20 July 2018 CQI Agenda

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20 July 2018 - CQI Conference Call Agenda

HL7 Clinical Quality Information Workgroup
Friday, July 20, 2018 – 1-3 PM EDT
Dial in: 770-657-9270 Passcode: 217663
https://join.freeconferencecall.com/hl7cqi
CQI Co-chairs: Patty Craig, Floyd Eisenberg, Juliet Rubini, KP Sethi, Yan Heras
Meeting Chair: Yan
Meeting Scribe: Patty

Agenda

	Agenda Item	Time Allotment
1	Roll call	5 minutes
2	Decision regarding CQL-based HQMF IG CQL-based HQMF content for publication Publication Request for CQL-based HQMF IG	20 minutes
3	Clinical Reasoning FHIR Tracker items For details of each tracker item, search the FHIR Tracker Website by tracker item ID: Block Vote Tracker Items: 16807 Does this mean that stratisfier always relates to a value set or boolean? Integers and doublesbooleans are not allowed? - ***2018-May Core STU #37 (Bas van den Heuvel) In Person Considered - Question Answered 16819 How does this work in CQL. context Patient is supported the other ones are less clear. - 2018-May Core STU #40 (Bas van den Heuvel) In Person Considered - Question Answered 16839 What context? And why not always populate it ? - 2018-May Core STU #46 (Bas van den Heuvel) In Person Considered - Question Answered 14098 Extend Measure/MeasureReport to better support public health/health system use cases (Carl Leitner) Persuasive 15913 MeasureReport.reporter should not include Group (Lloyd McKenzie) Persuasive 16783 Criteria use a different pattern than is expressed in the dynamic language specification. Suggest to align. - 2018-May Core STU #31 (Bas van den Heuvel) In Person Persuasive 16822 The spec is clear on Patient parsing. For the othber ones tha other part of the spect ofting refer to patient based measurs where subject should be used instead. - 2018-May Core STU #41 (Bas van den Heuvel) In Person Persuasive 16836 How the information enclosed in the supplmentalData element is to be used is unclear form the provided information. - 2018-May Core STU #45 (Bas van den Heuvel) In Person Persuasive 16842 Don't understand how this relates to the previous part of the sentence. Does this assume measures are always profiled ? - ***2018-May Core STU #47 (Bas van den Heuvel) In Person Persuasive 16845 How does this element relate to the element purpose or usage or description ? - 2018-May Core STU #48 (Bas van den Heuvel) In Person Persuasive 16847 Probably logic refers to the logic included in the Library object. Refering to the library as logic is not clear. - 2018-May Core STU #49 (Bas van den Heuvel) In Person Persuasive 16803 Multiple InitialPopulations? InitialPopulation consisting of multiple populations? Or is meant just having multiple population fields? - 2018-May Core STU #36 (Bas van den Heuvel) In Person Persuasive with Mod 16811 What about very large populations ? you would have for example 20000 references included in the measure report ? - 2018-May Core STU #38 (Bas van den Heuvel) In Person Persuasive with Mod 16815 Is elm no longer supported? - 2018-May Core STU #39 (Bas van den Heuvel) In Person Persuasive with Mod 16826 Add element on measure resource related to Meaningful Measures domain (https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/QualityInitiativesGenInfo/MMF/General-info-Sub-Page.html) as defined by CMS - 2018-May Core STU #42 (Bas van den Heuvel) In Person Persuasive with Mod Individual tracker items for discussions 17355 16853 16850 16833 16830	30 minutes
