Data Access Framework (DAF) All Hands Community Meeting July 13, 2016

Meeting Etiquette 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 = Challenge for Speakers and Participants This meeting is being recorded and will be archived on the DAF Wikipage, under “Materials”  “Past Meetings” Feel free to use the “Chat” feature for any questions, comments or any items you would like the moderator or participants to know ONC Annual Meeting: Committed to Better Health through IT From S&I Framework to Participants: Hi everyone: remember to keep your phone on mute

Agenda ONC Annual Meeting: Committed to Better Health through IT TopicEstimated Time General Announcements5 minutes SDO Updates15 minutes Pilot Updates10 minutes Next Steps & Questions2 minutes

General Announcements DAF All Hands Community Meeting »Our next All Hands meeting will be on Wednesday, July 27, 2016 at 12:00 PM (ET). The meeting details can be accessed on the homepage: DAF Pilot Wikipage »To track the latest Phase 3 pilot activities, please visit: Past Meeting Materials »To access materials and meeting recordings from the All Hands meetings and technical WG calls, please visit: ONC Annual Meeting: Committed to Better Health through IT

Notional Timeline 5 Apr ‘16May ‘16Jun ‘16Jul ‘16Aug ‘16Sept ‘16Oct ‘16Nov ‘16Dec ‘16Jan ‘17Feb ‘17Mar ‘17Mar ‘16 May 8-13 HL7 WGM Sept HL7 WGM Sept FHIR Connectathon 13 Jan HL7 WGM HL7 PSS May 22 Notification of Intent to Ballot July 3 TODAY 7/13 Final Ballot Content August 7 Phase 3-Data Access for Research LPP Design C2-C4 LPP C2-C4 Implementation Evaluation of C5-C6 REACHnet Pilot C2-C4 REACHnet Design C1 REACHnet Implement C1 Develop IG (C1-C4) & update STU 1.1 for September HL7 FHIR Ballot NOTE: HL7's FHIR Standard for Trial Use 3, is currently aiming for a target release by end of REACHnet to follow Lincoln Peak Timeline for development of C2-C4. C5 and C6 are deferred until C1-C4 pilot activities have been sufficiently completed. Ballot Open August 12- September 12 Ballot Open August 12- September 12 Ballot Reconciliation

HL7 Updates DAF HL7 September Ballots In the HL7 September 2016 Ballot cycle, DAF will be submitting two ballots: 1.HL7 FHIR® IG: Data Access Framework (DAF), Release 1 (1st STU Ballot) (PI ID: 1265) »This project aims to create Fast Healthcare Interoperability Resources (FHIR) Profiles for access to discrete ONC 2014/2015 Standards and Certification Criteria data elements as FHIR resource instances. The access will support care delivery and patient access. It is not the intention of this project to create new FHIR resource or content profile if one already exists for the various use cases, but work with resource profile owners if necessary. The project intends to use the defined FHIR security methods along with SMART on FHIR security protocols that are published. »Since the last ballot of this material in 2015MAY, the following changes have been made: This project will: 1.Update existing DAF IG based on feedback from Argonaut 2.Updates to account for FHIR STU3 changes 3.Updated mapping for 2015 CCDS data elements ONC Annual Meeting: Committed to Better Health through IT

HL7 Updates CONTINUED DAF HL7 September Ballots 2.HL7 FHIR® IG: Data Access Framework (DAF) Research, Release 1 (1st Comment- Only Ballot) (PI ID: 1265) »This project aims to create Fast Healthcare Interoperability Resources (FHIR) Profiles built on top of the DAF core profiles. The access will be for both care delivery and for research purposes. It is not the intention of this project to create new FHIR resource or content profile if one already exists for the various use cases, but work with resource profile owners if necessary. The project intends to use the defined FHIR security methods along with SMART on FHIR security protocols that are published. »Since the last ballot of DAF in 2015MAY, the following changes have been made: This project will: 1.Propose new resources or modifications to resources to enable Researcher’s access to data. 2.Add constraints to DAF core to support research requirements ONC Annual Meeting: Committed to Better Health through IT

HL7 Updates CONTINUED DAF HL7 September Ballots »DAF Project Scope Statement (PSS) –Approved on 5/30 as a formal project with FHIR Infrastructure WG (primary sponsor) Awaiting co-sponsorship/ interested party by RCRIM and InM WGs –US Realm Board Committee approved DAF PSS on 6/7 –FHIR Management Group approved and split the DAF PSS into two ballots 6/15 –Awaiting approval from TSC and FTSD »HL7 September Deadlines –Notice of Intent to Ballot (NIB) submitted 6/28 –Ballot Consensus Group opened: 7/11- 8/12 –Ballot Voting and Comments: 8/12- 9/ ONC Annual Meeting: Committed to Better Health through IT

