1. 0 HITSP Technical Committee 2008 Project Plans Arlington, VA. March 2008 HITSP Project Template for Defining Technical Committee 2008 Project Plans Contract HHSP23320054103EC NOTE: This template may be used the HITSP TCs to summarize the results of their 2008 project planning during the March 24-26 TC Face to Face meeting. The resulting information may be incorporated into the TC presentations to the Panel as appropriate NOTE: This document is TEMPLATE only. The content has not yet been validated by the HITSP TC Facilitators.

2. 1 HITSP Technical Committee 2008 Project Plans Outline Overview Provider TC Project Plan Consumer TC Project Plan Population TC Project Plan Security, Privacy and Infrastructure TC Project Plan Care Management and Health Records TC Project Plan Administrative and Finance TC Project Plan

3. 2 HITSP Technical Committee 2008 Project Plans HITSP 2008 TC Project Plan Overview TC2008 Use Case Work2006/2007 Carry-over Work Provider Consultations and Transfer of Care Personalized Healthcare IS01 EHR Lab Results IS04 EHR Emergency Responder Consumer Remote Monitoring Patient Provider Secure Messaging IS03 Consumer Access via Media IS05 Consumer Access via Network Population Public Health Case Reporting Immunization and Response Management IS02 Biosurveillance IS06 Quality Security, Privacy & Infrastructure TBD TN900 Security and Privacy and 19 existing constructs (see next page) Care Mgmnt & Health Records TBD 16 existing constructs (see next page) Administrative and Finance TBD 3 existing constructs (see next page)

4. 3 HITSP Technical Committee 2008 Project Plans Domain TC Existing Constructs C35 - Lab Result Terminology C36 - Lab Result Message C37 - Lab Report Document T18 - View Lab Result From Web App TP14 - Send Lab Result Message C39 - Encounter Message C41 - Radiology Result Message TP49 - Sharing Radiology Results C48 - Encounter Document C32 - Summary Docs Using CCD C28 - Emergency Care Summary Document C34 - Patient Level Quality Data Message C38 - Patient Level Quality Data Document T42 - Medication Dispensing Status TP43 - Medication Orders C19 - Entity Identity Assertion C25 - Anonymize C26 - Nonrepudiation of Origin T15 - Collect and Comm Security Audit Trail T16 - Consistent Time T17 - Secured Communication Channel T24 - Pseudonymize TP20 - Access Control TP30 - Manage Consent Directives C44 - Secure Web Connection T29 - Notification of Document Availability T31 - Document Reliable Interchange T23 - Patient Demographics Query T33 - Transfer of Documents on Media TP13 - Manage Sharing of Documents TP21 - Query for Existing Data TP22 - Patient ID Cross-Referencing TP50 - Retrieve Form for Data Capture C47 - Resource Utilization T40 - Patient Eligibility Verification TP46 - Medication Formulary and Benefits Information Security Privacy & InfrastructureCare Management & Health RecordsAdministrative & Finance

5. 4 HITSP Technical Committee 2008 Project Plans MAR HITSP 2008 TC Timeline Overview 6/16/08 HITSP Board 3/24 – 3/26 TC F2F DC Area 3/27/08 HITSP Panel WE ARE HERE 2008 Use Cases v 1.0 MAYJUNEJULYAUGSEPTOCTNOVDECAPR 5/12 – 5/14 TC F2F TBD 6/11 – 6/13 TC F2F DC Area 9/8 – 9/10 TC F2F TBD 10/28 – 10/30 TC F2F Chicago 10/6/08 HITSP Panel 9/29/08 HITSP Board 12/2/08 HITSP Board 12/8/08 HITSP Panel 6/23/08 HITSP Panel 2008 Use Cases 2006/2007 Carryover Work RDSS Comment Comment Res IS Development Comment Plan Subject to change based on TC Project Plan TBD Based on TC Project Plan IS01, IS02, IS03, IS04, IS05, IS06, IS07 Gaps and Overlaps NHIN Coordination, Implementation Testing Support, Education and Outreach Other

6. 5 HITSP Technical Committee 2008 Project Plans Outline Overview Provider TC Project Plan Consumer TC Project Plan Population TC Project Plan Security, Privacy and Infrastructure TC Project Plan Care Management and Health Records TC Project Plan Administrative and Finance TC Project Plan

