Ongoing/Planned Activities for Week of 4/29 Final UCR Crosswalk due COB 4/30 Hold two working sessions to complete UCR Crosswalk on 4/30 Hold working session at the Standards SWG on 5/1 to discuss results of the UCR Crosswalk using summary slides, and choose Standards to move forward with Present Results of UCR Crosswalk All Hands meeting on 5/2 Our concentration is the Service/Payloads Standards; transport/security and vocab and code set are secondary discussions Discuss selection of standards on 5/1 SWG call and continue conversation/selection during 5/2 WG Gap Mitigation Plan will be developed out of the UCR Crosswalk and initial draft will be due COB 5/7 Solution Diagram has been updated with suggested changes. Will review with the community at the All Hands Call on 5/2, and will update with the Selected Standards Populating Data Requirements Table Internally. Final UCR Crosswalk due COB 4/30 Hold two working sessions to complete UCR Crosswalk on 4/30 Hold working session at the Standards SWG on 5/1 to discuss results of the UCR Crosswalk using summary slides, and choose Standards to move forward with Present Results of UCR Crosswalk All Hands meeting on 5/2 Our concentration is the Service/Payloads Standards; transport/security and vocab and code set are secondary discussions Discuss selection of standards on 5/1 SWG call and continue conversation/selection during 5/2 WG Gap Mitigation Plan will be developed out of the UCR Crosswalk and initial draft will be due COB 5/7 Solution Diagram has been updated with suggested changes. Will review with the community at the All Hands Call on 5/2, and will update with the Selected Standards Populating Data Requirements Table Internally.

Use Case 2 – CDS Guidance Service Transactions CDS Guidance Requestor 2. CDS Response (Clinical Data, Supporting Evidence, Supporting Reference, Actions, Attribute-Value List, Response Metadata & Exceptions) CDS Guidance Supplier 1. CDS Request (Clinical Data & Context) INSERT SELECTED STANDARDS HERE

Transport and Security Transactional Layers 3 Transport and Security Response Service: e.g., DSS Response Element Response Items Organizer/Container: e.g., HeD Action Groups Element Response Item Payload: e.g., VMR Proposal Request Service: e.g., DSS Request Element Request Items Organizer/Container: e.g: VMR or CCDA Request Item Payload: e.g., VMR Clinical Statement

Use Case 2: CDS Guidance Service Transactions - Standards per Transaction #TransactionServiceOrganizer/ContainerItem Payloads Reference Information Model 1 CDS Request (patient data and potentially context) Decision Support Service (DSS) Context Aware Retrieval Application (Infobutton) CDS Knowledge Artifact Implementation Guide (HeD UC1 IG) Consolidated CDA Virtual Medical Record (vMR) Context Aware Retrieval Application (Infobutton) Virtual Medical Record (vMR) Consolidated CDA (hL7 Clinical Statements) HL7 Version 3 Standard: Order Set Publication, Release 1 Federal Health Information Model (FHIM) HL7 v2.x HL7 v3 2 CDS Response (guidance and/or other response elements) Decision Support Service (DSS) Context Aware Retrieval Application (Infobutton) CDS Knowledge Artifact Implementation Guide (HeD UC1 IG) HL7 Version 3 Standard: Order Set Publication, Release 1 Consolidated CDA Virtual Medical Record (vMR) Context Aware Retrieval Application (Infobutton) Virtual Medical Record (vMR) Consolidated CDA (HL7 Clinical Statements) HL7 Version 3 Standard: Order Set Publication, Release 1 Federal Health Information Model (FHIM) HL7 v2.x HL7 v3

Use Case 2: CDS Guidance Service Transactions - Standards per Transaction #TransactionTransport Authentication/ Authorization EncryptionVocab & Code Set 1 CDS Request (patient data and potentially context) SOAP REST SAML TLS LOINC SNOMED CT CVX Manufacturers of Vaccines (MVX) OID RxNorm ICD-9-CM and ICD-10-CM HCPCS C80 - Clinical Document and Message Terminology Component NQF Value Sets ICD-10-PCS UCUM CPT C154 NDC FDA Route Administration HL7 Vocabulary Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) 2 CDS Response (guidance and/or other response elements) SOAP REST SAML TLS LOINC SNOMED CT CVX Manufacturers of Vaccines (MVX) OID RxNorm ICD-9-CM and ICD-10-CM HCPCS C80 - Clinical Document and Message Terminology Component NQF Value Sets ICD-10-PCS UCUM CPT C154 NDC FDA Route Administration HL7 Vocabulary Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV)

CDS Guidance Request Transaction: Service Standards Rationale Standard Summary of Findings from UCR Crosswalk Keep?Rationale Decision Support Service (DSS) (Y) Fits: (Sender) CDS Request; (Receiver) CDS Request; (Sender) CDS Response; (Receiver) CDS Response; Exceptions (P) Partially Fits: Response Metadata; (N) Does not Fit: Y Context Aware Retrieval Application (Infobutton) (Y) Fits: Context; Supporting Evidence; Supporting Resource (P) Partially Fits: (Sender) CDS Request; (Receiver) CDS Request; (Sender) CDS Response; (Receiver) CDS Response (N) Does not Fit: Clinical; Actions; Attribute Value List; Response Meta Data N

CDS Guidance Response Transaction: Service Standards Rationale Standard Summary of Findings from UCR Crosswalk Keep?Rationale Decision Support Service (DSS) (Y) Fits: (P) Partially Fits: (N) Does not Fit: Y Context Aware Retrieval Application (Infobutton) (Y) Fits: (P) Partially Fits: (N) Does not Fit: N