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6 April 2018 CQI Conference Call Minutes
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6 April 2018 - CQI Conference Call Minutes
HL7 Clinical Quality Information Workgroup
Friday, April 6, 2018 – 1-3 PM EDT
Dial in: 770-657-9270 Passcode: 217663
https://join.freeconferencecall.com/hl7cqi
CQI Co-chairs: Patty Craig, Floyd Eisenberg, Walter Suarez, KP Sethi, Yan Heras
Meeting Chair: Floyd
Meeting Scribe: Patty
6 April 2018 - CQI Conference Call Attendance
| Attendee | Attendee's Organization | Attendee's email |
| Abrar Salam | The Joint Commission | asalam@jointcommission.org |
| Ann Phillips | NCQA | phillps@ncqa.org |
| Anne Smith | NCQA | smith@ncqa.org |
| Claudia Hall | Mathematica | chall@mathematicampr.org |
| Dan Donahue | ESAC | dan.donahue@esacinc.com |
| Floyd Eisenberg | iParsimony, LLC | FEisenberg@iParsimony.com |
| Gay Dolin | IMO | gdolin@imoonline.com |
| Jamie Lehner | PCPI | jamie.lehner@thepcpi.org |
| Juliet Rubini | Mathematica | jrubini@mathematicampr.com |
| Kathleen Connor | . | . |
| Linda Michaelsen | Optum | linda.michaelsen@optum.com |
| Lisa Anderson | The Joint Commission | landerson@jointcommission.org |
| Lorraine Constable | . | lorraine@constable.ca |
| Matthew Tiller | ESAC | matthew.tiller@esacinc.com |
| Mitra Biglari | The Joint Commission | mbiglari@jointcommission.org |
| Patty Craig | The Joint Commission | pcraig@jointcommission.org |
| Paul Denning | MITRE | pauld@mitre.org |
| Ping Jiang | The Joint Commission | pjiang@jointcommission.org |
| Stan Rankins | Telligen | SRankins@telligen.com |
| Sue Kent | CCF | kents@ccf.org |
| Thomson Kuhn | ACP | tkuhn@acponline.org |
| Yan Heras | Optimum Health | yanheras@gmail.com |
| Yanyan Hu | The Joint Commission | yhu@jointcommission.org |
6 April 2018 - CQI Conference Call Minutes
- Roll call
- CQI Wiki Review
- Reviewed where the CQI weekly conference call agendas and minutes will be maintained moving forward on the Wiki
- Discussed the new Clinical Quality Framework Wiki page and how both CQI and CDS will maintain their respective information
- Reviewed where the CQI weekly conference call agendas and minutes will be maintained moving forward on the Wiki
- Ballot Reconciliation – QI Core Deferred until April 13, 2018
- STU Comment Review - QRDA Category III STU 2.1 - no new comments as of 4April2018
- STU Comment Review - QRDA Category III STU 2.0 - no new comments as of 4April2018
- STU Comment Review - QRDA Category I STU 4 - 1 new comment as of 4April2018
- Comment #1570 - clarification Yan moved; Thom seconded; No further discussion; 0 opposed, 1 abstention, 21 approved
- Comment #1570 - clarification Yan moved; Thom seconded; No further discussion; 0 opposed, 1 abstention, 21 approved
- STU Comment Review - QRDA Category I STU 5 - 10 new comments as of 4April2018
- Comment #1581 - errata, persuasive Thom moved; Yan seconded; No further discussion; 0 opposed, 0 abstention, 22 approved
- Comment #1573 - errata to Vol. 1 table, persuasive Patty moved; Thom seconded; No further discussion; 0 opposed, 0 abstention, 23 approved
- Comment #1572 - will bring back for future CQI discussion
- Comment #1568 - will bring back for future CQI discussion
- Comment #1567 - deferred to C-CDA Yan moved; Gay seconded; No further discussion; 0 opposed, 0 abstention, 23 approved
- Further discussion occurred and it was determined that this was not persuasive Yan amended her motion; Gay seconded; No further discussion; 0 opposed, 0 abstention, 22 approved
- Further discussion occurred and it was determined that this was not persuasive Yan amended her motion; Gay seconded; No further discussion; 0 opposed, 0 abstention, 22 approved
- Comment #1566 - will bring back for future CQI discussion
- Comment #1565 - will bring back for future CQI discussion
- Comment #1564 - will bring back for future CQI discussion
- Comment #1563 - will bring back for future CQI discussion
- Comment #1562 - will bring back for future CQI discussion
- Comment #1581 - errata, persuasive Thom moved; Yan seconded; No further discussion; 0 opposed, 0 abstention, 22 approved
- STU Comment Review - CQL-based HQMF STU 2.1 - no new comments as of 4April2018
- STU Comment Review - CQL-based HQMF STU 2 - no new comments as of 4April2018
- STU Comment Review - QDM-based HQMF STU1.4 - no new comments as of 4April2018
- Continued QDM to QI Core Mapping
- (Third installment – QDM to QI Core Review Set 3: Device, Diagnostic Study, Laboratory Test – documentation on CQI Wiki under Harmonization of Health Quality Information Models, updated 3 April 2018): (http://wiki.hl7.org/index.php?title=Harmonization_of_Health_Quality_Information_models)
- Device negation discussion focused on where clinicians will document that they were unable to apply a device. There is a place in FHIR to document when a Device was used, but no place to document why it was not used. This issue is related to other templates, not just Device. This issue will be taken to FHIR. There are two use cases:
- Doctor orders a device to be applied, but it is not applied
- Someone wants to apply a device, but the doctor did not order it
- Doctor orders a device to be applied, but it is not applied
- Diagnostic Study discussion determined that CQI would like to have a better understanding of the FHIR Resources being mapped to.
- Laboratory Test discussion determined that some of the mapping should be modified.
- Device negation discussion focused on where clinicians will document that they were unable to apply a device. There is a place in FHIR to document when a Device was used, but no place to document why it was not used. This issue is related to other templates, not just Device. This issue will be taken to FHIR. There are two use cases:
- (Third installment – QDM to QI Core Review Set 3: Device, Diagnostic Study, Laboratory Test – documentation on CQI Wiki under Harmonization of Health Quality Information Models, updated 3 April 2018): (http://wiki.hl7.org/index.php?title=Harmonization_of_Health_Quality_Information_models)
- CQI Project Updates - no updates provided except those above
- 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)
- HL7 CDA® Release 2 Implementation Guide: Quality Reporting Document Architecture Category I (QRDA I) Release 1, STU Release 4 - US Realm (PI ID: 210)
- Co-sponsored Project Updates - no updates provided
- 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)
- HL7 Cross-Paradigm Specification: Clinical Quality Language, Release 1 (PI ID: 1108) (CDS Primary, CQI co-sponsor)
- Notifications
- Ballot opens – April 6, 2018 – May 7, 2018
- WGM – May 12 – 18, 2018 (Cologne, Germany)
- Ballot opens – April 6, 2018 – May 7, 2018
Next CQI Workgroup Call: April 13, 2018
Adjourned: 2:54pm ET
