S&I Framework Operating Metrics Timing Outputs Participation & Process Framework Launch DateJan 7, 2011 First Initiative Launch DateJan 31, 2011 Elapsed.

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S&I Framework Operating Metrics Timing Outputs Participation & Process Framework Launch DateJan 7, 2011 First Initiative Launch DateJan 31, 2011 Elapsed Time (as-of today) 28 months # Consensus Approved Use Cases16 # Pilots Committed33 # Pilot Vendors42 Total Ballots11 # Total HL7 Ballot Comments Received 3,128 # HL7 Ballot Comments Resolved2,494 # Wiki Registrants2284 # Committed Members707 # Committed Organizations538 # Working Sessions Held1,492 S&I Face to Face meetings3 Standards Organizations engaged 35 SDS Newsletter Subscribers201 As of 5/2/2013 1

S&I Framework Initiatives List Initiative (chronological) Transitions of Care Laboratory Results Interface Provider Directories Certificate Interoperability Query Health Data Segmentation for Privacy Electronic Submission of Medical Documentation Initiative (chronological) Public Health Reporting (Community-led) Longitudinal Coordination of Care Lab Orders Interface Health eDecisions Automate Blue Button Structured Data Capture Prescription Drug Management Program Status Key: Active Maintenance On hold 2

S&I Initiative Portfolio Snapshot Transitions of Care Query Health Pre-DiscoveryUse CaseHarmonizationRI, Test & PilotEvaluation Lab Results Interface Data Segmentation for Privacy esMD Longitudinal Coordination of Care Public Health Reporting Laboratory Orders Interface Direct Project (S&I Archetype) Health eDecisions Blue Button Plus Companion Guide Completed IG/Errata Published, 2014 CEHRT In Progress Pilots Underway, QRDA III Published, HQMF in Comment Reconciliation Pilots in Evaluation, IG in preparation for balloting Community-Led; Consensus for Data Harmonization profiles closed on 1/20/13; community will be meeting on a monthly basis esMD AoR Level 1 IG is now in E2E review; AoR Level 2 UC achieved consensus; IG consensus closed for UC 1, UC 2, and Prov. Dirs. Guidance IG’s LOI IG ballot ended on 1/7/13 and ballot reconciliation conts; Lab pilot efforts include LOI, and eDOS Use Case 1: Knowledge Artifact Sharing Model, Schema and IG was approved by HL7, UC 1 now in Pilots. Use Case 2: CDS Guidance Service achieved consensus Two WGs complete (Payer & Clinical Content); Two WGs (Push & Pull) in progress, at various stages of IG development In production Structure Data Capture Project Charter Consensus complete; Use Case in final review with planned completion in May; Standards Development and Harmonization kicked off 5/2 S&I Initiative Portfolio Snapshot 3 Community-Led initiative; 1st UC Complete; PAS SWG Complete; Created 'Care Plan' Glossary for HITPC & HL7; Use Case 2: Care Plan Exchange is in development. Transition of Care Implementation Guide(s) being developed for HL7 Fall Ballot.

S&I Framework Pilots S&I Pilots website indicates geographically where all pilots are located S&I Pilots website 4

Recent S&I Highlights – SDC 5 Structured Data Capture - SDC The Structured Data Capture (SDC) initiative will develop and validate a standards-based data architecture so that a structured set of data can be accessed from EHRs and be stored for merger with comparable data for other relevant purposes.

6 Structured Data Capture - SDC These include: The electronic Case Report Form (eCRF) used for clinical research including Patient Centered Outcomes Research (PCOR) The Incident Report used for patient safety reporting leveraging AHRQ ‘Common Formats’ The Surveillance Case Report Form used for public health reporting of infectious diseases The collection of patient information used for determination of coverage, as resources permit. Recent S&I Highlights – SDC

7 Structured Data Capture - SDC SDC has launched a "Summer Concert Series" to solicit input from industry on current practices and tends. The schedule includes: PROMIS (April 25) PCORI (May 2) USHIK (May 9) Duke (May 16) CAP (May 23) CDISC/IHE (May 30) CIMI (June 6) Recent S&I Highlights – SDC

Recent S&I Highlights – PHRI 8 Public Health Reporting Initiative The final consensus-based documents have been published on the PHRI website: Public Health Reporting RI Framework PHRI Clinical Document Architecture (CDA) Guide PHRI is collaborating with ONC Initiatives to share with the Structured Data Capture Initiative (SDC) the experiences and lessons learned from the CDA for Public Health Pilot Projects that used Retrieve Form for Data Capture (RFD) as a transport for public health reporting.

9 Direct The development of trust bundle publishing tools is proceeding rapidly. Three pilot communities have signed up to pilot publishing and consumption of trust bundles: Western States Consortium, ABBI, and DirectTrust. Recent S&I Highlights – Direct

10 Laboratory Orders Initiative – LOI 371 of 400 comments resolved. LOI is on track to publish its Implementation Guide (IG) by June 15th. ONC and NIST are working closely together and plan to release the balloted IG and test framework in tandem. Recent S&I Highlights – LOI