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Chair: Floyd Eisenberg

Scribe: Paul Denning   

Zoom link

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

Meeting ID: 817 3824 8324

(See Attendee List below minutes)

Meeting Minutes

Agenda Outline

Agenda Item


  • Reminder: The both the January FHIR Connectathon and WGM will be virtual:
    • FHIR Connectathon: Wednesday, January 13 - Friday, January 15
    • WGM: Monday, January 25 - Friday, January 29
Off-cycle ballot comments due tonight

DEQM IG/ DEQM IG Gaps in Care

28299 - Yan presented the proposed resolution

Motion/Second: Yan Heras/Gay Dolin

Vote (For-Against-Abstain): 13-0-2

Update on trackers from Yan:

Some from Jay, needs more clarification, Yan sent email, no reply yet

Introduction comments

In-person issue will be addressed 3 Dec call

See google docs, everyone can view, request if need to edit/comment


Clinical Reasoning FHIR Resources (owned by CQI)

  • Measure
  • MeasureReport 


Status update:

  • "HL7 Cross-Paradigm Specification: Clinical Quality Language, Release 1" contains some normative content and therefore is in ANSI public comment period until 30 Nov 2020 according to TSC-135 - Getting issue details... STATUS
  • "FHIR Quality Reporting Informative Document" has been published.

  • Current path is to wait for US Core January ballot and update QI-Core after US Core re-publishes based on that ballot.

Brief discussion of FHIR-29703 - Getting issue details... STATUS but further discussion of when we should update QI-Core (before or after US Core updates from January 2021 ballot)

So far, no one has pushed for a QI Core update near term (before January ballot).

Expect April 2021 +/- for publication of UC Core IG

So QI-Core update in May

MAT on FHIR would start folding in QI Core changes (if any) after QI-Core published

Mia converting QDM measure to FHIR, post AU (June/July)

Vital Signs ...

MAT on FHIR CQL "using <data model>" supports FHIR 4.0.1, but does not support US Core o QI Core

Discuss in another call?

Wed CQI Sub-group?

Next week Thanksgiving

Following week Wed call will include connectathon planning, but can also include QDM-to-QI-Core mapping (when to publish)

6STU Ticket Review

CQL-based HQMF STU 4 - one new comment

  • 2060 In volume 3, there is a template id discrepancy for Physical Exam, Recommended

CQL-based HQMF STU 3 - no comments as of 16 November

CQL STU 4 - no comments as of 16 November

QRDA Category I STU 5.1 - no comments as of 16 November

QRDA Category I STU 5.2 - one new comment

  • 2065 Change 
    • SHALL contain exactly one [1..1] value with @xsi:type="CD", where the code SHOULD be selected from CodeSystem NUBC UB-04 Patient Discharge Status code set (urn:oid:2.16.840.1.113883.6.301.5) DYNAMIC (CONF:4444-29948)
    • TO: SHALL contain exactly one [1..1] value with @xsi:type="CD", where the code SHOULD be selected from CodeSystem NUBC UB-04 Present on Admission (POA) Indicator code set (urn:oid:2.16.840.1.113883.6.301.11) DYNAMIC (CONF:4444-29948).

 QRDA Category III STU 2.1 - no comments as of 16 November

CQL-Based HQMF IG (comment #2060)

MAT (Measure Authoring Tool) uses correct OID

Floyd asked for users of this IG besides MAT/Bonnie, no replies

TJC consumes measures, so may indirectly use this IG

Apervita (supporting TJC) involved with processing measures.

Cypress uses ...63 OID

When/how to fix? 

Motion/Second: Gay Dolin/Yan Heras

Vote (For-Against-Abstain):

Vote (For-Against-Abstain): 18-0-1

Present on Admission (POA) issue


Motion/Second: Yan Heras/Gay Dolin:

Vote (For-Against-Abstain): 18-0-0

Discussion about NUBC code system ...

VSAC does not have the code system (therefore no value sets in VSAC using that code system).

FHIR has


Being worked with NLM

What do EHRs do?