5	Review additional harmonization proposal (late addition) Discuss and vote on whether we need to address any issues about it during the harmonization call. Proposal 1 (Add 1 new code to the HL70287 table (Problem/Goal Action Code) to support unambiguous declaration of use of snapshot mode (not using the action codes at all)) Proposal 2 (Add 1 new code to the HL70206 table (Action Code) to support unambiguous declaration of use of snapshot mode (not using the action codes at all))	15 minutes
6	Notification of new CMS Notice for Proposed Rulemaking (NPRM) - Physician Fee Schedule - also available at Federal Register unpublished version Consider review and comment by CQI WG For reference: Location for HL7 final comments to CMS regarding IPPS NPRM - specifically note eCQM section includes CQI WG recommendations.	10 minutes
7	Project Updates CQI Project Updates HL7 CDA® Release 2 Implementation Guide: Quality Reporting Document Architecture Category I (QRDA I) Release 1, STU Release 4 - US Realm (PI ID: 210) HL7 CDA® R2 Implementation Guide: Quality Reporting Document Architecture (QRDA III), Release 1 - US Realm (PI ID: 896) HL7 Version 3 Standard: Representation of the Health Quality Measures Format (eMeasure), Release 1 (PI ID: 508) HL7 Version 3 Implementation Guide: Quality Data Model (QDM)-based Health Quality Measure Format (HQMF), Release 1 - US Realm (PI ID: 756) HL7 Version 3 Implementation Guide: Clinical Quality Language (CQL)-based Health Quality Measure Format (HQMF), Release 1 - US Realm (PI ID: 1142) HL7 FHIR® Implementation Guide: Clinical Quality Framework (CQF on FHIR), Release 1 (PI ID: 1234) (Co-Primary with CDS) HL7 FHIR® Profile: Quality, Release 1 - US Realm (PI ID: 1125) HL7 CDA® R2 Implementation Guide: Supplemental QRDA Clinical Quality Data Sharing User Guide, Release 1 (PI ID: 1215) FHIR IG for Exchange of Data for Quality Measures (PI ID: 1429) Project meetings for FHIR Exchange for Data for Quality Measures: Thursdays, 3-4 PM ET https://global.gotomeeting.com/join/465572589 Dial in: United States: +1 (646) 749-3129; Access Code: 465-572-589; Australia: +61 2 9087 3604; Canada: +1 (647) 497-9391; Netherlands: +31 207 941 377 Gaps in Care (PI ID: 1427) Co-sponsored Project Updates (5 min) HL7 Cross-Paradigm Specification: Clinical Quality Language, Release 1 (PI ID: 1108) (CDS Primary, CQI co-sponsor) HL7 Cross-Paradigm Specification: CIMI Logical Models, Release 1 (PI ID: 1253) (CIMI Primary, CQI co-sponsor) HL7 Cross Paradigm Specification: Neutral Mapping Notation, R1 (Project 1237 – FluentPath - Aligning FHIRPath with CQL --- co-sponsoring with CDS, ITS <primary>, FHIR) CrossParadigm IG Medical Device Interoperability (PSS: CrossParadigm_IG_Medical_Device_interoperability.v.4.docx) Composite KNART Investigation (PSS: 1336) CrossParadigm_Storyboard_Artifact_Payer_Value_Based_Care(PSS: 1347) Clinical Decision Support Big Picture Implementation Guide (PI ID: tbd) (Arden Syntax Primary, CQI and CDS co-sponsor) FHIR Public Health Electronic Case Reporting (eCR) (PI ID: tbd) CQI and CDS co-sponsor with CIMI as an interested party) US FHIR Core Updates PSS (PI ID: 1265) (US FHIR Primary, CQI and CDS co-sponsor with CIMI as an interested party) Evidence-Based Medicine on FHIR (CDS sponsor, CQI co-sponsor) EBM on FHIR Project Initiation Tasks (Project ID 1422)	10 minutes
8	Notifications New Project Scope Statements - May 27, 2018 Harmonization Initial proposals due - June 22, 2018 Final proposals due - July 20, 2018 Harmonization meeting - July 25 and 26, 2018 Notification for Intent to Ballot deadline - July 15, 2018 Initial Content Deadline - July 4, 2018 Reconciliation Content Deadline - August 3, 2018 Final ballot content due - August 19, 2018 Ballot opens – August 24, 2018 – September 24, 2018 WGM – September 29 - October 5, 2018 (Baltimore, MD) Next CQI Workgroup Call: July 27, 2018	None