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projecttacoma / cqm-execution

NPM module for calculating eCQMs (electronic clinical quality measures) written in CQL (clinical quality language).
Apache License 2.0
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Which library to use to build MCT #262

Closed nandakishorebhandari closed 4 months ago

nandakishorebhandari commented 5 months ago

Hi Team,

Could you let me know which library to use cqm or fqm to build a measure calculation tool?

birick1 commented 5 months ago

Hi @nandakishorebhandari

The phrase "MCT" has typically been used in the context of FHIR-based measures. For a quick comparison:

So, in that sense, fqm-execution is more appropriate for an MCT.

That said, I'll add some information that might be helpful.

There was an MCT Prototype Demo given at the September 2023 connectathon with information being found on the confluence track page. From that demo:

I'll note that the demo requires setting up a couple servers with an MCT built in to one of those servers, and fqm-execution was not used in that demo. The demo also uses some operations not specified in the DEQM IG, so truly treat as a prototype.

That is also to say, that any tool that can execute a FHIR-based measure might be considered an "MCT" and there are a couple open source options available.

nandakishorebhandari commented 5 months ago

Thank you, @birick1, for providing the answers.

Could you please assist me with the following queries:

  1. Link to access available certified FHIR-based measures (dQMS) and QDM-based measures?
  2. Guide on calculating QDM-based measures on FHIR Patient data?
  3. Guide on calculating traditional Measures using respective technical specifications.

Thank you.

birick1 commented 5 months ago

Hi @nandakishorebhandari

Perhaps the best place to start is the eCQI Resource Center. At that site, you can download measures, read the specifications, and find tooling and resource information. I think you can find information on all 3 of your items there.

I also wanted to touch a little on query 2. QDM-based measures do not accept FHIR Patient data, and FHIR-based measures do not accept QDM Patient data. Each respective measure type requires the use of data targeting the appropriate model.