Chair: Yan Heras 

Scribe: Juliet K. Rubini 

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

Minutes from last meeting: 2022-09-30 Meeting Minutes

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Agenda Topics


Agenda Outline

Agenda Item

1Announcements 
  • WG participants please periodically review the HL7 Code of Conduct
  • Late cycle consensus group voting is now open through October 14, 2022 - HL7 FHIR® Release 5
  • FYI - US Design meetings in preparation for January ballot (incorporating USCDI v3) occur every 1st, 3rd, and 5th Thursday 1-2 PM and full Cross-Group Projects calls occur every 2nd and 4th Thursday at 1-2 PM ET.
2HL7 WGM Summary and Connectathon 

Vote to approve the Sept WGM meeting minutes:

3New project/ proposal review

https://confluence.hl7.org/display/TPTF 

comment on all Proposals and only Vote on the PSS if it includes our WG as a co-sponsor or interested party

  • PSS-2121 FluSurv-NET on FHIR (due 10/10)
  • PSS-2122 FHIR Representation of Eligibility Criteria for Clinical Trials (due 10/13)
4

Clinical Reasoning FHIR Resources (owned by CQI)

  • Measure
  • MeasureReport 

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

  • FHIR-34351 MeasureReport.group.population.subjectList should be 0..* (MeasureReport) (Rick Geimer)
    • Need update on outreach to Rick Geimer
  • FHIR-36210 Clarify semantics and constraints for mixed-scoring type measures (Bryn Rhodes)
  • FHIR-37988 - evaluate-Measure operation restricts Out parameter to single MeasureReport but when Provider IN Parameter is used, it could be more APPLIED
5Quality Measure  (IG) 

http://hl7.org/fhir/us/cqfmeasures/STU3/

Ballot planned for January 2023 

  • Prepare remaining trackers for work group vote no later than 10/21/22
  • NIB due 10/30
  • Final Content due 12/4

Need discussion:

Ready for vote:

FHIR-38787 - Getting issue details... STATUS

FHIR-32047 - Getting issue details... STATUS

  • FHIR-37681 - Remove requirement related to code system order TRIAGED
  • FHIR-38051 Clarify guidance on SDE expression results
  • FHIR-37530 - Support keyword search for value sets TRIAGED
  • FHIR-37528 - Characterize text search capabilities for a terminology service and repository service TRIAGED
  • FHIR-38830 - Getting issue details... STATUS
  • FHIR-38829 - Getting issue details... STATUS
  • FHIR-38827 - Getting issue details... STATUS


6QI Core

Full set of QI-Core Trackers: https://jira.hl7.org/secure/Dashboard.jspa?selectPageId=11405 

5.0.0-ballot link: https://hl7.org/fhir/us/qicore/2022Sep/ 

Trackers for discussion and vote:

  • FHIR-38119 Inconsistency In Naming Profiles (Stan Rankins)
  • FHIR-38182 2 Resource Profile name for Medication Not Requested / Service Not Requested are not align with other negation profiles (Yanyan Hu)
  • FHIR-38213 Consistency of multi-word element names (Mitra Rocca)
  • FHIR-37970 History page is broken/absent (Saul Kravitz)
  • FHIR-38788 Ensure negation profiles are disjoint (Bryn Rhodes)
7DEQM IG/ Gaps in Care

For discussion:

    • Status update on the FHIR-37969 and $care-gaps discussion with FHIR-I 
    • FHIR-37969 Need a way to specify when you are using DEQM and base FHIR Operations, you still use DEQM specific profiles (Linda Michaelsen)
      • This has been added to WGM Monday Q4 for discussion with FHIR-I
    • FHIR-34138 Adopt $care-gaps from DEQM IG to Base FHIR

Backlog - 

  • FHIR-38002 Remove Group from MeasureReport.reporter allowed type (Bryn Rhodes)

    • Short discussion - requires discussion with Modeling and Methodology (M&M) at HL7. Waiting for scenarios to be fleshed out more to enable the discussion.
  • FHIR-26091 The provider should be notified when data is missing (Celine Lefebvre) - discussed August 5 - awaiting content
8QRDA

QRDA I STU 5.3 Errata for review

Project Updates

Review of current projects not addressed in agenda - found on home page here.

Project

Description

Project Calls

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  
  4. Da Vinci Value Based Performance Reporting project calls (new)
See Meeting Access  to join the calls

Parking Lot Items


Parking Lot Agenda Item

Description

Status / Action

1

Measure Terminology Service

  • 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)
Need update

Balloting Timeline

Balloting schedule (confirm on HL7 Calendars and FHIR specific dates)

Approvals for January 2023, through January 2024 Ballot Cycles:



Dates for Future Ballots and Activities
January 2023 Ballot Cycle
May 27, 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.

August 21, 2022
TSC Approval of the PSS

November 1, 2022
NIB Deadline (6 weeks prior to ballot opening)

May 2023 Ballot Cycle
October 7, 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.

December 19, 2022
TSC Approval of the PSS

February 19, 2022
NIB Deadline (6 weeks prior to ballot opening)

September 2023 Ballot Cycle
TBD
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)

January 2024 Ballot Cycle
TBD
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)


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