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Chair: Floyd Eisenberg

Scribe: Paul Denning

Zoom link https://zoom.us/j/7774142910?pwd=OE9BV2N0TnMzbEpqUjFIdW1iMU5sZz09

Phone Number: +1 646-558-8656
Participant Passcode: 777 414 2910

Meeting ID: 817 3824 8324

Minutes from last meeting: 2020-07-17 Meeting Minutes

Agenda Topics 


Agenda Outline

Agenda Item

1Announcements 
  • Consensus group sign up is now open for HL7's September 2020 Virtual Working Group Meeting (WGM) on the Ballot Desktop
    • Consensus Group Sign-Up Open Date: Monday, July 13, 2020
    • Consensus Group Sign-Up Close Date: Thursday, August 13, 2020
    • Ballot Open Date: Friday, August 14, 2020
    • Ballot Close Date: Monday, September 14, 2020
  • HL7 Gender Harmony Project (project page here) is seeking input on a proposed set of values for recording gender identity in clinical systems.  Please participate in the survey here: https://www.surveymonkey.ca/r/D3CBXH9.  (Survey seeking input until late Summer)
Remember to vote for CQI co-chair by July 31, 2020
2Clinical Steering Division/ Technical Steering Committee

CQI Voting results for Technical Steering Committee:

Candidates: Bryn Rhodes, Melva Peters, Scott Robertson

Will present eVote results for CQI 

3New Project Proposal - Individual Case Study Report (ICSR)

New project proposal  PSS-1656 - FHIR Implementation Guide for ICSR Transfusion and Vaccination Submissions IN REVIEW 

Individual Case Study Report (ICSR) for:

  • the Food and Drug Administration (FDA) Adverse Event Reporting System (FAERS), and
  • the Vaccine Adverse Event Reporting System (VAERS)

Consider CQI as an interested party.

4US Core errata package out for comment

US Core errata package has been referred to the Co-chair list: https://build.fhir.org/ig/HL7/US-Core-R4/index.html

The package is available for review and comment through July 29, 2020 after which any changes based on comments will be applied and the Cross-Project Work Group will review the package in consideration for finalization and publication (CTO letter for errata package) on July 30, 2020.

In review of the US Core errata, there are a few considerations CQI should address as they specifically impact QI-Core. US Core errata will require a QI-Core errata package shortly after US Core errata is published. Note - most should be consistent with QI-Core except FHIR-27082 (1st in list below):

FHIR-27082 Express timing of smoking status observation issued Vs effectiveTime (dateTime)

FHIR-27096 AllergyIntolerance verificationStatus = confirmed (changed from verified)

FHIR-26840 Technical connections, specifically when Shall must be used

FHIR-26363 BMI, pediatric BMI for age - change cardinality

FHIR-25035 Patient-reported medications on the active medication list

FHIR-27542 Added Head Occipital Frontal Circumference Profile (0-36 months)

FHIR-27887 Change from Procedure.occurrence to Procedure.performed (correct in QI-Core)

5

FHIR Quality Measure IG

Publication request was approved on 5/29/2020, Approved by FMG 7/8/2020, TSC vote 7/13/2020

Status update on technical issues for publication


6

DEQM IG

http://build.fhir.org/ig/HL7/davinci-deqm/branches/master/

Publication request was approved on 6/26/2020. 

New issue for a vote:

Status update 

7

DEQM IG - Gaps in Care 

DEQM IG  - Gaps in Care for September ballot

Plan to have the IG open for CQI QA review on July 28th.

