1. S&I Public Health * We will start the meeting 3 min after the hour May 12 th, 2015

2. 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. Logistics As a reminder, please mute your phone when you are not talking to the group. When speaking, please say your name before making your comment. You can ask questions by unmuting or by using the “Chat” feature on the web meeting. To find the “Chat” feature, look for the “Chat” bubble at the top of the meeting window. From S&I Framework to Participants: Could you please explain how the terminologies are used in this instance? All Panelists CQF Wiki: cqframework.info 3 Send your “chat” to All Panelists in order to ensure the comments are addressed publicly. This meeting is being recorded. Should you need to take another call, please leave the meeting and rejoin (i.e., please do not put the meeting line on hold).

4. 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 CDC Project Coordinator: Julie Lipstein CTR (iii7@cdc.gov)iii7@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 EasternMailbox: Interoperability@cdc.govInteroperability@cdc.gov URL: https://siframework1.webex.com/https://siframework1.webex.com/ Dial-In Number: 1-650-479-3208 Access Code: 667 552 050

5. Announcements Updates –NPRM Stage 3 Released and available for comment more information at http://www.cdc.gov/ehrmeaningfuluse/index.html http://www.cdc.gov/ehrmeaningfuluse/index.html –NO PHTT Meeting next week May 19 Next PHTT will be May 26 –PHTT Education Meetings No more Weds meetings Topics for future sessions send to interoperability@cdc.govinteroperability@cdc.gov

6. Structured Data Capture (SDC) –FHIR Profile IG: May 2015 DSTU Ballot closed on Monday, May 4th –Ballot reached quorum, but not approval - once comment reconciliation begins we will start to work on changing negative votes to affirmatives and getting approval »38 Affirmative Votes; »67 Negative Votes; »72 Abstentions –Total number of comments will be finalized after the WGM once duplicates are marked and some comments get sent up to FHIR Core or from FHIR Core to the SDC Profile

7. Data Access Framework Use Case 3- Federated Queries –The DAF internal team continued outlining the pre-discovery phase for the UC3 The DAF FHIR IG DSTU. The ballot period has ended and the final results are as follows: –Vote: 47 Affirmatives; 59 Negatives; 74 Abstains; 38 Non-Votes –Approximately ~230 comments by ~20 unique commenters DAF ballot participation compared to the overall FHIR DSTU 2 ballot: –Vote: 57 Affirmatives; 90 Negatives; 60 Abstains; 54 Non -Votes The next step is to begin preliminary ballot reconciliation at the Paris WGM then continue in InM workgroup meeting calls, which we will be sure to notify the community of before they begin.

8. Data Provenance System Requirements: –Reviewed the Candidate Standards list that we developed on the last Community call –Defined what is means to “change” data –Discussed security implications as they relate to the system requirements

9. Clinical Quality Framework Risks Harmonization with additional standards (e.g., SDC, HL7 FHIR, CIMI, DAF) may require additional time to implement. Continued dependence on FHIR artifacts and deadlines.

10. Current State of PHTT More of a distributor of information (from S&I, Meaningful Use, Education Series) Original intent was to have working groups to help develop tools to be utilized –Limitation: don’t have resources to do this –Fear: if opportunities do come up we don’t have our priorities lined up

11. Current State of PHTT More of a distributor of information (from S&I, Meaningful Use, Education Series) Original intent was to have working groups to help develop tools to be utilized –Limitation: don’t have resources to do this –Fear: if opportunities do come up we don’t have our priorities lined up

12. The balloting process? Would the group like to have a presentation on the balloting process for standards development organizations (SDOs) – HL7, HIE, CDISC?

13. Potential Updates The Public Health Community Platform –Soon? –Wait until after PHCP representatives have compiled results from their RFI? –RFI discussion? FHIR –Would you be interested in more detail on the voting and comments on the FHIR specification?

14. Our place in a unified public health vision Is this in our scope? Do we have the right people? Are there organizations, or representatives of organizations that should be involved?

15. Vocabularies Many public health projects use PHIN-VADS SDC projects are using NLM Where would a public health SDC project use as a repository for vocabularies? Why?

16. PHRI PHRI produced a number of “deliverables” What there an understanding that those would then subsequently be used by one or more other projects? Does anyone have details?

17. Other topics? Open discussion