Data Provenance Tiger Team April 28 th, 2014 Johnathan Coleman Johnathan Coleman - Initiative Coordinator Bob Yencha Bob Yencha – Subject Matter Expert Ioana Singureanu Ioana Singureanu – Modeling Facilitator Kathleen Connor Kathleen Connor – Subject Matter Expert Neelima ChennamarajaNeelima Chennamaraja - Modeling Facilitator

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Agenda 3 Topic Time Allotted General Announcements & Introductions5 minutes Review of Tiger Team Mission & Scope10 minutes Review Proposed Tasks & HL7 Project Scope Statement 40 minutes Next Steps/Wrap Up5 minutes

General Announcements Tiger Team meets weekly on Mondays from 3:00-4:00 PM ET – Tiger Team wiki Join us for all-hands community meetings weekly on Thursdays from 2:30pm – 3:30pm ET – To subscribe to the Data Provenance calendar, go to this page and follow the instructions for your client – All meeting materials (including this presentation) can be found on the Past Meetings page: – gs gs 4

Data Provenance Tiger Team Mission and Charter Tiger Team Mission and Charter To help achieve Data Provenance Initiative goals, the ONC Data Provenance Tiger Team will: Accelerate the progress of the Initiative by getting a head start on standards harmonization. Support the development of policy agnostic yet policy enabling technical standards that address prioritized initiative use case requirements. 5

Data Provenance Tiger Team Scope Focus on the initial set of standards required for Meaningful Use, and develop provenance-specific guidance and/or technical specifications for the initiative to use as building blocks in support of a more broadly applicable solution. Assist the initiative with detailed analysis of candidate standards for system functional requirements and interoperable exchange of data as directed by the initiative. Propose additional standards development activities to further initiative goals. 6

Tiger Team Initial Targets Develop a content specification for all CDA IGs to enhance Data Provenance support – Building blocks for re-use – Backwards compatible Transport is out of scope for TT, but we will monitor and inform the work as necessary Assume a generic workflow, e.g., Transitions of Care to guide analysis Document the value sets and vocabulary bindings to support provenance-related CDA data element as required by the initiative 7

Data Provenance Tiger Team Approach Tactics Propose development of HL7 “Provenance for Clinical Document Architecture (CDA R2) Documents Implementation Guide” Analyze overlay with C-CDA (and other CDA-based) Templates Assess risks and unintended consequences Assess any modifications required to the XDS Document Entry Metadata 8

Proposed CDA Development Approach Review Provenance relevant classes, associations, and value sets at – Header Level – Section Level StructuredBody Adequacy of NonXML Body provenance at Header Level – Entry / Clinical Statement Level

Proposed CDA Development Approach Develop Provenance Class as Entry Level Observations Augment Entry Provenance per DPROV use case and HL7 EHR Lifespan, Lifecycle, and RM-ES functional requirements Consider adapting Provenance Class patterns from – FHIR Provenance Resource – Order Response EventControlAct – FHIM Provenance Class – DS4P CDA Provenance Constraints

HL7 DATA PROVENANCE PROJECT SCOPE STATEMENT HL7 Data Provenance Project Scope Statement Discussion

Data Provenance Tiger Team Project Scope Statement Approval Process The proposed CDA IG is following the HL7 process: Project Scope Statement [PSS] must be approved by the HL7 US Realm Task Force for appropriateness of WG sponsor, scope, deliverables and timelines, etc. Once approved by HL7 US Realm Task Force, PSS is reviewed and approved by the following: o Sponsoring WG (CBCC) and Co-Sponsoring WGs (Security) These WGs have indicated their support and PSS review is on their call agendas for April 29 o Domain Experts Steering Division during the May 6 th Steering Division meeting at HL7 WGM o TSC call in mid-May 12

Data Provenance Tiger Team Next Steps Review PSSPSS Next Meeting – Monday, May 3:00PM ET – No meeting on Monday, May 5, due to HL7 WWWG meetings 13