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Chair:  Floyd Eisenberg (1-2pm) Paul Denning (2-3pm)

Scribe: Yan Heras

Call Details (Combined CQI-CDS Call inviting CIMI and Pharmacy):

Zoom link

Phone Number: +1 646-558-8656
Participant Passcode: 777 414 2910

Minutes from last meeting: 2020-05-08 Meeting Minutes

Agenda Topics 

Agenda Outline

Agenda Item

  • CQI has now switched to Zoom for weekly meetings - see call information above for all CQI calls. 
  • Co-chair nominations open through June 15
  • CMS Annual Update was published 7 May
    • 57 eCQMs: 9 EH-CAH, 1 EH-CAH-Hybrid, 47 EP-EC
2Connectathon Recap

Recap Clinical Reasoning Connectathon:

3QI-Core / QUICK Update

QI-Core IG STU4 (v4.0.0 for FHIR 4.0.1)

  • Findings from Clinical Reasoning Connectathon and use of FHR Shorthand to author QI-Core IG
  • Update discussion with CIMI regarding CIMI progress on data model, additional profiles - discuss methods for determining performer of actions (practitioner, patient, relatedPerson, Device)
  • Next steps for QI-Core authoring / QUICK
4CQI-Pharmacy Discussion
  • Medication List Guidance
  • Specifically, discharge medication list (for use after discharge
5New PSS for January 2021 Ballot; NIB for September 2020 BallotTBD
6Quality Measure Reporting Informative White Paper Ballot
7Other topics for combined meeting with CDS, CIMI, Pharmacy
  • Vote to support removal of support for prior version of FHIR (DSTU2 and STU3) from the DTR PSS and the DTR IG

FHIR Quality Measure IG

Specific recommendations from FHIR Connectathon24

Quality Measure IG Jira Issues Filter

All ballot comments were voted on as of the CQI meeting on 5/1/2020. 

However, we need to revisit FHIR-26655 (for FHIR Core) and FHIR-26656 (for QM IG)

CI Build:



  • J#26304 (Add Guidance on using contained resources when transacting data) (ehaas) Persuasive - take offline to completed
  • J#26092 (Clarification needeed in incremental reporting section ) (celine_lefebvre) Persuasive with Modification
  • J#26076 (How will these records be stored? ) (celine_lefebvre) Persuasive with Modification - taken offline to complete

11Gaps in Care 

Project confluence page

Gaps in Care Meetings and Minutes

Gaps In Care Supporting Materials


Clinical Reasoning FHIR Resources (owned by CQI)

  • Measure
  • MeasureReport 

Specific recommendations from FHIR Connectathon24

Individual issues - Check with Bryn

  • Measure Resource
  • MeasureReport Resource

STU comments:  #1972#1973

QRDA I STU 5.2 Errata update 


Normative ballot comments closed May 11, 2020

Reconciliation discussion

Ballot site:

CQL-Based HQMF PSS extension to end after the submission period for the 2021 reporting period (1QCY2022) (May 2020 Annual Update)

15SANER Project

Discuss COVID-19 project managed by Patient Administration WG (uses FHIR Measure and Measure Report): 

Project Page for Situation Awareness for Novel Epidemic Response FHIR IG


Decision Making Practices -

Changes to the eVoting section

Update about the proposed changes to the eVoting section of the Decision Making Practices (DMPs)
17Working Group Meetings

May WGM Cancelled - review agenda for potential need for combined calls with other WGs as initially planned for the face-to-face meeting —  WGM Agenda/Minutes San Antonio May 2020 - DRAFT - Current joint meetings as of May 12, 2020:

Monday, May 18

EHR WG 11:00 – 12:30 ET – Mega WG report out (CQI may send a representative)
OO, CDS, CQI, CIMI – OO hosts – 1:30 – 3:00 PM ET --- 

  • 1:30 - 3:00 PM ET Call information
  • Topics from CQI: DocumentReport DiagnosticReport, DeviceUseStatement, DiagnosticReport-Note, Biologically Derived Product, Nutrition, Observation-lab 

Tuesday, May 19
CQI sub-group invites whomever wants to join – Connectathon recap for Clinical Reasoning 10:00 – 11:00 AM ET

CDS meets with Vocabulary WG 4:00 – 5:00 PM

Wednesday, May 20
CDS hosts CQI 12:00 – 2:00 PM ET 

  • 12:00 - 2:00 PM ET. Call information:
  • CDS Hooks and FHIRCast Update
  • FMG feedback of FHIR ballot - new resources, what to take normative, issues forseen for maturity metrics, assistance engaging with implementers to achieve maturity - For comment ballot for R5 - more aggressive/less aggressive?
  • Configuring IGs in Jira (responsibility of projects going forward)

FHIR Infrastructure 4:00 – 5:30 PM ET – standing call invited all WG chairs to come with issues for FHIR I

  • 4:00 - 5:30 PM ET Call information:

Thursday, May 21
CDS adding new call 12:00 – 2:00 PM ET (not on HL7 call calendar but this is a standing CDS Zoom account)

CGP meets 1:00 – 2:00 PM ET

Friday May 22
CQI invites CDS, Pharmacy, CIMI 1:00 – 3:00 PM ET (standing call)

  • For CIMI content with CQI: QUICK/QI-Core, how to identify performer as device, practitioner, person, relatedPerson\
  • Pharmacy - NDDI, Medication List update
  • Project approval process update/discussion
  • Quality Management White Paper update

18Project Updates

Review of current projects - found on home page here.


  1. CQI FHIR Quality Measure Project Subgroup calls:
    1. Call Information: 
  2. DEQM / DaVinci calls: 
  3. Gaps in Care DaVinci calls: 
  4. Cross Workgroups Project WG (now managing US Core balloting) - Considering new PSS for metadata for Apps: Marketplace Product Packaging and Metadata

19Balloting timeline

Balloting schedule (confirm on HL7 Calendars):

Approvals for September 2020 and January 2021 Ballot Cycles:

PSS Deadline Dates for Future Ballots
September 2020 Ballot Cycle
April 19, 2020
TSC Approval of the PSS
July 5, 2020
NIB Deadline

January 2021 Ballot Cycle

June 5, 2020
Submit Work Group Approved PSS to the PMO
August 23, 2020
TSC Approval of the PSS
November 1, 2020
NIB Deadline
May 2021 Ballot Cycle
October 9, 2020
Submit Work Group Approved PSS to the PMO
December 18, 2020
TSC Approval of the PSS
NIB Deadline...................................