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Quarter	UTC Time	Central Europe Time*	US Eastern Time Zone*	US Pacific Time Zone*	Australia Time Zone (Sydney)	Japan Time Zone (Tokyo)
Q0	7:00 – 8:30 AM	9:00-10:30 AM	3:00 – 4:30 AM	12:00-1:30 AM	5:00-6:30 PM (+1)	4:00 - 5:30 PM
Break	8:30 – 9:00 AM	10:30 – 11:00 AM	4:30 – 5:00 AM	1:30 – 2:00 AM	6:30 – 7:00 PM (+1)	5:30 – 6:00 PM
Q1	9:00-10:30 AM	11:00-12:30 PM	5:00-6:30 AM	2:00-3:30 AM	7:00-8:30 PM (+1)	6:00 – 7:30 PM
Break	10:30 – 11:00 AM	12:30-1:00 PM	6:30-7:00 AM	3:30-4:00 AM	8:30-9:00 PM (+1)	7:30 – 8:00 PM
Q2	11:00 - 12:30 PM	1:00-2:30 PM	7:00 AM-8:30 AM	4:00-5:30 AM	9:00-10:30 PM (+1)	8:00 – 9:30 PM
Lunch Break	12:30 – 1:30 PM	2:30-3:30 PM	8:30-9:30 AM	5:30-6:30 AM	10:30-11:30 PM (+1)	9:30 – 10:30 PM
General Session	1:30 – 2:00 PM	3:30-4:00 PM	9:30-10:00 AM	6:30-7:00 AM	11:30-12:00 AM (+1)	10:30 – 11:00 PM
Q3	2:00 – 3:30 PM	4:00-5:30 PM	10:00-11:30 AM	7:00 AM -8:30 AM	12:00-1:30 AM (+1)	11:00 – 12:30 AM
Break	3:30 – 4:00 PM	5:30-6:00 PM	11:30-12:00 PM	8:30-9:00 AM	1:30-2:00 AM (+1)	12:30 – 1:00 AM
Q4	4:00 – 5:30 PM	6:00-7:30 PM	12:00-1:30 PM	9:00-10:30 AM	2:00-3:30 AM (+1)	1:00 – 2:30 AM
Break	5:30 – 6:00 PM	7:30 – 8:00 PM	1:30 – 2:00 PM	10:30 – 11:00 AM	3:30 – 4:00 AM (+1)	2:30 – 3:00 AM
Q5	6:00 – 7:30 PM	8:00-9:30 PM	2:00-3:30 PM	11:00-12:30 PM	4:00-5:30 AM (+1)	3:00 – 4:30 AM

May HL7 Virtual Working Group Meeting Registration Site

Once registered, you must use the Whova app to access all meetings (use the email address you used to register for the WGM). Emails are being sent to all registrants with more information.

Day

Time

(UTC)

WGM Meetings

Chair

Scribe

CQI Notes

Monday 5/24

Q0

7:00 - 8:30 AM

CDS and CQI not meeting this quarter.

n/a

Q1

9:00 AM - 10:30 AM

CDS and CQI not meeting this quarter.

n/a

Q2

11:00 AM - 12:30 PM

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

Previous topics for update discussion May 2021:

Use case is ordering a specific lab, from a standards perspective we selected a generic SNOMED code (Urine Drug Screen), what is the most appropriate mechanism for mapping that to a local code, any efforts in this space? (Standardizing orderables as part of a ServiceRequest)
DeviceUseStatement (DeviceUsage in FHIR R5), Implantable versus non-Implantable Devices FHIR-26636
Differentiation between when to use US Core ObservationLab Vs Observation (example = Pap test result)
DiagnosticReport versus Observation for retrieve queries (eCQMs and CDS)

n/a

accepted invitation

Lunch 12:30 PM - 1:30 PM

FHIR-I holding a general session to discuss Jira balloting, Jira in general, FHIR core maintenance and IG templates

General Session 1:30 PM - 2:00 PM

HL7 General Session for the WGM

General Session Speakers

Q3

2:00 PM - 3:30 PM

Vocab Hosts CDS, CQI

From Connectathon 27:

Need to work through how provisional codes are referenced from ValueSet definitions as well as how to reference them in a manifest
Need to make sure that all “post-processing” done to meet public health reporting use case is supported by terminology service capabilities

Previous Topics for update discussion May 2021:

PresentOnAdmission value set (code system exists but not value set)
Vocabulary Profiles (Shareable, Computable, Executable, Publishable)
Measure Terminology Service
- Specifically approach to including inactive codes from an authoring perspective
- Quality Program Release (Binding Parameters Specification)
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.

