2020-10-23 Meeting Minutes

• Reminder: The both the January FHIR Connectathon and WGM will be virtual:
  • FHIR Connectathon: Wednesday, January 13 - Friday, January 15
• November 1, 2020 is the deadline for CQI approval of Notices for Intent to Ballot for the January 2021 cycle.

WGM date may change.

QRDA III Normative NIB approved last week.

DEQM IG/ DEQM IG Gaps in Care

• DEQM STU2 for FHIR R4 (Published)
• DEQM STU1 for FHIR STU3 IG

(1:41pm)

28968

Add examples for $care-gaps operation

Motion/Second: Bryn Rhodes/Linda Michaelsen

For-Against-Abstain: 19-0-0

28970

need extension to store input parameters in the output?

No general pattern for doing this

ValueSet $expansion operation defined a way to do this.

Result gets stored, so convenient to also store the input parameters used to generate the output

Parameter element

Program or Topic

Use case: re-run a previous report

http://hl7.org/fhir/us/davinci-deqm/2020Sep/OperationDefinition-care-gaps.html

topic and program input parameters are not in the measureReport?

Can two or more sets of input parameters generate the same report?

Can one operation generate multiple reports?

It's true that the report doesn't contain all the parameters used to produce the report, but the reason is that some of the parameters will result in multiple reports, so the parameters are not specific to any particular report. If there's a use case for capturing the exchange artifact at the level of the operation, that needs to be explored further.

If contract obligations require an audit trail.

Perhaps a connectathon can examine this.

Was I not informed of a gap when I should have been?

Peter: org with 30 primary care centers, reporting to CPC+ PCF, commercial. Different reports, sliced monthly.  How to collate and coordinate, especially if automated.  Scale: individual, location, state, national?

Bryn: In particular, a use case is "How do I as a user prove that I asked for a particular set of reports and was not given a response that I should have been based on a given agreement (i.e. shared risk contract)"?

No vote required for "Question".

But we did vote

Motion/Second: Rob McClure/Bryn Rhodes

For-Against-Abstain: 18-0-0

28972

"period" element name, use same term in the language.

"Gaps through period" is important phrase to keep.

Motion/Second: Floyd Eisenberg/Bryn Rhodes

For-Against-Abstain: 18-0-0

Clinical Reasoning FHIR Resources (owned by CQI)

• Measure
• MeasureReport 

23926 (in-person)

DEQM extension added, but this adds it to R5.  Update to DEQM in future

DaVinci Prior Auth similar

expectation that all payers will use it

CPC+ and PCF other programs cannot do what they need with Organization

Group.member (array) allows

PDex approach aligned with ATR?

Contact Bob or Saul ...

http://build.fhir.org/ig/HL7/davinci-deqm/StructureDefinition-summary-measurereport-deqm-definitions.html#MeasureReport.reporter

http://build.fhir.org/ig/HL7/davinci-deqm/StructureDefinition-organization-deqm.html

http://build.fhir.org/ig/HL7/davinci-deqm/StructureDefinition-summary-measurereport-deqm-definitions.html#MeasureReport.reporter.extension:group

Simply allow Group, but not discuss how to populate the Group

TIN and NPI for each practitioner in the organization needed to be reported for CPC+

Need separate Jira issue for DEQM to update to R5 (won't need .reporter.extension.group but only if reporter is not restricted to only Organization)

Want to align with PDex also.

DEQM Individual and data exchange report does not have the extension.group; is ths inentional?

Motion/Second: Rob Samples/Floyd Eisenberg

For-Against-Abstain: 20-0-0

20715

Motion/Second: Rob Samples/Bryn Rhodes

For-Against-Abstain: 19-0-0

28936

Motion/Second: Bryn Rhodes/Floyd Eisneberg

For-Against-Abstain: 19-0-0

• FHIR Trackers https://jira.hl7.org/secure/Dashboard.jspa?selectPageId=11102

• Ready for vote:

  • FHIR-26409 - QDM to QI-Core mapping - consider the best way to assure the MedicationNotRequested includes a Patient reason. (Floyd Eisenberg)

Update for QI Core is planned (not ballot) to align with US Core update already published.

US Core going back to ballot in January (published March?)

Should we update QI Core before or after this US Core update?

Discussion but no decision.

US Core will tackle Must Support issue which can be controversial.

QDM mapping - patient informing about med

intent = plan (new guidance vs structural)

errata easy to apply

authoring tool impact?

Smoking status (point in time vs period)

See US Core January 2021 Ballot

2020-10-22 Meeting Minutes/Agenda (CGP)

NIB for January 2021 approved and submitted on 10/16

Review of current projects - found on home page here.

US CORE

US Core Errata ver 3.1.1 - Will be balloting again with an update in January 2021.

QI CORE

QI-Core CI Build

QI-Core IG STU4 (v4.0.0 for FHIR 4.0.1)

QI-Core STU 3 - expired June 4, 2020 - QI-Core Implementation Guide: STU 3.2 (v3.2.0 for FHIR 3.0.1)

FMG approved extension request on 6/24, TSC approved 6/29.

Errata version of QI-Core once US Core publishes their errata in early July (7/9)

FHIR Quality Measure IG

Quality Measure STU2 for FHIR R4 IG (Feb 2020)

Quality Measure STU1 for FHIR STU3 IG

Reminder:

1. CQI FHIR Quality Measure Project Subgroup calls:
   1. Call Information: 
      • Call time: every Tuesday, 10-11 AM ET; 
      • Call line: use the same call information as the CQI WG calls with Zoom link: https://zoom.us/j/7774142910?pwd=OE9BV2N0TnMzbEpqUjFIdW1iMU5sZz09
      • CQI Workgroup FHIR Quality Project Sub-Group Minutes
2. Combined Gaps in Care DaVinci and DEQM calls: 
   • Thursdays, 2:00 - 4:00 PM ET 
   • Link: https://global.gotomeeting.com/join/452754573
   • Phone number: +1 (571) 317-3122
   • Participant Passcode: 452-754-573

Balloting schedule (confirm on HL7 Calendars):

Approvals for September 2020 and January 2021 Ballot Cycles: