HITSP Project 2007 Work Plan and Schedule Contract HHSP23320054103EC Chicago IL. March 5, 2007

Agenda Work Plan and Schedule Overview Release 2.0 Detail Schedule Key Points Implementation Testing Emergency Responder EHR and Security and Privacy Detail Schedule

Standards Harmonization Work Plan Tasks Work Plan and Schedule Overview Standards Harmonization Work Plan Tasks PROCESS I Harmonization Request II Requirements Analysis III Identification of Candidate Standards IV Gaps, Duplications and Overlaps Resolution V Standards Selection VI Construction of Interoperability Specification VII Inspection Test VIII Interoperability Specification Release and Dissemination IX Program Management Implementation Support and Testing Requirements, Standards Selection, and Design Public and Panel Review and Input Interoperability Specification Construct Development Inspection Test, Public and Panel Comment Comment Resolution and Panel Approval TASKS 3 weeks 3 months 3 months 4 weeks 2 months On-going Requirements, Standards Selection, and Design Consolidated comments IS Docs V 1.0 Review Draft Summary of comment resolution Consolidated comments IS Docs V 1.0 Summary of comment resolution Annual Updates as Required DOCUMENTATION

Key Activities and Milestones Work Plan and Schedule Overview Activity 1: Version 2.0 of Existing Use Cases Minor updates to CE, BIO, and EHR based on implementation and other TC activities; includes minor technical updates to CE ISC-32 for CCD Scheduled for release May 11, 2007 Activity 2: Ongoing work for Existing Use Cases (e.g. Security and Privacy) Security and Privacy Work Group updates; along with other ongoing updates to CE, BIO, EHR Scheduled for release October 15, 2007 Activity 3: Emergency Responder EHR Use Case New Emergency Responder EHR IS Activity 4: New Use Cases Expected in March 2007 Detailed schedule to be determined upon review of use cases

HITSP 2007 Timeline Work Plan and Schedule Overview 02/05/07 HITSP Board 04/23/07 HITSP Board 07/09/07 HITSP Board 10/09/07 HITSP Board 02/12/07 HITSP Panel 03/19/07 HITSP Panel 05/11/07 HITSP Panel 07/16/07 HITSP Panel 09/07/07 HITSP Panel 10/15/07 HITSP Panel JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC 03/06 – 03/08 TC Face to Face Chicago IL 5/08 – 5/10 TC Face to Face Arlington VA 6/18 – 6/20 TC Face to Face San Diego CA 09/04 – 09/06 TC Face to Face Arlington VA Activity 1 – Version 2.0 of Existing EHR, CE, BIO ISs EHR, CE and BIO v 2.0 Implementation Support and Testing (includes minor document updates) On-going Support Activity 2 – On-going Work for Existing EHR, CE, BIO ISs (e.g. Security and Privacy) Activity 3 – New Emergency Responder EHR Use Case S&P and EHR-ER v 1.0, EHR, CE, and BIO v M.m Implementation Support and Testing (with annual updates as required) Requirements, Standards Selection, and Design Public Input IS Construct Development Inspect Test and Public Comment Comment Resolution and Panel Approval 04/13 – 05/03 01/19 – 04/12 04/13 – 07/19 07/20 – 08/16 08/17 – 10/15 Activity 4 –New Use Cases from AHIC Detail Schedule to be Established Upon Review of the Use Cases

Version 2.0 of Existing EHR, BIO, CE ISs Release 2.0 Detailed Schedule Activity Date Implementation Testing (via Connectathon and other activities) Now - April TC Face to Face in Chicago to start to disposition correction requests March 6 – 8 March 19 Panel Meeting to review progress on version 2.0 March 19 TC Construct Updates (with on-going correction request disposition and Panel input) March 9 – April 20 Project Team Editorial Review, Audit, and Publication April 23 – April 27 Release Summary of Updates 10 days in advance of Panel meeting April 27 May 11 Panel Meeting to approve minor updates to CE, BIO, and EHR version 2.0 May 11

Key Points about the Release 2.0 Schedule Release 2.0 Detailed Schedule The TC have until April 20th to finalize Release 2.0. Prior to April 20th you need to….. Review and disposition any comments resulting from Implementation Testing. Determine what changes need to be made to the IS document based on comments and based on your 2007 SOWs Make the changes to the working version of the IS documents using TRACK changes (see Bob Yencha for location of the working version of these documents) Document a summary of the release 2.0 changes as the last section of each document (see Bob Yencha for an example of a change summary section and the appropriate level of detail). Coordinate changes to all XTC documents through Bob Yencha There is NO formal comment period for release 2.0, therefore it is CRITICAL that each TC set up a schedule of meetings where members of the Panel can participate in the review and finalization of the release 2.0 changes. Once you hand over the updated IS documents to the Project Team, we will conduct an editorial review and an audit of the changes against the comments. We will release to the Panel on April 27th for approval May 11th.

