Date: 5/24/2021

Quarter: Q5

CDS was to have hosted CQI and BR&R (BR&R was not represented)

Agenda

Meeting Minutes

Bryn reviewed agenda for the week for CQI and CDS

BR&R not available

Tracker items reviewed for ClinicalReasoning R5 (base FHIR):

  • CQI R5 Comments: (checked that CQI quorum is met - at least 2 co-chairs and 3 members from different organizations)
    • FHIR-32194 - value set includes some of abstract types FHIR-32069  (related tracker in FHIR-I) - await resolution of FHIR-32069  
    • FHIR-32636 - knowledge extensions for ShareableMeasures 
      • Persuasive - approved - Floyd Eisenberg/Abdullah Rafiqi: 13-0-0
    • FHIR-32626 - for all measures URL element shall be of this form URL SHALL be of the form "<base>/Measure/<tail
      • Persuasive - approved - Floyd Eisenberg/Stan Rankin: 13-0-0
  • CDS R5 Comments (checked that CDS quorum is met - at least 1 co-chair and 5 members from different organizations)
    • FHIR-26883 - value set binding for RiskAssessment elements (code, method, reason, and prediction.outcome - provide example binding, partially pre-applied)
      • Persuasive - approved - Floyd Eisenberg/Stan Rankin: 14-0-0
    • FHIR-32670 - support translator options for CQL/ELM usable on a Library and a Manifest
      • Pending further review - Interesting discussion about the options to include json in the translator to define the parameters (e.g., EnableLocators, EnableAnnotations, DisableListDemotion, DisableListPromotion) - other approaches may be possible. From an authoring perspective, the UI should set the options to provide the translator which needed content. Consider using Parameters resource and potentially using Questionnaire/QuestionnaireResponse - see tracker for some details.
    • FHIR-32620 - add URL constraint to ShareableLibrary (similar to previous tracker about URL for Measure FHIR-32626, ShareableMeasures FHIR-32636)
      • Persuasive - approved - Paul Denning/Floyd Eisenberg: 12-0-0
    • FHIR-32623 - add a URL constraint to ShareableActivityDefinition to require that the URL element be of the form "<base>/ActivityDefinition/<tail>"
      • Persuasive - approved - Paul Denning/Ben Hamlin: 13-0-0
    • FHIR-32624 - add URL constraint to ShareablePlanDefinition
      • Persuasive - approved - Floyd Eisenberg/Ben Hamlin: 13-0-0
    • Discussed, requires additional socializing and discussion:
      • FHIR-32629 - Add URL best-practice to the ShareableValueSet - requires more socialization; enables a mechanism consistent with ShareablePlanDefintion and other items approved today
      • FHIR-32667 - Add conformance expectations for version specifiers in CQL/ELM libraries - documentation about use of mediatype to enable versioning - enabled in libraries for the current QMIG specifications. This change would apply to the base FHIR in R5

Action Items

  • Subsequent follow-up during this WGM in Q2 along with CQL update:
    • FHIR-32629 - Add URL best-practice to the ShareableValueSet - requires more socialization; enables a mechanism consistent with ShareablePlanDefintion and other items approved today
    • FHIR-32667 - Add conformance expectations for version specifiers in CQL/ELM libraries - documentation about use of mediatype to enable versioning
    • FHIR-32670 - support translator options for CQL/ELM usable on a Library and a Manifest

Adjourned at 7:30 PM UTC (3:30 PM ET)