1. Data Access Framework All Hands Community Meeting 1 February 24, 2016

2. 2 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 = Frustrated Speakers and Participants Feel free to use the “Chat” feature for any questions, comments or any items you would like the moderator or participants to know Meeting Etiquette NOTE: This meeting is being recorded and will be archived on the DAF Wikipage, under “Materials”  “Past Meetings” From S&I Framework to Participants: Hi everyone: remember to keep your phone on mute

3. 3 Agenda TopicEstimated Time General Announcements5 minutes PopMedNet Pilot Overview Presentation20 minutes Next Steps & Questions2 minutes

4. 4 General Announcements  DAF All Hands Community Meeting Our next All Hands meeting will be on Wednesday, March 9, 2015 at 12:00 PM (ET). The meeting details can be accessed on the homepage: http://wiki.siframework.org/Data+Access+Framework+Homepage http://wiki.siframework.org/Data+Access+Framework+Homepage  DAF Pilot Wikipage To track the latest Phase 3 pilot activities, please visit: http://wiki.siframework.org/Data+Access+Framework+Pilots http://wiki.siframework.org/Data+Access+Framework+Pilots  DAF Functional Requirements The draft functional requirements have been developed for capabilities 1-4 and can be accessed here: http://wiki.siframework.org/Data+Access+Framework+Pilots#DAF%20Function al%20Requirements http://wiki.siframework.org/Data+Access+Framework+Pilots#DAF%20Function al%20Requirements

5. PopMedNet 5

6. Agenda Introduction Goal of Pilot DAF Capabilities to Be Piloted Pilot Approach Standards and Technologies Under Consideration Ecosystem Defining Success Logistics

7. Introduction Lincoln Peak is the technology company that developed PopMedNet. We host and support a number of PopMedNet based networks including: – PCORI’s PCORnet comparative effectiveness research network – FDA Sentinel post-market surveillance network – NIH Collaboratory basic research network – MDPHnet public health network for State of Massachusetts – CDRN’s using PopMedNet for the their local networks The PopMedNet is a distributed research network platform that: – Enables large scale research amongst institutions without comingling provider data – Contains a granular and comprehensive authorization system that allows for a distributed governance approach to policy implementation – Adaptable / Interoperable with analytic tools and data sources Lincoln Peak has worked with ONC on a number of pilots. Pilot Leads Bruce Swan, Lincoln Peak CTO, Engagement Manager: bswan@lincolnpeak.combswan@lincolnpeak.com Bill Clark, Lincoln Peak Senior Architect/Developer: bclark@lincolnpeak.combclark@lincolnpeak.com Dean Corriveau, Lincoln Peak Senior Architect/Developer: dcorriveau@lincolnpeak.comdcorriveau@lincolnpeak.com

8. Goal of Pilot Design and implement DAF/FHIR capabilities described in the DAF Phase 3 initiative for PCORnet in a pilot environment using PopMedNet as the reference application. As developers of distributed research networking technology, Lincoln Peak is seeks to: – Provide low cost and efficient ways to onboard DataMarts to the distributed research networks it supports. – Minimize the latency between data refreshes to support “rapid cycle” research. DAF/FHIR promises to provide a path to achieve this goal. Support of DAF/FHIR by EHR providers: – Lowers the effort and costs for data providers to prepare “research ready” data resources required to participate in networks. – By standardizing the steps to create, harmonize, and validate data sources around common data models and potentially allow more direct access to the sources of data

9. DAF Capabilities to Be Piloted Lincoln Peak will intends to work with the DAF/FHIR team to design and implement FHIR interfaces to support C2-C6. CapabilityDescription: C1 Standardize data extraction mechanism from clinical data sources to populate data marts. C2Standardize metadata about data marts, CDRN’s, PPRN’s and data sources. C3Standardize Query Distribution mechanism. C4Standardize Query Results for returning aggregate data. C5Standardize Query Results for returning de-identified or identified patient data. C6Standardize Query Structure and Queries for identifying cohorts/populations.

10. Pilot Approach Lincoln Peak will work with ONC and participating PCORI CDRN representatives to: – Extend and leverage the FHIR standards developed in DAF Phase 1 and 2 for use in accessing data from multiple organizations within PopMedNet. – Uniquely qualified to assist the project team as the architects and developers of PopMedNet, the distributed research application used to power PCORI, – Design and implement DAF capabilities using PopMedNet as the reference implementation. Lincoln Peak uses an Agile approach to software development. As such, – We will focus on achieving a successful end-to-end test implementation of sending queries to FHIR enabled DataMarts as quickly as possible. – This may result in an iterative approach in developing the capabilities declared in the initiative and/or re-prioritizing the order we execute them.

