1. S&I Public Health * We will start the meeting 3 min after the hour September 9, 2014

2. Housekeeping This meeting is being recorded and un-paused and will be available via the wiki *Please mute your phone when not speaking to assist with background noise.

3. Today’s Agenda Announcement –No meeting next week – Public Health/EHR Vendor Collaboration Administrative Update –A couple of updates Continue last weeks discussion

4. Other Updates General Update –NPRM/Final Rule –http://cms.gov/Newsroom/MediaReleaseDatabase/Press-releases/2014-Press- releases-items/2014-08-29.htmlhttp://cms.gov/Newsroom/MediaReleaseDatabase/Press-releases/2014-Press- releases-items/2014-08-29.html –http://www.ofr.gov/OFRUpload/OFRData/2014-21021_PI.pdfhttp://www.ofr.gov/OFRUpload/OFRData/2014-21021_PI.pdf

5. Updates Nationwide Interoperability Roadmap Community Home –http://confluence.siframework.org/display/NIRCH/Nationwide+Interoperability+Roadmap+Co mmunity+Homehttp://confluence.siframework.org/display/NIRCH/Nationwide+Interoperability+Roadmap+Co mmunity+Home –http://www.healthit.gov/sites/default/files/ONC10yearInteroperabilityConceptPaper.pdfhttp://www.healthit.gov/sites/default/files/ONC10yearInteroperabilityConceptPaper.pdf

6. Continuing the SDC Discussion Recap last week Where we were going with our scenarios Where we went last week –An asynchronous business requirement Continue both paths –They two solutions are built of the same components in a different configuration

7. The components Decision Support –Is it a case? Forms server/form retrieval –The systems requires more information Pre-population –The system already has some data, lets avoid re-keying stuff we know already Form rendering, form display –What additional data points does the system need? What type of data is it? Persistence/data storage –I now have the additional information, where does it go, who store it?

8. Clinical Care / EHRPublic Health Maintain PH Trigger Codes Record DX/Problem In EHR Core, Suspect Case Message C-CDA + Decision Support Rules Decision Support Engine Parse PHA Preparedness Uses Forms Manager PH Surveillance System Clinical “Notification” Creation MU Clinical “Notification” Pre-Population Respond to Queued Clinical “Notification” With URL Reporter Continue process with Web-Based, Pre-Populated Report Form Storage Form Retrieval Provider Pre-populated form PH System Possibly Synchronous SDC / RFD Transactions or Example work flow (John Loonsk, v5) for discussion only – 9/9/2014

9. On the table A core message –The basis for any of our work streams

10. Core, Suspect Case Message C-CDA (working group) Shall we form a working group? Call for volunteers Charge to the group – Time limited – – Address the two concepts issue Attempt to limit to data in a certified EHR (risk - Kelly and Dan M) Minimum but all necessary Or data recorded Core concept – Key is keeping this limited – Core message maintains context of reporter and patient to pass to second step – Jurisdictional information, where it should be reported (any/all jurisdictions involved) On deck – Vocab and terms – The rendering question – The pre-population question – Representing the variation (synch and asynch) in work flow scenarios

11. On deck – Vocab and terms – The rendering question – The pre-population question – Representing the variation (synch and asynch) in work flow scenarios Provenance – Anyone care to join a brief discussion with Dan to review his findings and think about next steps?

12. S&I Public Health Contact Information ONC Public Health Lead: Daniel Chaput (daniel.chaput@hhs.gov)daniel.chaput@hhs.gov CDC Public Health Lead: John M. Saindon (uzn0@cdc.gov)uzn0@cdc.gov PHTT Wiki Page PHTT Wiki Page: http://wiki.siframework.org/Public+Health+Tiger+Teamhttp://wiki.siframework.org/Public+Health+Tiger+Team SDC Wiki Page: http://wiki.siframework.org/Structured+Data+Capture+Initiativehttp://wiki.siframework.org/Structured+Data+Capture+Initiative DAF Wiki Page: http://wiki.siframework.org/Data+Access+Framework+Homepagehttp://wiki.siframework.org/Data+Access+Framework+Homepage CQF Wiki http://wiki.siframework.org/Clinical+Quality+Framework+Initiativehttp://wiki.siframework.org/Clinical+Quality+Framework+Initiative PHRi Archived Wiki http://wiki.siframework.org/Public+Health+Reporting+Initiativehttp://wiki.siframework.org/Public+Health+Reporting+Initiative Weekly PHTT Meeting Info (Tuesdays): Time: 2:00pm - 3:00pm Eastern URL: https://siframework1.webex.com/https://siframework1.webex.com/ Dial-In Number: 1-650-479-3208 Access Code: 665 131 907