Data Access Framework All Hands Community Meeting April 16, 2014

Meeting Etiquette Remember: If you are not speaking, keep your phone on mute Do not put your phone on hold – if you need to take a call, hang up and dial in again when finished with your other call – Hold = Elevator Music = very frustrated speakers and participants This meeting, like all of our meeting is being recorded – Another reason to keep your phone on mute when not speaking Feel free to use the “Chat” feature for questions, comments or any items you would like the moderator or participants to know. NOTE: This meeting is being recorded and will be posted on the Wikipage, under “Past Meetings” after the meeting From S&I Framework to Participants: Hi everyone: remember to keep your phone on mute 2

Agenda TopicEstimated Time General Announcements5 minutes Technical Discussion50 minutes Next Steps/Questions5 minutes 3

Notional Project Timeline S&I Lifecycle (Discovery  Pilot & Evaluation) Today 4/8 February May Signifies milestone or deliverable March AprilJune Define Use Case & Functional Requirements Define Use Case & Functional Requirements Discovery (Use Case 2) UC 2 Consensus (2/5) Draft DAF/IHE White Paper Complete (2/28) DAF/IHE White Paper Published January 2014 UC 2: Targeted Data Access: Inter- Organizational Query Implementation (DAF/IHE Community) DAF IHE/ S&I Joint Work Group IHE Activities Publish DAF/IHE White Paper IG Consensus Implementation (S&I Community) Candidate Standards Analysis TWG 1: Document Metadata based access for LDAF & TDAF Finalize Actors + Transactions + Technology Stacks and Standards Create IG’s based on existing standards Update IG’s based on SWG output Candidate Standards Analysis Finalize Actors + Transactions + Technology Stacks and Standards Create SWG to profile standards for data element access TWG 2: Data Element based access for LDAF & TDAF White Paper Comment Period

Data Element Based Queries Technical SWG – Examine the standards that will enable access to discrete patient data and will focus on identifying standards that enable queries using fine grained data elements – Launch on Monday, April 21st from 3:00 – 4:00 pm (EDT) and continue to meet weekly – Dial In: I Access code: I d= d= Volunteer driven Direct SWG – Logistics for the SWG being organized and will be provided to the community shortly. General Announcements 5

DAF/IHE White Paper Now Available for Public Comment – “A Data Access Framework Using IHE Profiles” is now available for public comment through April 27, 2014 The document is available for download at Comments can be submitted through the online form located here Comments submitted by April 27, 2014 will be considered by the IHE PCC Technical Committee in developing the final version of the white paper DAF Wiki Homepage – General Announcements CONTINUED 6

7 DAF Candidate Standards Analysis Recap – Link to the Spreadsheet Link to the Spreadsheet – Candidate Standards Spreadsheet published last week. – Thanks to the community for the feedback. – Today’s discussion will start to finalize the content for the IG

8 DAF Candidate Standards Analysis CONTINUED Transactions/Queries Required for DAF Find Document(s) based on Patient Identifiers Find Document(s) based on Patient Demographics * Get Document(s) based on Document Identifiers Get Document(s) based on Patient Identifiers Get Document(s) based on Patient Demographics * Get Document(s) for Multiple Patients based on Patient Ids ** Supply and Consume User Assertions Capture and Supply Patient Consent Find Patient Identifiers based on Patient Demographics Find Patient Demographics based on Patient Id * - Not supported in a single query in SOAP (Can be executed as a combination of 2 or 3 queries) ** - Not supported in IHE RESTful stack in a single query Decision: Leverage work from Direct SWG for the single query as it gets completed. Finalize Queries to be supported

9 DAF Candidate Standards Analysis CONTINUED Finalize Behavior Models to be supported – Synchronous Request/Response ? – Asynchronous Request/Response ? – Decision: Include both in the Initial IG

10 DAF Candidate Standards Analysis CONTINUED Finalize Differences between Local and Targeted – Should we adopt common standards for both Local and Targeted where feasible ? E.g XDS vs XCA E.g PDQv3 vs XCPD – Decision: Use the XCA/XCPD versions since many of the queries are going to cross affinity domains and the standards will support

11 DAF Candidate Standards Analysis CONTINUED Finalize Query Stacks to be supported Query Requestor Query Responder Query Query Results Query Stacks to be supported SOAP and RESTful Query Stacks that can be used SOAP or RESTful Decision: Include both Query Stacks in the IG.

12 DAF Candidate Standards Analysis CONTINUED Finalize SOAP Query Stack – Transport HTTP + Mutual TLS with ATNA Audit – Application Protocol IHE SOAP Web Services – Query Structure XCA for Documents XCPD for Patient Ids – Query Results MU2 compliant CCDA documents for query results ? – Research about Document Format codes, class Codes and Type Codes – CCDA not supported in Format codes currently ? – Security XUA as necessary, XDS Security Metadata as necessary DS4P as necessary

13 DAF Candidate Standards Analysis CONTINUED Finalize RESTful Query Stack – Transport HTTP + Mutual TLS + ATNA – Query Structure + Application Resources (JSON Representation) IHE MHD v2 (On going work to align with FHIR) IHE PDQm – Query Results MU2 compliant CCDA documents for query results – Security IUA as necessary FHIR Security Metadata as necessary DS4P as necessary

14 DAF IG

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Data Access Framework Resources DAF Wiki Homepage – Become a Community Member – e e DAF Charter – mbers mbers DAF Standards, Harmonization and Implementation Activities – mentation mentation Standards and Interoperability(S&I) Framework – S & I Calendar of Events –

Initiative Support Leads For questions, please feel free to contact your support leads: – Initiative Coordinator: John Feikema – ONC Sponsors: Mera Choi – Support Team: Project Management: – Gayathri Jayawardena Technical Support: – Dragon (Nagesh) Bashyam Standards SME: – Ed Larsen Standards Support: – Angelique Cortez Vocabulary and Terminology Subject Matter Expert: – Mark Roche, MD 17