7. 6 HITSP Technical Committee 2008 Project Plans Provider TC Plan – 2008 Consultations and Transfers of Care Use Case Use Case Description –

8. 7 HITSP Technical Committee 2008 Project Plans Provider TC Plan – 2008 Consultations and Transfers of Care Use Case Proposed Approach –Scope for 2008 –Opportunities for Reuse etc.… –Domain TC Support Required

9. 8 HITSP Technical Committee 2008 Project Plans Provider TC Plan – 2008 Consultations and Transfers of Care Use Case Proposed Timeline (Key Milestones) – TaskTimeline Requirements Design and Standards Selection (RDSS) March – June 2008 Interoperability Specification (IS) and Associated Construct Development July – September 2008 Comment Period, Resolution and Panel Approval October – December 2008

10. 9 HITSP Technical Committee 2008 Project Plans Provider TC Plan – 2008 Personalized Health Care Use Case Use Case Description –

11. 10 HITSP Technical Committee 2008 Project Plans Proposed Approach –Scope for 2008 –Opportunities for Reuse etc.… –Domain TC Support Required Provider TC Plan – 2008 Personalized Health Care Use Case

12. 11 HITSP Technical Committee 2008 Project Plans Proposed Timeline (Key Milestones) – TaskTimeline Requirements Design and Standards Selection (RDSS) March – June 2008 Interoperability Specification (IS) and Associated Construct Development July – September 2008 Comment Period, Resolution and Panel Approval October – December 2008 Provider TC Plan – 2008 Personalized Health Care Use Case

13. 12 HITSP Technical Committee 2008 Project Plans IS01 EHR Lab Results –Completing updates to IS01 to incorporate Security and Privacy constructs and to move to new template Impact IS01, C44, T18, TP14 Panel approval expected in March/April 2008 –Update to TP14 to …..(is this Provider TC or a Domain TC?) Provider TC Plan – 2006/2007 Carryover Work

14. 13 HITSP Technical Committee 2008 Project Plans IS04 EHR Emergency Responder Gaps and Overlaps to Address in 2008 –Incident/Victim Identifier (Frank Kiernan) –Common Approaches to Delivering Incident Information (David Aylward) –Standardized List of Incident Types (David Aylward) –Situational Awareness Reporting (Denis Gusty/Tim Grapes) –Emergency Contact Registry (ECON) (Larry Williams) –Patient Information and Tracking Data Vocabulary/ Terminology Harmonization (N. Clay Mann) –Patient Information and Tracking Messaging and Document Sharing (Tim Grapes and N. Clay Mann) –Nursing Terminology Overlap (Virginia Saba, Karen Martin) Provider TC Plan – 2006/2007 Carryover Work

15. 14 HITSP Technical Committee 2008 Project Plans IS04 EHR Emergency Responder Gaps and Overlaps to Monitor –Decision Support Tools –Core Services Monitor and Coordinate All Projects –Creation of Inter-Agency Emergency Medical Awareness and Response Work Group (EMAR) –Project Lead: Greg Mears Provider TC Plan – 2006/2007 Carryover Work

16. 15 HITSP Technical Committee 2008 Project Plans IS07 Medication Management Gaps –Drug knowledge supplier information exchange –Electronic prescribing for controlled substances –Implanted medication infusion devices terminology –NCPDP SCRIPT 10.1 use of FMT coded fields for Drug Form, Drug Strength and Drug Unit of Measure –Inability of all medication prescribers to obtain a NPI –Drug identifiers based on usage Monitor Foundations Committee –Routing of the ASC X12 270/271 messages (Cross TC?) –Medication Expiration Date not included in the HL7 CCD; Description of C32 Fill Status vocabulary Refer to Care Management and Health Records TC Provider TC Plan – 2006/2007 Carryover Work

17. 16 HITSP Technical Committee 2008 Project Plans IS07 Medication Management Overlaps –NCPDP SCRIPT 10.1 and HL7 Version 2.5/2.5.1 Pharmacy/Treatment Orders used in HITSP/TP43 – Medication orders Monitor Foundations Committee –ASC X12 Insurance Subcommittee X12N Implementation Guides Version 0040010 plus Addenda 004010A1 and NCPDP Telecommunication Standard Implementation Guide Version D.0 Eligibility Verification Transaction used in HITSP/TP46 Monitor Foundations Committee –CAQH CORE Phase 1 Operation Rules and HITSP/T17 Secured Communication Channel used in HITSP/T40 Refer to SP&I TC Provider TC Plan – 2006/2007 Carryover Work

