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HL7 Clinical Quality Information Workgroup
CQI Co-chairs: Patty Craig, Floyd Eisenberg, Juliet Rubini, KP Sethi, Yan Heras
Meeting Chair: KP Sethi
Meeting Scribe: Patty Craig

Minutes

  • Roll call
  • Reviewed Agenda for this meeting and updated as needed.
  • CIMI vs QUICK vs QI Core discussion is below:
    • No one has the time to complete a QUICK manual update from QDM
    • Goal - look at the set of interfaces that are already established in the reference implementations that have to deal with this problem.  That only gets us to the interfaces per resources, but it gives a place to "say" this is how it is said in FHIR.  From there we push towards deriving more simplified constructs - not creating a new thing, but adapting of what we have to use/adapt the interfaces.
    • The current version of QUICK will be replaced with the Tooled version of QUICK.
    • Do we need to write measures against FHIR v4?
    • Difficulty to access extensions and drilling into references, because the author has to understand how to trace a reference within FHIR.
    • The Connectathon used the FHIR data model, not QDM
    • Goal is for the measures to be written using a conceptual model that does not require the measure author to understand the extensions and references within FHIR.
      • The name is not yet defined.  It could be QUICK, but it could also be something else.
    • The model that is recommended for measure developers and decision support authors is QUICK (Byrn)
    • Suggests we start explaining how to use vanilla FHIR, then USE Core, then QI Core, etc (Ken)
    • Need a well defined logical model (Zhaid)
    • Walked through QI Core at a high-level (text, differential, snapshot) (Bryn)
    • Walked through QUICK at a high-level - it is an author view (Bryn)
    • FHIR Resources → US Core → QI Core – it is a difference from the derived profile, not from the base profile (Bryn)
      • However, there isn't anything that doesn't keep a profile from repeating something from a "high-level" profile
    • Measure developers needs to be making comments on US Core - can enter into FHIR Tracker
    • Timeline discussion
      • Align QI-Core IG STU with FHIR R4
        • US Core R4 has a 100+ comments, their plan is to be done by May
        • QI-Core update to R4 would occur after US Core is done
        • We can consider going to ballot in September after US Core is done and we review the workload to update QI-Core
      • Should we wait for work that is occurring with CIMI?
      • Need to setup a group that will drill into what is required for interfaces.
  • Data Exchange for Quality Measures Discussion (Gaps in Care Discussion also) update was provided – slide deck
  • Vote discussion
    • DaVinci update was provided – slide deck
      • eHRx - CIC will be the primary sponsor
        • Viet Nguyen moved that CDS and CQI are both an interested party for eHRx Framework IG, Anne Smith seconded
          • Further discussion occurred concerning what exactly the work isI
          • It is a more generic version of eCDx and ePDx with policies on how to bring the world together
          • Keith moved to modify the recommendation to make CDS and CQI as co-sponsors, no one seconded
            • Further discussion
            • CQI and CDS doesn't have the manpower to attend all of the DaVinci calls
            • Could DaVinci provide a representative to be the individual that would represent CQI and CDS so that the workgroups could be co-sponsor?
            • CQI and CDS have purpose for some of the artifacts, but not all of the artifacts that will be defined by the eHRx Framework IG
            • Original motion still stands
        • Bryn requested a friendly amendment that DaVinci provides a liaison to provide input to CQI and CDS, Viet accepted, and Anne Smith seconded
        • No further discussion
        • Abstain: 0, Opposed: 0, Affirmative: 35
      • eCDx IG and ePDx IG - primary sponsor has not yet been identified
        • Question:  Are these important to CQI and/or CDS for one or both workgroups to be an interested party
          • Paul Denning moved that CDS and CQI are both an interested party for eCDx IG and ePDx IG, Isaac Vetter seconded
          • No further discussion
          • Abstain: 0, Opposed: 0, Affirmative: 33
      • FHIR Measure IG PSS
        • Discussed the purpose of the IG
        • CQI has already approved the IG and is asking CDS if they want to co-sponsor
          • Bryn Rhodes moved that CDS is a co-sponsor of the FHIR Measure IG, Howard  seconded
          • No further discussion
          • Abstain: 1, Opposed: 0, Affirmative: 15 (only CDS members in the room voted)

Notifications

  • None

Action Items

  • Floyd will file the FHIR Measure IG PSS with HL7

Meeting Adjourned:  12:30 pm