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Chair:  @Floyd Eisenberg

Scribe: @Paul Denning 


Agenda Topics 


Agenda Outline

Agenda Item

1Announcements 
  1. FHIR Tracker move to Jira - Update - still in development - look for email announcement about 1 week in advance of the change.
    1. Notification: For those who signed up for early ballot opening (i.e., off-cycle ballot) - HL7 FHIR® Implementation Guide: Payer Data Exchange (PDex) Payer Network, Release 1 - US Realm (Project 1489) - The ballot opened today for commenting (sign-up is closed).  Remember: Since HL7 expects to be transitioning FHIR tracking items JIRA during the ballot period, balloters are advised to use spreadsheets to submit their ballot comments.
  2. Consider canceling CQI call on November 29 (Thanksgiving weekend)
2

DEQM IG 

DEQM Continuous Integration Build Review for publication is located at: http://build.fhir.org/ig/HL7/davinci-deqm/ - Submitted for publication October 25, approved by FMG October 30, TSC eVote this week.

  • DEQM IG Planning and Important Dates:
    • 10/18 Due - FHIR DEQM IG (FHIR STU3 based) content done
    • (10/18-11/1) Uplifting DEQM from FHIR STU3 to FHIR R4 
    • 10/25 Due - Publication request of FHIR STU3 based IG
    • 11/1 Due - FHIR IG (FHIR R4 based) content for CQI WG review
    • 11/17 Due - FHIR IG Substantively Complete  (FHIR R4 based) for the Feb. 2020 ballot cycle
    • 11/17 Due - NIB for Feb. 2020 ballot cycle due

Trackers that are resolved but will not be applied until R4 and reasons why there are still open/not applied (I.e., these are resolved but not applied - waiting for R4):

  1. GF#20964 MedicationRequest_extension_doNotPerform: to be applied to R4 version of IG so still open

  2. GF#20963 DeviceRequest: to be applied to R4 version of IG so still open

  3. GF#18720 Add standard error responses to description of submit-data operation beyond standard FHIR operation behavior - deferred to future release and plus these new trackers
  4. GF#23015 - Add a reference to the valueset-reference extension for dealing with negation of an event: applied for STU3 still needs to be
    applied for R4
  5. GF#23927 - Define an extension to support using a Group as the value of the reporter element: applied for STU3 still needs to be applied for R4
  6. GF#24859 Need+to+Show+a+FHIR+Bundle+with+Multiple+MeasureReports+where+a+Single+Resource+is+Referenced+by+Both (Linda Michaelsen) – can be applied to the R4 IG only
  7. GF#23050 Add+extensions+for+added+types+for+measureScore+in+measureReport (Paul Denning) – add the extension for type - unsure if for STU3 or only R4


NIB for DEQM R4 ballot - to be reviewed by DEQM sub group for review by committee on 11/8 or 11/15


3FHIR Quality Measure 

Quality Measure Implementation Guide: http://build.fhir.org/ig/HL7/cqf-measures/branches/master/index.html Submitted for publication October 25, approved by FMG October 30, TSC eVote this week.

  • FHIR Quality Measure IG Planning and Important Dates:
    • 10/18 Due - Complete applying changes for FHIR Quality Measure IG (FHIR STU3 based)
    • (10/18- 11/1) Uplifting FHIR Quality Measure IG from FHIR STU3 to FHIR R4 
    • 10/25 Due - Publication request of FHIR STU3 based IG 
    • 11/1 Due - FHIR IG (FHIR R4 based) content for CQI WG review 
    • 11/17 Due - FHIR IG Substantively Complete  (FHIR R4 based) for the Feb. 2020 ballot cycle
    • 11/17 Due - NIB for Feb. 2020 ballot cycle due

Quality Measure IG Tracker Items:

  • 21097- reorganize metadata elements to be under the metadata section
  • 22761 - support communication of attestation measures — Promoting Interoperability (PI) and Improvement Activities (IA) for measure reporting as with QRDA Category III
  • 24102 - add population semantics explicit be explicit about how to interpret population criteria expressions that result in null (rather than false or a data element of the population basis type)

NIB for FHIR Quality Measure IG R4 - review during 11/12 subgroup and finalize during 11/15 CQI

http://build.fhir.org/ig/HL7/cqf-measures/branches/R4_Lift/index.html

5US Core Update
6QI-Core September 2019 Ballot Reconciliation

QI-Core IG Block votes (block vote 2 sent out to the CQI listserv on 10/28 and updated email for block vote 2, 3, and 4 on 11/4 by Floyd Eisenberg)

Additional individual ballot-related tracker Items for discussions (tracker item and commenter):

  • 23804 - Floyd Eisenberg
  • 24290 – Claude Nanjo
  • 24278 – Claude Nanjo
  • 24270 – Claude Nanjo
  • 24074 – Paul Denning
  • 24072 – Paul Denning
  • 23860 - Craig Newman
  • 24274 - Claude Nanjo
  • Reconsiderations

    •  23858 QI-Core needs to add new US Core Update for:

    • 23815 - add comment regarding negation rationale - consistent with 23794 in Block vote 2
    • 23807 - MedicationDispense negation rationale (needs extension for timing) - consistent with 23794 in Block vote 2
7Harmonization Proposals

Review Harmonization Proposals

8CQL Specification Status

Update on the STU comments for CQL Specification

CQL 1.4 Errata

9Da Vinci - Gaps in Care 

DEQM PSS to support Gaps in Care status update

  • eVote was sent out on 10/7 and closed on 10/18. 

CDA based Gaps in Care project update - moving forward or does it need to be withdrawn?

10February Working Group meeting (Sydney)

DRAFT CQI Agenda February 2020 WGM (Sydney, Australia)

11Project Updates

Review of current projects - found on home page here.

Reminder:

  1. CQI FHIR Quality Measure Project Subgroup calls has restarted on Tuesday, October 8, 2019 10-11 AM ET to prepare content for upcoming FHIR Quality Measure IG R4 ballot, and to recommend potential guidance on QI-Core usage.
    1. Call Information: 
      1. Call time: every Tuesday, 10-11AM ET; 
      2. Call line: use the same call information as the CQI WG calls with freeconferencecall.com [https://join.freeconferencecall.com/hl7cqiwg
  2. DEQM / DaVinci calls: 
12Balloting timeline

Balloting schedule (confirm on HL7 Calendars):

February 2020 Ballot Cycle

  • November 3, 2019 - FHIR IG Proposals Due
  • November 17, 2019 - NIB Deadline and FHIR IG Proposals Due http://www.hl7.org/special/committees/tsc/ballotmanagement/index.cfm
  • November 17, 2019 - FHIR IGs substantially complete
  • November 25, 2019 - Consensus Group Sign-Up
  • November 29, 2019 - FHIR Ballot Core substantially complete
  • December 3, 2019 - FHIR Connectathon (For February WGM) due
  • December 4, 2019 - Harmonization Meeting
  • December 1, 2019 - Initial Content Due
  • December 8, 2019 - Ballot Resource Reconciliation Deadline
  • December 22, 2019 - Final Ballot Content Deadline
  • December 23, 2019 - Final Content Readiness Sign-off
  • December 24, 2019 - January 27, 2020 - Ballot open for comments
  • February 2-3, 2020 - FHIR Connectathon (Sydney, Australia)

Approvals for May 2020 Ballot Cycle

  • October 4, 2019 - PSS deadline
  • January 5, 2020 - TSC approval for all PSS for May 2020 Ballot Cycle (requires approval by sponsors, co-sponsors, Steering Division, and Management Group, and other groups such as Architectural Review Board if indicated)