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Call for Participation: Modular Specifications Phase 3 Call

Please join us for the third public call for Phase 3 of the Modular Specifications project, Certificate Discovery for DIRECT! This call is scheduled for this Wednesday, June 13th, 2012 from 11:00am to 12:00pm EST.

The artifacts being reviewed are posted at

The call-in information for this call is below:

Phone: 1-877-218-2835
Participant Code: 6174296


Query Health – by the numbers

From Rich Elmore, Coordinator, Query Health

I wanted to share with you an update on Query Health – by the numbers.


Transformative concept

Sending questions to the data



Operational documents

1)      Data use agreement

2)      Operational guidance


Reference Implementations

1)      i2b2

2)      PopMedNet

3)      hQuery



1)      Question (HQMF)

2)      Data (CEDD)

3)      Results (QRDA Cat 2&3)

4)      Query Envelope



1)      NYC/NYS DPH

2)      Mini-Sentinel (FDA/BID)

3)      CDC BioSense 2

4)      Mass DPH

5)      CQM (Allscripts)

The Query Health Technical Working Group (TWG) is making fantastic progress on the reference implementations.  We’ve also had recent exciting news with ONC and HL7 working jointly on preparing HQMF and QRDA for ballot, and ONC and NQF working jointly on aligning CEDD with QDM.

The Query Health pilots are poised to ask and answer important questions related to diabetes, hypertension, post-market surveillance, situation awareness and clinical quality measures.

Most importantly, Query Health aligns with the concept of a learning health system, focusing on improving patient and population outcomes.

All of this is the result of the energized, expert, engaged community that have provided shape and direction for distributed population queries.  Thank you to all of the Query Health members and support team for your outstanding contributions! 

The time I had promised to ONC has gone by so quickly.  I am thrilled that Feik (John Feikema) is taking the reins.  We’ve been working together on the transition for the past month and the project will not miss a beat. 



The QRDA Category I Release 2 ballot is open for comments

The HL7 Standard for CDA® Release 2: Quality Reporting Document Architecture, DSTU Release 2 – US Realm opened for comments Apr 12, 2012 and will be open until May 13, 2012.

Please add your comments to the ballot comment spreadsheet and submit them via the HL7 ballot site.

Balloting Information Page

The Ballot Desktop for voting on candidate standards and documents.


Link to the ballot package: HL7 Standard for CDA® Release 2: Quality Reporting Document Architecture, DSTU Release 2 – US Realm

Ballot Comment Spreadsheet: Ballot comments


Non-Member participation in HL7 ballots is available to any interested parties, although there is a small administrative fee for most of the candidate standards and documents. Any fees for a ballot are detailed on a selection page during the sign-up process. Fees typically run about $50 per pool, with a maximum set for multiple pools in a group.

Non-Members who have already signed up for participation log in

Non-Member Participation in HL7 Ballots Instructions PDF


Circular A – 119 is open for comment

Circular A – 119 is now open for comment and would welcome input from the S&I Framework community. 

Please review and submit your comments here:

Query Health announces new pilot and completion of key deliverables

From Rich Elmore, Coordinator, Query Health

Harvard School of Population Medicine’s Rich Platt and I presented on Distributed Queries and Query Health at an Institute of Medicine meeting on Digital Data Priorities for Continuous Learning.  The session focused on the continuous improvement of using large-scale data sets in health care and how Query Health helps to achieve this goal.  Rich Platt announced the newest Query Health Pilot:  Mini-Sentinel. The Mini-Sentinel project is a distributed network designed to answer FDA’s questions related to the safety of medical products. The project includes 17 data partners and currently has over 126 million patients.  The idea of the pilot is to understand which questions of interest to the FDA might be asked of a clinical system. 

Congratulations to the Concepts to Codes Workgroup who performed an exhaustive environmental scan from experts in the field regarding concepts to codes mapping.  These presentations led to the development of consensus-approved concept mapping guidance for distributed queries.

Congratulations to the Operations Workgroup who completed work on the consensus-approved Data Use Agreement template.  This provides a framework for collaboration between data requesters and data sources, consistent with the HIT Policy Committee guidance on distributed queries.

Congratulations to the Clinical Workgroup who’s Clinical Element data dictionary (CEDD) is in the final stages of consensus and will be completed at the upcoming Face to Face.  The CEDD builds on prior S&I work for Consolidated CDA, aligns with QDM and provides a consistent well-specified data target for distributed queries. 

Many Query Health artifacts are now wrapped, with six left to go:

Our focus is shifting now to wrapping up these artifacts and executing the pilots to obtain real world feedback on the standards.  The New York City and New York State pilot, led by Query Health Clinical Workgroup leader Mike Buck, is actively working on its plans for implementation.  They will be focusing on questions related to diabetes and hypertension, asking question of both EHRs and RHIOs.

Thank you for your continued efforts and invaluable contributions to Query Health. I look forward to connecting with many of you at the Face to Face later this week!

Health Data Management features article on Query Health’s Michael Buck

Health Data Management featured an interview with Query Health’s Clinical Workgroup Lead, Michael Buck, in their April 2012 issue! The article, titled “Born to Query,” tells the story of Buck’s journey, eventually leading him to New York’s Primary Care Information Project. It discusses Buck’s contributions to the Query Health initiative and the new Query Health national standard pilot, the NYC Department of Health and Mental Hygiene with eClinicalWorks.

Check out the article here

Query Health HQMF.NEXT Implmentation Guidance is Posted for Review

The Query Health HQMF.NEXT Implementation Guidance is now posted on the Query Health Wiki!  Be sure to review it as we will discuss it in-depth at the upcoming Face to Face meeting.  You can download and read it here:

Vote now in the Query Health Query Envelope Specification Consensus!

The Query Health Query Envelope specification Call for Consensus is ongoing, please review the Query Envelope and Cast your vote at the Query Envelope Consensus Page before 4/5/2012 11:59 pm PST.

Second Round of DUA Template Consensus is now Open!

The Data Use Agreement Template created by the Operations Workgroup is now open for final consensus.  Please visit the DUA Consensus Page to cast your vote.  Consensus voting will close at noon on Monday, March 19th.

FasterCures Bloggersation Features Query Health’s Rich Elmore

FasterCures – an organization dedicating to accelerating the timeline between medical research and putting the research findings into clinical practice – is hosting a bloggersation series that features ‘solution-focused insights from experts and innovators.’  This week’s topic is better utilization of big data and Query Health’s own Rich Elmore is one of the featured respondents.  Check out his perspective on how Query Health is the way forward for leveraging big data.  The FasterCures bloggersation can be found here.


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