  • FHIR IG ballot content QA: July 28 - Aug 6th
8Quality Measure Reporting Informative White Paper Ballot

Ballot comments closed May 11, 2020 FHIR-Based Quality Reporting White Paper :  https://github.com/HL7/cqi-fhir-based-quality-reporting/tree/master

Individual items for discussions:

  • FHIR-27114 (Paul Denning) - proposed resolution - Persuasive
  • FHIR-27374 (Javier Espina) need input on language - proposed resolution - Persuasive

  • FHIR-27368 (Javier Espina) - proposed resolution - Persuasive

  • FHIR-27337 (Howard Strasberg) - proposed resolution - Persuasive with mod

  • FHIR-27365 (Javier Espina) - Proposed resolution - Persuasive

Note - 6 website comments referring to uploaded spreadsheets, 9 referred to looking for someone else's comments (but with no specific comment identified):

  1. FHIR-27338 – no spreadsheet, refer to Javier Espina                   
  2. FHIR-27336 – no spreadsheet, refer to Javier Espina
  3. FHIR-27335 – no spreadsheet, refer to Javier Espina
  4. FHIR-27334 – no spreadsheet, refer to Javier Espina
  5. FHIR-27333 – no spreadsheet, refer to Javier Espina
  6. FHIR-27332 – no spreadsheet, refer to Javier Espina
  7. FHIR-27331 – no spreadsheet, refer to Javier Espina
  8. FHIR-27330 – spreadsheet attached
  9. FHIR-27329 – no spreadsheet, refer to Javier Espina
  10. FHIR-27328 – no spreadsheet, refer to Javier Espina
  11. FHIR-27327 – spreadsheet attached
  12. FHIR-27326 – spreadsheet attached
  13. FHIR-27325 – spreadsheet attached
  14. FHIR-27324 – spreadsheet attached
  15. FHIR-27323 – spreadsheet attached
9

Clinical Reasoning FHIR Resources (owned by CQI)

  • Measure
  • MeasureReport 

Specific recommendations from FHIR Connectathon24

Individual issues - Deferred to future call

  • Measure Resource
  • MeasureReport Resource
10CQL

Normative ballot closed May 11th: https://cql.hl7.org/2020May/index.html

Ballot statistics: CQL Ballot Reconciliation

Ballot reconciliation topics. Jira issues

Status check

11

QI-Core / QUICK Update

12ANSI RFI survey

ANSI RFI survey requesting information on Standardization of AI-enabled Systems in Healthcare

4. What characteristics related to data quality are important for standardization of AI-enabled systems, and for what purposes? For example:
a.      What characteristics of data could detect or measure misclassification of data (either intentional or unintentional misclassification)?
b.      What characteristics of data could detect or measure otherwise unknown or unwanted bias in data sets used as inputs, or in data outputs of AI-enabled systems?
c.      What characteristics of data could detect or measure data poisoning, fraud, manipulation, perturbations, or adversarial inputs?
d.      How should control and provenance of data sets be managed in AI enabled systems?

(The feedback on these survey questions is due to the PAC by COB July 27)

13September Virtual WGM (September 21 - 25)

Considerations for meetings (alone or joint with other WGs) during the virtual WGM.

Options: September 2020 Virtual WGM Agenda - CQI

14Project Updates

Review of current projects - found on home page here.

Reminder:

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

15Balloting timeline

Balloting schedule (confirm on HL7 Calendars):

Approvals for September 2020 and January 2021 Ballot Cycles:

PSS Deadline Dates for Future Ballots
September 2020 Ballot Cycle
April 19, 2020
TSC Approval of the PSS
July 5, 2020
NIB Deadline
July 13 - August 13, 2020
Ballot sign-up period
July 28 - August 6, 2020
FHIR ballot content QA 
August 7 - August 11, 2020
FHIR ballot content QA change application
August 9, 2020
Final content due for September ballot
August 14 - September 14, 2020
Ballot comment period

January 2021 Ballot Cycle


June 5, 2020
Submit Work Group Approved PSS to the PMO
August 23, 2020
TSC Approval of the PSS
November 1, 2020
NIB Deadline
May 2021 Ballot Cycle
October 9, 2020
Submit Work Group Approved PSS to the PMO
December 18, 2020
TSC Approval of the PSS
TBD
NIB Deadline...................................
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