1. Clinical Quality Framework cqframework.info All Hands Meeting August 14, 2014 11am-12:30pm ET

2. Logistics As a reminder, please mute your phone when you are not talking to the group. When speaking, please say your name before making your comment. You can ask questions by unmuting or by using the “Chat” feature on the web meeting. To find the “Chat” feature, look for the “Chat” bubble at the top of the meeting window. From S&I Framework to Participants: Could you please explain how the terminologies are used in this instance? All Panelists CQF Wiki: cqframework.info 2 Send your “chat” to All Panelists in order to ensure the comments are addressed publicly. This meeting is being recorded. Should you need to take another call, please leave the meeting and rejoin (i.e., please do not put the meeting line on hold).

3. Agenda TopicPresenter WelcomeBridget Blake, CQF Project Manager Specification Access for CQF ContributorsKensaku Kawamoto, CQF Co-Coordinator Piloting ApproachKensaku Kawamoto, CQF Co-Coordinator Marc Hadley, CQF Co-Coordinator Pilot Leads CQL Execution EngineMarc Hadley, CQF Co-Coordinator Next StepsKensaku Kawamoto, CQF Co-Coordinator Questions and DiscussionKensaku Kawamoto, CQF Co-Coordinator CQF Wiki: cqframework.info 3

4. Welcome Announcements, Meeting Schedules, Agendas, Minutes, Reference Materials, Use Cases, Project Charter, and General Information are posted on cqframework.infocqframework.info Clinical Quality Framework (CQF) All Hands meetings are held weekly on Thursdays from 11am to 12:30pm ET https://siframework1.webex.com/siframework1/onstage/g.php?t=a&d=666535029 Dial In: +1-650-479-3208 Access code: 666 535 029 CQF QUICK Data Model meetings are held weekly on Wednesdays from 1 to 2pm ET http://fuze.me/24308131 Dial In: +1-770-657-9270 Participant passcode: 6870541 CQF Clinical Quality Language meetings are held weekly on Wednesdays from 11am to 12pm ET https://global.gotomeeting.com/meeting/join/554237525 Dial In: +1-770-657-9270 Participant passcode: 6870541 CQF Wiki: cqframework.info 4

5. Welcome Notional Project Timeline 5 Kick-off (3/21) Pre-Discovery, Call for Participation May 2014Sep 2015 Discovery Initiative End Mar 2014Nov 2015Jul 2014 Implementation Pilot Charter, Use Cases, Functional Requirements Standards Development and Review Use Case Pilots Technology Evaluations Use Case Kick-off Use Case Consensus Pilot Kick-off Evaluation … Mar 2014: Pre-Discovery - Call for participation Apr-Jun 2014: Discovery - Charter, use case, and functional requirements development May 2014-Nov 2015: Implementation – Standards development and review Jun 2014-Nov 2015: Pilots Dec 2015: Evaluation DateMilestone 4/11/14Charter Finalization 4/18-4/30/14Initial Logical Model Development 4/25/14Use Case Selection 5/1/14Proposed Harmonized Logical Model Approach 6/30/14Pilot Planning Begins 7/3/14Use Case Finalized 7/30/14Narrow Slices of Draft Specifications Ready for Pilots 8/3/14Standards (Incorporating Initial Pilot Feedback) Submitted for HL7 Ballot 8/18/14Pilot Implementation Begins

6. Welcome Standards CQF Wiki: cqframework.info 6 CQM-Specific Standards CDS-Specific Standards Common Metadata Standard Common Data Model Standard (QUICK) Common Data Model Standard (QUICK) Common Expression Logic Standard (CQL) CDS=Clinical Decision Support CQL=Clinical Quality Language CQM=Clinical Quality Measurement QUICK=Quality Information and Clinical Knowledge Submitted for comment-only ballot

7. Specification Access for CQF Contributors Ken Kawamoto, CQF Co-Coordinator CQF Wiki: cqframework.info 7

8. Need and Planned Approach CQF Wiki: cqframework.info 8 Need –CQF contributors to the specifications need access –Most HL7 specifications cannot be made available to the general public Planned Approach –Password-protected Google Drive with specifications –Access to CQF contributors Next Steps –Please provide Google-registered email address to Bridget Blake (bridget@mitre.org) requesting accessbridget@mitre.org

9. Piloting Approach Ken Kawamoto and Marc Hadley, CQF Co-Coordinators Pilot Leads CQF Wiki: cqframework.info 9

10. Piloting Approach CQF Wiki: cqframework.info 10 Review, editing, and finalization of CQF piloting approach document

11. CQL Execution Engine Marc Hadley, CQF Co-Coordinator CQF Wiki: cqframework.info 11

12. CQL Execution Engine CQF Wiki: cqframework.info 12 Have begun work implementing a CQL execution engine in Java –Improve specification via implementation experience –Help to bootstrap pilots Code is open source with Apache 2 license: https://github.com/cqframework/OneModel/tree/cql_execution/ CQL/Src/java https://github.com/cqframework/OneModel/tree/cql_execution/ CQL/Src/java Code will allow execution of CQL expression on patient data –Parse CQL/ELM XML –Execute named expressions on supplied patient data Milestones and interface details TBD

13. Next Steps Provide comments on QUICK and CQL Engage in workgroups (www.cqframework.info)www.cqframework.info Pilots Pilots Sub-Team Lead Peggy TsaiPeggy Tsai Individual Pilot Leads or Bridget BlakeBridget Blake QUICK Data Model Claude Nanjo, Aziz BoxwalaClaude NanjoAziz Boxwala Clinical Quality Language Bryn Rhodes Join us for the next Clinical Quality Framework meeting on August 21 from 11am to 12:30pm ET CQF Wiki: cqframework.info 13

14. Questions and Discussion NameE-Mail Marc Hadley, Co-Coordinatormhadley@mitre.org Ken Kawamoto, Co-Coordinatorkensaku.kawamoto@utah.edu Bridget Blake, Project Managerbridget@mitre.org cqframework.info CQF Wiki: cqframework.info 14