Chair:  @Bryn Rhodes

Scribe: @Howard Strasberg


NOTE: This attendance applies if you are present at the related meeting/call, regardless if you have signed a different attendance for your WG. 

Attendees

Present

Name

Affiliation


Bryn Rhodes

Kensaku Kawamoto

Thomson Kuhn

Bob Dieterle



Abdullah Rafiqi









Robert Samples



Howard Strasberg

Jennifer Seeman

Brian S. Alper


Minutes Approved as Presented 

X


This is to approve minutes via general consent. "You have received the minutes. Are there any corrections to the minutes? (pause) Hearing none, if there are no objections, the minutes are approved as printed."


Agenda Topics

Agenda Outline

Agenda Item

Meeting Minutes from Discussion

Decision Link(if not child)
Management Minutes Approval


CPG-on-FHIR Block Vote

FHIR Project Filter:

project = FHIR AND STATUS = Triaged AND Specification = "Clinical Guidelines (FHIR) [FHIR-cpg]" AND grouping = Block-Vote-2 ORDER BY priority DESC, updated DESC

Motion to approve: Bob Dieterle, Floyd Eisenberg.  Approved 9/0/2.

Also consider:

Use of personas in Clinical Guidelines IG.  Using external classification system.  Need for universal applicability.  Bryn will reach out to HTA on inclusion of the external value sets referenced (International Classification of Occupations).





CQL STU Comments

[STU4#1911]( http://www.hl7.org/dstucomments/showdetail_comment.cfm?commentid=1911 )

Add a note indicating unit conversion is supported with ConvertQuantity

Persuasive - Non-Substantive


[STU4#1912]( http://www.hl7.org/dstucomments/showdetail_comment.cfm?commentid=1912 )

Add a note clarifying seconds and milliseconds are represented as a combined Decimal

Persuasive - Non-Substantive


[STU4#1913]( http://www.hl7.org/dstucomments/showdetail_comment.cfm?commentid=1913 )

Remove incorrect reference to Time values optionally indicating an offset

Persuasive - Non-Substantive


[STU4#1914]( http://www.hl7.org/dstucomments/showdetail_comment.cfm?commentid=1914 )

Fix rendering of footnote to formatting-strings

Persuasive - Non-Substantive


[STU4#1915]( http://www.hl7.org/dstucomments/showdetail_comment.cfm?commentid=1915 )

Add guidance around local identifiers for code system, value set, and code declarations

Duplicate of #1909


[STU4#1916]( http://www.hl7.org/dstucomments/showdetail_comment.cfm?commentid=1916 )

Add terminology guidance for direct-reference codes

Persuasive - Non-Substantive


[STU4#1917]( http://www.hl7.org/dstucomments/showdetail_comment.cfm?commentid=1917 )

Add a media type for text/cql.name

Persuasive - Non-Substantive

Some discussion of name vs identifier.


[STU4#1918]( http://www.hl7.org/dstucomments/showdetail_comment.cfm?commentid=1918 )

Support annotations as comments that are output to the ELM directly

Persuasive - Compatible, Substantive

Chris Moesel had some comments about the syntax.  Also suggested supporting markdown.


[STU4#1919]( http://www.hl7.org/dstucomments/showdetail_comment.cfm?commentid=1919 )

Missing Description heading in ConvertQuantity and HighBoundary reference sections

Persuasive - Non-Substantive


[STU4#1920]( http://www.hl7.org/dstucomments/showdetail_comment.cfm?commentid=1920 )

Add a "fluent" keyword to function definitions to support defining fluently invokable functions.

Persuasive - Compatible, Substantive


[STU4#1921]( http://www.hl7.org/dstucomments/showdetail_comment.cfm?commentid=1921 )

Consider supporting "include" and "reverseInclude" parameters on the Retrieve

Persuasive - Compatible, Substantive


[STU4#1923]( http://www.hl7.org/dstucomments/showdetail_comment.cfm?commentid=1923 )

Add support for a 64-bit Integer

Persuasive - Compatible, Substantive


Motion to approve all of the above comments: Howard Strasberg, Chris Moesel.  Approved 12/0/0.



Methodology

Note: Ballot Pools Signup




Work Group Feedback Request:

CMS Final Rule:

Rule Text: 

 https://www.cms.gov/Regulations-and-Guidance/Guidance/Interoperability/index

Fact Sheet: 

https://www.cms.gov/newsroom/fact-sheets/interoperability-and-patient-access-fact-sheet


ONC Final Rule:

Rule Text: 

https://protect2.fireeye.com/url?k=f9e21b2d-a5b63206-f9e22a12-0cc47a6d17cc-f19fbf5cef959860&u=https://healthit.gov/curesrule

Fact Sheet:

https://www.healthit.gov/cerus/sites/cerus/files/2020-03/CuresUpdateOverview.pdf


HL7 and its Policy Advisory Committee (PAC) are looking to draw upon your field-leading expertise as we analyze these regulations. We would appreciate thoughts from you by Thursday, March 19 on the impact of these final rules through the lens of HL7 and your specific Work Group focus

Since the rule specifies FHIR R4, it will affect some of our IGs.
Bob would like to send out a note to everyone who voted on DTR as notification that the guide will be limited to FHIR R4.
Bryn wondered if we should do the same for other, non-DaVinci IGs, such as the Quality Measure IG.
Motion to approve sending notification to DTR balloters regarding limiting the IG to FHIR R4: Bob Dieterle, Thomson Kuhn.  Approved 12/0/0.

Floyd noted that the rule will also be discussed on the CQI call this Friday.  We will have further discussion on next week's CDS call as well.

HL7 is seeking input on any areas requiring further clarification or correction, not changes to the rule.  There are plans to develop some educational materials for members regarding the rule.

Specific impact:

Discussion on restricting implementation guides to R4



EBM-on-FHIR Tracker Item:

Can a reference point to two different types of resources?  Generally yes.
More broadly, some discussion of the use of the Evidence resource for describing results of federally funded research and/or clinical trials.

Motion to approve the proposed disposition: Brian Alper, Khalid Shahin.  Approved 12/0/0.



Management

 Next agenda

  • CDS Hooks Patient View Block Vote
  • Additional discussion on CMS/ONC final rules.
  • CQL specification review (if available).


 Adjournment
 Adjourned at1 PM EDT

Supporting Documents

Outline Reference

Supporting Document

Minute ApprovalInsert Link to minutes here
Reference to Agenda Item here Insert Link to document here


Tasks