18. 17 HITSP Technical Committee 2008 Project Plans Outline Overview Provider TC Project Plan Consumer TC Project Plan Population TC Project Plan Security, Privacy and Infrastructure TC Project Plan Care Management and Health Records TC Project Plan Administrative and Finance TC Project Plan

19. 18 HITSP Technical Committee 2008 Project Plans Consumer TC Plan – 2008 Remote Monitoring Use Case Use Case Description –

20. 19 HITSP Technical Committee 2008 Project Plans Consumer TC Plan – 2008 Remote Monitoring Use Case Proposed Approach –Scope for 2008 –Opportunities for Reuse etc.… –Domain TC Support Required

21. 20 HITSP Technical Committee 2008 Project Plans Consumer TC Plan – 2008 Remote Monitoring Use Case Proposed Timeline (Key Milestones) – TaskTimeline Requirements Design and Standards Selection (RDSS) March – June 2008 Interoperability Specification (IS) and Associated Construct Development July – September 2008 Comment Period, Resolution and Panel Approval October – December 2008

22. 21 HITSP Technical Committee 2008 Project Plans Consumer TC Plan – 2008 Patient Provider Secure Messaging Use Case Use Case Description –

23. 22 HITSP Technical Committee 2008 Project Plans Proposed Approach –Scope for 2008 –Opportunities for Reuse etc.… –Domain TC Support Required Consumer TC Plan – 2008 Patient Provider Secure Messaging Use Case

24. 23 HITSP Technical Committee 2008 Project Plans Proposed Timeline (Key Milestones) – TaskTimeline Requirements Design and Standards Selection (RDSS) March – June 2008 Interoperability Specification (IS) and Associated Construct Development July – September 2008 Comment Period, Resolution and Panel Approval October – December 2008 Consumer TC Plan – 2008 Patient Provider Secure Messaging Use Case

25. 24 HITSP Technical Committee 2008 Project Plans Gaps and Overlaps to Address in 2008 –Provider Role in Registration Data –Consumer Friendly Presentation of Consumer Information –PHR Portability – Network based Transfer of PHR Content –Advance Directives (Scanned Document Content) New construct to be addressed by Care Management and Health Records TC Consumer TC Plan – 2006/2007 Carryover Work

26. 25 HITSP Technical Committee 2008 Project Plans Gaps and Overlaps – Dependent on SP&I TC –Permission Lists for PHR Portability –Distributed Management of Access Control –Audit Logs/Disclosure Logs –PHR Location Gaps and Overlaps to Monitor –Dose Calculation in Medication Data Requires SDO work – not planned for 2008 –Provider Lists Dependent on access to NPPES list maintained by CMS. Consumer TC Plan – 2006/2007 Carryover Work

27. 26 HITSP Technical Committee 2008 Project Plans Outline Overview Provider TC Project Plan Consumer TC Project Plan Population TC Project Plan Security, Privacy and Infrastructure TC Project Plan Care Management and Health Records TC Project Plan Administrative and Finance TC Project Plan

28. 27 HITSP Technical Committee 2008 Project Plans Population TC Plan – 2008 Public Health Case Reporting Use Case Use Case Description –

29. 28 HITSP Technical Committee 2008 Project Plans Proposed Approach –Scope for 2008 –Opportunities for Reuse etc.… –Domain TC Support Required Population TC Plan – 2008 Public Health Case Reporting Use Case

30. 29 HITSP Technical Committee 2008 Project Plans Proposed Timeline (Key Milestones) – TaskTimeline Requirements Design and Standards Selection (RDSS) March – June 2008 Interoperability Specification (IS) and Associated Construct Development July – September 2008 Comment Period, Resolution and Panel Approval October – December 2008 Population TC Plan – 2008 Public Health Case Reporting Use Case

31. 30 HITSP Technical Committee 2008 Project Plans Use Case Description – Population TC Plan – 2008 Immunization and Response Management Use Case

32. 31 HITSP Technical Committee 2008 Project Plans Proposed Approach –Scope for 2008 –Opportunities for Reuse etc.… –Domain TC Support Required Population TC Plan – 2008 Immunization and Response Management Use Case

