Stream: connectathon mgmt
Topic: Da Vinci Gaps In Care Track
Yan Heras (Apr 23 2020 at 06:57):
The Da Vinci Gaps In Care Track information for the Connectathon 24 is available at: https://confluence.hl7.org/display/FHIR/2020-05+Da+Vinci+Gaps+in+Care
Yan Heras (Apr 23 2020 at 19:01):
Pre-Connectathon survey is now available: https://www.surveymonkey.com/r/HNQ96MY
Sreekanth Puram (May 01 2020 at 17:26):
Hi @Yan Heras yesterday in the weekly call, I see that there was a strech goal described. However I don't see that in any of the documentation provided.
Sreekanth Puram (May 01 2020 at 17:26):
do you have any information on that.
Yan Heras (May 02 2020 at 05:40):
Hi @Sreekanth Puram, there was a consideration of potentially adding a stretch goal to explore relevant data expression for returning gaps, but based on the discussions yesterday during the weekly call, we may need to understand the need and requirements for this more. So this has not been added as a stretch goal for this connectathon. Are you interested in this aspect? we could certainly do some planning around this if there are participants would like to test out some scenarios for this topic.
Yan Heras (May 11 2020 at 18:22):
A Connectathon prep meeting will be held this afternoon at 1:30pm PST: https://global.gotomeeting.com/join/491863245
Polina A. (May 13 2020 at 18:17):
Does anyone know whether gic-sandbox test endpoint is down? I can't seem to reach it.
Yan Heras (May 13 2020 at 19:47):
It seems like it is down. @Rob Reynolds @Bryn Rhodes are you working on the endpoint?
Bryn Rhodes (May 13 2020 at 21:44):
Yes, working on that now
Yan Heras (May 13 2020 at 21:45):
Please join us for the Track kick off at 6pm EST today (in 15 mins)
Yan Heras (May 13 2020 at 22:03):
@Rob Reynolds @Bryn Rhodes Could either of you join the Track kick off now? Thanks
Rob Reynolds (May 13 2020 at 22:06):
An AWS EC2 instance crashed.
Rob Reynolds (May 13 2020 at 22:06):
It should be back up now.
Yan Heras (May 13 2020 at 22:15):
Zoom meeting link for the Track kick off now: https://zoom.us/j/9977771024
Rob Reynolds (May 14 2020 at 04:47):
I made a ton of progress.
Rob Reynolds (May 14 2020 at 04:49):
Here's a repo:
https://github.com/DBCG/davinci-gic.git
Rob Reynolds (May 14 2020 at 04:49):
And a ReadMe:
https://github.com/DBCG/davinci-gic/blob/master/README.md
Rob Reynolds (May 14 2020 at 04:50):
We have a branch of the Ruler we can edit:
https://github.com/DBCG/cqf-ruler.git, the davinci_gic branch
Rob Reynolds (May 14 2020 at 04:52):
That is automatically building a container at:
contentgroup/cqf-ruler:gic
Rob Reynolds (May 14 2020 at 04:52):
And that can be used to update our sandbox with a manual click.
Rob Reynolds (May 14 2020 at 04:54):
I did said click so our sandbox has been updated with the fixed Ruler; and ran the _refresh script in our IG (which is pointed at our sandbox); and we have a working implementation: https://gic-sandbox.alphora.com/cqf-ruler-r4/fhir/Measure/$care-gaps?periodStart=2019-01-01&periodEnd=2019-12-31&topic=57024-2&patient=numer-EXM124-FHIR4.
Rob Reynolds (May 14 2020 at 04:57):
There's work to be done on the implementation. And we need to add the other measure in our IG. And add the synthetic data (I had it added to the IG but it was blowing up during refresh). And then add some more scenarios to our Postman script.
Rob Reynolds (May 14 2020 at 04:57):
But we can now iterate on all that.
Rob Reynolds (May 14 2020 at 04:58):
And there are some tweaks needed so we can publish our IG.
Rob Reynolds (May 14 2020 at 12:11):
My plan for today is to continue hardening/correcting/completing the implementation.
Yan Heras (May 14 2020 at 14:08):
Thanks Rob
Rob Reynolds (May 14 2020 at 15:19):
I think we had the FSH time wrong.