n/a

accepted invitation

EHR Hosting Mega-Report Out

accepted invitation with representatives

n/a

accepted invitation with representatives

Q4

4:00 PM - 5:30 PM

FHIR I Hosts CDS, CQI

Meet with FHIR Infrastructure (Confirmed with Lloyd McKenzie) - will have a 15 minute slot

FHIR R5 Maturity Levels
CDS/CQI Interest in IG Templates Project:
Jira
server Jira
serverId 9b965702-34a7-3433-bf10-7f66fd69238c
key PSS-1801
RelatedArtifact changes:
- Jira
  server Jira
  serverId 9b965702-34a7-3433-bf10-7f66fd69238c
  key FHIR-31739
- Jira
  server Jira
  serverId 9b965702-34a7-3433-bf10-7f66fd69238c
  key FHIR-31742
- Jira
  server Jira
  serverId 9b965702-34a7-3433-bf10-7f66fd69238c
  key FHIR-32315

n/a

EHR Hosting Mega-Report Out (continued)

accepted invitation with representatives

n/a

accepted invitation with representatives

Q5

6:00 - 7:30 PM

CDS Hosts CQI

Meet with BR&R regarding CDS and CQI questions about the Pharmaceutical Quality project (https://confluence.hl7.org/display/CSD/Pharmaceutical+Quality+PSS).

BR&R Meeting with Pharmacy this Quarter (2021 05 WGM Agenda)

Also note (based on Real World Data discussion on Wednesday in FHIR Connectathon 27): perhaps discuss cumulative medication duration calculations to be consistent with the research community:

CQI and Pharmacy discussions provided a CQL example based on using MedicationRequest, MedicationDispense, MedicationAdministration in combination for cumulative medication duration - for quality measure discussion with Pharmacy: https://github.com/cqframework/CQL-Formatting-and-Usage-Wiki/blob/master/Source/Cooking%20With%20CQL/53/CumulativeMedicationDurationFHIR.cql;
“English language” description CQI Quality Project Sub-Group 21 April 2021

Potentially discuss this outstanding tracker:

Jira

server	Jira
serverId	9b965702-34a7-3433-bf10-7f66fd69238c
key	FHIR-27821

CDS: Bryn Rhodes

CDS tbd

accepted invitation

Tuesday 5/25

Q0

7:00 - 8:30 AM

CDS and CQI not meeting this quarter.

n/a

Q1

9:00 AM - 10:30 AM

CDS and CQI not meeting this quarter.

---------------------------------------

Informational: Vocab - finalize R4B potentially with Monday Q3 discussion of FHIR-30585 - Invariant vsd-1 should be an xor not an or TRIAGED (xor of system and valueSet in ValueSet.compose.include)

n/a

Q2

11:00 AM - 12:30 PM

CDS Hosts CQI (Chair: , Scribe: )

Overall WGM Agenda review
CDS Hooks Connectathon Report out and Project Update/Ballot Reconciliation - https://bit.ly/cds-hooks202105
FHIRCast Project Update - https://bit.ly/fhircast202105
CDS/CQI Interest in IG Templates Project
Jira
server Jira
serverId 9b965702-34a7-3433-bf10-7f66fd69238c
key PSS-1801
FHIR Trackers, time allowing
Tentative - Specific CDS Topics of Interest to International Participants (I.e., non-US)

CDS: Bryn Rhodes

CDS tbd

accepted invitation

Lunch 12:30 PM - 1:30 PM

General Session 1:30 PM - 2:00 PM

HL7 General Session for the WGM

General Session Speakers

Q3

2:00 PM - 3:30 PM

CDS Hosts CQI (Chair: , Scribe: )

Clinical Reasoning Connectathon Report out and Project Update
- Clinical Reasoning Track Report.pptx
Gaps in Care Connectathon Report and Project Update
Review Attribution approach from Connectathon
FHIR R5 Review/Prep
FHIR Trackers, time allowing

CDS: Bryn Rhodes

CDS tbd

accepted invitation

Q4

4:00 PM - 5:30 PM

PC Hosts CIMI and CQI

PC Agenda:2021 May WGM Patient Care Agenda and Minutes

Topic: Symptoms

------------------------------------------

Informational: US Realm Steering Committee (for those interested) - not a joint meeting with CDS or CQI

n/a

accepted invitation

Q5

6:00 - 7:30 PM

PC Hosts Vocab, CQI, CIMI (Note: PA, SD, and OO are not listed, but may attend)

PC Agenda: 2021 May WGM Patient Care Agenda and Minutes

Topics: Referral Management with respect to measurement and clinical decision support (See summary description: Differentiation between referral management and patient-specific communication sometimes referenced as curbside consults.)

