2021-07-23 Meeting Minutes

• Reminder to vote in the CQI co-chair election (July 1 through July 30) - information sent out via email from Election Runner
• ONC US@ Address format project seeing comments until July 31st - Project US@
• September Ballot consensus group sign up is now open
• January 2022 HL7 WGM and Connectathon will be Virtual

May 2022 WGM may or may not be virtual, HL7 is looking at options.

No walk-on items.

(1:05pm ET)

PSS_1807

Linda- How to read an IG briefed several times, pointed out some variations and issues.

Bryn suggests Linda brief the sponsoring WG (FHIR-I) about her findings.  CDS will likely be a co-sponsor. 

Content IG vs Spec IG, this PSS seems to address Spec IGs.

Content IG that gets balloted?

QI-Core = Model IG

Content IG is for knowledge artifacts.

CQI should be co-sponsor, like CDS, to encourage refinement and formalization of Content IGs.

Motion for CQI as interested party.

Floyd Eisenberg/Bryn Rhodes: 20-0-0 (for-against-abstain)

Many co-sponsors, implies updates at WGM for each (or all at once).

PSS-1814

A legal format related to advance directive

Why not C-CDA?

C-CDA is based on CDA R2.

C-CDA adds constraints, perhaps too constraining for POLST

State-specific forms today.

POLST should travel with CCD

Advanced directive is patient's statement; POLST is providers view of what to do.  POLST can exist based on conversation (formal advanced directive is not a requirement)

What about FHIR IG?

CQI comments added to Jira

(1:30pm)

Clinical Reasoning FHIR Resources (owned by CQI)

• Measure
• MeasureReport 

(1:30pm ET)

33004

correct the enumeration, and bind to the element

define a value set that excludes selection and bind parameter to  that valueSet

Bryn Rhodes/Floyd Eisenberg: 19-0-0

32985

5Ws, who what when why where

Without 'where', forces use of stratifiers to capture location

reporter is "who"

reporter can be practionerRole, which can have a location reference

reporter allows Location, but since 0..1, if Location is used, can't also specify 'who' as a practitioner or org.

TJC site -level certification

CMS CCN

Single CCN for multiple sites is possible

reporter should remove Location

changed from tech correction to change request

expect Jan 2022 R5 ballot

Floyd Eisenberg / Linda Michaelsen: 21-0-0

(1:56pm ET)

(2:39pm ET)

32970

data models

e.g., using QI-Core and SDoH profiles

CQL has resolution rules if duplicate type names in both models

FHIR and system have "quantity"

implicitly 'using system'

this change relaxes something that was locked down (was only 1 data models, now allows multiple)

Floyd Eisenberg/Ben Hamlin: 20-0-0

(Vital signs IG in Sept ballot)

Tooling under development to take in IG structure defs and create modelinfo. Namess for 'using' in CQL will be based on package id.

32675

Need in QMIG and  base R5 (32674)

Bryn Rhodes/Ben Hamlin: 19-0-1

(2:56pm ET; end of call)

STU 3 published http://hl7.org/fhir/us/davinci-deqm/STU3/

MeasureReport.group.measureScore

if denominator is zero, score is undefined

Jira issue TBD

http://hl7.org/fhir/us/davinci-deqm/STU3/StructureDefinition-indv-measurereport-deqm-definitions.html#MeasureReport.group.measureScore

1..1 Quantity

OK to use extension to satisfy cardinality if no required binding

NaN with data absent extension

http://hl7.org/fhir/extension-data-absent-reason.html

http://hl7.org/fhir/valueset-data-absent-reason.html

R5 add element

Like http://hl7.org/fhir/observation-definitions.html#Observation.dataAbsentReason

(2:07pm ET)

Floyd/Bryn: 21-0-0

Linda: immunization profile,

why is statusReason MS?

status should only be completed

entered in error and not done should not be in the positive profile

US Core does not have a 'not done' profile, so it allows statusReason and not done

Do we need variance for US Core

http://build.fhir.org/ig/HL7/fhir-qi-core/StructureDefinition-qicore-immunizationnotdone.htmls not derive from US Core because US Core requires statusReason, so we need variance (since QI-Core is US realm). Next CGP is 26 Aug

NCQA Digital Quality Summit

CMS HL7 Connectathon

Floyd showed some summary slides

OMOP/OHDSI

https://chat.fhir.org/#narrow/stream/286658-omop-.2B.20fhir

FHIR-OMOP Initiative - Homepage

negation rationale not well supported in OMOP

kick off in August (1st week?)

condition with additional evidence. not just code used in OHDSI Phenotypes

Federated messy data

Ben Hamlin - data quality, patient-level prediction

EHR do not support OMOP natively, curation/conversion needed to get separate OMOP database

ONC funding HL7 to collaborate with OHDSI

GA Tech OMOP on FHIR

Potentially new HL7 WG?

(2:38pm ET)

Status update

ANSI status update

Balloting schedule (confirm on HL7 Calendars):

Approvals for September 2021, January 2022, May 2022 Ballot Cycles: