HL7 Clinical Quality Information Conference Call Minutes

10/7//2016

Attendees:

Name / Company / Email
Anne Marie Smith / NCQA /
Ben West / Healthefillings /
Bryn Rhodes / Database Consulting Group /
Chana West / ESAC Inc. /
Chris Markel / ESAC Inc. /
Chris Millet / Lazy /
Gay Dolin / IMO /
Julia Skapik / ONC /
Khadija Mohamed / ESAC Inc. /
Linda Michaelsen / Optum /
Patty Craig / The Joint Commission /
Paul B. Denning / MITRE /
Reshma Gola / ESAC Inc. /
Stan Rankins / Telligen /
Steve Hufnagel / TIAG /
Vaspaan Patel / NCQA /
Yan Heras / Optimum eHealth /

CQI Co-chairs:Patty Craig, Floyd Eisenberg, Walter Suarez, KP Sethi, Chris Millet

Meeting Chair:Chris

Meeting Scribe:Patty

Agenda

  • Business Updates
  • No additions or modifications to the agenda
  • Harmonization proposal for CQF
  • Reviewed September WG Meeting Minutes
  • Made some corrections / updates
  • Will be posted today
  • Consideration of co-sponsorship for CIMI: Information Model Integration PSS (Steve Huffnagel)
  • Steve Hufnagel walked through the PSS
  • PSS objective is to ultimately produce via iterative pilots the SOLOR/FHIM/CIMI/CQF/DAF-based FHIR Profiles which will not only address the needs of the Implementation Community, but also the needs of the Clinical (content) Community.
  • External drivers are the DoD and VA EHR modernization and interoperability. In addition, CDC’s Public Health Initiatives, FDA, and CMS initiatives.
  • Target Dates:
  • HL7 Informative Ballot – Q3 2017
  • HL7 Draft Standard for Trial Use (STU) 1 – 3Q 2018
  • HL7 Draft Standard for Trial Use (STU) 2 – 3Q 2019
  • HL7 Normative Standard – Q3 2020
  • ISO Normative Standard – Q3 2021
  • CQI discussion: Bryn recommends that CQI co-sponsor the CIMI project as it aligns with our FHIR data modeling efforts and it is planned on CQF being adopted into the CIMI model.

Bryn Rhodes moved that CQI co-sponsor the CIMI project to approve the updates as made during the meeting and Anne Marie Smith seconded

No Further Discussion

Opposed: 0; abstentions: 0; approved: 13

Approved

  • QRDA Category I and Category III ballot reconciliation
  • Ballot Reconciliation:
  • Discussed the following items:
  • #45 – Will ask submitter for more clarification. Chapter where typo was found is not in this ballot.
  • #46 – Further discussion will occur with CMS to ensure The Joint Commission’s request will not break CMS’ data receipt system. This will occur on the CMS QRDA Guidance Committee call scheduled on 10/19. The decision will be brought back to the CQI workgroup for approval.
  • Block Vote #1 - Item Numbers:
  • #47 – Persuasive with mod

Patty Craig moved to approve these dispositions and Anne Marie Smith seconded

No Further Discussion

Opposed: 0; abstentions: 0; approved: 12

Approved

  • CQF on FHIR ballot reconciliation – each item was balloted on separately
  • #10564 – Persuasive

