Skip to content

Clinical Data Solution Implementers

Jump to bottom
Mark Marciante edited this page Dec 2, 2025 · 4 revisions

🏥 Clinical Data Solution Implementers Hub

Welcome! You're building solutions that use CQL for quality measurement and clinical decision support within specific healthcare programs. This hub connects you to the resources you need—from foundational standards to program-specific guidance.

🎯 Is This Hub For You?

You're in the right place if you're:

✓ Your Role
📊 Implementing HEDIS® digital measures at a health plan
🏥 Building eCQM reporting into an EHR system
🌍 Deploying WHO SMART Guidelines for public health
🔗 Supporting quality measurement at an HIE
💼 Creating value-based care platforms with quality logic

#DRAFT: This page is still Draft#

🏗️ The Common Foundation: CQL Assets for FHIR

CQL Common Assets IG (HL7 FHIR Implementation Guide)

This HL7 implementation guide is the foundation for all US-based FHIR + CQL implementations.

What It Provides Why You Need It
FHIRHelpers Converts FHIR data types to CQL—essential for every measure
FHIRCommon Proven patterns for working with FHIR resources
USCoreCommon US-specific patterns you'll use everywhere
Best Practices Versioning, terminology, error handling

💡 Key Insight: Whether you're implementing HEDIS®, eCQMs, or SMART Guidelines, they all build on these common assets. Master this foundation once, apply it everywhere.

📚 Choose Your Implementation Guide

Now that you understand the foundation, pick your program:

📊 Digital HEDIS® Implementation

NCQA® Digital HEDIS® Community Hub

For: Health plans, payer-focused vendors, HEDIS® implementers

You'll learn:

  • Digital HEDIS® fundamentals and transition roadmap
  • NCQA Digital Content Services (DCS) setup
  • HEDIS® Core FHIR IG requirements and data mapping
  • CQL patterns specific to HEDIS® measures
  • Testing, validation, and certification

Best if you're: Implementing NCQA HEDIS® measures for health plan reporting

🏥 Electronic Clinical Quality Measures (eCQMs)

Coming Soon

For: Hospitals, clinics, eligible clinician reporting

Will include:

  • CMS Quality Measure IG guidance
  • FHIR-based quality reporting (DEQM)
  • Hospital and ambulatory-specific patterns
  • eCQM program requirements

🌍 WHO SMART Guidelines

Coming Soon

For: Global health, public health agencies

Will include:

  • SMART Guidelines architecture
  • Clinical decision support patterns
  • Global health data standards
  • Implementation toolkit

🔍 Understanding the CQL Stack

Here's how everything fits together:

┌─────────────────────────────────────────────┐
│  📊 Your Program Content                    │
│  (Specific HEDIS® measures, eCQMs, etc.)     │
├─────────────────────────────────────────────┤
│  📋 Program Implementation Guides           │
│  (HEDIS® Core IG, QM IG, SMART IGs)          │
├─────────────────────────────────────────────┤
│  🏗️ CQL Common Assets                       │  ← START HERE
│  (FHIRHelpers, FHIRCommon, USCoreCommon)    │
├─────────────────────────────────────────────┤
│  🔧 Base Standards                          │
│  (CQL language, FHIR R4, US Core)           │
└─────────────────────────────────────────────┘

Your implementation touches all layers:

  1. Base Standards → Core specifications
  2. Common Assets → Shared foundation (same for everyone)
  3. Program IGs → Your program's specific requirements
  4. Content → The actual measures you're implementing

🎓 Key Concepts

Data Models Matter

Different programs use different FHIR profiles:

Program Primary Profiles
HEDIS® HEDIS® Core IG, US Core 3.1.1, CARIN Blue Button
eCQMs QI-Core, US Core, DEQM
All Programs Build on US Core + FHIR R4 base

CQL Execution Flow

Understanding the flow helps with troubleshooting:

1. 📥 Retrieve Data → Query your FHIR data layer
2. 🔍 Filter & Transform → Apply clinical logic  
3. 📊 Calculate Populations → Determine who meets criteria
4. 📤 Return Results → Generate scores or care gaps

📖 Quick Reference

Resource What You'll Find
[🏗️ CQL Common Assets] Foundation for all US FHIR + CQL implementations
[📊 Digital HEDIS® Hub] NCQA HEDIS® implementation guidance
[🚀 Getting Started] CQL basics for new users
[👤 CQL User Hub] Understanding CQL in IGs
[⚙️ Engine Developer Hub] Building CQL execution infrastructure

💬 Community & Support

Get Help:

Stay Connected:

  • Monthly CQL community calls
  • HL7 FHIR Connectathons
  • Program-specific webinars and training

Join the CQL Community on Zulip: https://chat.fhir.org/#narrow/channel/179220-cql

🔗 Related Hubs

Explore based on your needs:

Hub When to Use It
⚙️ Engine Developer Hub Building CQL execution engines
📊 Measure Developer Hub Authoring new quality measures
🚀 Getting Started Brand new to CQL

← Back to Home

Maintained by the Digital Quality Implementers Community

Clone this wiki locally