Date: 5/27/2021

Quarter: Q2

CDS Hosted CQI

Agenda

  • 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:
    • FHIR-32645 - Allow EvidenceVariable.characteristic.definitionReference to reference Any resource Triaged
    • FHIR-32646 - Add characteristic.type 0..1 CodeableConcept to EvidenceVariable Triaged
    • FHIR-32647 - Change EvidenceVariable.characteristicCombination to CodeableConcept Triaged
  • EvidenceReport change:
    • FHIR-31867 - EvidenceReport should be using Composition to organize the content Triaged
  • Statistic DataType changes:
    • FHIR-31866 - OrderedDistribution and Statistic shouldn't be data types Triaged
    • FHIR-31564 - OrderedDistribution and Statistic special data types Resolved - change required
  • Citation changes:
    • FHIR-32322 - Add codes to Citation related value sets Triaged
    • FHIR-31600 - Clarify the boundaries between Citation and DocumentReference resources Triaged

Meeting Minutes

CPG-on-FHIR Update

EBM-on-FHIR Update

  • EvidenceVariable changes:
    • FHIR-32645 - Allow EvidenceVariable.characteristic.definitionReference to reference Any resource Triaged
    • FHIR-32646 - Add characteristic.type 0..1 CodeableConcept to EvidenceVariable Triaged
    • FHIR-32647 - Change EvidenceVariable.characteristicCombination to CodeableConcept Triaged
  • EvidenceReport change:
    • FHIR-31867 - EvidenceReport should be using Composition to organize the content Triaged
  • Statistic DataType changes:
    • FHIR-31866 - OrderedDistribution and Statistic shouldn't be data types Triaged
    • FHIR-31564 - OrderedDistribution and Statistic special data types Resolved - change required
  • Citation changes:
    • FHIR-32322 - Add codes to Citation related value sets Triaged
    • FHIR-31600 - Clarify the boundaries between Citation and DocumentReference resources Triaged
  • Discussion about reference vs canonical
    • References are server-specific, whereas canonical are server-independent
    • You can use canonical resources in a server-specific way, but it undermines the knowledge-sharing use case to do so
  • Discussion about characteristic modeling
    • Consider a type, consider CodeableReference
  • Update on EvidenceReport vs Composition
    • SD reviewed and is considering changes to Composition to support the EvidenceReport use cases
    • Continued discussion on SD
  • Update on Citation resource
    • Multiple groups looking to use it, but suggesting the R5 Citation should be back-updated to R4B
    • Looking at an R4B IG for Citation
  • EBM-on-FHIR IG
    • Looking at starting an IG
  • Participation/plan to address issues going forward
    • CDS SwG weekly calls (in HL7 call calendar)
      • Tuesday at 10:00-11:00 ET
      • Wednesday at 9:00-10:00 ET
    • Will work through/prepare dispositions in the Tuesday/Wednesday meetings
    • Bring block votes and/or individual items as necessary to the CDS WG for voting

Action Items

  • None