1. ONC Standards and Interoperability Framework Use Case Simplification Key Steps Forward 3 November 2011

2. Awareness at Kickoff 1) UCS Awareness at Use Case Project Kick-off –What would you make all workgroups aware of today? –Presentation of what the S&I environment entails and importance of [UCS] charter –Assignment: Gary, Mike, Smriti… –Next Steps: Review Use Case Initiative Template Identify points of UCS “Awareness” throughout UC development process –Input: Reference to and re-use of UCS Components –Output: Feedback on new Component candidates or suggested updates to existing Components 3 November 2011 ONC S&I Framework - Use Case Simplification Key Steps Forward 2

3. Expanded Charter 2) Review current Use Case Simplification charter –Expand scope to overall S&I –Assignment: Gary, Erik, Ed, Bob, Mike 3 November 2011 ONC S&I Framework - Use Case Simplification Key Steps Forward 3

4. 4 3 November 2011 ONC S&I Framework - Use Case Simplification Key Steps Forward Challenge To identify a core set of constructs broadly applicable to (and re-usable in subsequent specification of) Use Cases. Scope Statement Scope is the common (core) set of requirements, actors, actions, data elements (names, definitions, representations, base standard source) and data element sets across all Use Case Scenarios, across the S&I Framework (and potentially beyond). Value Statement Common constructs: 1. Ensure uniformity across Use Case specifications 2. Resolve that standards-based containers (data) and protocols (functions/processes/services) offer a ready path to implementation. 3. Make specifications available in a repository (with appropriate tooling) to allow rapid use case prototyping. 4. Provide specifications on which users can take action to promote a common, computable understanding of health information concepts that are exchanged or stored. Target Outcomes 1.Repository of common (core) constructs: requirements, actors, actions, data elements (names, definitions, representations, base standard source), data element sets. 2.Repository Management Tools: to add, update, query/browse. 3.Use Case Development Tools: to adapt or build out new Use Cases from core constructs. Timeline For duration of S&I Framework. Expected Deliverables As identified in Target Outcomes Standards, Stakeholders 1.Applicable standards to meet requirements. 2.Stakeholders represented in Use Case Scenarios. Potential Risks 1.Use case “silo” syndrome. 2.Disjunction between conceptual and implementable outcomes. 3.Too narrow focus on exchange: point-to-point vs. end-to-end. 4.Insufficient focus on understanding content from the sender and receivers views.

5. Data Index/Inventory 3) Index/Inventory of data captured to date Define access paths with a user guide depending on points of entry Assignment: Robin, John Next Steps: 3 November 2011 ONC S&I Framework - Use Case Simplification Key Steps Forward 5

6. Use Case Process Template 4) Use Case Process template To be used by new work group [Is this the same as Project 1?] Assignment: Robin, John Next Steps: 3 November 2011 ONC S&I Framework - Use Case Simplification Key Steps Forward 6

7. DES and Clinical Information Model 5) DES/CIM Relationship Are CIM Concepts directly map-able to DESs? Assignment: John, Robin Next Steps: 3 November 2011 ONC S&I Framework - Use Case Simplification Key Steps Forward 7

8. Registration and Maintenance 6) Ongoing support –Determine value of having a Registration Authority and define a the scope of the RA role for S&I? –Consider Change Request process for S&I –Assignment: Mike, Robin –Next Steps: 3 November 2011 ONC S&I Framework - Use Case Simplification Key Steps Forward 8

9. Tooling 7) What tooling do we need and how fast? –Concern about cost, sustainability, etc a) Integrated plan for tooling b) Value to the community –Assignment: Kevin –Next Steps: 3 November 2011 ONC S&I Framework - Use Case Simplification Key Steps Forward 9

10. And… Liaisons with each UC Team Identify, across Use Cases: –Use of Existing DESs –Need for New DESs Establish Path for DES to Template Ballot –DESs 38-40, 101-109 –DESs “Below the Line” Full Drill down: Conceptual to implementable –DESs –Actions 3 November 2011 ONC S&I Framework - Use Case Simplification Key Steps Forward 10

11. Data Drill-DownSub Work Group Use Case Requirements Abstract (Conceptual) Identify Common Use Case Components Across Use Cases, Scenarios, User Stories UC Simplification UCS Core Matrix Identify Common Data Element Sets (DES) Across Use Cases, Scenarios, User Stories UCS Core Matrix DES Identify DES Elements DES Analyze DES/Element Alignment Across Use Cases, Scenarios, User Stories, HITSP C154, CDA Consolidation, Applicable Implementation Guides DES Harmonization Specific (Implementable) Detail Element Properties ID, Description, Data Type, Range, Format, Unit of Measure, Value Set, Coding Scheme… DES TOC Stds Analysis LRI IG Analysis Identify Applicable Standards TOC Stds Analysis LRI IG Analysis Identify/Assert Implementation Guidance TOC Stds Analysis TOC CIM LRI IG Analysis S&I Framework – Use Case Simplification Data Drill Down 3 November 201111 ONC S&I Framework - Use Case Simplification Key Steps Forward

12. Action Drill-Down Sub Work Group Use Case Requirements Abstract (Conceptual) Identify Common Use Case Components Across Use Cases, Scenarios, User Stories UC Simplification UCS Core Matrix Identify Common Actions UCS Core Matrix Detail Action Properties ID, Description, Requirements Satisfied, DES Input/Output, System Functionality needed to take Action… UCS Core Matrix, in part Harmonization Specific (Implementable) Identify Applicable Standards, Profiles Including EHR/PHR System Functional Models/Profiles, SOA Modules, Integration Profiles TOC Stds Analysis LRI… Identify/Assert Implementation Guidance Including Conformance/Certification Criteria For System Functionality TOC Reference Implementation LRI… S&I Framework – Use Case Simplification Action Drill Down 3 November 201112 ONC S&I Framework - Use Case Simplification Key Steps Forward