20140918 US Realm TF WGM

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US Realm Task Force Call Agenda/Minutes Location: Conference Room 4L		Date: 2014-09-18 Time: 12:30 PM Central
Facilitator	John Quinn	Note taker(s)	Lynn

Attendee / Name
	Calvin Beebe		Woody Beeler		Keith Boone
	Joe Bormel	x	Lorraine Constable		Julie Crouse
x	John Feikema		Freida Hall	regrets	Ed Hammond
x	Tony Julian	x	Paul Knapp	x	Austin Kreisler
x	Lynn Laakso	regrets	Ken McCaslin	x	John Quinn
	David Susanto		Pat VanDyke
Visitor / Name
Angelique Cortez	Edward Larsen	Mark Roche	Crystal Kallem
no quorum definition

Agenda

Administrivia

• Agenda review
• Review notes from 20140909_US_Realm_TF_Call
• Action Items
  • address dependency issue between the C-CDA Release 2 IG Project Insight #1014 and the HL7 CDA R2: National Ambulatory Medical Care Survey, R1 - US Realm IG (NAMCS IG) at Project Insight #1002 from the PHER work group
    • accelerating the LOINC assignment process (Ed)
    • evaluating the C-CDA R2 issues that impact the NCHS NAMCS IG (Hetty Khan spreadsheet)
• Project Review:
  • QRDA Category I Draft Standard for Trial Use, Release 3
  • Feedback on S&I project portfolio (John Feikema)

Discussion:

• Review of any outstanding issues

Minutes

• Agenda review - Feik has the DAF PSS for review, Crystal Kallem sent an additional one.
• Start with the DAF
  • Ed has presented this to the various wGs, including INM the primary sponsor
  • SDWG will cosponsor; CGIT and OO will be interested parties and discussion with Templates scheduled.
  • Dragon and Brett will do modeling and Lloyd will help keep them on track.
  • SDWG cosponsoring in order to monitor CCDA on FHIR; OO monitoring LOI/LRI profiling.
  • Feik reports that base FHIR standard has 80% of the data elements they need.
  • DAF has two types of queries, document based and data element based. Using IHE XCA profiles and MHDv2 for documents. Data element based access focusing exclusively on FHIR platform.
  • Profiles developed may or may not be part of base spec depending on FMG criteria to be developed.
  • First they will ballot for comment in January cycle and ready for DSTU2 in 2015May cycle.
  • Mark clarifies they did not create data elements but selected existing data elements into a list from MU2 and have verified which already exist in FHIR spec. Mapped MU data set to CCDA companion guide and listed the data elements. Tony asks what is the definition of a Meaningful Use data set? Please reference the specific MU artifacts in the scope statements. Add link to the actual xslx in the PSS. Precedent for reference to external websites for documents, what happens with broken links, etc discussed.
  • Lorraine asks whether they are profiling based on DSTU R1 or planned DSTU R2 as the definition of profiles is changing - sounds like it's DSTU 2, whatever they can get from the download.
  • Uncheck the product line for FHIR Resources as they are not defining a resource just profiling
  • INM approval not yet obtained. They will need their approval but since they are profiling not building resources it may not need to be approved by FMG just to inform them. INM will e-vote and when they are done
  • Lorraine moves approval seconded by Tony. Unanimously approved.
• Action Items
  • address dependency issue between the C-CDA Release 2 IG Project Insight #1014 and the HL7 CDA R2: National Ambulatory Medical Care Survey, R1 - US Realm IG (NAMCS IG) at Project Insight #1002 from the PHER work group
    • accelerating the LOINC assignment process (Ed) Ed reported that this was done.
    • evaluating the C-CDA R2 issues that impact the NCHS NAMCS IG (Hetty Khan spreadsheet)
• Project Review:
  • QRDA Category I Draft Standard for Trial Use, Release 3
    • QRDA Category 1 is patient level compared to Category 3 aggregate level. This is an update to project 210 for a third release of the QRDA Category 1 DSTU
    • Moving the QRDA and other quality related standards to the CQI WG where they were previously Structured Documents, who is now cosponsor.
    • Scope is update to DSTU R2, new templates for alignment to most recent QDM (quality data model from HHS/NQF managed by Mitre, noted as synchronization with other SDO/Profilers). They have addressed existing DSTU comments and wish to incorporate errata. They are reviewing CCDA R2 for consistency with templates. QDM is being aligned with QUICK and hopefully will become the formal data model.
    • Plan for January ballot so work must be done by December. Dependencies on CCDA R2 noted. Inconsistencies with CCDA R2 and delay reviewed. They could probably proceed even with CCDA R2 delayed.
    • Paul moves approval seconded by Lorraine. Unanimously approved.
  • CQF-based HQMF Implementation Guide - HQMF is the base standard and this implementation guide for HQMF using CQF and the QUICK data model. CQI primary sponsor and CDS cosponsor.
    • ONC as implementer? Part of Tacoma project with ONC and CMS to align standards for quality and CDS. She's not familiar with a particular S&I group. Mark notes the international patient summary forum group has not listed themselves as implementers. They can be removed as implementers.
    • Paul asks if they are looking at what the measures should be or the technical measurement of the quality measures. Crystal notes they provide the definition or specification of a measure itself. This is about how the measurement is represented.
    • QDM-based HQMF IG already exists and this uses the CQF instead.
    • Lorraine notes that QUICK is looking at using FHIR profiles and will that affect this IG? Crystal does not know for sure and it is still in flux. CQI is working with FHIR now to see how their data elements are mapped notes Mark. Lorraine remarks that there is a great deal of mapping yet with the data model to embrace the FHIR resources as leaf notdes.
    • Lynn asks about revisions of the DSTU at an R3; when will they be ready for normative?
    • HQMF is DSTU whose R2 expires next December; CQI should consider when they will be making the base standard on which these IGs are based into a normative standard.
    • Paul moves and Lorraine seconds approval; unanimously approved.

Adjourned 1:42 PM

Meeting Outcomes

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Next Meeting/Preliminary Agenda Items 20140930 US Realm TF Call Tuesday at 1 PM ET

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