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Healhcare Information Technology Standards Panel

HealthCare Information Technology Standards Panel

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HITSP members work together to define the necessary functional components and standards – as well as gaps in standards – which must be resolved to enable the interoperability of healthcare data.

Technical Note

TN 906 - TN906 - Quality Measures Technical Note

This document provides several examples of quality measures specified based on information available within electronic data sources as specified using the HITSP IS06 Quality Interoperability Specification. The examples include measures in the Stroke, Venous Thromboembolism and Emergency Department sets of quality measures provided to HITSP by CMS. These examples includes a description of the measures, the sets of data elements needed to address each measure (including any derived data elements), the associated value sets, the eMeasure representation, and the QRDA representation required to report performance based on these measures. Note that QRDA is the HL7 Quality Reporting Document Architecture that enables providers to use the same data constructs developed for information exchange to report on quality measures directly out of the EHR. This document also provides an example of the XML emeasure populated with sample data from the examples. This document is intended to exemplify the use of the HITSP specifications in specifying and reporting on a quality measure. This document is also intended to serve as guidance for the implementation of the example measures using the HITSP standards.

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Construct	Title / Version	Status	Document Access
TN 906	TN906 - Quality Measures Technical Note Version:1.0	Released (Panel Approved)	DOWNLOAD
TN 906	TN906 - Quality Measures Technical Note Version:1.1	Released (Panel Approved)	DOWNLOAD
TN 906	TN906 - Quality Measures Technical Note Version:1.2	Public Comment	DOWNLOAD
NOTE: As a part of its work, the Technical Committee undertook the definition of 16 Quality Measures. These measures are encoded according to the HL7 HQMF as specified by the HITSP C106 Measurement Criteria Component. The .xml files for these can be found here. Enclosed are .xml files along with a simple style sheet in order to view in a browser. To open and read Quality Measures .xml files: 1. Download HITSP_Quality_Measures_20100430.zip file. 2. Create a new folder on your hard drive. 3. Extract the entire contents of the HITSP_Quality_Measures_20100430.zip file into the new folder. 4. Open the new folder. 5. Double click on a file to open and read the individual .xml files within a browser. Please note that to view the native .xml, we suggest you open the files in a text editor such as Text Pad. The simple style sheet allows you to open the .xml files within a browser such as Internet Explorer or Firefox, however, not all browsers behave the same way with .xml style sheets.

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Reference Documents

Acronyms
AHIC Use Cases
Conventions (naming and numbering)
Glossary
Harmonization Framework
Interoperability Specifications Overview