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Chair:  Floyd Eisenberg

Scribe: Patricia Craig

Dial-in number (US): Dial-in number (US): (712) 451-0740
Access code: 449751#
International dial-in numbers: 

Join the online meeting:

Agenda Topics 

Agenda Outline

Agenda Item

  1. CMS has posted the Draft 2021 CMS QRDA IG and Schematron for Hospital Quality Reporting (HQR) for public comment starting March 5, 2020 and ending on April 1, 2020. The draft IG and schematrons are available for download at QRDA-861.
  2. May HL7 meeting (WGM and Connectathon) - awaiting decision on San Antonio Vs virtual - expect announcement in early April.
  3. Final Rule notifications:

CMS Final Rule

Medicare and Medicaid Programs; Patient Protection and Affordable Care Act; Interoperability and Patient Access for Medicare Advantage Organization and Medicaid Managed Care Plans, State Medicaid Agencies, CHIP Agencies and CHIP Managed Care Entities, Issuers of Qualified Health Plans in the Federally Facilitated Exchanges and Health Care Providers

Rule Text:

Fact Sheet:

ONC Final Rule
21st Century Cures Act: Interoperability, Information Blocking, and the ONC Health IT Certification Program

Rule Text:
Fact Sheet:

2Quality Measure Reporting White Paper 

NIB for Quality White Paper: (NIB prepped and ready for review with Bryn and group)

FHIR-Based Quality Reporting White Paper :  

Initial ballot content due March 15th

  • March 13 - IG must be substantively complete
  • content availability for CQI WG by March 23
  • CQI WG vote on March 27
  • March 24 - Content freeze and QA period begins - that means your IG must be ready for review by the sponsoring Work Groups by this date
    • NOTE:  if you will not be ready for QA to begin on March 24, you MUST get approval for a delay by the sponsoring WG (that decision must be documented in their minutes before March 24th).  This will give you until March 31st to complete your IG, but it must be delivered to the sponsoring Work Group for QA review and sign off
  • April 2 - QA period ends
  • April 3 -5 - apply final QA
  • April 6-7 - complete Ballot Readiness Checklist and submit
  • April 10 - Ballot opens

3FHIR Quality Measure IG

FHIR Quality Measure IG now published for FHIR STU 3:

R4 version in ballot:

Follow up on tickets related to measure populations: 

  • 25501 In Figure 3-9, shouldn't the patient that gets into the Measure Population also get into the Initial Population?
  • 25551 Revise the Calculation flow for Proportion Measures
  • 25550 Remove Initial population from the Denominator Exclusion definition for proportion measures
  • 26342 Harmonize population terminology

Jira issues for QM IG

FHIR-25646 Provide terminology guidance usage

FHIR-25636 Provide guidance for avoiding value set computations

FHIR-25635 Use of terminology artifacts for quality measures should align with CPG work



The publication version of QI-Core R4 approved for publication by CQI on February 14 as was the publication request. Location of pre-publication content:

Status of FMG review (3/4) and TSC eVote (week of 3/9)

Jira issues for QI-Core:

FHIR-25716 - Getting issue details... STATUS

Consider plans for May 2020 HL7 Connectathon to test QI-Core's QUICK Logical View for authoring of eCQMs.

QI-Core vs QUICK - QI-Core Vs QUICK Evaluation - Seeking broad input to establish a business case to help with decisions moving forward.  To be discussed at 10 am Tuesday sub group calls.

6Gaps in Care 

Project confluence page

Gaps In Care Supporting Materials

Recording of DEQM Overview

Old Gaps in Care: As of 1/13/2020 project has been deactivated and Dave Hamill aware for Project Insight record keeping (Project 1427)



(Note that updated QRDA schematrons are now stored to GitHub site (


Project updates as needed

For reference - STU comments for CQL Specification are located here

9Working Group Meetings

San Antonio (May 16-22):  Draft agenda review WGM Agenda/Minutes San Antonio May 2020 - DRAFT


HL7 San Antonio May 16 - 17

11Project Updates

Review of current projects - found on home page here.


  1. CQI FHIR Quality Measure Project Subgroup calls:
    1. Call Information: 
  2. DEQM / DaVinci calls: 
  3. Gaps in Care DaVinci calls: 
  4. Cross Workgroups Project WG (now managing US Core balloting) - Considering new PSS for metadata for Apps: Marketplace Product Packaging and Metadata

12Balloting timeline

Balloting schedule (confirm on HL7 Calendars):

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
  • Harmonization initial proposals due February 20, 2020
  • NIBs due March 1, 2020
  • Harmonization final proposals due March 5, 2020
  • Initial ballot content March 15, 2020
  • Harmonization meeting March 19, 2020
  • Reconciliation Deadline and Ballot Preview Period March 22, 2020
  • Final ballot content April 5, 2020
  • Ballot sign up March 9 - April 9, 2020
  • Ballots open for voting April 10 - May 11, 2020