Orders and Observations (OO) Hosts Clinical Decision Support (CDS), Clinical Quality (Information (CQI), Clinical Information Modeling Initiative (CIMI)

• DeviceUseStatement, Implantable versus non-Implantable Devices FHIR-26636
• DiagnosticReport versus Observation for retrieve queries (eCQMs and CDS)
• SmokingStatus (issued Vs effectiveTime) FHIR-28090 (Note - US Core issue but seeking OO input)

• Vocab hosts CDS, CQI
  • Vocabulary Profiles (Shareable, Computable, Executable, Publishable)
  • Expectations with use of Unified Terminology Governance (UTG) - what are considerations for CQI/CDS for upcoming change requests - Bring new requirements for vocabulary changes to this session.
• Patient Administration (PA) hosting Patient Care (PC) - Encounter/condition (Primary vs. Principal discussion) FHIR-28186 - tracker listed for US Core but it requires addressing the Encounter and Claims Resources
  • Sending one or two representatives (Note - Financial Management discussion on this issue Friday 12 - 2 PM ET).

CDS Hosts CQI (Chair: Bryn, Scribe: Robert)

• Overall WGM Agenda review
• CDS Hooks Connectathon Report out and Project Update/Ballot Triage - http://bit.ly/cds-hooks202009
• FHIRCast Project Update - http://bit.ly/fhircast202009
• FHIR Trackers, time allowing

US Realm Steering Committee (for those interested) - CQI and CDS are NOT meeting during this session.

CDS Hosts CQI (Chair: Bryn, Scribe: Howard)

• Clinical Reasoning Connectathon Report out and Project Update
• Gaps in Care Connectathon Report and Project Update
• Consider Attribution Resource (Linda Michaelsen)
• FHIR R5 Review/Prep
• FHIR Trackers, time allowing

• FHIR-I (FHIR Infrastructure Workgroup) Call - Informational - not a joint meeting with CDS or CQI

CDS Hosts CQI and CIMI (Chair: Bryn, Scribe: Robert)

• QI-Core
• QI-Core errata
• Feedback from the SANER project on Measure/MeasureReport
• Consider candidates for promotion from Quality Measure IG and Data Exchange for Quality Measures IG

CDS Hosts CQI (Chair: Bryn, Scribe Howard)

• Gaps in Care Ballot Reconciliation
• QM IG errata
• CQL Project Update
• CQL Coverage Overview - MITRE efforts to highlight in the narrative the measure logic covered in the expressions - consider if and how to incorporate into standards (perhaps include in Implementation Guide - QM IG, DEQM, CPG?) - provide clarity on requirements and what artifacts might look like.

CDS Hosts CQI (Chair: Bryn, Scribe: Guilherme)

• WG Business/Project Planning
• Guideline Expression Language Object-Oriented Common Expression Language (GELLO) Normative Expiration
• CQL 1.3 STU Expiration
• January Ballots
• January Working Group Meeting

PLENARY - Part 2

Annual business meeting (includes announcement of election results for the Board, TSC and other leadership roles)
Pub Crawl sponsored by Interfaceware

CDS Hosts CQI (Chair: Bryn, Scribe: Howard)

• Clinical Practice Guideline (CPG)-on-FHIR
• Evidence-Based Medicine (EBM)-on-FHIR
• Integrated Trial Matching for Cancer Patients and Providers Project Discussion

Cross-Group Projects (CGP) Workgroup meeting (for those interested - this is not a joint meeting with CQI or CDS but since US Core is discussed in Cross-Group Projects, some CQI and CDS members may be interested in the discussion.

Topics: 

• US Core
• Military Status
• Can US Core take on items not present in USCDI that have value, I.e., the process to add to US Core (e.g., Coverage, Questionnaire, QuestionnaireResponse, Structured Data Capture, Gender Identity). Perhaps create a process with an "on ramp" to US Core.
• Other potential topics - Marketplace metadata - other Marketplace IGs:
  • 
https://www.hl7.org/implement/standards/product_brief.cfm?product_id=510

  • 
https://www.hl7.org/implement/standards/product_brief.cfm?product_id=501)

CQI Hosts CDS, Pharmacy

• Medication List Guidance (including patient-reported)
• MedicationKnowledge usage
• Medication usage period (especially as it relates to cumulative medication duration and tapered dose)
• Potential Drug-Drug Interaction (PDDI)
  • Use of DetectedIssue

Patient Care (PC) is hosting Vocabulary, Orders and Observations (OO) during this same time - perhaps send a representative