Query Health Distributed Population Queries Implementation Group Meeting January 17, 2012

Agenda Where we are going Weekly Summary Clinical Operations Technical Important Announcements Open Discussion / Next Steps

Query Health Where We are

Query Health Meeting Time Reminders Implementation Group Tuesdays 1:30pm-3:00pm EDT Clinical Working Group Wednesdays 12pm-1pm EDT Clinical Concept Mapping Sub-Working Group Tuesday 2:30pm-4pm EDT for January Operations Working Group Thursdays 11am-12pm EDT Pilots Sub-Working Group Thursdays 3:30pm-4:30pm EDT Technical Working Group Thursday 2pm-3 pm EDT

Action Items DescriptionOwnerStatusDue DateNotes Begin Query Technical Approach education and review sessions Operations Working Group OpenJan 26 Continue work on Query Health CEDD Crosswalk (focus on Generic User Story) Working Group Participants OpenJan 11 – Jan 30 Volunteer for Query Health Pilots Working Group Participants OpenOngoing in January Attend Query Health Clinical Concept Mapping presentations Working Group Participants OpenOngoing in January

Clinical Working Group January 18, 2012

Concept to Codes On January 17 th and 24 th the meeting time will be extended to 2:30- 4:00pm January Meeting Schedule –1/17 – Regenstrief (RELMA) –1/17 – 3M –1/17 – NY Presbyterian Hospital Vocabulary Team –1/24 – NQF –1/24 – AHIMA –1/24 – LexEVS and CTS 2 –1/31 – Begin review of Best Practices and Approaches Summary and key themes from various presentations to date 7

Query Health CEDD Timeline

Query Health CEDD Crosswalk available for community input: Volunteers working on the Generic User Story data elements and creating the level of detail needed to support the Query Health technical approach. Draft in development of the Extended Analysis CEDD Specification for volunteer review and comment – review to start around January 31 –Crosswalk available at the following URL: 0lwenlJVWl6RC1vVnZuaEppeWc –Focus on the Generic User Story tab Our approach for this week: –Volunteer outreach for specific sections –Thank you to all volunteers already working on assigned sections! This Week’s Plan for the Query Health CEDD

Operations Working Group January 18, 2012

Operations Workgroup Activities and Next Steps Reviewed DUA template and incorporated comments from OWG members Prioritized next steps: Finalize DUA template Policy analysis of the Technical Approach Privacy/Security analysis of the Technical Approach

More work completed on NYS DOH/ NYC DHMH joint Pilot Project Profile Draft Profile submitted for Query Health/BioSense 2 Federated Query Outreach continues to find additional pilot participants that are part of an existing research network Pilots SWG Meeting update

Technical Working Group January 18, 2012

QRDA++ Specification Update Srinivas Velamuri has volunteered to help us with the QRDA Specification Has worked with the QRDA spec as part of the CMS Activities Has published article in the Journal for Health Information Management Examine the existing standard Represent sample query results in QRDA standard Start Identifying changes or modifications required for the existing standard to represent results for Query Health

HQMF++ Specification Update HL7 Project Scope statement drafted Collected the changes Identified by Keith Boone and Marc Hadley Coordination with NQF / CMS ongoing Presenting the information to HL7 to get project approved for balloting the next version with changes required for Query Health Proposed HQMF Changes Please provide comments on the proposed changes. Keith B continuing work on HL7 schema updates for the changes

Query Envelope Specification Update Query Envelope Specification PopMedNet reviewed the Plug-in design with hQuery and i2B2 Starting point for the Query Envelope specification Planning to have more focused deep dives on the internal PopMedNet Portal to Data Client communication to document the meta data.

Reference Implementation Update Plugin design review completed Plugin document to be published tomorrow for consumption Working out the details of integration between hQuery / i2B2 and PopMedNet based on the Plug-in design PopMedNet v2.0 uploaded to repository File > 220 MB and is causing download problems with regular synchronization of the Trunk Planning to make it available through the downloads tab (There is a file limit of 200 MB) Working on splitting it up and uploading the version.

Reference Implementation Top Level Components

Model Plugin Host Internet HTTPS PMN Web Portal Application PMN DataMart Model Data Store Model Plugin Web Services Request Library DataMart Selector Request Approval DataMart Router DataMart Web Services Model Plugin Web Services Response Library Response Approval DataMart Status DataMart Response Handler DataMart Web Services PMN Web Server Request Queue Request Approval Request Processor Response Upload Response Approval Response Processor PMN DataMart Client Model Processor Interface Request Deserializer Request Protocol Translator Request Processor Model Processor Interface Response Serializer Response Protocol Translator Response Generator PMN Plugin Model Processor PMN Data Store Internet HTTPS Firewall REQUEST TUNNEL Request Builder DataMart Filter Request Serializer Response Viewer Response Aggregator Response Deserializer Model Plugin Host PMN Request / Response Workflow Pipeline

Model Plugin Host Internet HTTPS PMN Web Portal Application PMN DataMart Model Data Store Model Plugin Web Services Request Library DataMart Selector Request Approval DataMart Router DataMart Web Services Model Plugin Web Services Response Library Response Approval DataMart Status DataMart Response Handler DataMart Web Services PMN Web Server Request Queue Request Approval Request Processor Response Upload Response Approval Response Processor PMN DataMart Client Model Processor Interface Request Deserializer Request Protocol Translator Request Processor Model Processor Interface Response Serializer Response Protocol Translator Response Generator PMN Plugin Model Processor PMN Data Store Internet HTTPS Firewall REQUEST TUNNEL Request Builder DataMart Filter Request Serializer Response Viewer Response Aggregator Response Deserializer Model Plugin Host Plugin Web Service / Registration Plugin IModelProcessor

Develop Website Components Compose web pages that encapsulate the query building process Add logic to decrypt PMN authentication tokens Subscribe and implement PMN plugin web service API Optionally add logic to filter DataMarts based on metadata Format plugin registration XML Develop DataMart Components Create a.NET project that produces a DLL using.NET 4 Implement the IModelProcessor interface used to process requests and return responses Optionally create a response document that be used to display the response to the user (DataMart Administrators, Investigators, Group Administrators, etc.) Create a deployment project to install the model processor at DataMarts Register Plugin with PMN Create a plugin registration XML file containing the following items “Create Request” URL that contains a substitution parameter to be inserted for the PMN Request Token “Retrieve Response” URL that contains a substitution parameter to be inserted for the PMN Response Token Public key of your asymmetric cryptographic key (the private key remains at the plugin’s site) An entry for each Request Types, each having a user-friendly name and a unique identifier within the plug Optionally designate one of the Request Types as a metadata request used to filter DataMarts Metadata (such as plugin name, website, , etc.) Details of the tasks being done for the Integration

Next Steps Continue with the RI and Specification Activities Soliciting volunteers who are experienced in R-MIM’s and XML/XSLT to help with some of the upcoming tasks Volunteers who can represent queries using the proposed HQMF Provide comments on the Proposed changes for HQMF Soliciting volunteers for the QRDA Work stream Volunteers requiring access to the code repository Please sign up for a google account at Project Repository - Sign up for the RI at

HQMF Scope Statement – HL7 Current HQMF issues being reviewed in the Structured Documents Working Group (SDWG) as part of a new HL7 project item for 2012

Important Announcements Looking for additional community support for reference implementation development Open source support for the i2B2 integration as an example Meetings are proceeding as scheduled this month but we will take great care to ensure everyone is kept up to date by phone/ so they can continue to actively participate.