April 22 - QRPH Technical/Planning Co-chairs discussion

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Agenda and Points of Action

Present:

  • Jason Colquitt (Greenway Medical)
  • Floyd Eisenberg (Siemens Medical)
  • Ana Estelrich (GIP-DMP)
  • LaVerne Palmer (HIMSS)


1. QRPH Wiki organisation

  • Changed the domain name, page got redirected. There are more changes like that, should we continue?
Action:  
Yes, moving pages to change names seems to be the way to do it.  
Ana will try to update as much as possible, also the links  in the roster are not updated.

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?

''Action:'' Collective effort, normally there is a designated editor.

  • Separate page for discussion/points of action?

''Action:'' Create a new separate page for the White Paper in order to keep track of the discussions and move forward faster.

  • CP for ITI before May 2nd for multiple patients query

''Action:'' No for the moment

  • Registry for SVS must be proposed before face-to-face meeting in May if the ITI Committee is to take it into consideration.

''Action: '' Ana to contact Sarah and Sondra from IBM to study impact, the French group is getting together April 28 to have a meeting before the face to face.

  • Overview of Collaborative for Performance Measure Integration with EHR Systems by V. Peytchev:

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 a 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.

''Action:'' Since Floyd and Jason are meeting with Collaborative on April 24, Ana got them in touch with Vassil.

Other tasks: Use cases are needed for the Quality and Clinical Research - Floyd + ?

3. White Paper: Care Management Content/Infrastructure

No, the Clinical Research, Public Health and Quality use of EHR Data has evolved into the domain itself. Action: The white paper Care Management Content/Infrastructure will be examined the week of May 4th in Phoenix in the HL7 meeting to see if the Care Plan Group HL7 has got similar activities, talk to Keith Boone. Depending on the results, it might have to be scoped out to two years.

5. Drug Safety Content Profile

  • Drug Safety Content Profile
  • Based on C-DASH. Standard in public phases comments. Is is stable enough? Update on mapping C-DASH to CCD. Also on the PCC call on this profile on Apr.17 it has been decided that due to a critical mass of people, the efforts will be combined with the


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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