Bryn Rhodes moved that CQI approve the disposition and Anne Marie Smith seconded

No Further Discussion

Opposed: 0; abstentions: 0; approved: 12

Approved

  • #10565 – Persuasive

Bryn Rhodes moved that CQI approve the disposition and Anne Marie Smith seconded

No Further Discussion

Opposed: 0; abstentions: 0; approved: 12

Approved

  • #11495 – Persuasive

Bryn Rhodes moved that CQI approve the disposition and Anne Marie Smith seconded

No Further Discussion

Opposed: 0; abstentions: 0; approved: 12

Approved

  • #11527 – Persuasive

Bryn Rhodes moved that CQI approve the disposition and Anne Marie Smith seconded

No Further Discussion

Opposed: 0; abstentions: 0; approved: 12

Approved

  • #11528 – Persuasive

Bryn Rhodes moved that CQI approve the disposition and Anne Marie Smith seconded

No Further Discussion

Opposed: 0; abstentions: 0; approved: 12

Approved

  • #11558 – Persuasive

Bryn Rhodes moved that CQI approve the disposition and Anne Marie Smith seconded

No Further Discussion

Opposed: 0; abstentions: 0; approved: 12

Approved

  • #11562 – Persuasive

Bryn Rhodes moved that CQI approve the disposition and Anne Marie Smith seconded

No Further Discussion

Opposed: 0; abstentions: 0; approved: 12

Approved

  • #11567–Not Persuasive with Mod

Bryn Rhodes moved that CQI approve the disposition and Anne Marie Smith seconded

No Further Discussion

Opposed: 0; abstentions: 0; approved: 12

Approved

  • Call for Harmonization Proposals – due to M&M by October 14 (Submission information at:
  • Need to send to CQI list serve by next Monday
  • DSTU/STU Comment Review
  • DSTU review did not occur, will add to next week’s agenda
  • There are currently two comments that need to be addressed for:
  • QRDA Category I R3 (
  • HQMF R2.1
    (
  • Reminders:
  • Definition of Adverse Event FHIR Resource – RCRIM
  • Regulated Clinical Research Information Management - AE FHIR
    Fridays: 10:00 AM - 11:00 AM ET (GMT -4)
    Phone: +1 770-657-9270, Participant Code: 7485962
  • Reminder of new CQI and CDS list serves
  • fhir-cri - FHIR-based Clinical Reasoning Implementers - The purpose of this list serve is for discussions and information sharing among implementers of FHIR-based clinical reasoning content (including CQF-on-FHIR and QI Core/QUICK). Requests for updates or modifications to existing standards will still require entry of issues on the respective HL7 STU sites. The CQI Workgroup provides this service to enable communication among implementers.
  • hqmf-qrda - HQMF-QRDA Implementers - The purpose of this list serve is for discussions and information sharing among implementers of HL7 standards used for clinical quality measurement and reporting, specifically HQMF and QRDA. Requests for updates or modifications to existing standards will still require entry of issues on the respective HL7 STU sites. Specific issues about standards and about individual measures should still be addressed through the ONC Jira process. The CQI Workgroup provides this service to enable communication among implementers.
  • Project Updates
  • Other than those listed above, project updates did not occur. This is a re-occurring item on CQI’s agenda.
  • QRDA Category I DSTU R3.1 (Project 210)
  • QRDA Category III, R1.1 (Project 896)
  • HQMF R2.1 (Project 508)
  • QDM-based HQMF, R1.3 (Project 756)
  • CQL-based HQMF, R1 (Project 1142)
  • CQL (CDS Primary, CQI co-sponsor) (Project 1108)
  • FHIR-Based Clinical Quality Framework (CQF on FHIR – Clinical Reasoning) (Project 1234 - Merged from FHIR eCQM and FHIR CDS)
  • Logical Data Model work with CIMI
  • FHIR Quality Profile (QI CORE) / QUICK (Project 1125)
  • HL7 CDA® R2 Implementation Guide: Supplemental QRDA Clinical Quality Data Sharing User Guide, Release 1 (PI ID: 1215)
  • HL7 Cross Paradigm Specification: Neutral Mapping Notation, R1 (Project 1237 – FluentPath - Aligning FHIRPath with CQL --- co-sponsoring with CDS, ITS <primary>, FHIR)
  • Reminders:
  • Notices for Intent to Ballot (NIB) due to HL7 on 11/6/2016
  • Final content submission for January 2017 ballot is due to HL7 on 12/11/2016
  • Harmonization Calls are scheduled for November 9-10, 2016
  • Proposals are due by 10/14
  • Proposal corrections due by 11/4
  • Late proposals cannot be accepted

Next Meeting: Friday, October 14, 1-3 PM ET

Meeting Adjourned: 3:00pm ET