Rob Reynolds (May 14 2020 at 15:19):
It's just wrapping up.
Yan Heras (May 14 2020 at 15:21):
The FHIR short hand ?
Rob Reynolds (May 14 2020 at 15:21):
Yes.
Rob Reynolds (May 14 2020 at 15:21):
The intro class just ended.
Rob Reynolds (May 14 2020 at 15:21):
https://confluence.hl7.org/display/FHIR/2020-05+FHIR+Shorthand+Track
Rob Reynolds (May 14 2020 at 15:22):
The advanced doesn't start until 1 PM.
Yan Heras (May 14 2020 at 15:22):
it looks like they changed the schedule
Yan Heras (May 14 2020 at 15:22):
Thanks, I will update
Yan Heras (May 14 2020 at 16:30):
The kick off is starting now
Yan Heras (May 14 2020 at 16:31):
@Rob Reynolds will you be joining
Rob Reynolds (May 14 2020 at 16:32):
Yes.
Rob Reynolds (May 14 2020 at 17:57):
Logic for measure calulation: https://ecqi.healthit.gov/system/files/eCQM_Logic_and_Guidance_v3.pdf
Rob Reynolds (May 14 2020 at 17:57):
Page 3 has the logic for a proportion measure.
Polina A. (May 14 2020 at 17:59):
Thanks Rob
Polina A. (May 14 2020 at 18:11):
What is the reasoning behind having providerOrganization a required parameter?
Yan Heras (May 14 2020 at 18:34):
You are referring to the table in care gaps operation page, right? I need to change that to 0..1. Thanks
Sreekanth Puram (May 14 2020 at 18:38):
Polina A. (May 14 2020 at 18:38):
yes, that's what I was referring to @Yan Heras , thanks
Sreekanth Puram (May 14 2020 at 18:38):
This is the URL that contains our Gaps in care Operation
Sreekanth Puram (May 14 2020 at 18:39):
You may need an API key to explore more. Please send me a PM and I will give it to you
Yan Heras (May 14 2020 at 18:42):
Thank you Sreekanth
Rob Reynolds (May 14 2020 at 19:20):
The patient -> subject update is ready to deploy.
I will be updating the sandbox endpoint and the postman collection.
Rob Reynolds (May 14 2020 at 19:30):
Done.
Yan Heras (May 14 2020 at 19:39):
I have added a link to a shared spreadsheet on the Track page to track Care Gap Operation Issues. "Gaps in Care Operation Issue Tracker"
Sreekanth Puram (May 14 2020 at 19:50):
when is the next sync up session
Viet Nguyen (May 14 2020 at 19:53):
@Yan Heras Sync-ups are scheduled to start soon based on this schedule - https://confluence.hl7.org/display/DVP/HL7+Virtual+Connectathon+-+May+2020. Please have your sync-up and review activities from today and identify next steps. We have folks jumping around to multiple tracks, so they will use this opportunity to survey what's been happening in each track. Thanks!!
Yan Heras (May 14 2020 at 19:54):
Is this happening in individual track zoom?
Yan Heras (May 14 2020 at 19:57):
nvm ... thought there is a change in zoom room. We will be using the same Track zoom for sync-up
Rob Reynolds (May 14 2020 at 20:00):
Making topic optional is ready for deploy.
Rob Reynolds (May 14 2020 at 21:36):
Deployed.
Rob Reynolds (May 15 2020 at 01:46):
Fixed the bug with the Measure being referenced instead of the MeasureReport.
Also did a general pass on spec conformance.
I think it's at the point where the only thing not correct is DetectedIssue. That's missing.
Working on a deploy.
Rob Reynolds (May 15 2020 at 02:38):
There are also some profiles that haven't been implemented.
Rob Reynolds (May 15 2020 at 03:22):
For topic, I used a code instead of a string. I couldn't find a real code for something like "Preventive Care", which seems like a great topic, so I just used 11111-1 until we figure it out.
Rob Reynolds (May 15 2020 at 03:23):
It should be much closer than it was. @Linda Maybe take a QA pass at it now?
Rob Reynolds (May 15 2020 at 03:25):
I'm going to work on DetectedIssue next and then returning Parameters.
