Da Vinci Connectathon Clinical Reasoning Track Orientation Wednesday, May 29th & Thursday, May 30th, 2019 Jacksonville, FL Track Leads: Nikolai Schwertner, Michael O’Keefe

Connectathon Overview FHIR Connectathon Objectives Track Selection/Registration Timeline Participant Opportunities Clinical Reasoning Track Overview How to get your questions answered

What’s to be gained by attending a FHIR Connectathon? Join a community of FHIR users Develop and test your system Refine Da Vinci Specifications and Use Cases Demonstrate what’s possible

Registration and Track Selection Add contact details/scenario interests and roles to the Connectathon Confluence page https://confluence.hl7.org/display/DVP/May+Onsite+Connecthon+-+Guidewell Connect with your track lead(s) in advance We recommend participating fully in only one track

Timeline of Activities One Month Prior: Registration 1-3 weeks prior: Track Orientation Meeting On-Site Wednesday 8:30-9:00 AM: Registration 9:00 AM-5:00 PM: Connectathon activities Thursday 9:00 AM-11:00 AM: Connectathon activities 11:00 AM-12:00 PM: Wrap-up/demos

Participant Opportunities Join in the community Bring Questions and share your challenges Help others by sharing your knowledge Bring your development system ready to go Have your application installed Have your environment configured Raise questions that identify hot topics Record your Results What happens at Connectathon stays at Connectathon. It’s OK to fail.

Location of Reference Materials FHIR Specifications: R4 final: http://hl7.org/fhir/index.html STU3 final: http://hl7.org/fhir/STU3/index.html Track Definition https://confluence.hl7.org/display/DVP/Clinical+Reasoning+Track Connectathon Manager (Conman) FHIR Chat: https://chat.fhir.org/

How to Get your Questions Answered FHIR Chat: https://chat.fhir.org/#narrow/stream/179207-connectathon- mgmt/topic/Clinical.20Reasoning.20Track Track Leads: Michael O’Keefe (mokeefe@mitre.org) Nikolai Schwertner (nikolai@interopion.com) On Site Issues: Sandy Vance (sandra.vance@aegis.net)

Intro to Clinical Reasoning Track Track Definition List of participating systems in the track References to the servers & clients for the track Goals for this track

Track Definition Quality Data Model -> QI-Core Mapping Colorectal Cancer Screening Venous Thromboembolism (VTE) Prophylaxis

QDM -> QI-Core Test quality reporting submission using the FHIR MeasureReport resource for a focused set of program measures and based on the Cypress tooling Support evaluation of CMS program measures in a FHIR environment using: Translation of QDM-based CQL measures to QI Core-based CQL

CQF Measures http://hl7.org/fhir/us/cqfmeasures/2019May/ Balloted Quality Measure Implementation Guide Contains Example Screening Measures Breast Cancer Screening (EXM125) Cervical Cancer Screening (EXM124) Colorectal Cancer Screening (EXM130) Venous Thromboembolism Prophylaxis (VTE-1) Will use the May2018 ValueSets (not the addendum) Based on the published CMS Program Measures Test data, Measure definitions, and upload scripts are posted here: https://github.com/dbcg/connectathon

Track Resources Quality Measure Evaluation Server: http://measure.eval.kanvix.com/cqf-ruler/baseDstu3 Apelon Terminology Server: http://fhir.ext.apelon.com:7080/dts/fhir email support@apelon.com (cc cmacumber@apelon.com) to request credentials Interopion (HSPC Sandboxes) https://api-v8-stu3.hspconsortium.org/DaVinciCOLProvider/open MITRE (TestScripts)

MITRE TestScripts Exploring what a FHIR-based Cypress looks like Focusing on Reporting and Submission $data-requirements, $submit-data, $collect-data $evaluate-measure (individual, patient-list, population)

Track Goals Primary: Validate quality reporting results using a FHIR MeasureReport resource Demonstrate evaluation of a QI Core-based VTE measure against a FHIR server Secondary: Demonstrate submission of 30-day medication reconciliation data in response to a medication reconciliation occurring Demonstrate submission of a set of Colorectal Cancer screening results

Discussion & Questions

Next Steps

Action Items Finish Ensuring measure evaluation (DCG/MITRE) Operations to Test ValueSet/$cache Library/$cache-terminology Measure/$cache-terminology