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Date: Wednesday 9/23/2020

Time: Noon-1:30pm ET

Chair: Bryn Rhodes

Scribe: Howard Strasberg

CDS Hosted CQI

Agenda brought forward by CQI

  • Gaps in Care Ballot Reconciliation
  • QM IG errata
  • CQL Project Update
  • CQL Coverage Overview - MITRE efforts to highlight in the narrative the measure logic covered in the expressions - consider if and how to incorporate into standards (perhaps include in Implementation Guide - QM IG, DEQM, CPG?) - provide clarity on requirements and what artifacts might look like.

Meeting Minutes

  • Joint CDS/CQI minutes
  • QM IG errata
    • FHIR-28338 - Getting issue details... STATUS
      • proposed disposition entered in JIRA; no vote; submitter requested in-person resolution
    • FHIR-28303 - Getting issue details... STATUS
    • FHIR-28302 - Getting issue details... STATUS
    • FHIR-28301 - Getting issue details... STATUS
    • FHIR-28300 - Getting issue details... STATUS
    • FHIR-28288 - Getting issue details... STATUS
    • FHIR-28290 - Getting issue details... STATUS
    • FHIR-28238 - Getting issue details... STATUS
    • FHIR-28239 - Getting issue details... STATUS
    • FHIR-28206 - Getting issue details... STATUS
    • FHIR-21107 - Getting issue details... STATUS
    • FHIR-27930 - Getting issue details... STATUS
      • PI (performance improvement) measures
      • True/False attestation
      • No CQL library
      • We still need a specific example.
    • FHIR-27878 - Getting issue details... STATUS
    • Errata++ can be applied as part of an STU update
    • Timeline: over the next 2 weeks
    • Floyd - can we get QICore into a work plan, perhaps in November or December?
      • 3 items resolved but not yet applied
      • 12 items triaged
      • Need to apply errata from US Core
      • FHIR-26592 - Getting issue details... STATUS
        • Separate effort to create QUICK (FHIR-neutral model) from QI Core Logical View
        • May need to follow up with Claude Nanjo
        • Rename QI Core Logical View to QI Core Authoring View
      • FHIR-27804 - Getting issue details... STATUS
        • Discussion of whether CCN (CMS Certification Number) can apply to practices or individual providers; generally applies to hospitals and facilities
  • CQL publication status - Bryn Rhodes
    • Submitted publication request to TSC for publication
    • All negative votes have been withdrawn
    • Cleared to publish normative from WG and balloting perspective
    • Updated tests to the new version and aligning them with FHIRPath specification and schema
    • Added tests for new 1.5 features
    • Test changes resulted in a few tweaks to the spec
      • ConvertsToBoolean takes an argument of Any; can also pass a Boolean, which will return TRUE
      • Similar changes to other ConvertsTo operators
      • Comparison operators
        • reference implementations compared calendar durations up through weeks rather than up through seconds
        • dealing with leap seconds is not valuable
        • only years and months are considered calendar durations for the purpose of day/time arithmetic and comparisons
        • "=" (equal) goes up through weeks; months and years are "~" (equivalent)
  • Bryn reviewed change to Measure (http://hl7.org/fhir/measure.html)
    • adding a populationBasis element right after subject
    • key calculation measurements are subject, populationBasis, type, scoring and improvementNotation
    • these elements can be specified at the measure level or at the group level as an override for that component of the calculation for that group
      • e.g. in a facility measure, could have groups that count beds or ventilators; subject is the same throughout
      • in the same measure, could have a patient-based proportion and an episode-based count
    • similar changes to MeasureReport (http://hl7.org/fhir/measurereport.html)
    • need to consider implications for compositeScoring

Action Items

  • None