Clinical side uses Problem list with a check box

CarinBB IG uses POA in EOB resource

7January WGM Planning

January 2021 Virtual WGM Agenda - CQI-CDS - tentative


Discussion about schedule

See if CDS can move Q3 to Q2 on Tues

No invitations from CGP for US Core, but CQI encouraged to attend

Like FHIR-I does not send invitations

SANER: beds and ventilators are not devices, used observations

8QRDA Category III Normative Ballot UpdateBallot preparation update

1:52pm ET

Yan presented QRDA Cat III updates

last update 2017

no changes since then

basis for CMS IG

STU 2.1 requested extension, ends next year

next step forward is to go Normative

CMS QRDA III IG driving changes into HL7 IG version number (14) SHALL → SHOULD

CMS EHR Certification ID (naming) (2 places) added constraints

(no CPC+ or PCF program constraints) Promoting Interoperability

2.1.3 Reporting Parameters Act version

reporting period

value required

2.1.2 s/ACI/PI naming

2.1.1 V2→V3

3.8.1 clarify performance rate details (decimal points, etc)


1.1 Table 1 removed ???

Yellow highlighting will be included in doc for CQI WG review

13 Dec due date for content for ballot

4 Dec CQI WG will start 1 week CQI WG review

Comment in Jira?

9New Clinical Steering Division Project Proposals

Review new project proposals from Public Health Work Group for interest from CQI:

2:10pm ET

National Health Safety Network (NHSN)

med lists used in eCQMs

CQI WG informed, but will not be interested party

Sept ballot, with prior work

10Project Updates

Review of current projects - found on home page here.


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


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


  1. CQI FHIR Quality Measure Project Subgroup calls: MOVED to Wednesdays at 10 AM
    1. Call Information: 
  2. Combined Gaps in Care DaVinci and DEQM calls: 

11Balloting timeline

Balloting schedule (confirm on HL7 Calendars):

Approvals for January 2021 Ballot Cycle:

PSS Deadline Dates for Future Ballots

January 2021 Ballot Cycle

June 5, 2020
Submit Work Group Approved PSS to the PMO
August 23, 2020
TSC Approval of the PSS
November 8, 2020
NIB Deadline (Ballot minus 6 weeks)
November 1, 2020
FHIR ballot content substantially complete
November 13, 2020
FHIR ballot content substantive freeze
November 17, 2020
FHIR Connectathon Proposals Due
November 20, 2020
Off-cycle ballot commenting closes
November 24, 2020
FHIR ballot final freeze
December 3, 2020
WG approves final FHIR content for ballot
December 13, 2020
Final Ballot Content Deadline
November 16 - December  17, 2020
January ballot sign-up
December 20, 2020 December 18, 2020
January ballot opens for voting
January 25 - 29, 2021
January WGM (Virtual)
May 2021 Ballot Cycle
October 9, 2020
Submit Work Group Approved PSS to the PMO
December 18, 2020 December 27, 2020
TSC Approval of the PSS
March 7, 2021
NIB Deadline...................................
September 2021 Ballot Cycle
February 5, 2021
Submit Work Group Approved PSS to the PMO
April 23, 2021
TSC Approval of the PSS
NIB Deadline...................................
January 2022 Ballot Cycle
June 11, 2021
Submit Work Group Approved PSS to the PMO
August 13, 2021
TSC Approval of the PSS
NIB Deadline...................................
Call ended 2:35pm ET


AttendeeAttendee's OrganizationAttendee's emailPresent
Abdullah RafiqiESAC

Alex Hall

Anne Smith


Ben HamlinNCQAhamlin@ncqa.orgyes

Bryn Rhodes


Chelsea ArthurSemantic Bitschelsea.kingarthur@semanticbits.comyes

Claudia Hall



Floyd Eisenberg

iParsimony, LLC


Gay Dolin

Namaste Informatics

Gayathri Jayawardena


Jen Seeman



Linda Michaelsen


Mia NieveraThe Joint CommissionMNievera@jointcommission.orgyes

Marc Hallez

The Joint Commission

Patty CraigThe Joint CommissionPCraig@jointcommission.orgyes

Paul Denning



Peter Muir


Phung MatthewsESACphung.matthews@esacinc.comyes

Ping Jiang

The Joint Commission

Rob McClure

MD Partners Inc


Robert Samples


Sam SayerMITREssayer@mitre.orgyes
Scott FradkinFlexionsfradkin@flexion.usyes

Thomson Kuhn



Viet Nguyen

Strata Metrics

Will Winterer


Yan Heras

Optimum eHealth


Yanyan Hu

The Joint Commission

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