HL7 Clinical Quality Information Workgroup

Friday, February 23, 2018 – 1-3 PM EDT

Dial in: 770-657-9270 Passcode: 217663

CQI Co-chairs:Patty Craig, Floyd Eisenberg, Walter Suarez, KPSethi,Yan Heras

Meeting Chair: KP

Meeting Scribe:Yan

Agenda

Abrar Salam / TJC /
Angela Flanagan / Lantana /
Ann Philips / NCQA /
Anne Smith / NCQA /
Ben Hamlin / NCQA /
Bryn Rhodes / Database Consulting Group /
Claudia Hall / Mathematica / - Claudia Hall
Floyd Eisenberg / iParsimony /
Gay Dolin / IMO /
Juliet Rubini / Mathematica /
KP / Lantana /
Linda Michaelsen / Optum /
Lisa Anderson / The Joint Commission /
Pam Rudolph / Memorial Hermann /
Ping Jiang / TJC /
Sweta Ladwa / ESAC /
Thomson Kuhn / ACP /
Walter Suarez / Kaiser /
Yan Heras / Optimum eHealth /
Yanyan Hu / TJC /
  1. Roll call
See attendee list above.
2.Business Updates / 5 min
  1. Additions / modifications to the agenda
Gay indicated that she would like to add an agenda item give a brief about “Investigation around source of truth around the Payer Value Set/typology”. This was added to agenda.
The FHIR Tracker agenda was moved earlier in the agenda before the STU comments.
3. Investigation around source of truth around the Payer Value Set/typology
Gay provided an overview, since payer source of typology value set is used by QRDA and HQMF. It appears that there are some communications around this value set initiated by Rob McClure/NLM.
Walter indicated that he is involved in the payer source of typology, and provided more details about this. / 5 min
4.STU Comments on CQL-based HQMF (preparatory for May Ballot) (
Bryn led the discussion of reviewing the STU comments. Dispositions are entered to the tracker item directly during the call. Please see the link for each tracker for details.
a.#1543: Clarify composite measure support

Bryn/Anne Smith: 17/0/0
  1. #1544: Require methodCode for continuous variable measures

Bryn/Anne Smith: 17/0/0
  1. #1545: Add a citation for HQMF R2.1 and correct the reference to it from the text

Bryn/Juliet Rubini: 16/0/0
d.#1546: Fix references to proportion measures in the ration and cv scoring discussions

Bryn/Yan: 17/0/0 / 30 min
5.Ballot Reconciliation – QI Core – Deferred until Feb 23
This agenda item is not discussed today. / 30 min
6.FHIR tracker items – Deferred until Feb 23
Moved this agenda earlier (after Gay’s update) to discuss tracker items. These tracker items must be voted on today.

Bryn/Walter: 18/0/0

Bryn/Walter: 17/0/0

Bryn/Yan: 17/0/0

Bryn/Thomson Khun: 18/0/0

Comment added to the tracker, but no vote was taken for 14214.
/ 30 min
7.CQIProject Updates / 5 min
a.HL7 CDA® Release 2 Implementation Guide: Quality Reporting Document Architecture Category I (QRDA I) Release 1, STU Release 4 - US Realm (PI ID: 210)
b.HL7 CDA® R2 Implementation Guide: Quality Reporting Document Architecture (QRDA III), Release 1 - US Realm (PI ID: 896)
c.HL7 Version 3 Standard: Representation of the Health Quality Measures Format (eMeasure), Release 1 (PI ID: 508)
d.HL7 Version 3 Implementation Guide: Quality Data Model (QDM)-based Health Quality Measure Format (HQMF), Release 1 - US Realm (PI ID: 756)
e.HL7 Version 3 Implementation Guide: Clinical Quality Language (CQL)-based Health Quality Measure Format (HQMF), Release 1 - US Realm (PI ID: 1142)
f.HL7 FHIR® Implementation Guide: Clinical Quality Framework (CQF on FHIR), Release 1 (PI ID: 1234)(Co-Primary with CDS)
g.HL7 FHIR® Profile: Quality, Release 1 - US Realm (PI ID: 1125)
h.HL7 CDA® R2 Implementation Guide: Supplemental QRDA Clinical Quality Data Sharing User Guide, Release 1 (PI ID: 1215)
8.Co-sponsored ProjectUpdates (5 min)
a.HL7 Cross-Paradigm Specification: Clinical Quality Language, Release 1 (PI ID: 1108)(CDS Primary, CQI co-sponsor)
b.HL7 Cross-Paradigm Specification: CIMI Logical Models, Release 1 (PI ID: 1253) (CIMI Primary, CQI co-sponsor)
c.HL7 Cross Paradigm Specification: Neutral Mapping Notation, R1 (Project 1237 –FluentPath- AligningFHIRPathwith CQL --- co-sponsoring with CDS, ITS <primary>, FHIR)
d.CrossParadigmIG Medical Device Interoperability (PSS:CrossParadigm_IG_Medical_Device_interoperability.v.4.docx)
e.CompositeKNARTInvestigation(PSS:1336)
f.CrossParadigm_Storyboard_Artifact_Payer_Value_Based_Care(PSS: 1347)
g.Clinical Decision Support Big Picture Implementation Guide (PI ID: tbd) (Arden Syntax Primary, CQI and CDS co-sponsor)
h.FHIR Public Health Electronic Case Reporting (eCR) (PI ID: tbd) CQI and CDS co-sponsor with CIMI as an interested party)
i.US FHIR Core Updates PSS (PI ID: 1265) (US FHIR Primary, CQI and CDS co-sponsor with CIMI as an interested party)
Ballot-Related Deadlines
  • PSS approvals due to Steering Division (DESD) – February 11, 2018
  • Notification for Intent to Ballot (NIB) – February 25, 2018
  • Sign-up for Ballot Pools (to comment) begins – March 5, 2018
  • Sign-up for Ballot Pools (to comment) ends – April 5, 2018
  • Ballot content submission due – April 1, 2018
  • Ballot opens – April 6, 2018 – May 7, 2018
  • Harmonization (based on Round Table meeting February 1, 2018):
i.Initial Proposals Due – February 28, 2018
ii.Final Proposals Due – March 16, 2018
iii.Harmonization Meeting – March 20-21, 2018
  • WGM – May 12 – 18, 2018 (Cologne, Germany)

  • FHIR Schedule References:

Other Important Upcoming Dates
  • Next CQI Workgroup Call: March 2, 2018
Meeting adjourned 2:57 ET