n/a

accepted invitation with representatives

CDS Hosts CQI

CDS: Bryn Rhodes

CDS tbd

accepted invitation

Wednesday 5/26

Q0

7:00 - 8:30 AM

CDS and CQI not meeting this quarter.

n/a

Q1

9:00 AM - 10:30 AM

CQI Hosts CDS and CIMI (Chair: Floyd Eisenberg, Scribe: Paul Denning)

Tentative - Specific CQI Topics of Interest to International Participants (I.e., non-US)
QI-Core - Profile authoring, Update plans for June 2021; January 2022 ballot discussion - QI-Core Trackers for Update
- FHIR-32273 - TaskNotDone
- FHIR-32235 - DiagnosticReportLab does not have MUST SUPPORT for performer or issued (inconsistent with US Core)
- FHIR-32234 - DiagnosticReport.diagnosticReport.locationPerformed value should not be a slice
- FHIR-32233 - CQL example in Observation missing caption and might be better represented than pap smear
- FHIR-25028 - Add structure map reference to QI-Core from FHIR QMIG
- FHIR-24280 - recommend dueTo and occurredFollowing to QI-Core Condition resource
- FHIR-12091 - add Occupational Data for Health (ODH) - has been pending waiting for ODH publication
Consider: Artifact Manifest Profile, Terminology Service, and Repository Service Overview

Previous topics:

QI-Core errata
Consider candidates for promotion from CPG
Consider candidates for promotion from Quality Measure IG and Data Exchange for Quality Measures IG

CQI: Floyd Eisenberg

CQI: Paul Denning

CDS and CIMI have both accepted

Q2

11:00 AM - 12:30 PM

CQI Hosts CDS (Chair: Paul Denning, Scribe: Floyd Eisenberg)

QM IG Ballot comment review
CQL Project Update (now normative)
- CQL Versioning Discussion

Previous Topics

CQL Coverage Overview -
- Last WGM: 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. Related to Gaps in Care FHIR-28486 - Extension on DetectedIssue evidence to indicate status of evidence RESOLVED - CHANGE REQUIRED (Mike O'Keefe, MITRE)
Composite Measure Discussion (Bryn Rhodes )

CQI: Paul Denning

CQI: Floyd Eisenberg

CDS has accepted

Lunch 12:30 PM - 1:30 PM

General Session 1:30 PM - 2:00 PM

HL7 General Session for the WGM

General Session Speakers

Q3

2:00 PM - 3:30 PM

CDS Hosts CQI (Chair: , Scribe: )

New Project Proposal: International Patient Summary:
Jira
server Jira
serverId 9b965702-34a7-3433-bf10-7f66fd69238c
key PSS-1803
Arden Syntax Ballot proposal for September 2021 (Robert Jenders)

Previous topics:

WG Business/Project Planning
May Ballots
September Working Group Meeting

CDS: Bryn Rhodes

CDS tbd

accepted invitation

Q4

4:00 PM - 5:30 PM

Imaging Hosts CQI, CDS, Pharmacy

Topic:

Radiation dose for diagnostic imaging

n/a

accepted invitation

Q5

6:00 - 7:30 PM

CQI Hosts CDS (Chair: Yan Heras, Scribe: Patty Craig)

Risk Adjustment Project

CQI: Yan Heras

CQI: Patty Craig

CDS has accepted

Thursday 5/27

Q0

7:00 - 8:30 AM

CDS and CQI not meeting this quarter.

n/a

Q1

9:00 AM - 10:30 AM

CDS and CQI not meeting this quarter.

n/a

Q2

11:00 AM - 12:30 PM

CDS Hosts CQI (Chair: , Scribe: )

Clinical Practice Guideline (CPG)-on-FHIR
- Project Update and next steps
Evidence-Based Medicine (EBM)-on-FHIR
- Project Update and next steps
- Connectathon Report Out
FAIR-for-FHIR Project Review and Discussion
Disucssion on use cases of Citation resource with respect to a collection of computable artifacts, specifically with the goal of documenting relationship to asset-collection Library resources used for authoring/distribution/evaluation use cases of knowledge artifact collections in FHIR.
EvidenceVariable changes:
- Jira
  server Jira
  serverId 9b965702-34a7-3433-bf10-7f66fd69238c
  key FHIR-32645
- Jira
  server Jira
  serverId 9b965702-34a7-3433-bf10-7f66fd69238c
  key FHIR-32646
- Jira
  server Jira
  serverId 9b965702-34a7-3433-bf10-7f66fd69238c
  key FHIR-32647
EvidenceReport change:
- Jira
  server Jira
  serverId 9b965702-34a7-3433-bf10-7f66fd69238c
  key FHIR-31867
Statistic DataType changes:
- Jira
  server Jira
  serverId 9b965702-34a7-3433-bf10-7f66fd69238c
  key FHIR-31866
- Jira
  server Jira
  serverId 9b965702-34a7-3433-bf10-7f66fd69238c
  key FHIR-31564
Citation changes:
- Jira
  server Jira
  serverId 9b965702-34a7-3433-bf10-7f66fd69238c
  key FHIR-32322
- Jira
  server Jira
  serverId 9b965702-34a7-3433-bf10-7f66fd69238c
  key FHIR-31600