33. 32 HITSP Technical Committee 2008 Project Plans Proposed Timeline (Key Milestones) – TaskTimeline Requirements Design and Standards Selection (RDSS) March – June 2008 Interoperability Specification (IS) and Associated Construct Development July – September 2008 Comment Period, Resolution and Panel Approval October – December 2008 Population TC Plan – 2008 Immunization and Response Management Use Case

34. 33 HITSP Technical Committee 2008 Project Plans IS02 Biosurveillance Gaps and Overlaps to Address in 2008 –Work Plan TBD IS06 Quality Gaps and Overlaps to Address in 2008 –Verification Case Review (Message Component and Document Component) If QRDA is complete – Work with Care Management and Health Records TC to update for 2008 Population TC Plan – 2006/2007 Carryover Work

35. 34 HITSP Technical Committee 2008 Project Plans IS06 Quality Gaps and Overlaps to Monitor for 2009 –Measurement Criteria (Message Component and Document Component) Follow IHE QRPH required valueset contents for two measures; White paper this year; Oct 2008 Profile proposal; Work with HL7 regarding this and care plan –Validation and Data Quality Checking Component Work with Admin and Finance TC for evaluation –Quality Measurement (Message Component and Document Component) –Derived Information Component Part of CDS; Work with Care Management and Health Records TC for Knowledge Representation Population TC Plan – 2006/2007 Carryover Work

36. 35 HITSP Technical Committee 2008 Project Plans Outline Overview Provider TC Project Plan Consumer TC Project Plan Population TC Project Plan Security, Privacy and Infrastructure TC Project Plan Care Management and Health Records TC Project Plan Administrative and Finance TC Project Plan

37. 36 HITSP Technical Committee 2008 Project Plans Maintenance of Existing S&P Constructs and TN900 –TP30 – Manage Consent Directives Evaluate the need to disaggregate the current transaction package structure into more granular transactions and component standards (March 2008) – TP20 – Access Control Evaluate the existing access control construct and incorporate new changes, as needed (May 2008) –Identity Credentials Management Work Group Identify issues related to identify credentials affecting HIE and interoperability; prioritize scope of work, define a framework and a roadmap for addressing issue; develop recommendations Security Privacy and Infrastructure TC Plan

38. 37 HITSP Technical Committee 2008 Project Plans New and Updated Constructs to Support 2006/2007 Use Case Gaps and Overlaps –Provider TC Referrals Lab Message Document Digital Signature for Medications Management –Consumer TC Referrals PHR Location –Population TC Referrals Security Privacy and Infrastructure TC Plan

39. 38 HITSP Technical Committee 2008 Project Plans New and Updated Constructs to Support 2008 Use Cases –Provider TC Referrals –Consumer TC Referrals –Population TC Referrals Security Privacy and Infrastructure TC Plan

40. 39 HITSP Technical Committee 2008 Project Plans Outline Overview Provider TC Project Plan Consumer TC Project Plan Population TC Project Plan Security, Privacy and Infrastructure TC Project Plan Care Management and Health Records TC Project Plan Administrative and Finance TC Project Plan

41. 40 HITSP Technical Committee 2008 Project Plans New and Updated Constructs to Support 2006/2007 Use Case Gaps and Overlaps –Provider TC Referrals C32 …Medication Management –Consumer TC Referrals Scanned Document Content Insert Name of Other Constructs from Consumer Project Plan> –Population TC Referrals Care Management and Health Records TC Plan

42. 41 HITSP Technical Committee 2008 Project Plans New and Updated Constructs to Support 2008 Use Cases –Provider TC Referrals –Consumer TC Referrals –Population TC Referrals Care Management and Health Records TC Plan

43. 42 HITSP Technical Committee 2008 Project Plans Outline Overview Provider TC Project Plan Consumer TC Project Plan Population TC Project Plan Security, Privacy and Infrastructure TC Project Plan Care Management and Health Records TC Project Plan Administrative and Finance TC Project Plan

44. 43 HITSP Technical Committee 2008 Project Plans New and Updated Constructs to Support 2006/2007 Use Case Gaps and Overlaps –Provider TC Referrals –Consumer TC Referrals –Population TC Referrals Administrative and Finance TC Plan

45. 44 HITSP Technical Committee 2008 Project Plans New and Updated Constructs to Support 2008 Use Cases –Provider TC Referrals –Consumer TC Referrals –Population TC Referrals Administrative and Finance TC Plan