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HL7 Clinical Quality Information Workgroup
CQI Co-chairs: Patty Craig, Paul Denning, Floyd Eisenberg, Juliet Rubini, Yan Heras

Chair: Paul Denning

Scribe:  Yan Heras

Call Details:

Zoom link

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

Meeting Minutes (DRAFT)

  • Reviewed how to sign-in for attendance.

Agenda Outline

Agenda Item

1QI-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

2CQI-Pharmacy Discussion
  • Medication List Guidance
  • Specifically, discharge medication list (for use after discharge

Melva Peters showed the Medication Knowledge resource. Identification of Medicinal Product (IDMP) is an ISO standard. 

Rob McClure suggests that Pharmacy WG might want to think about the IP issue. John Hatem noted that they will raise this when they meet with FirstDB.

Primary use case for this resource is many different types of formulary. 

Question was asked whether this resource is definitional (FHIR Design Patterns Definition).  The design of this resource is still at its beginning stage, it currently has not followed a pattern. It looks like it would be a definitional. 

Melva gave an introduction to the Medication List PSS and also the Contexts for Medication List. This Pharmacy WG just started to work on this, if any one is interested could participate their calls. 

2New PSS for January 2021 Ballot; NIB for September 2020 BallotTBDFloyd reminded the WG, if there are any new PSS for January 2021 then it must be approved by June 5th. And the NIB deadline for Sept 2020 ballot cycle is July 5th. 
4Quality Measure Reporting Informative White Paper BallotThis item was not discussed.
5Other 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
This item was not discussed.


Bryn give an summary about the CQL Ballot Reconciliation

18 trackers unresolved as of now. 

FHIR 27074

  • This was briefly discussed. It was not ready for a vote today. 

FHIR 27076 Grammar should allow more flexibility for order of declarations

The order of the declarations only matters in CQL. Once gets to ELM, the order of declarations in CQL will be wiped out. Anyone who's processing the ELM, this would be transparent to them. Making declarations flexible could make it more user friendly for authoring. 

The order of declaration for library would be changed so these following declaration do not need to follow the exact order. The order would be flexible.  

  • usingDefinition
  • includeDefinition
  • codeSystemDefinition
  • valuesetDefinition
  • codeDefinition
  • conceptDefinition
  • parameterDefinition

Any CQL used to work would still work with this change. So it is backward compatible and it is not a substantive change. 

  • Chris Moesel moved to approve/Ben Hamlin seconded
  • approve/oppose/abstain: 25-0-0

FHIR 27071

  • Chris Moesel moved to approve as not persuasive /Ben Hamlin seconded
  • approve/oppose/abstain: 25-0-0

FHIR 27514:

Meeting Adjourned:   3:00pm ET