Clinical Quality Information
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Chair: Floyd Eisenberg

Scribe: Patricia Craig

See Meeting Access for Zoom instructions (expect a waiting room when joining)

Minutes from last meetings: 2021-07-30 Meeting Minutes


Agenda Topics 


Agenda Outline

Agenda Item

1Announcements 
2ONC Trusted Exchange Framework and Common Agreement (TEFCA) Recognized Coordinating Entity (RCE) final draft of the Qualified Health Information Network (QHIN) Technical FrameworkPolicy Committee request for WG comments: 

ONC Trusted Exchange Framework and Common Agreement (TEFCA) Recognized Coordinating Entity (RCE) final draft of the Qualified Health Information Network (QHIN) Technical Framework.  Your input to the HL7 policy advisory committee (PAC) should be submitted to Ticia Gerber and me no later than COB Friday, August 27th, 2021.

  • The QHIN Technical Framework (QTF) specifies functional and technical requirements for information exchange including privacy and security steps, approaches for identifying and authenticating exchange participants, how to conduct patient discovery and identity resolution, and support for required exchange protocols. QHINs will be responsible for routing queries, responses, and messages to and from their participants.
  • In considering your proposed HL7 comments the PAC asks you to focus on and emphasize elements to include or points to consider in a FHIR Roadmap for exchange (including potential recommendations for cross-domain FHIR based exchange), as requested by the ONC RCE, in addition to considering comments on the existing and legacy set of frameworks, profiles, and methods for information sharing under TEFCA using HL7 CDA XML document based exchange.
  • More information is at https://rce.sequoiaproject.org/qhin-technical-framework-feedback/.

Documents for review: QTF-Summary_Rev-7-28-2021.pdf; QTF-V1-Draft.pdf

3HL7-OHDSI FHIR-OMOP

Review 8/4 FHIR-OHDSI presentation with CQI

Confluence site: Inaugural HL7-OHDSI meeting on FHIR and OMOP - 4-August 2021

Slide decks:

4New project reviewPending if a proposal or PSS is available for review by 8/6
5

Project update

6

Clinical Reasoning FHIR Resources (owned by CQI)

  • Measure
  • MeasureReport 

CQI open items tracker filter (FHIR Core/CQI WG/triaged)

7Quality Measure Implementation Guide (IG) May Ballot Reconciliation

Ballot version: http://hl7.org/fhir/us/cqfmeasures/2021May/

  • FHIR-32047 Remove Measure Type Mapping conceptmap (Rob McClure)
  • FHIR-31921 ValueSetExpand new parameter "preview" needs improvement (Rob McCure)
  • FHIR-32668 Add guidance and conformance expectations for specifying CQL/ELM version (Bryn Rhodes)
  • FHIR-33016 Add guidance that UCUM codes specifically have first class support in Quantity and so shouldn't use terminology declarations (Bryn Rhodes)
  • FHIR-32808 Expansion.contains should specify version (Bryn Rhodes)
  • FHIR-32688 Clarify support for provisional/fragment code system versions (Bryn Rhodes)
  • FHIR-32687 Clarify expansion parameter usage (Bryn Rhodes)
8DEQM IG/ DEQM IG Gaps in Care

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

9QI-Core

Status update:

  • Current path is to process an Update based on US Core errata (3.1.1) and QDM 5.6, then wait until US Core 3.2.0 ballot reconciliation is complete to ballot a new version of QI-Core in January 2022. 
  • Current build (preparing for Update): http://build.fhir.org/ig/HL7/fhir-qi-core/
  • Requirement for PresentOnAdmission value set status - UTG Proposal (Paul Denning, Marc Duteau)  (FHIR-32378 was resolved on 7/16)
    • Needs votes at UP-219 - Getting issue details... STATUS to approve creation of a value set
    • Request reviewer permission at Vocabulary Maintenance at HL7 (if needed)
      • Add a note (some confusion about what constitutes an "HL7 Member" regarding UTG voting
  • New question for the CQI Measure Developers and CDS artifact creators - QI-Core contains a profile for Claim pointing to the FHIR Claim resource, but not the result of the claim adjudication (ClaimResponse) which include justification.  Consider whether ClaimResponse would be more useful, or useful as an addition to QI-Core. (Thank you Linda Michaelsen)
10Report Out 

Digital Quality Summit - deferred until 8/6 (Ben)

11Da Vinci Risk Adjustment

Status update https://build.fhir.org/ig/HL7/davinci-ra/

12QRDA III N1 2021

ANSI status update - out for comment until September 12th

13QRDA I STU 5.3Status update: Has started the development process for the QRDA I STU 5.3 (STU update) to support QDM 5.6 changes
14

Measure Terminology Service

  • Waiting for update from Bryn (August 2021 ish)
  • Measure Terminology Service
    • Specifically approach to including inactive codes from an authoring perspective
    • Quality Program Release (Binding Parameters Specification)

  • FHIR-32642 - Add manifest, expansion, and include Draft parameters to the $expandOther associated FHIR tickets

  • Measure Terminology Service:  (agenda item scheduled during May WGM, see Mon 5/24 Q3 minutes)
  • Vocabulary joined CQI on 6/23 during the Project Subgroup call (meeting minutes)
15Project Updates

Review of current projects - found on home page here.

