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Quarter:  1 (Hosting Arden Syntax WG)

Chair:  Robert Jenders

Scribe:  Robert Jenders

Discussion

  1. Arden Syntax activity
    1. Robert Jenders reviewed recent activity in the Arden Syntax WG, including approval in this cycle of the Arden Syntax IG R3 and plans for the CDS Big Picture IG, which is a joint project with the CDS WG [cds-intro-2019-09-17.ppt].
    2. In conjunction with this, the WG examined the current outline for the CDS Big Picture IG [CDS-big-picture-IG-outline-2019-01-14.docx].  Various issues and potential topics for inclusion were discussed.  Richard Boyce agreed to contribute material to Chapter 2 (review of existing standards for CDS), and Bryan Alper agreed to contribute material where applicable related to the incorporation of evidence-based medicine in CDS.  Further work will be discussed on the monthly Arden Syntax WG conference calls, with a goal of balloting the IG at the I1 level in the May, 2020 cycle.
  2. CDS WG Administration
    1. Robert Jenders reviewed WG health indicators and administrative requirements.  
    2. The WG again received a gold star for its health in the current cycle.  All administrative documents (SWOT, 3-year Plan, Mission and Charter, DMP) are up to date.
    3. Deadline dates for the current cycle were reviewed, with an emphasis on the need to conduct the harmonization review on the weekly CDS conference call that falls between the final harmonization deadline (2019-11-25) and the harmonization call in early December.


Quarter:  2 (Hosted by CQI, including FHIR; see CQI pages for primary notes)

Chair:  Paul Denning

Scribe:  Robert Jenders

Discussion

  1. Patient Referral CDEs
    1. Seth Blumenthal of AMA presented work [AMA patient referral CDEs to HL7 9-16-19.pdf] in this regard on creating common data elements in this domain.
    2. The joint WGs reviewed a proposed PSS for this domain, with CDS and CQI as proposed cosponsors.  The goal of the project would be an IG and possible updates to (FHIR) profiles.
    3. Open discussion:  The CDS and CQI WGs would not be cosponsors because they are more consumers of the artifacts of this project than originators of it–that is, the project is outside their core missions.
  2. FHIRcast Project (https://fhircast.org)
    1. Isaac Vetter provided a brief update of this project, of which the CDS WG is a cosponsor [FHIRcast 201909.pptx].  Balloted in the May, 2019 cycle, with reconciliation now completed.  The project participated in the FHIR Connectathon, including work on adding Websockets and open source reference implementation.
    2. Roadmap for 2019:  Release STU specification and support/test Websockets.
    3. Goal is to ballot in the February, 2020 cycle focusing on Websockets.
  3. Documentation Templates and Rules (DTR)
    1. Bryn Rhodes reviewed progress on this project [Da Vinci Ballot Update Sep 2019rev1.pptx].  Balloted in this cycle:  85 new comments beyond the May, 2019 ballot cycle.  Twelve comments from the current cycle remained unresolved and will be reconciled on CDS WG calls.
    2. The project also participated in the connectathon during the current WGM.
    3. Linda Michaelsen gave an update on the Alerts IG related to the connectathon concerning ADT-related alerts, driven by a NPRM issued by the U.S. CMS.
  4. FHIR
    1. Bryn Rhodes provided updates [FHIR Update and R5 - 2019 Sep.pptx] on CDS/CQI-related resources, focused on the planned first R5 ballot in May, 2020.
    2. IGs, both retroactively and going forward, ultimately will have to adhere to the HL7 IG template, and this will require editing.
    3. In order to ballot as STU in the future, resources will have to comply with the FHIR Maturity Model level 2 (FMM2) in the future.
    4. Bryn Rhodes also discussed activity related to the Clinical Reasoning track, including possible name changes for the RequestGroup and GuidanceResponse resources and a report on the Clinical Reasoning Connectathon.  Feedback will be incorporated into the Quality Measure IG and the Data Exchange for Quality Measures (DEQM) project.
  5. QICore Ballot Reconciliation
    1. Issues addressed with comments and resolution entered directly in the gforge issue tracker (https://gforge.hl7.org/gf/project/fhir/tracker/):  24286 (vote 40/0/3); 24284 (not persuasive; vote 38/0/4).


Quarter:  3 (Hosting CQI and FHIR)

Chair:  Howard Strasberg

Scribe:  Robert Jenders

Discussion

  1. CDS Hooks
    1. Isaac Vetter provided an update of recent activity [201909 CDS Hooks for Sept wgm.pptx].  
    2. Argonaut Project
      1. Refined CDS Hooks to accommodate to satisfy the (US) Protecting Access to Medicare Act (PAMA) plus added "SMART Web Messaging".
      2. These included several iterations of updates to CDS Hooks.
    3. Connectathon Report
      1. Dennis Patterson provided an update on the use of CDS Hooks in the Connectathon during the current WGM.
    4. Roadmap
      1. Near-term updates:  Incorporate override reasons, a feedback service and systemActions.
    5. Resources
      1. Specification => http://cds-hooks.org
      2. Sandbox => http://sandbox.cds-hooks.org
      3. Source code=> https://github.com/cds-hooks.
  2. SOA:  Model-Based Transformation Service
    1. Matt Lord reviewed work on this project [SOAtoCDSSeptWGMpresentation.pptx].  This is a functional specification for use of a transformation engine that can transform source to target messages using data models, e.g. CDA to FHIR.


Quarter:  4 

Chair:  Howard Strasberg

Scribe:  Robert Jenders

Discussion

  1. Some members attended the PC WG meeting to discuss gender data models and terminology.  See the PC minutes for further details.
  2. Informal, wide-ranging discussion regarding various aspects of the use of CDS Hooks.