Implementation Testing for Release 2.0 Release 2.0 Detailed Schedule The HITSP team leveraged the IHE Connectathon to identify vendors to support implementation testing of the existing HITSP interoperability specifications Prior to the IHE Connectathon, the HITSP/NIST team identified 14 vendors that were demonstrating the IHE profiles as part of the HIMSS Interoperability Showcase in February 2007. These vendors agreed to sign up as “HITSP vendors” to support the implementation testing of the IS documents associated with the relevant IHE profiles Following the Connectathon, the HITSP worked with the vendors to gather their feedback The HITSP team provided each vendor with the HITSP IS documents relevant to their applications and requested from the vendors relevant documents, messages, acknowledgements and/or logs. Vendors were also asked to participate in facilitated feedback sessions led by Lori Reed-Fourquet from the HITSP Project Team. As of March 2, 2007, 10 HITSP Connectathon vendors have provided feedback. In addition, one NHIN vendor has provided feedback and two other NHIN vendors have agreed to provide feedback in the near future.

Implementation Testing Results for Release 2.0 Release 2.0 Detailed Schedule IHE Profile HITSP Document ACEP ACUO ALERT ALLSCRIPTS CAPMED CAQH ECLIPSYS GE HXTI IBM INITIATE MIE NEXTGEN U. WA TOTAL NA ISBIO-02 Biosurveillance Interoperability Specification 1  7 8 16 ISCE-03 Consumer Empowerment Interoperability Specification 5 6 XDS ISTP-13 Manage Sharing of Documents 11 2 13 PIX IST-22 Patient ID Cross Referencing 17 PDQ IST-23 Patient Demographics Query 3 IST-24 Biosurveillance Pseudonymize IST-25 Anonymize Transaction XD-Lab ISC-37 Lab Report Document ISC-39 Encounter Message ISC-47 Resource Utilization Message 4 XDS-MS ISC-48 Encounter Document XDS-I ISTP-49 Radiology Report Document RFD ISTP-50 Retrieve Form for Data Capture General Feedback Total 12 29 101

ER-EHR and S&P Detailed Schedule Version 1.0 of the Security and Privacy Constructs and Emergency Responder EHR IS Activity Date Requirements and Design Now – April 12 TC Face to Face in Chicago to document Requirements, Standards Selection, and Design (RSSD) March 6 – 8 March 19 Panel Meeting to review progress March 19 TC approves RSSD April 6 Project Team Editorial Review and Publication April 9 - 12 Public and Panel Review and Input on the RSSD April 13 – May 3 TCs Construct Development and Comment Disposition April 13 – July 19 TC Face to Face in Arlington to triage comments and continue IS development May 8 - 10 May 11 Panel Meeting to review summary of comments received and status of IS development May 11 TC Face to Face in San Diego to continue IS development June 18 - 20 July 16 Panel Meeting to review summary of comment disposition and draft IS docs July 16 Continued on next page…

ER-EHR and S&P Detailed Schedule Version 1.0 of the Security and Privacy Constructs and Emergency Responder EHR IS Activity Date Inspection Test and Public Comment July 20 – August 16 Comment Resolution and Re-publication August 17 – October 8 TC Disposition Comments and Update Documents August 17 – September 21 TC Face to Face in Arlington to complete comment resolution and update documents September 4 - 6 September 7 Panel Meeting to review progress of comment resolution September 7 Project Team Editorial Review, Audit, and Re-publication September 24 – October 5 Release 5 days in advance of Panel meeting October 8 October 15 Panel Meeting to Approve ISs October 15

ER-EHR and S&P Detailed Schedule Key Points about the Emergency Responder EHR and Security and Privacy Schedule ER-EHR and S&P Detailed Schedule The TC have until April 6th to finalize the Requirements, Standards Selection and Design (RSSD) Document Please see Sarah Quaynor if you have any questions or comments on the RSSD template Once you hand over the RSSD to the Project Team, we will conduct an editorial review and release for a public review and input period from April 13th to May 3rd The comments on the RSSD will feed into the Interoperability Specification You DO need to disposition all comment on the RSSD and document the dispositions but you DO NOT need to republish the RSSD So….after you hand over the RSSD, you may start working on the Interoperability Specifications – you do not need to wait! The TCs will then have until mid-July to produce the Interoperability Specifications The ISs will go through a 4 week period of inspection test and public comment The TCS will then have from August 17 to September 21st to disposition comment and republish the ISs for Panel approval by October 15th