Joint Clinical Quality Information Workgroup and

Clinical Decision Support Workgroup Meeting

October 4, 2013- 1:00 – 3:00 pm ET

  1. Roll Call –Attendees:

Co-Chairs, CQI:

ChrisMillet (CQI)

CrystalKallem(CQI)

FloydEisenberg (CQI)

Patty Craig (CQI)

WalterSuarez (CQI)

Co-Chairs, CDS:

Kensaku Kawamoto (CDS)

CQI and CDS Members in Attendance

(NOTE: In parenthesis is the WG Affiliation noted by some of the participants)

Bryn Rhodes(CDS)

Aziz Boxwala (CQI, CDS)

Keith Boone (CQI)

Anne Smith

Anu Gupta

AtanuSen

Ben West

Brian Fitzerald

Bruce Bray

Claude Nanjo (CDS)

DavideSottara (CDS)

Jason Katz (CQI)

Jim McClay (CQI)

JuggyJagannathan (CDS)

Juliet Rubini (CQI)

JyothiMallampalli (CDS)

KP Sethi (CQI)

Mark Hadley

Patty Daly

Rosemary Kennedy (CQI)

Vaspaan Patel

Virginia Riehl

  1. Review/Approve Minutes from August 2nd

No meeting minutes reviewed

  1. Business Updates

Sept WGM Debriefing

Not done – to give time to the action items

  1. Project Scope Statements (For Action)

Overview of Framework

  • To help understand the context for the three proposed PSSs, Chris described the Quality Measurement Standards Framework discussed with the CQI and CDS during the HL7 WG meeting, based on the SAIF Interoperability Matrix

PSS - Information Model (Chris)

  • Chris reviewed the PSS for “Harmonization of Health Quality Information Models”
  • The Primary WG is CQI; Co-Sponsors include CDS and Structured Documents WGs
  • A copy of the PSS is available at:
  • Structured Documents WG voted yesterday to approve
  • Some changes were made during discussion with Structured Documents yesterday, from the PSS draft circulated to the CQI and CDS
  • Reorganized the project scope into a multi-phase approach
  • Discussion: Clarification was asked regarding backward compatibility of the planned DAM with respect to existing QDM and vMR. Rather than referring to it as ‘backward compatibility’ the group agreed to edit slightly the text to reference appropriate transition from existing QDM and vMR to new DAM.
  • Motion to approve:Chris Millet
  • Second: Marc Hadley
  • Opposed- 0; abstentions - 0; approved – 21 (including chair)
  • Quorum was confirmed for both CQI and CDS prior to the vote

PSS - Expression Logic (Bryn)

  • Bryn reviewed the PSS for Expression Logic “Harmonization of Health Quality Artifact Reasoning and Expression Logic”
  • The Primary WG is CDS; Co-Sponsors include CQI and Structured Documents WGs
  • A copy of the PSS is available at:
  • Structured Documents WG voted yesterday to approve
  • Discussion: clarification questions were asked regarding the proposed coordination with existing specifications. Small editorial changes were made by Structured Documents during yesterday’s call. No changes were made by the CQI or the CDS
  • Motion to approve: Keith
  • Second: Chris
  • Opposed- 0; abstentions - 0; approved – 26 (including chair)
  • Quorum was confirmed for both CQI and CDS prior to the vote

PSS - Metadata (Keith)

  • Keith reviewed the PSS for “CQI Common Metadata”
  • The Primary WG is CQI; Co-Sponsors include Templates, Structured Documents, Clinical Decision Support, Arden Syntax WGs, and ARB
  • A copy of the PSS is available at:
  • Templates and Structured Documents have already agreed to co-sponsor WGs. Arden Syntax and ARB have not.
  • Discussion: Additional names were included as domain experts.
  • Motion to approve: Keith
  • Second: Walter
  • Opposed- 0; abstentions - 0; approved – 24(including chair)
  • Quorum was confirmed for both CQI and CDS prior to the vote

Next Steps for PSSs:

  • All PSSs will be submitted to appropriate HL7 staff and Steering Division groups by the respective Co-Chairs of the primary sponsoring WG.
  • Conference calls for each of the PSSs will be organized by the PSS development teams and announced to the WGs.
  1. Project Updates

CQI White Paper

Given the new work being done on the quality measurement standard framework, as well as the three new PSSs approved today, a recommendation was made to

1) push out the timeline for completion of the White Paper to the May 2014 ballot (to allow for the results of the new PSSs to be included in the White Paper, as well as allow WG resources to focus on work needed to fulfill PSS work); and

2) Prepare a short high-level overview of the new Quality Measurement Standards Framework developed and discussed during the September HL7 WG and presented during today’s call (see notes above under #4 – Overview of Framework) for discussion at the January 2014 WGM.

It was agreed that a longer discussion on the White Paper will be held during the next call of the WG, including the possibility of adding potential new elements to the White Paper outline, as discussed at the September meeting

  1. New Business

No new business.

  1. Next meeting:

Friday, October 11, 1:00 – 3:00 pm ET

Adjourned at 2:58pm ET