Data Access Framework All Hands Community Meeting 1 February 10, 2016

2 If you are not speaking, please keep your phone on mute DO NOT place your phone on hold, if you need to take another call or step away, please hang up and dial in again Hold = Elevator Music = Frustrated Speakers and Participants Feel free to use the “Chat” feature for any questions, comments or any items you would like the moderator or participants to know Meeting Etiquette NOTE: This meeting is being recorded and will be archived on the DAF Wikipage, under “Materials”  “Past Meetings” From S&I Framework to Participants: Hi everyone: remember to keep your phone on mute

3 Agenda TopicEstimated Time General Announcements2 minutes Standards Development Organization (SDO) Updates5 minutes DAF Phase 3 Updates15 minutes Next Steps & Questions2 minutes

4 General Announcements  DAF All Hands Community Meeting Our next All Hands meeting is on Wednesday, February 24, 2015 at 12:00 PM (ET). The meeting details can be accessed on the homepage:  DAF Wikipage Please visit the DAF wikipage at any time to access any of our current and past artifacts:

5 SDO Updates HL7 Updates: DAF FHIR IG Updates  DAF FHIR IG 1.1 Update DAF FHIR IG 1.0 was published as part of FHIR DSTU2 and can be accessed here: DAF FHIR IG 1.1 Update Feedback from the HL DAF FHIR Connectathon in Orlando Feedback from vendors implementing Argonaut profiles Incorporate mapping for ONC S&CC 2015 Edition CCDS data elements Revise necessary mappings for ONC S&CC 2014 Edition data elements Timeline for updates Finish updates by first week of March and baseline in FHIR SVN Changes will be tracked using the HL7 FHIR GForge Ticket Tracker and made thru the sponsoring workgroup of Infrastructure and Messaging (InM). Information on InM WG meeting notes and call information can be found here: Current thinking is not to formally ballot the changes for May 2016 but publish the changes and gather feedback from Argonaut, Phase 3 pilots and other vendors through outreach

6 SDO Updates IHE Updates: DAF Document IG  Ongoing Collaboration with the Sequoia Project’s Carequality Query-Based Document Exchange Implementation Guide with the Query Workgroup  Continuing alignment discussions to addressed differences between DAF IG and Care Equality IG; Query Stacks, Error Flows, Details in terms of transactions, Policy vs Technical  Anticipating Change Proposals (CP) for additional long term alignment with Carequality IG  Additional information can be found  Sequoia Project:  Query Workgroup: workgroup/ workgroup/

7  PopMedNet  PopMedNet attended an internal kickoff meeting last week to discuss logistics, timelines, resources, etc.  Next Step: PopMedNet is currently drafting their pilot design document and will present their technical proposal to the All Hands Community on Wednesday, February 24, 2015 at 12:00 PM (ET).  The DAF team in still undergoing discussions and reviewing technical requirements with potential pilot sites:  pSCANNER CDRN  REACHNet CDRN  DataGlider/National Health Data Systems, Inc. Phase 3-Data Access for Research Pilot Update…

8  Phase 3 Functional Requirements (walkthrough of the current spreadsheet)  DAF has developed a draft list of functional requirements to identify the capabilities a system in a role must have in order to enable interoperable exchange of the healthcare data of interest. The functional requirements provide a detailed breakdown of the requirements in terms of the intended functional behaviors of the application.  The draft functional requirements have been developed for capabilities 1-4 and capabilities 5-6 are currently in progress.  The functional requirements will be posted for review once pilots have had a final chance to review and provide feedback. We will review the feedback provided, and if necessary work with the pilots to determine the feasibility of incorporating the feedback. Phase 3-Data Access for Research Pilot Update CONTINUED

9  FHIR Activities  Identify new resource proposals for DAF Phase 3 working with pilots  Timeline being determined by collaborating with FMG  Submit proposals to FMG  Work on the FHIR proposals informally and get them baselined as an IG in the FHIR SVN for pilots to use  Ballot the DAF Phase 3 IG’s in September as part of FHIR DSTU 3 next year  The September ballot will also include changes performed to the DAF Phase 1 FHIR IG currently published. Phase 3-Data Access for Research HL7 Collaboration: Phase 3

NEXT MEETING: Join us on Wednesday, February 24, 2015 at 12:00 PM (ET) for our next All Hands meeting 10 Next Steps

Questions 11

Additional DAF Resources 12

Useful Links DAF Homepage – DAF Initiative Signup – DAF Charter – DAF Standards, Harmonization and Implementation Activities – tion tion DAF HL7 FHIR IG – DAF IHE White Paper – ev1.1_ pdf ev1.1_ pdf 13

DAF Project Team  ONC Sponsor: Farrah Darbouze  S&I & DAF Initiative Coordinator: Johnathan Coleman  Support Team: Project Management: o Jamie Parker o Gayathri Jayawardena Management Support: o Nik Reineke o Swapna Bhatia Technical SME: o Nagesh (Dragon) Bashyam Standards SME: o Brett Marquard o Ed Larsen Privacy and Security SME: o Glen Marshall Standards Development Support: o Angelique Cortez 14

15 SDO Updates DAF Publications  DAF FHIR IG DSTU (HL7) On September 23, 2015, Health Level Seven® International (HL7®) published Release 2 of the HL7 Fast Healthcare Interoperability Resources (FHIR®) Draft Standard for Trial Use (DSTU). Additionally, we are pleased to announce that the DAF FHIR Implementation Guide, a US-realm specific implementation guide, has also been published!! The DAF FHIR IG identifies and recommends standards for the interoperable representation and transmission of data using the notion of a Query Stack which modularizes the various layers of the Data Access Framework.DAF FHIR Implementation Guide  DAF Document Metadata Based Access IG (IHE) On September 24, 2015, the Integrating the Healthcare Enterprise (IHE) Patient Care Coordination (PCC) Technical Committee published The Data Access Framework (DAF) Document Metadata Based Access Implementation Guide. This US National Extension provides requirements and guidance on accessing clinical documents created during clinical workflows. The guide accomplishes this using RESTful resources based on HL7 FHIR® and the more traditional SOAP based IHE Profiles.The Data Access Framework (DAF) Document Metadata Based Access Implementation Guide