April 22 - QRPH Technical/Planning Co-chairs discussion

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Agenda

1. QRPH Wiki organisation

  • Changed the domain name, page got redirected. There are more changes like that, should we continue?


2. White Paper Performance Measurement Data Element Structured for EHR Extraction

  • The SVS had another meeting on April 18, 2008. The paper got updated, the wiki on ITI reflects the changes in the QRPH domain.
  • Coordination between ITI SVS Profile and White Paper Performance Measurement Data Element Structured for EHR Extraction coordination.
  • Who will take the responsibility to lead the white paper?
  • Separate page for discussion/points of action?
  • CP for ITI before May 2nd for multiple patients query
  • Registry for SVS must be proposed before face-to-face meeting in May
  • Overview of Collaborative for Performance Measure Integration with EHR Systems

The goal of the Collaborative is to create a standardized way to 

communicate performance measures using structured, encoded performance measure

information, which can be also used within EHR applications.

There are three levels of performance measures representation: - Performance measure description - Performance measure template - Performance measure machine processable information

This holds an uncanny resemblance to the levels of a CDA document: Level 1 - Unstructured text level 2 - Structured text Level 3 - Discrete data

The CDA is patient centric, so it is not directly applicable here. 

However, HL7 just published a draft for the SDA (structured document
architecture) which is not patient-centric, and can be directly applicable for this
use.

The Structured Document committee of HL7 is also working on a Quality Reporting Document Architecture (QRDA).

These intersecting activities strongly suggest that collaboration is 

the best way forward. Given the emphasis on HL7 CDA and CCD-based (and
therefore HL7 V3 based) specifications throughout the US (HISTP, CCHIT), and

internationally (IHE).

The Collaborative can consider the following notes about the Performance Measure Integration specification:

- use of HL7 V3 data types when applicable. This will make the XML representation (of codes in particular), uniform across a variety of 

data

exchange requirements. 

 - make use of the IHE process. The IHE SVS profile, for example, will
use a very similar structure to the CodeGroup and Code structure to
represent contents of general value sets (using HL7 v3 datatypes).
 - consider the use of the HL7 SDA as a basis for a performance
measure description. This will allow for a future expandability of the format.
 - reconsider the use of XML in the template for logical expressions.

A transformation of the XML content to a more readable form is preferred,
and technically straight forward to do.



3. White Paper: Care Management Content/Infrastructure


5. Drug Safety Content Profile


6. Quality Roadmap Should we move the roadmap to the Planning Committee?


7. Planning Committee Roster Voting rights. Ballot 04/08?

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