HL7 Updates CONTINUED DAF HL7 September Ballots Community Based Collaborative Care and Structured Documents Work Groups: HL7 Cross-Paradigm Implementation Guide: Behavioral Health Data Exchange, Release 1 - US Realm (PI ID: 800); Requesting alternate ballot title "Cross- Paradigm Behavioral Health Data Exchange Implementation Guidance, Release 1 - US Realm" (1st Informative Ballot) »This cross-paradigm implementation guide is intended to support implementers and enable Behavioral Health EHRs to exchange standard based messages, documents, and resources with other EHR systems using HL7 Meaningful Use IGs (e.g. CDA R2 C-CDA 2.1 IG, Hl7 Version 2 LRI) and emerging IGs (e.g. FHIR Data Access Framework – DAF) ONC Annual Meeting: Committed to Better Health through IT

HL7 Updates CONTINUED Preparing for DAF HL7 September Ballot Cycle »HL7 September Ballot Cycle Pool Sign-up Fast Approaching –With ballot submissions underway, we ask any community members that are also current HL7 members to please sign-up for the DAF consensus or review group for the September 2016 Ballot Cycle starting Monday July 11 th through Thursday, August 11 th –NOTE: This deadline also applies to non-members who wish to sign up for non- member participation in a ballot cycle »Please sign up on the HL7 Ballot Desktop: »Ballot instructions can be found at: »Voting and comments are open during the ballot comment period from August 12th to September 12th ONC Annual Meeting: Committed to Better Health through IT

HL7 Updates CONTINUED HL7 30th Annual Plenary and Working Group Meeting (Baltimore, MD): »Monday, September 18 through Friday, September 22, 2016 »For more information on the meeting visit: FHIR Connectathon 13 (Baltimore, MD) »Saturday, September 17 through Sunday, September 18, 2016 »DAF submitted a track proposal to test during the Connectathon. We encourage everyone to test DAF at the HL7 Connectathon »For more information on Connectathon tracks and proposals: s s »To register for Connectathon (in the main meeting registration select FHIR Connectathon): ONC Annual Meeting: Committed to Better Health through IT 11

IHE Updates IHE Trial Implementation and Issuance (Oakbrook, IL) »Meeting is the final in the IHE process, after successful voting, work items will be posted to each groups Technical Framework »Meeting is from Monday, July 18 through Friday, July 22, 2016: ONC Annual Meeting: Committed to Better Health through IT 12

Pilot Update: Lincoln Peak C2: Standardize Metadata »Completed –Draft structure of the C2 JSON resource »In-Progress –Team trying to finalize Quality, Provenance and Governance structures in the C2 JSON C3: Standardize Query Distribution »Completed –Draft structure of the C3 JSON resource –Sample scenario walk through using proposed JSON and RESTful endpoints »In-Progress –Implementation pending final JSON structure review with FHIR experts C4: Standardize Query Aggregate Results »Completed –Draft structure of the C4 JSON resource –Sample scenario walk through using proposed JSON and RESTful endpoints »In-Progress –Implementation pending final JSON structure review with FHIR experts Next Steps »Finalize Quality, Provenance and Governance structures in the C2 JSON »Final JSON structure review with FHIR experts for C3 & C ONC Annual Meeting: Committed to Better Health through IT

Pilot Update: REACHnet Completed »Scheduling, resource mapping changes –Enhancements to scheduler implementation for incremental data load into CDM Data-Mart from the FHIR client. –Scheduler implementation on the Data-Source side to perform full load or incremental load. –Revisions to previously implemented resources as result of mappings revisions arising out of discussions with HL7. –End to End C1 process validation for all mapped resources. In-Progress »Bug fixing, security, meta-data resources and task resource –Fixing issues found during End to End C1 testing. –Basic security implementation for Data-Source FHIR REST endpoint. –Task resource implementation on the Data-Source and the Data-Mart client side. –Meta-data resource value-set identification for finalized basic meta-data resources ONC Annual Meeting: Committed to Better Health through IT

Questions ONC Annual Meeting: Committed to Better Health through IT

Next Steps Upcoming Meetings »Pilot TWG 2 (C2-C4): Monday, July 18, 2016 at 11:00 AM (ET) »Pilot TWG 1 (C1): Wednesday, July 20, 2016 at 10:00 AM (ET) »DAF/HL7 FHIR WG: Thursday, July 21, 2016 at 1:00 PM (ET) »All Hands Community Call: Wednesday, July 27, 2016 at 12:00 PM (ET) ONC Annual Meeting: Committed to Better Health through IT

DAF Support Team ONC Sponsor: »Farrah Darbouze S&I & DAF Initiative Coordinator: »Johnathan Coleman Support Team: »Project Management: –Jamie Parker –Gayathri Jayawardena »Project Support: –Nik Reineke –Swapna Bhatia »Technical SME: –Nagesh (Dragon) Bashyam »Standards SME: –Brett Marquard –Ed Larsen »Software Developer: –Douglas Harley »Privacy and Security SME: –Glen Marshall »Standards Development Support: –Angelique Cortez ONC Annual Meeting: Committed to Better Health through IT

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 »On October 24, 2014, the IHE Patient Care Coordination (PCC) domain published the DAF White Paper, A Data Access Framework Using IHE Profiles as a resource artifact under the IHE technical framework resources.A Data Access Framework Using IHE Profiles ONC Annual Meeting: Committed to Better Health through IT

Useful Links DAF Wiki Homepage: epage DAF Initiative Signup: the+Initiative DAF Past Meetings: ng+Artifacts