ABOLHASSNI, Reza, WINKLER, Stephan
Zdroj: Studies in Health Technology & Informatics; 2023, Vol. 301, p12-17, 6p, 2 Diagrams, 3 Charts
Abstrakt: Background: Current monitoring and evaluation methods challenge the healthcare system. Specifically for the use case of immunization coverage calculation, person-level data retrieval is required instead of inaccurate aggregation methods. The Clinical Quality Language (CQL) by HL7®, has the potential to overcome current challenges by offering an automated generation of quality reports on top of an HL7® FHIR® repository. Objectives: This paper provides a method to author and evaluate an electronic health quality measure as demonstrated by a proof-of-concept on immunization coverage calculation. Methods: Five artifact types were identified to transform unstructured input into CQL, to define the terminology, to create test data, and to evaluate the new quality measures. Results: CQL logic and FHIR® test data were created and evaluated by using the different approaches of manual evaluation, unit testing in the HAPI FHIR project, as well as showcasing the functionality with a developed user interface for immunization coverage analysis. Conclusion: Simple, powerful, and transparent evaluations on a small population can be achieved with existing open-source tools, by applying CQL logic to FHIR®. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index