1. Agenda  Planning Update status OHSU and Epic discussion Workflow design meetings  Implementation & Testing – Status Review progress against work plan Oregon EHDI receiving CDA NHS results document  Next Steps Complete upgrade for Orion Rhapsody Configure Rhapsody for parsing of NHS CDA Develop NHS form and NHS Report CDA document Test implementation with partners

2. Health Information Exchange Infrastructure Oregon - EHDI Reporting Design (April 2013) Form Manager Form Receiver Content Creator Form Filler 1. Request Form 2. Pre-population data 3. Prepopulated NHS Form 4. Populated NHS Form 5. NHS report data CDA-based Actor Diagram using actors from IHE Retrieve Form for Data (RFD) and Cross-enterprise Document Reliable Interchange (XDR) Content Consumer Epic 2012 (OHSU) TEST HARNESS State Public Health Electronic Health Record System Care Provider Oregon EHDI Information System (locally developed, based on Filemaker) EHDI Gateway (Orion Rhapsody) Newborn Hearing Screening CDA Document Continuity of Care Document (CCD) (pre-population data) OZ Systems

3. Health Information Exchange Infrastructure Oregon - EHDI Reporting Design (July 2013) Form Manager Form Receiver Content Creator Form Filler 1. Request Form 2. Pre-population data 3. Prepopulated NHS Form 4. Populated NHS Form 5. NHS report data CDA-based Actor Diagram using actors from IHE Retrieve Form for Data (RFD) and Cross-enterprise Document Reliable Interchange (XDR) Content Consumer OHSU (Epic 2012) State Public Health Electronic Health Record System Care Provider Oregon EHDI Information System (locally developed, based on Filemaker) EHDI Gateway (Orion Rhapsody) Newborn Hearing Screening CDA Document Continuity of Care Document (CCD) (pre-population data) OZ Systems

4. Oregon – Alternate EHDI Reporting Design CDA-based Actor Diagram using actors from IHE Cross-enterprise Document Reliable Interchange (XDR) Content Consumer Epic 2012 (OHSU) State Public Health Electronic Health Record System Care Provider Oregon EHDI Information System (locally developed, based on Filemaker) EHDI Gateway (Orion Rhapsody) Continuity of Care Document (CCD) (adding hearing screening results data) Content Creator