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26 October 2018 CQI Agenda

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10.26.18 - CQI Conference Call Agenda

HL7 Clinical Quality Information Workgroup
10.26.18 – 1-3 PM EDT
Dial in: 770-657-9270 Passcode: 217663
CQI Co-chairs: Patty Craig, Floyd Eisenberg, Juliet Rubini, KP Sethi, Yan Heras
Meeting Chair:
Meeting Scribe:


Agenda Item Time Allotment
1 Roll call
5 minutes
2 FHIR Data Exchange for Quality Measures (project 1429) (Deferred to 10/26) -Viet/ Bryn
  • Additional ballot reconcilliation
  • Other items as needed
30 minutes
3 FHIR clinical reasoning tracker items - Bryn (Deferred to 10/26)
  • Review items as needed
10 minutes
4 Composite related harmonization item - Rob McClure
  • Improvement notation
  • Initial submission due 10/25; Next harmonization meeting 11/9
10 minutes
5 Closing the Referral Loop document code value set discrepancy - Gay Dolin
  • The CDA examples task force is working on examples for representing “Closing the referral loop” with C-CDA documents and we are concerned about a challenge with this measure.
  • In CMS50v7 Closing the Referral Loop: Receipt of Specialist Report, the measure asks for (would query for) document codes to represent the numerator using SNOMED CT codes. However, all CDAs require LOINC for document codes. Minimally this:

1. Represents a mapping challenge for implementers

2. Requires dissemination into the implementer community education that they will need to use translation code to represent the SNOMED CT codes in a C-CDA (particularly for systems that query a database of C-CDAs for measure information)

3. Altered document management system queries of EHRs

4. Etc

10 minutes
6 Draft QRDA 1 Stu 5.1 for review
  • Please find the document here:
10 minutes
7 Confluence is coming!
  • Confluence will replace the Wiki for agendas and the HL7 work group page for document posting
  • Please sign up for an account here
  • Draft confluence page available here
10 minutes
7 January WGM meeting
  • Review agenda for meeting room reservations - consider invites from EHR Group?
    • Mon Q1: CQI only
    • Mon Q2: CQI only
    • Mon Q3: CQI only
    • Tues Q1: CQI only
    • Tues Q2: CQI host CDS and FHIR Infrastructure (larger room)
    • Tues Q3: CDS host CQI
    • Tues Q4: Patient Care host CQI
    • Wed Q1: CDS host CQI
    • Wed Q2: CQI host CDS (larger room)
    • Wed Q3: CDS host CQI
    • Wed Q4: CQI host CDS and CIMI (larger room)
    • Thur Q4: Learning Health Systems Work Group host CQI
10 minutes
8 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) - Currently performing ballot reconciliation from September 2018 ballot
    • 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)
5 minutes
9 Notifications
  • Balloting Milestones
    • October 14, 2018 – PSS deadline (submit to Steering Division and Project Management Office) - DEADLINE HAS PASSED
    • October 28, 2018 – Notice for Intent to Ballot (NIB) Deadline
    • November 5 – December 6 – Sign up period to be included in a ballot consensus group
    • November 11, 2018 – Preview of artifacts and topics to be included in the ballot with CQI
    • November 18, 2018 – Preview and content deadline (V3)
    • November 25, 2018 – Final content available for CQI WG review [consistent with FHIR Core Substantive Change Freeze (must have completed ballot reconciliation if applicable)
    • December 1, 2018 – Final CQI approval of content and submission (consistent with FHIR code freeze and QA, V3 Final content due dates)
    • December 7, 2018 – January 7, 2019 – January ballot open for voting
  • Harmonization
    • October 25, 2018 – Initial Harmonization Proposal Deadline
    • November 6, 2018 – Final Harmonization Proposal Deadline
    • November 8 – Harmonization meeting