Agenda TopicEstimated Time White Paper Update10-15 minutes Candidate Standards Analysis (MHD, FHIR, Standards Spreadsheet) 30 minutes Next Week (Direct as a candidate) 1

Notional Project Timeline CONTINUED S&I Lifecycle (Discovery  Pilot & Evaluation) Today 3/5 February May Signifies milestone or deliverable March AprilJune Define Use Case & Functional Requirements Define Use Case & Functional Requirements Discovery (Use Case 2) UC 2 Consensus (2/5) Draft DAF/IHE White Paper Complete (2/28) DAF/IHE White Paper Published January 2014 UC 2: Targeted Data Access: Inter- Organizational Query Implementation (DAF/IHE Community) DAF IHE/ S&I Joint Work Group IHE Activities Publish DAF/IHE White Paper IG Consensus Implementation (S&I Community) Candidate Standards Analysis TWG 1: Document Metadata based access for LDAF & TDAF Finalize Actors + Transactions + Technology Stacks and Standards Create IG’s based on existing standards Create SWG to modify/add standards as necessary Update IG’s based on SWG output Candidate Standards Analysis Finalize Actors + Transactions + Technology Stacks and Standards Create SWG to profile standards for data element access TWG 2: Data Element based access for LDAF & TDAF White Paper Comment Period

3 DAF Technical Work Group Abstract Model

4 Transactions/Queries Required for DAF Find Document(s) based on Patient Identifiers Find Document(s) based on Patient Demographics Get Document(s) based on Document Identifiers Get Document(s) based on Patient Identifiers Get Document(s) based on Patient Demographics Get Document(s) for Multiple Patients based on Patient Ids Supply and Consume User Assertions Capture Patient Consent Find Patient Identifiers based on Patient Demographics Find Patient Demographics based on Patient Id DAF Queries for Document Metadata Based Access

Document Metadata based Access using FHIR - Analysis 5 FHIR Client FHIR Server XDS Repository FHIR Repository Other Repository Query Results

Document Metadata based Access using FHIR – Analysis Cont’d 6 Document Handling Resources Document Reference (Reference to existing XDS or other documents) Document Reference Document Manifest (Collection of Document References) Document Manifest Composition (To compose documents) Composition Bundles and Tags (To provide list of documents, security labels and metadata using tags) Bundles and Tags

Document Metadata based Access using FHIR – Analysis Cont’d 7 Adoption of FHIR for DAF will require at a minimum Creation of a Profile or use the existing FHIR XDS profile for Document access using Document Reference and Document Manifest FHIR XDS profile will have to be analyzed to determine how well it maps to existing XDS infrastructure Create a Profile for using the Document Composition resource as appropriate

Document Metadata based Access using MHD – Analysis 8 MHD profile supports the following transactions which are relevant to DAF Get Document Dossier – This transaction is used to get the metadata related to a particular Document Entry. Find Document Dossiers – This transaction is used to provide parameterized queries that result in a list of Document Entries. Get Document – This transaction is used to get a single document.

Document Metadata based Access using MHD – Analysis Cont’d 9 IHE is planning to align MHD to FHIR this year So the existing MHD profile is expected to change and be more aligned with FHIR Need to determine path forward in terms of MHD and FHIR and their potential alignment Will be having more discussions on this topic to understand timelines/alignment objectives and other aspects

Candidate Standards Spreadsheet 10 Discussion of Standards Spreadsheet.

Next Steps Attend our next All Hands call on Wednesday, March 12 th, at 12:00 pm (EST) where we will discuss: ‾Analyze candidate standards and their maturity for DAF Document Metadata based access ‾Discussion of Direct for DAF Document Metadata based access ‾Document and publish Candidate Standards spreadsheet for community access as a Google Spreadsheet 11

Document Metadata Based DAF Queries to IHE Profiles Mapping (Initial Version) 12 Transactions/Queries required for DAF TransportLDAFTDAFFDAF Find Patient Identifiers for Patient Demographics SOAP PIX/PDQv3PIX/PDQv3 - ITI 45, ITI 47 PIX/PDQv3PIX/PDQv3 - ITI 45, ITI 47 XCPDXCPD – ITI55 XCPDXCPD – ITI55 REST GAP (In progress in IHE) Find Document(s) based on Patient Identifiers SOAPXDSXDS – ITI 18 XDSXDS – ITI 18 XCAXCA - ITI 38 XCAXCA - ITI 38 RESTMHDMHD – ITI 66, ITI 67?? Find Document(s) based on Patient Demographics SOAPGAP RESTGAP Get Document(s) based on Document Identifiers SOAPXDSXDS – ITI 43 XDSXDS – ITI 43 XCAXCA - ITI 39 XCAXCA - ITI 39 RESTMHDMHD – ITI 68?? Supply and Consume User Assertions to support security aspects of the query SOAP XUAXUA – ITI 40 BPPC XUAXUA – ITI 40 BPPC XUAXUA – ITI 40 BPPC RESTIUAIUA - ITI Y1, ITI Y3IUAIUA - ITI Y1, ITI Y3IUAIUA - ITI Y1, ITI Y3

Questions 13

Initiative Support Leads For questions, please feel free to contact your support leads: – Initiative Coordinator: John Feikema – ONC Sponsors: Mera Choi – Support Team: Project Management: – Gayathri Jayawardena Technical Support: – Dragon (Nagesh) Bashyam Use Case Development: – Presha Patel – Hema Patel Standards Support: – Angelique Cortez Vocabulary and Terminology Subject Matter Expert: – Mark Roche 14

Data Access Framework Resources DAF Wiki Homepage – Become a Community Member – e e DAF Charter – mbers mbers DAF Standards, Harmonization and Implementation Activities – mentation mentation Standards and Interoperability(S&I) Framework – S & I Calendar of Events –