CQL 

US CORE

Reminder:

  1. CQI FHIR Quality Measure Project Subgroup calls: 
  2. Da Vinci DEQM and Gaps in Care project calls: 
  3. Da Vinci Risk Adjustment Use Case project calls  
See Meeting Access  to join the calls
16Balloting timeline

Balloting schedule (confirm on HL7 Calendars):

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

Dates for Future Ballots and Activities
September 2021 Ballot Cycle
May 16, 2021 - June 15, 2021
Co-chair election nominations open
June 4, 2021
Deadline for requesting rooms for September WGM
June 11, 2021
Deadline for posting WGM minutes
July 1, 2021 - July 30, 2021
HL7 leadership and co-chair elections open
July 4, 2021
NIB deadline for September 2021 ballot
July 12, 2021 - August 12, 2021
Ballot consensus group sign up period
July 15, 2021
2021SEP FHIR Connectathon Proposals Due
July 23, 2021 - August 1, 2021
Ballot content QA review by WG (WG review and final approval)
August 2, 2021 - August 6, 2021
FHIR Ballot QA change application
August 10, 2021 - August 11, 2021
September Ballot Readiness Sign-off
August 22, 2021
TSC Approval Deadline for new PSS projects for January 2022 ballot
August 24, 2021
2022JAN Missed PSS Deadline appeal deadline 2:00 PM Eastern
August 13, 2021 - September 13, 2021
September ballot comment period
September 9, 2021
FHIR Publication Core substantive freeze
September 20, 2021 - September 24, 2021
September WGM
September 24, 2021
2022JAN FHIR Resource Proposals Due (WGM prior to ballot cycle)
July 16, 2021
2021SEP FHIR Ballot Core substantive freeze
August 13 - September 13, 2021
Ballot voting for September ballot
January 2022 Ballot Cycle
June 11, 2021
Submit Work Group Approved PSS to the PMO
Failure to meet this deadline results in the need for the Project Facilitator to submit an appeal to the TSC.  To submit an appeal, email tscpm@HL7.org; include the PSS and a detailed rationale why your project must be included in the ballot cycle despite missing the deadline.
August 13, 2021
TSC Approval of the PSS
October 31, 2021
NIB Deadline (6 weeks prior to ballot opening)
FHIR IG Proposals approved
November 8 - December 8, 2021
Consensus Group Sign-up for January 2022 ballot
November 23 - December 2, 2021
Workgroup approves FHIR IG
December 3 - 7, 2021
FHIR Ballot Content QA change application
December 10, 2021 - January 9, 2021
Ballot comment period for January 2022 ballot
May 2022 Ballot Cycle
October 8, 2021
Submit Work Group Approved PSS to the PMO
Failure to meet this deadline results in the need for the Project Facilitator to submit an appeal to the TSC. To submit an appeal, email tscpm@HL7.org; include the PSS and a detailed rationale why your project must be included in the ballot cycle despite missing the deadline.
December 18, 2021
TSC Approval of the PSS
Friday, January 21, 2022
2022 May FHIR Resource Proposals Due (WGM prior to ballot cycle)
TBD
NIB Deadline (6 weeks prior to ballot opening)
March 7 - April 6, 2022
Consensus Group Sign-up for May 2022 ballot
March 22 - 31, 2022
WG approves FHIR IG (content freeze March 22)
April 1 - 5, 2022
FHIR ballot IG QA change application
April 8 - May 8, 2022
Ballot comment period for May 2022 ballot
September 2022 Ballot Cycle
February 4, 2022
February 4, 2022 - Submit Work Group Approved PSS to the PMO
Failure to meet this deadline results in the need for the Project Facilitator to submit an appeal to the TSC. To submit an appeal, email tscpm@HL7.org; include the PSS and a detailed rationale why your project must be included in the ballot cycle despite missing the deadline.
TBD
TSC Approval of the PSS
TBD
NIB Deadline (6 weeks prior to ballot opening)