CDS: Bryn Rhodes

CDS tbd

accepted invitation

Lunch 12:30 PM - 1:30 PM

General Session 1:30 PM - 2:00 PM

HL7 General Session for the WGM

General Session Speakers

Q3

2:00 PM - 3:30 PM

CDS and CQI not meeting this quarter.

---------------------------------------

Informational: 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.

Cross-Group Projects (CGP) meeting minutes

Topics:

US Core - Version 3.2.0 status post January ballot
Military Status - Connectathon and next steps
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)

--------------------------------------------

PC Hosts PE, LHS, CIC, Pharm, EC, SD

CPG-on-FHIR Project Update

n/a

Q4

4:00 PM - 5:30 PM

Learning Health Systems (LHS) May Host CQI, CIMI, CIC, CBCP, PC

Interested party for PSS xxx?

Referral Management with respect to measurement and clinical decision support (See summary description: Differentiation between referral management and patient-specific communication sometimes referenced as curbside consults.)

---------------------------------------

Informational: Cross-Group Projects (CGP) Workgroup meeting (2nd Quarter for CGP) 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.

n/a

invitation not yet received

Q5

6:00 - 7:30 PM

CQI Hosts CDS (Chair: Paul Denning, Scribe: Patty Craig)

Meet with BR&R - consider joining BR&R rather than our own meeting, or have representative attend BR&R:

FHIR-30153 - review C-DISC CDISC mappings with respect to QI-Core (http://hl7.org/fhir/uv/cdisc-mapping/2021JAN/overview.html)
FHIR-27821 - PlanDefinition.action.definition[x]
2021 05 WGM Agenda

Consider CQI-CDS comment on CMS NPRM:

CMS Proposed Rules that name FHIR
- CMS-1752IPPS Annual Proposed and Final Rules, and Relevant Correction Notices: Fiscal Year 2022
- CMS Newsroom: Fiscal Year (FY) 2022 Medicare Hospital Inpatient Prospective Payment System (IPPS) and Long Term Care Hospital (LTCH) Rates Proposed Rule (CMS-1752-P)
CQI-CDS Comment Template - CMS IPPS Proposed Rule 2021-06-2021

CQI: Paul Denning

CQI: Patty Craig

CDS has accepted

Friday 5/28

Q0

7:00 - 8:30 AM

CDS and CQI not meeting this quarter.

n/a

Q1

9:00 AM - 10:30 AM

CDS and CQI not meeting this quarter

n/a

Q2

11:00 AM - 12:30 PM

CDS and CQI not meeting this quarter.

n/a

Lunch 12:30 PM - 1:30 PM

General Session 1:30 PM - 2:00 PM

HL7 General Session for the WGM

General Session Speakers

Q3

2:00 PM - 3:30 PM

***MOVED FROM Friday Q1 for May***

CQI Hosts CDS, Pharmacy (Chair: Floyd Eisenberg, Scribe: Patty Craig)

Medication List Guidance (including patient-reported)
MedicationKnowledge usage
Medication usage period (especially as it relates to cumulative medication duration and tapered dose)
- Discussion about CMD - CQI and Pharmacy - English language discussion: CQI Quality Project Sub-Group 21 April 2021,
  CQL: https://github.com/cqframework/CQL-Formatting-and-Usage-Wiki/blob/master/Source/Cooking%20With%20CQL/53/CumulativeMedicationDurationFHIR.cql
Jira
server Jira
serverId 9b965702-34a7-3433-bf10-7f66fd69238c
key FHIR-31988
- author date time QDM mapping to MedicationDispense
Potential Drug-Drug Interaction (PDDI)
- Use of DetectedIssue

CQI: Floyd Eisenberg

CQI: Patty Craig

CDS and Pharmacy have both accepted

Q4

4:00 PM - 5:30 PM

CDS and CQI not meeting this quarter.

n/a

Q5

6:00 - 7:30 PM

CDS and CQI not meeting this quarter.

n/a

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