1. Electronic Submission of Medical Documentation (esMD) AoR L2 Harmonization June 19, 2013

2. Meeting Etiquette Please announce your name each time prior to making comments or suggestions during the call 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 meetings, is being recorded –Another reason to keep your phone on mute when not speaking! Feel free to use the “Chat” or “Q&A” feature for questions or comments NOTE: This meeting is being recorded and will be posted on the esMD Wiki page after the meeting From S&I Framework to Participants: Hi everyone: remember to keep your phone on mute 2

3. Agenda 3 TopicPresenter Announcements and Administrative ItemsZach May AoR L2 Harmonization Update on standards: International scope for XAdES & SAML Recommendation for revocation list checking support Digital signature digest creation for CDA Review diagram Review CDA header elements XML textual display AoR L2 Data Model Elements Review Next steps Zach May Bob Dieterle

4. Wednesday, 1 - 3 PM ET: eDoC Workgroup meeting –1 - 2 PM ET: eDoC Use Case Meeting –2 - 3 PM ET: eDoC Structured Data SWG Meeting Friday, 2 - 3 PM: eDoC Structured Data SWG Meeting Schedule

5. XAdES-X-L extends XAdES, which extends XMLDSIG –XMLDSIG is a W3C standard –XAdES adopted as an ETSI standard SAML 2.0 – OASIS These standards organizations are international in scope and adoption for the purposes of Author of Record. International Standards – XAdES and SAML

6. Seeking written confirmation of OCSP support in cross-certified CAs Test procedures include testing for OCSP capability (but still unclear if all cross certified CAs currently support them Recommendation: specify strong preference for OCSP in AoR L2 IG Certificate Signing

7. Creation of Digest 7 CDA Document Header Body Section Entry Text Section Entry Text Digital Signature Elements (XAdES-X-L, SAML) [excluded elements, e.g., legalAuthenticator] Digest created from these bytes

8. Creation of Digest – CDA Header Elements 8 Switch to Excel

9. Switch to example XML Textual Display

10. Switch to Excel spreadsheet AoR L2 Data Model Elements Review