Rob Reynolds (May 15 2020 at 03:25):
I also added a Configuration folder to the Postman. That adds an Organization.
Rob Reynolds (May 15 2020 at 13:29):
This is what I plan on doing for the DetectedIssue:
status = final
code = { system = "http://hl7.org/fhir/us/davinci-deqm/CodeSystem/detectedissue-category" code = "care-gap" }
author = { device from the evaluation server }
evidence.detail = Reference(MeasureReport)
detail = (thoughts?)
Polina A. (May 15 2020 at 13:42):
makes sense to me. DetectIssue also has patient reference - should we include the patient?
Rob Reynolds (May 15 2020 at 14:18):
Rob Reynolds (May 15 2020 at 14:36):
@all FYI, info on the Da Vinci GIC workgroup meeting https://confluence.hl7.org/pages/viewpage.action?pageId=66929644
Sreekanth Puram (May 15 2020 at 15:15):
when are we meeting next
Rob Reynolds (May 15 2020 at 15:26):
We're just hanging out atm, but we have a meeting scheduled for 12:30ET.
Rob Reynolds (May 15 2020 at 15:55):
Rob Reynolds said:
This is what I plan on doing for the DetectedIssue:
status = final
code = { system = "http://hl7.org/fhir/us/davinci-deqm/CodeSystem/detectedissue-category" code = "care-gap" }
author = { device from the evaluation server }
evidence.detail = Reference(MeasureReport)
detail = (thoughts?)
I didn't do author... that would require another artifact and I think it's a better use of time to make more progress on the other Use Cases.
Let me know if anyone thinks otherwise.
Rob Reynolds (May 15 2020 at 15:57):
Ready to deploy update with DetectedIssue.
Polina A. (May 15 2020 at 16:02):
I skipped author as well
Polina A. (May 15 2020 at 16:06):
I have a conflict between 12:30 and 1:00. I will join the sync call at 1:00 and can demo what I got
Rob Reynolds (May 15 2020 at 16:10):
DetectedIssue deployed to the sandbox. If folks could take a look and see if that's what they were thinking: https://gic-sandbox.alphora.com/cqf-ruler-r4/fhir/Measure/$care-gaps?periodStart=2019-01-01&periodEnd=2019-12-31&subject=numer-EXM125-FHIR4&topic=11111-1.
Rob Reynolds (May 15 2020 at 16:14):
I think that's everything for Use Case 1.
Rob Reynolds (May 15 2020 at 16:15):
Going to start work on Parameters.
Rob Reynolds (May 15 2020 at 16:24):
Oops. Forgot the patient. Adding that.
Polina A. (May 15 2020 at 17:39):
Here is my test endpoint if you want to try it out. You will need a token to access it, let me know and I can generate one for you
https://b3-fhirdavinci1-4769-consumers-master.b3-deploys.com/FhirDavinci1.Adapter1.WebClient/api/fhir-r4
Polina A. (May 15 2020 at 17:43):
it is set up with our own test data, so here is a good patient to test with: Patient/c1d00c96-f0d0-49fe-9263-496f831db863
Rob Reynolds (May 15 2020 at 19:33):
Polina A. said:
Here is my test endpoint if you want to try it out. You will need a token to access it, let me know and I can generate one for you
https://b3-fhirdavinci1-4769-consumers-master.b3-deploys.com/FhirDavinci1.Adapter1.WebClient/api/fhir-r4
Thank you!
Yan Heras (May 15 2020 at 19:46):
@Sreekanth Puram is the end point currently down?
Sreekanth Puram (May 15 2020 at 19:56):
Yan Heras said:
Sreekanth Puram is the end point currently down?
sorry. I just realized that I changed the endpoint and forgot to mention it to you. https://bwqpk4hyga.execute-api.us-west-1.amazonaws.com/dev/$care-gaps?periodStart=2019&periodEnd=2020&subject=numer-EXM124-FHIR4&topic=Preventive+Care&status=open-gaps
Sreekanth Puram (May 15 2020 at 19:56):
we had to hide other resources on this end point
Sreekanth Puram (May 15 2020 at 19:56):
so we masked the URL
Yan Heras (May 15 2020 at 20:05):
thanks
Yan Heras (May 15 2020 at 20:14):
@Rob Reynolds the Postman scripts on ReadMe seems return evaluate measure, not care gaps. I think it was returning care gaps earlier, not sure if I am doing something wrong on my end
Rob Reynolds (May 15 2020 at 20:17):
No idea why that would happen.
