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HL7 Clinical Quality Information Workgroup
CQI Co-chairs: Patty Craig, Floyd Eisenberg, Juliet Rubini, KP Sethi, Yan Heras
Meeting Chair: KP Sethi
Meeting Scribe: Patty Craig

Minutes

  • Roll call
  • Reviewed Agenda for this meeting and updated as needed.
  • CIMI vs QUICK vs QI Core discussion is below:
    • No one has the time to complete a QUICK manual update from QDM
    • Goal - look at the set of interfaces that are already established in the reference implementations that have to deal with this problem.  That only gets us to the interfaces per resources, but it gives a place to "say" this is how it is said in FHIR.  From there we push towards deriving more simplified constructs - not creating a new thing, but adapting of what we have to use/adapt the interfaces.
    • The current version of QUICK will be replaced with the Tooled version of QUICK.
    • Do we need to write measures against FHIR v4?
    • Difficulty to access extensions and drilling into references, because the author has to understand how to trace a reference within FHIR.
    • The Connectathon used the FHIR data model, not QDM
    • Goal is for the measures to be written using a conceptual model that does not require the measure author to understand the extensions and references within FHIR.
      • The name is not yet defined.  It could be QUICK, but it could also be something else.
    • (Bryn) The model that is recommended for measure developers and decision support authors is QUICK
    • (Ken) Suggests we start explaining how to use vanilla FHIR, then US Core, then QI Core, etc
    • (Zhaid) Need a well defined logical model
    • (Byrn) walked through QI Core at a high-level (text, differential, snapshot)
    • (Bryn) walked through QUICK at a high-level - it is an author view
    • (Bryn) FHIR Resources → US Core → QI Core – it is a difference from the derived profile, not from the base profile
      • However, there isn't anything that doesn't keep a profile from repeating something from a "high-level" profile
    • Measure developers needs to be making comments on US Core - can enter into FHIR Tracker
    • Timeline discussion
      • Align QI-Core IG STU with FHIR R4
        • US Core R4 has a 100+ comments, their plan is to be done by May
        • QI-Core update to R4 would occur after US Core is done
        • We can consider going to ballot in September after US Core is done and we review the workload to update QI-Core
      • Should we wait for work that is occurring with CIMI?
      • Need to setup a group that will drill into what is required for interfaces.
  • Data Exchange for Quality Measures Discussion (Gaps in Care Discussion also) updates
    • Advance the use of DEQM framework by defining how additional measures would work
    • Create a patterns 
    • Leverage existing CQL work




Notifications


Action Items


Meeting Adjourned:

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