S&I Framework Update HIT Standards Committee June 10, 2013 Doug Fridsma, MD, PhD, FACP, FACMI Chief Science Officer & Director, Office of Science & Technology
S&I Framework Operating Metrics Timing Outputs Participation & Process Framework Launch DateJan 7, 2011 First Initiative Launch DateJan 31, 2011 Elapsed Time since Initiative Launch (as-of today) 28 months # Consensus Approved Use Cases18 # Pilots Committed33 # Pilot Vendors42 Total Ballots11 # Total HL7 Ballot Comments Received2,953 # HL7 Ballot Comments Resolved2,882 # Wiki Registrants2358 # Committed Members719 # Committed Organizations548 # Working Sessions Held1,596 S&I Face to Face meetings3 Standards Organizations engaged35 S&I Monthly Newsletter Editions17 SDS Newsletter Subscribers1,908 As of 6/13/2013 1
Transitions of Care Query Health Pre-DiscoveryUse CaseHarmonizationRI, Test & PilotEvaluation Lab Results Interface Data Segmentation for Privacy esMD Longitudinal Coordination of Care Public Health Reporting Laboratory Orders Interface Direct Project (S&I Archetype) Health eDecisions Blue Button Plus Companion Guide & PSS completed for September ballot IG & Second Errata Published; 2014 CEHRT In Progress Pilots nearing completion, QRDA III Published, HQMF in Comment Reconciliation Community-Led; RI Framework and CDA guide published; Testing & Pilots in progress; community will be meeting on a monthly basis eDoC UC in Progress; AoR Level 2 UC achieved consensus; IG consensus closed for UC 1, UC 2, AoR L1, and Prov. Dirs. Guidance IG’s LOI IG ballot ended on 1/7/13 and reconciliation completed 6/7/13; Lab pilot efforts include LOI and eDOS; LOI IG to be submitted for June reballot along with initial ballot for eDOS IG Two WGs complete (Payer & Clinical Content); Two WGs (Push & Pull) in progress, at various stages of IG development In production Structure Data Capture S&I Initiative Portfolio Snapshot 2 PDMP Project Standard – NCPDP was selected and consented March 14, 2013 Use Case consensus complete; Standards Analysis ongoing; Forms SWG discussing CDE and Form Structure; Standards SWG kickoff July 3 Use Case 1: Knowledge Artifact Sharing Model, Schema and IG was approved by HL7, UC 1 now in Pilots – 3 of 4 pilots complete. Use Case 2: CDS Guidance Service achieved consensus. Pursuing solution that will align vMR with C-CDA and QRDA Pilots in Evaluation, 2 IGs adopted by HL7, RESTful IG still in SDO adoption process Community-Led; 1st UC Complete; PAS SWG Complete; Created 'Care Plan' Glossary for HITPC & HL7; Use Case 2: Care Plan Exchange in progress; C-CDA updates for Aug/Sept HL7 Ballot in progress
S&I Framework Pilots S&I Pilots website indicates geographically where all pilots are located S&I Pilots website 3
S&I Initiatives Update 4 Initiative (chronological) Transitions of Care Laboratory Results Interface Query Health Data Segmentation for Privacy Public Health Reporting (Community-Led) Longitudinal Coordination of Care Lab Orders Interface Health eDecisions Blue Button + (formally ABBI) Structured Data Capture Status Key: Active Maintenance
ONC website: S&I Framework Wiki: Questions/Discussion 5