HEDIS® Implementation Guide

HEDIS Implementation Guide, published by National Committee for Quality Assurance. This is not an authorized publication; it is the continuous build for version null). This version is based on the current content of https://github.com/cqframework/hedis-ig/ and changes regularly. See the Directory of published versions


4 Profiles

In order to support HEDIS measures expressed with CQL, we’ve extended a number of QI Core FHIR profiles and tightened their constraints where needed. The below profiles are not meant to provide exhaustive coverage of every possible measure; just those needed to support our sample set.

ProfilesDescription
HEDIS-Claim

Profile of Claim for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.

HEDIS-Condition

Profile of Condition for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.

HEDIS-Coverage

Profile of Coverage for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.

HEDIS-DiagnosticReport

Profile of DiagnosticReport for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.

HEDIS-Encounter

Profile of Encounter for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.

HEDIS-Library

Profile of Library for use in quality measurement and decision support

HEDIS-Measure

Profile of Measure for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.

HEDIS-MedicationDispense

Profile of MedicationDispense for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.

HEDIS-MedicationRequest

Profile of MedicationRequest for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.

HEDIS-Observation

Profile of Observation for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.

HEDIS-Patient

Profile of Patient for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.

HEDIS-Procedure

Profile of Procedure for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.

HEDIS-ProcedureRequest

Profile of ProcedureRequest for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.

HEDIS-QuantitativeObservation

Profile of Observation for decision support/quality metrics, specifically quantitative observations. Defines the core set of elements and extensions for quality rule and measure authors.

HEDIS-Task

Profile of Task for use in HEDIS quality measures.