11. Standards & Technologies Under Consideration Lincoln Peak plans to address C2-C6 and will design and integrate these capabilities into a current version of PopMedNet that may deployed to PCORnet. Leverage existing FHIR resources and API. Seek support and review in developing new FHIR resources and API extensions to ensure compliance with style and objectives of FHIR standards.

12. As developers of PopMedNet and members of the PCORnet DSSNI task force, Lincoln Peak works with the coordinating center and individual CDRNs to address issues that surface within the networks as well as their own PopMedNet instances. Lincoln Peak provides assistance to a number of the CDRN’s including pSCANNER, Capricorn, and PORTAL. Lincoln Peak uses a continuous integration process to manage PopMedNet source and deploy builds. Additionally, Lincoln Peak uses JIRA within an Agile environment to track user stories and defects. These resources are available to support the pilot project. Ecosystem

13. We will outline our deliverables in a design document and presentation we will present to the team. Given our Agile approach to developing software, we advise an incremental approach to addressing the goals and capabilities identified for the pilot. We believe an end-to-end test of each capability would be desirable. In our role on the DAF/FHIR pilot, we will work with PCORI CDRN participants to address their concerns and answer questions they may have in supporting DAF/FHIR as it relates to PopMedNet and their use of DataMart client application in the network. As part of our proposal to work on the pilot, we will work with team members to document the APIs and processes used to implement the DAF/capabilities. Defining Success

14. We’ll overlap the design tasks with implementation of each capability. The project will be separated into two phases, with C2, C3, and C4 in Phase 1 and C5 & C6 in Phase 2. Timeline February – Project orientation, develop high level design/approach March – Design C2 - C4, start implementation tasks April – Complete implementation C2 - C4, design C5-C6 May – Complete C5-C6, integration testing June to July — Deployment and Pilot support Logistics

15. Questions 15

16. NEXT MEETING: Join us on Wednesday, March 9, 2015 at 12:00 PM (ET) for our next All Hands meeting 16 Next Steps

17. DAF Project Team  ONC Sponsor: Farrah Darbouze Farrah.Darbouze@hhs.govFarrah.Darbouze@hhs.gov  S&I & DAF Initiative Coordinator: Johnathan Coleman jc@securityrs.comjc@securityrs.com  Support Team: Project Management: o Jamie Parker jamie.parker@esacinc.comjamie.parker@esacinc.com o Gayathri Jayawardena gayathri.jayawardena@esacinc.comgayathri.jayawardena@esacinc.com Management Support: o Nik Reineke nikolas.reineke@esacinc.comnikolas.reineke@esacinc.com o Swapna Bhatia swapna.bhatia@esacinc.comswapna.bhatia@esacinc.com Technical SME: o Nagesh (Dragon) Bashyam nagesh.bashyam@drajer.comnagesh.bashyam@drajer.com Standards SME: o Brett Marquard brett@riverrockassociates.combrett@riverrockassociates.com o Ed Larsen ed_larsen@comcast.neted_larsen@comcast.net Privacy and Security SME: o Glen Marshall gfm@securityrs.comgfm@securityrs.com Standards Development Support: o Angelique Cortez angelique.j.cortez@accenturefederal.comangelique.j.cortez@accenturefederal.com 17

18. Additional DAF Resources 18

19. Useful Links DAF Homepage – http://wiki.siframework.org/Data+Access+Framework+Homepage http://wiki.siframework.org/Data+Access+Framework+Homepage DAF Initiative Signup – http://wiki.siframework.org/Data+Access+Framework+Join+the+Initiative http://wiki.siframework.org/Data+Access+Framework+Join+the+Initiative DAF Charter – http://wiki.siframework.org/Data+Access+Framework+Charter+and+Members http://wiki.siframework.org/Data+Access+Framework+Charter+and+Members DAF Standards, Harmonization and Implementation Activities – http://wiki.siframework.org/DAF+Standards+Harmonization+and+Implementa tion http://wiki.siframework.org/DAF+Standards+Harmonization+and+Implementa tion DAF HL7 FHIR IG – http://hl7.org/fhir/dstu2/daf/daf.html http://hl7.org/fhir/dstu2/daf/daf.html DAF IHE White Paper – http://ihe.net/uploadedFiles/Documents/PCC/IHE_PCC_White_Paper_DAF_R ev1.1_2014-10-24.pdf http://ihe.net/uploadedFiles/Documents/PCC/IHE_PCC_White_Paper_DAF_R ev1.1_2014-10-24.pdf 19

20. 20 SDO Updates 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