1. Data Provenance All Hands Community Meeting May 19th, 2016

2. Meeting Etiquette Please mute your phone when you are not speaking to prevent background noise. – All meetings are recorded. Please do not put your phone on hold. – Hang up and dial back in to prevent hold music. Please announce your name before speaking Use the “Chat” feature to ask questions or share comments. – Send chats to “All Participants” so they can be addressed publicly in the chat, or discussed in the meeting (as appropriate). 2 Click on the “chat” bubble at the top of the meeting window to send a chat.

3. Agenda TopicTime Allotted Announcements15 minutes Pilot Updates/Working Session40 minutes Next Steps/Wrap Up5 minutes

4. Announcements All Hands calls will now be held monthly to allow for pilot progress – The next All Hands call will be June 16th, 2016 at 2PM EST HL7 Implementation Guide for Data Provenance has been published – For more information click hereclick here – To access the Implementation Guide click hereclick here If you are not a member of HL7, you can sign up as a member in order to view the IG It is not too late to sign up as a pilot for our primary Use Case (EHR- EHR, PHR-EHR) We are still seeking organizations willing to pilot this work – If you are interested in being a pilot please contact: Jamie Parker: jamie.parker@esacinc.comjamie.parker@esacinc.com Or complete the following pilot form: http://wiki.siframework.org/Data+Provenance+Pilots http://wiki.siframework.org/Data+Provenance+Pilots 4

5. Funding Opportunities The Office of the National Coordinator announced two cooperative agreement programs designed to help accelerate the industry’s implementation of standards and build a greater body of evidence for scaling nationwide. The two programs called High Impact Pilots (HIP) and Standards Exploration Awards (SEA) will be a cumulative total of $1.5M administered under the Office of Standards and Technology (OST).High Impact Pilots Standards Exploration Awards Interested applicants are encouraged to attend the information session from 2-3 p.m. ET on May 23 (HIP) or May 26 (SEA). The FOA is open from now until July 8, 2016. Letters of intent are due by June 10 th. If you have any questions, contact us at onc.techlab@hhs.gov or visit the links below for more information:onc.techlab@hhs.gov – https://www.healthit.gov/techlab/innovation/high-impact-pilots https://www.healthit.gov/techlab/innovation/high-impact-pilots – https://www.healthit.gov/techlab/innovation/standards-exploration-awards https://www.healthit.gov/techlab/innovation/standards-exploration-awards – https://www.healthcareitnews.com/news/onc-fires-15-million-grants-fuel- interoperability https://www.healthcareitnews.com/news/onc-fires-15-million-grants-fuel- interoperability 5

6. ONC is Supporting NSTIC* Pilots for Federated Identity Management in Health Care NIST anticipates funding one award in the range of $750,000 to $1,000,000 for 18 months to demonstrate use of federated online identity solution for patients and providers across multiple health care organizations. More information in upcoming webinars and online: May 18, 2:00-3:30pm (ET) May 26, 3:00-4:30pm (ET) http://nstic.blogs.govdelivery.com/2016/03/31/healthcarepilot/ *National Strategy for Trusted Identities in Cyberspace 6 Funding Opportunities Cont’d

7. Move Health Data Forward Challenge As Health IT adoption continues to grow and become more accessible, consumers are playing a larger role in how their health information is consumed This challenge will help create application programming interface (API) solutions with new implementation specifications to allow patients to choose and authorize the destination of their data. The cumulative prize amount is $250,000 with a maximum prize of $75,000 per participant To learn more click here: https://www.healthit.gov/techlab/innovation/move- health-data-forward-challengehttps://www.healthit.gov/techlab/innovation/move- health-data-forward-challenge To read more about all new ONC Funding Announcements click the link below:https://www.healthit.gov/newsroom/grants- fundinghttps://www.healthit.gov/newsroom/grants- funding 7

8. Pilot Updates

9. RAIN Updates Project Exchange Nodes: – Sapan, Northern Mariana Islands Status: Undergoing evaluation of CD transformations and exchanges between CNMI HIE and Cerner in Ventura, CA – Cal-Tech/JPL/NASA, Pasadena, CA Status: Delay Tolerant Network engineering, there is no CCD for exchange – USC Keck School of Medicine Status: Currently undergoing County IT review- for CCD exchange between Ventura County, USC and CNMI – Ventura County Health Care multi-site (Central California Pediatric clinics) Status: CCD transformation and exchange in planning – California, EMSA, California State EMS services (in cooperation with CA-HIE) Status: capturing of data provenance during exchanges between HIE Networks within California during testing of PULSE services. CA-HIE is reviewing the data field requirements 9

10. RAIN Updates Changes in Standard Applications – FHIR is replacing HPD for Enhanced Directory Services (for both Provider and Patient Directories), demonstrating exchange of directory data between each project node 10

11. RAIN Updates Primary Questions During the Pilot: – What is the impact on Provenance? Does it remain intact throughout all node exchanges when drawing data from Directory Services for each node? – What is the impact on Provenance when exchanges take place on a Delay Tolerant Network? Is data stored and forwarded? Which records of each instance is stored and forwarded during the exchange of that data? – What transformations are required and what patterns of Provenance between ePCR and other EMS systems and larger electronic health record systems such as Cerner? – What is the minimum data set and what steps are needed to standardize that data set for complete provenance records between EHR and ePCR during Direct exchange? – Any instances of patient entered data into an ePCR record 11

12. RAIN Updates Updated Timeline: August 8-20 th : CCD exchange between sites, 6 instances planned August 30 th : First data review September 15 th : CCD exchange between EMS and 4 CA-HIE sites September 30 th : Data review December: CCD exchange- 4 clinics in Northern Mariana Islands to Cerner in Ventura, CA January 2017: Data review- noting the impact of data transformation on the consistency of Data Provenance March 2017: GIS mapping preparation of all data gathered, ranging from data on provenance by EHR systems, the impact of CCD transformation during exchange between systems, and consistency of Data Provenance during the exchange between EMS systems and regional HIE-connected-EHR systems 12

13. Next Steps Join us on our next all hands meeting – June 16th, 2016 from 2:00 -3:00 pm ET http://wiki.siframework.org/Data+Provenance+Initiative Sign up for pilots – http://wiki.siframework.org/Data+Provenance+Pilots http://wiki.siframework.org/Data+Provenance+Pilots – Or email Jamie Parker at: jamie.parker@esacinc.comjamie.parker@esacinc.com 13

14. Support Team and Questions Please feel free to reach out to any member of the Data Provenance Support Team: Initiative Coordinator: Johnathan Coleman: jc@securityrs.comjc@securityrs.com OCPO Sponsor: Rose-Marie Nsahlai: Rose-Marie.Nsahlai@hhs.govRose-Marie.Nsahlai@hhs.gov OST Sponsor: Caroline Coy: caroline.coy@hhs.govcaroline.coy@hhs.gov Subject Matter Experts: Kathleen Connor: klc@securityrs.com and Bob Yencha: bobyencha@maine.rr.comklc@securityrs.com bobyencha@maine.rr.com Support Team: – Project Management: Jamie Parker: jamie.parker@esacinc.comjamie.parker@esacinc.com – Support: Apurva Dharia: apurva.dharia@esacinc.com, Michael Samuels: michael.samuels@esacinc.com, Rebecca Angeles: rebecca.angeles@esacinc.com and Zach May: zachary.may@esacinc.comapurva.dharia@esacinc.com michael.samuels@esacinc.com rebecca.angeles@esacinc.comzachary.may@esacinc.com 14