1. S&I Provider Directories Initiative Revisions to Initiative Charter July 1, 2011

2. Context (1 of 2) Recent lessons learned require us to modify our Initiative Charter: –Not something we like to do or have done often, but spelled out on the S&I “Processes & Guidelines” wiki page in situations such as this –Guidance: “The Initiative Charters should be updated based on lessons learned during Initiative execution. All updates to the Initiative Charter will be reviewed and accepted by the S&I Steering Team or, for Community Assigned Initiatives, by the Initiative Community of Interest.” Delays in guidance from this initiative will hamper immediate implementations of Direct: –Direct Project Communities of Interest have an urgent and immediate need for common standards for certificate discovery. Because certificate discovery prior to send is a common need it is immediately useful for the community to evaluate experience and make recommendations in this area. 1

3. Context (2 of 2) Standardized content + vocabulary is critical across the spectrum of PD problem domains: –Based on HITSC feedback and early experience in the PD work, the S&I Steering team has concluded that there are multiple contenders for a national strategy for the directory API (LDAP, SOAP + DSML, microdata + search, etc.) and each may have desirable characteristics for particular problem domains (e.g., internal directory, regional directory, national search), but that content and vocabulary standards are likely to be uniform across those domains. –Because of this, the S&I Steering team feels that content and vocabulary standards (that can be mapped to standards like LDAP and microdata) should be the first priority and are the most important use of taxpayer funded resources at this time. We are NOT signaling in any way that other areas are unimportant or unworthy of consideration –In fact, we would encourage the community to get together and explore the other relevant areas within the S&I Framework as Community-driven initiatives. –A community-driven initiative is not facilitated by the S&I Support Team or S&I resources, but rather by the community itself. Community Leads meet weekly with the Initiative Coordinator to provide feedback and updates to share with the S&I Steering Committee. 2

4. Phase 1 Initiative Scope 3 Current Scope of Phase 1 of the Initiative Proposed Scope of Phase 1 of the Initiative Standards for certificate discovery for directed exchange (e.g., DNS, LDAP,…) Scope Narrowed Down: Standards for certificate discovery for Direct Project implementations only – achieve by end of August; facilitated by S&I Support Team Community-driven (i.e., optional): Standards for certificate discovery for other types of directed exchange – timeline driven by community; facilitated by Community Leads The core data set, data model, and schema that are needed to support electronic address discovery Scope Unchanged: The core data set, data model, and schema that are needed to support queries to directories for electronic addresses – achieve by end of August; facilitated by S&I Support Team Standards for electronic address discovery (e.g., LDAP, HPD, X12,...) Community-driven (i.e., optional): Standards for electronic address discovery – timeline driven by community; facilitated by Community Leads

5. Phase 1 Initiative Outcomes 4 Current expected outcomes of Phase 1Proposed outcomes for Phase 1 Healthcare participants can look up digital certificate information and electronic addresses to support routing to the intended recipient More Specific: Healthcare participants can look up digital certificate information (and, optionally, electronic address) to facilitate secure exchange of information through Direct Project Data model that HIEs/PDs can adopt to facilitate data governance, PD instantiation, electronic address queries, etc. SAME – wording slightly refined: Data model that HIEs/PDs can adopt to enable query and response for electronic address, with corollary benefits to data governance, PD instantiation, etc. Standardized query mechanism for PDs that can be adopted by EHRs, HIEs, HISPs and other mediators of exchange Community-driven (i.e., optional) Standardization and simplification of EHR implementations of interfaces to query provider directories Community-driven (i.e., optional)

6. SWG #1 Focus & Next Steps 5 Current SWG #1 FocusNew SWG #1 Focus Developing the use case, conducting standards analysis, and subsequent work related to supporting the discovery of digital certificates when an electronic address is known under a directed exchange framework. Developing the use case, conducting standards analysis, and subsequent work related to supporting the discovery of digital certificates when the Direct address is known. Next Steps: Complete consensus on Query for Digital Certificate Use Case (for directed exchange) Hold-off on additional harmonization work for this Use Case Develop Query for Digital Certificate Use Case for Direct Project, leveraging work done on the Query for Digital Certificate Use Case (for directed exchange) Recruit Direct Project Rules of the Road WG members to share insights in the development of the Use Case and subsequent standards harmonization Determine interest in optional, community-driven outcomes

7. SWG #2 Focus & Next Steps 6 Current SWG #2 FocusNew SWG #2 Focus Focus on developing the use case, conducting standards analysis, and subsequent work related to support the querying of provider directories to discover electronic addresses. Focus on defining the use case and minimum data elements within a provider directory to support such queries for electronic address The work completed by this sub-workgroup will also include defining the minimum data elements within a provider directory to support such queries The community may optionally conduct analysis and pilots to create a set of recommended standards to query provider directories for electronic addresses. Next Steps: Complete current work on the Query for Electronic Address Use Case Ensure data elements are fully addressed in the Use Case and conduct mapping to LDAP and microdata as part of Harmonization process Gauge interest in continuing to explore standards harmonization (and/or other outcomes) through a Community-driven initiative