The IHE Quality, Research and Public Health (QRPH) domain addresses the information exchange and electronic health record content standards necessary to share information relevant to quality improvement in patient care, clinical research and public health monitoring.
The QRPH domain was formed in 2007 to address use cases related to repurposing of clinical data for these critical "secondary" uses. Globally there is a need to
gather and report on secondary data used in public health, clinical decision support, quality measure reporting and research to improve the quality,
efficiency and safety of patient care delivery.
Clinical, demographic and financial information is routinely gathered and used
in the process of providing clinical care. This information has significant
value to public health agencies for monitoring disease patterns of known
clinical processes (including incidence, prevalence and situational awareness)
and for identifying new patterns of disease. Such data may be used to develop
population analyses and programs for direct outreach and condition management
through registries and locally determined appropriate treatment programs or
Similarly, information about care processes delivered to patients can be used
to identify adherence to expected evidence-based clinical care protocols and to
assess outcomes and quality of care provided by individual clinicians or groups
of clinicians. Much of the data required for quality analysis exists within the
clinical patient record and can be repurposed for analysis. The protocols for
subsequent management of clinicians and individual patients with respect to
quality data are often addressed as performance improvement or disease
Research and clinical studies, likewise, require identification of patterns of
clinical presentation to select patients for inclusion (with consent) in
research protocols. Subsequent study execution , requires infrastructure and detailed
content gathering capabilities similar to those required by quality initiatives
and public health.
The QRPH domain addresses specifications for patient selection, individual and
aggregate date reporting, and privacy and security constraints for re-use of
patient information, enabling experts in health quality, research and public
health to collaborate and coordinate their activities.
The current sponsors of the QRPH domain are the Healthcare Information and
Management Systems Society (HIMSS), and the Radiological Society of North
Information on committee membership and current activities is available on the QRPH wiki page or by
contacting the domain secretaries at firstname.lastname@example.org. Use the links below to download the
technical framework and supplement documents published by the committee, view or subscribe to committee mailing lists (via Google Groups)
and view a detailed calendar of committee activities.
Technical Committee has published the following profile supplements. Detailed
specifications of these profiles are contained in the QRPH Technical Framework page. Brief summary descriptions of the profiles are listed below.
QRPH Committee Calendar
QRPH Committee Co-Chairs:
IHE Quality, Research and Public
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