Health eDecisions (HeD) All Hands Meeting March 21st, 2013

Meeting Etiquette Remember: If you are not speaking, please 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 = frustrated speakers and participants This meeting is being recorded Another reason to keep your phone on mute when not speaking Use the “Chat” feature for questions, comments and items you would like the moderator or other participants to know. Send comments to All Panelists so they can be addressed publically in the chat, or discussed in the meeting (as appropriate). From S&I Framework to Participants: Hi everyone: remember to keep your phone on mute All Panelists

Agenda TopicTime Allotted Announcements5 minutes Work Stream 1 Update: HL7 Meeting Update 5 minutes Work Stream 2 Update: Pilots5 minutes Work Stream 3: Use Case 265 minutes Next Steps5 minutes Wrap up/Questions5 minutes

Announcements Vocabulary and Terminologies sub work will be meeting this week –Friday 12:30-2:30 EDT – We submitted proposals to AMIA for consideration for the AMIA meeting – –Nov 16 th -20 th, 2013 Washington, DC

HL7 Update We have finalized the HeD Schema –Harmonized with HQMF where applicable HeD/QDM/vMR harmonization work continues –The HeD requested updates to the vMR were submitted – a BIG HUGE THANK YOU TO CLAUDE NANJO for his significant efforts on this endeavor!!!!!! We continue to finalize the IG based on the schema updates and harmonization activities Plans: –We are postponing our HeD/CDS meetings but will resume as needed during Pilots )

Pilots Update – Work Stream 2 This Week (March 18 th ) –Vocabulary and Terminology Work Group Presented –We discussed Vendor Engagement –Made initial Vendor/Content Supplier matches Next Week (March 25 th ) –We are meeting from 1-2:30 EST March 25th –The CDC will be presenting their Pilot Project Plan –Applied Pathways will also be presenting –Continue work plans with Vendor/Content Suppliers

HeD Pilots Goal - Modified Goal The goal of this initiative is to produce, consume, and where feasible, execute implementable CDS interventions. 1.Event Condition Action Rules (ECA Rules) 2.Order Sets 3.Documentation Templates Pilot Scope 1.Health eDecisions will apply defined aspects of the Implementation Guide in a real-world setting. 2.Modify the Implementation Guide to ensure it is usable 3.The real-world pilots evaluate not only the technology, standards and model (VMR), but also provide a test bed to evaluate the interaction of technology, implementation support, and operational infrastructure required to meet Health eDecisions use case 1 objectives at the stakeholder or organization levels. 4.Demonstrate intent of formats (specifically structures and semantics) are communicated either by direct execution or by translation to native format 5.Ensure Completeness and consumability of artifact

Work Stream 3 -HeD Use Case 2 Development Data Element Requirements Review

Outputs 1.Validate candidate standards list 2.Analyze candidate standards per HITSC criteria to produce selected standards 3.Map UCR to selected standards in documented crosswalk 4.Perform technical feasibility of analysis 5.Develop gap mitigation plan 6.Review with community and achieve consensus Gap mitigation plan Requirements Traceability Matrix 1.Develop solution diagram and plan 2.Confirm data model approach 3.Develop new standard(s) 4.Modify/harmonize existing standard(s) to produce final standards 5.Achieve community consensus or agreement Final standards 1.Using final standards, develop Implementation Guide document 2.Document IG Conformance Statements in RTM 3.Develop Examples to inform implementers 4.Validate examples 5.Achieve community consensus or agreement Implementation Guidance 1.Align Timeline with Ballot Cycles 2.Submit PSS 3.Submit NIB 4.Submit Initial Content to HL7 5.Submit Final Content to HL7 6.Submit Examples to HL7 Balloted standards 9 HeD UC2: Standards Development & Harmonization Targeted Activities

The Use Case Support Team members will continue to support the Use Case 2 activities as we move from Use Case development into the next phase of the project Support Team Members for SDS & Harmonization activities for HeD Use Case 2 –Anna Langhans –Saunya Williams –Atanu Sen 10 Standards Development Support & Harmonization

11 Overview of HeD UC2 – Candidate Standards List March 21, 2013 Saunya Williams, PhD

S&I team established to evaluate HIT standards for the purpose of affording interoperability of data exchange and encouraging widespread adoption of HIT standards Determine the need to modify existing standards or to develop new standards to ensure alignment with the Use Case and Functional Requirements Coordinate the engagement of Standards Developing Organizations (SDOs) –Obtain access to standards –Help locate specific expertise –Monitor updates to standards –Maintain awareness between S&I Framework and SDOs 12 Standards Development Support (SDS)

Our approach engages the SDOs throughout, integrates with the existing S&I Framework phases, and follows an open and iterative plan for defining the required standard modifications. SDS Strategy 13

During the Pre-Discovery efforts, a list of potential standards that may either be used or modified for a S&I Initiative are identified as Candidate Standards –The Candidate Standards List is a comprehensive scan of all standards and related artifacts to assess “best-fit” for each S&I Initiative The master file for this list is available online, and also highlights the common overlaps of a candidate standard between S&I Initiativesavailable online The Candidate Standards List affords –Traceability Was standard ‘X’ considered in this initiative? When was it excluded and why? (Answered by Harmonization team during Standards Analysis) –Communication Allows the SDS Team to analyze standards and engage SDOs and SMEs Encourage community participants to brainstorm potential standards to address the needs of the S&I Initiative A “living” document –Updates are ongoing until the S&I Initiative is complete –High sensitivity, low specificity 14 Candidate Standards List

15 Category TabsStandards Vocabulary & Code Set Current Procedural Terminology (CPT) ICD-9/10 SNOMED-CT HL7 Order Set Service Payloads & Interface vMR CDA CCD ECRS GELLO Infobutton Transport & Security TLS REST SOAP Other HQMF QDM QRDA HeD UC2 – Candidate Standards List

HeD UC2 Candidate Standards List is located herehere Next Steps – Review Candidate Standards List and provide feedback prior to next week’s All- Hands Meeting 16 Next Steps

Work Stream 1 – HL7: –Finalize IG –Next HL7 meeting TBD –(see HeD Homepage wiki for meeting details: Work Stream 2 – Pilots: –We are beginning the work of pilots –Next Pilots meeting: March 25th, 1-2:30 pm EDT see HeD home page wiki for meeting details: –Review timelines and vendor/content supplier activities Work Stream 3 – Use Case 2: –We will reviewing candidate standards and consensus on UC 2 –Next meeting March 28th 11-12:30 EDT (see the HeD Homepage wiki for meeting details: Next Steps

Questions?

Contact Information For questions, please contact your support leads –Coordinator: Ken Kawamoto: –Co-Coordinators: Aziz Boxwala: Bryn Rhodes: –ONC Leadership: Alicia Morton: –Project Management: Jamie Parker: Christina Arenas: –Use Case 2: Dave Shevlin: Virginia Rhiel: –Harmonization: Lynette Elliot: Merideth Vida: Anna Langhans:

Useful Links Wiki – Use Case 1& 2 – –UC 2: Use Case 2: +CDS+Guidance+Servicehttp://wiki.siframework.org/UC+2+- +CDS+Guidance+Service Pilots – HL7 Ballot Submission: – #Ballothttp://wiki.siframework.org/Health+eDecisions+Reference+Materials #Ballot UC 1 Harmonization and IG: – Standards+%28Implementation%29http://wiki.siframework.org/Health+eDecisions+Harmonization+and+ Standards+%28Implementation%29 HeD Glossary –