Let me try updating the link.
Rob Reynolds (May 15 2020 at 20:19):
I updated the link.
Yan Heras (May 15 2020 at 20:20):
ok, thanks
Yan Heras (May 15 2020 at 20:22):
@Rob Reynolds the updated link does not look right
Yan Heras (May 15 2020 at 20:23):
oh, I see it now. The GET request is named Health Quality Measure Document
Yan Heras (May 15 2020 at 21:24):
I will be closing the Zoom at 5:30pm ET. I will be at the Clinical Reasoning Track. Thank you everyone for your active participation for a successful Connectathon!
Polina A. (May 15 2020 at 22:04):
Thanks everyone, was great working with you!
Linda (May 15 2020 at 22:09):
ThanQ @Rob Reynolds and @Yan Heras for your leadership. ThanQ to Mettle and CareEvolution for making this stuff work at these early stages!!
Gay Dolin (May 15 2020 at 22:12):
Can't wait to hear about how Gaps in Care went!. I was heads down in the Care Plan related tracks.
Rob Reynolds (May 18 2020 at 12:36):
Thank you, Polina, Linda, Yan, Sreekanth, and all. It was a great Connectathon. We made a good deal of progress.
Yan Heras (Sep 10 2020 at 13:24):
Welcome to the 25th virtual Connectathon Gaps in Care/Member Attribution Track. We will begin the track kick off at 10ET. This will allow those who might be interested in attending the Introduction to FHIR education (scheduled at 9:30ET) session to attend.
Rob Reynolds (Sep 10 2020 at 14:34):
Link to repo: https://github.com/DBCG/davinci-gic
Yan Heras (Sep 10 2020 at 14:34):
Repo: https://github.com/DBCG/davinci-gic.git
README.md: https://github.com/DBCG/davinci-gic
Rob Reynolds (Sep 10 2020 at 15:05):
@ryan moehrke Canonical url also works for the measure parameter in the reference implementation.
Rob Reynolds (Sep 10 2020 at 15:07):
At least it should. I'm not so sure it is.
Rob Reynolds (Sep 10 2020 at 15:09):
Probably a good item to put on the backlog.
Eddy H Nieves (Sep 10 2020 at 16:42):
Looks like the ref implementation's ATR Content Location API response header has "Content-Type" set to "text/plain;charset=UTF-8". This should be json instead of plain text, correct?
Rob Reynolds (Sep 10 2020 at 16:47):
@ryan moehrke Checked into this and it is not currently supported but is on the backlog.
Yan Heras (Sep 10 2020 at 16:49):
@Nagesh Bashyam Hi Dragon, we have a couple questions for member attribution. Would you be able to hop on our track? Do you have Raghun's contact, so he could hop back on?
ryan moehrke (Sep 10 2020 at 16:52):
@Rob Reynolds so you currently only support measure.id in the measure parameter?
Rob Reynolds (Sep 10 2020 at 16:52):
Yes.
Yan Heras (Sep 10 2020 at 17:09):
Hi everyone, thank you for the great kickoff and discussions. We plan to use the remaining of the day for development and testing. The Zoom link is kept open. If you have any questions about the development/testing or IG or things you'd like to discuss, please feel free to raise/ask it here in Zulip or speak up in Zoom.
Sam Sayer (Sep 10 2020 at 17:11):
I did have one additional question about the spec that I thought might be worth a ballot comment. The description of the measure parameter for the operation is "The measure(s) for which the gaps in care will be reported. E.g., Breast Cancer Screening measure, Colorectal Cancer Screening measure", but it's not clear what the parameter actually is supposed to be. Examples on the home page include CMS ids (http://build.fhir.org/ig/HL7/davinci-deqm/gaps-in-care-reporting.html).
Sam Sayer (Sep 10 2020 at 17:12):
Is this intentionally left undefined? It seems like it would be difficult to pick a measure if you don't know what to send it.
Last updated: Apr 12 2022 at 19:14 UTC
