Traditionally, clinical decision support rules and clinical quality measurement specifications are developed independently, resulting in the need for systems to interpret and represent the same patient data for two distinct use cases. Since 2016 NCQA has produced quality measure specifications in computer-readable format. In 2022, NCQA modularized their computer-readable specifications by separating the clinical concepts from the quality measurement metrics. This new architecture allows for the clinical components of a quality measure to be aligned across multiple use cases, bringing clinical decision support and quality measurement into closer alignment.  In addition, NCQA is making their computer readable specifications available through a new channel, Digital Content Services. These digital quality measures will include configurability beyond traditional allowable adjustments, as well as outputs useful for reporting, quality improvement, and other use cases.