1. esMD PPA Use Case 2 WG Meeting Wednesday, April 4 th, 2012

2. Meeting Etiquette 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. S&I Face-to-Face: Basic Information When: Wednesday 4/11 – Friday 4/13 Where: Alexandria Westin (400 Courthouse Square, Alexandria, VA, 22314) –Public Transportation: King Street Metro (Blue/Yellow Lines) – 3 Blocks Ronald Reagan National Airport (DCA) – 6 miles Booking Accommodations: –The group rate expired at 5pm ET on Monday, April 2nd, 2012 3

4. S&I Face-to-Face: Basic Information 4

5. S&I Face-to-Face Basic Information 5

6. S&I Face-to-Face: esMD Tentative Schedule 6 DateTimeAgenda 4/11 (Wed) 3:00 PM - 6:00 PMPPA Use Case 2 and Structured Content Discussion 4/12 (Thurs) 8:00 AM - 10:00 AMPPA Use Case 2 and Structured Content Discussion 10:30 AM - 12:00 PMPPA Use Case 2 and Structured Content Discussion 1:30 PM - 3:30 PMHarmonization of PPA UC 1 (and UC 2/Structured Content, if applicable) 4:00 PM - 6:00 PMHarmonization of PPA UC 1 (and UC 2/Structured Content, if applicable) 4/13 (Fri) 8:00 AM - 10:00 AMAuthor of Record (HL7 RMES group presentation on current AoR to date) 10:30 AM - 11:00 AM Continue Author of Record (HL7 RMES group presentation on current AoR to date), if necessary Continue discussions from previous sessions, if necessary 11:00 AM – 12:00 PM Presentation from Melanie Combs-Dyer ( Deputy Director, Provider Compliance Group, Office of Financial Management, Centers for Medicare & Medicaid Services)

7. S&I Face-to-Face: Kick-off Session (4/11) Wednesday, 4/11 from 1:00 PM – 2:30 PM ONC Leadership will provide their thoughts on the S&I Framework, Meaningful Use Stage 2, and the status of each S&I Initiative, in addition to plans for the F2F: Farzad Mostashari, MD, ScM (National Coordinator for Health IT) David Muntz, MBA (Principal Deputy National Coordinator) Judy Murphy, RN, FACMI, FHIMSS, FAAN (Deputy National Coordinator for Programs and Policy) Doug Fridsma, M.D., Ph.D. (Director, Office of Standards and Interoperability) 7

8. S&I Face-to-Face: Brown Bag Sessions Thursday, 4/12 from 12:00 PM – 1:30 PM (lunch) Open to anyone who’s interested Each session will run for approximately 30 minutes. Potential topics include: Demo of the S&I Repository/Browser Data Segmentation for Privacy 101 8

9. S&I Face-to-Face: Draft Agenda: All Hands Session (4/13) Friday, 4/13 from 12:30 PM – 3:00 PM Cross Initiative Updates: Recap, current state, and next steps report from each initiative Other items to be covered include: ToC Demonstration Update on Cross-Initiative Coordination efforts Overview of Provider Directories Overview of Mod Specs/Direct efforts Closing thoughts from Dr. Doug Fridsma NOTE: All activities will conclude at 3 pm 9

10. S&I Face-to-Face: Next Steps for Community Members Finalize travel plans if you haven’t already F2F Registration is now closed F2F is entirely in person – no phones or WebEx will be provided. –For esMD, notes will be taken and posted to the wiki at the end of each day. For more information, visit the F2F Wiki or email the F2F planning committee at F2F@siframework.org.F2F Wiki F2F@siframework.org 10

11. Recap of Last Week Added one generic assumption – “It is the responsibility of an Agent or Gateway to ensure reliability and consistency of any transformation of information.” Added one generic precondition – “Providers and Agents will maintain and update current ESI information.” Updated Context Diagrams regarding the CMS and Commercial Payer user stories are now available Reviewed Actors and roles –Changed the “Registration Requestor” actor from Use Case 1 and renamed to “eMDR Consumer” for Use Case 2 Reviewed the Base Flow and Activity Diagram (“swim lanes”) outlining the Interoperability and System steps in the process for sending the eMDR. –Reviewed the Sequence Diagram Began review of Functional Requirements –Completed review of the Information Interchange Requirements table –Started review of the System Requirements

12. Next Steps Today’s agenda –Continue review of the System Requirements Identify additional necessary requirements which may be out of scope for Information Interchange and System Requirements. –Begin working on Dataset Requirements for the Transport of the eMDR –Time permitting Review Issues and Risks section Communities of Interest