1. Kick-Off Meeting Semantic Standards James Ferguson, co-chair Rebecca Kush, co-chair December 1, 2014

2. Potential Membership 1 First NameLast nameOrganizationType JamieFergusonKaiser Permanenteco-chair BeckyKushCDISCco-chair JohnSpeakmanNew York Universitymember StanHuffIntermountain Healthcare member RosemaryKennedyeCare Informatics, LLC member ToddCooperCenter for Medical Interoperability member HarryRhodesAHIMA member AsifSyedAmerican Medical Association member EricRoseIMO member JohnCarterApelon Inc. member AndyWiesenthalDeloitteLiaison member MitraRocaFDA EX Officio SteveBrownVA/DoD Ex Officio BetseyHumphreysNLM Ex Officio MargaretHaberNCI Ex Officio

3. Content Standards Chair: Andy Wiesenthal Co-chair: Rich Elmore HITSC Workgroups and Chairs 2 Architecture, Services & APIs Chair: David McCallie Co-chair: Arien Malec Transport and Security Standards Chair: Dixie Baker Co-chair: Lisa Gallagher Semantic Standards Co-chair: Jamie Ferguson Co-chair: Becky Kush Health IT Standards Committee Chair: TBD Vice Chair: John Halamka Implementation, Certification &Testing Co-chair: Liz Johnson Co-chair: Cris Ross Steering Committee Chair: TBD Co-chair: John Halamka *Task Forces may be needed for specific work assignments

4. Member Responsibilities Thanks for volunteering to serve on the Semantic Standards Workgroup! Our best work happens when we have full participation. Accordingly, ONC has set up some guidelines for your participation. Workgroup members are expected to be actively engaged in their workgroup – Membership of the workgroups will be reviewed on a quarterly basis to ensure active participation – Members missing more than 5 meetings in a year will be removed from membership (unless extenuating circumstances) – Differing opinions are welcome and encouraged but should be done in a respectful manner – Participants should be prompt and do their best to minimize personal interruptions (e.g., mute phones) Meeting materials are due at least 24 hours in advance of meetings – Members are expected to review materials in advance and be actively engaged in the discussion with questions prepared in advance – When commenting be as concise as possible and use examples to explain your point of view 3

5. Information Flow 4 HIT Policy and HIT Standards Committees Information Flow

6. Current Challenge Current HITSC New workgroups were established in August 2014 Challenge Potential duplication of effort Vocabulary & Code Sets Content Structure Transport Security Services Semantics Content Transport Security Architecture, Services, APIs Standards Building Block Categorization Implementation, Testing & Certification Implementation, Testing & Certification HITSC & Workgroup Disciplines HITSC (Full Committee) HITSC (Full Committee) (Steering Committee) 5

7. Recommendations to ONC HITSC Efficiency - Example 6 Semantics Content Transport Security Architecture, Services, APIs Implementation, Testing & Certification Implementation, Testing & Certification HITSC & Workgroup Disciplines CCDA Task Force HITSC (Full Committee) HITSC (Full Committee) (Steering Committee) ONC Identifies Question In what ways can semantic interoperability be best tested? (CCDA content and semantics) 1 ID Chairs for New Task Force & Form Task Force 2 Develop Time-Bound Workplan 3 HITSC Workflow 4 Additional SMEs as needed

8. Workgroup Charge Assure a consistent approach to semantics standards for ONC Health IT Certification Identify semantic standards requirements for ONC Health IT Certification Identify existing standards (vocabularies and/or information models) that can be leveraged for other uses, while ensuring consistent semantic standards across all use cases. – Examples may include, but are not limited to semantics specified in Fast Healthcare Interoperability Resources (FHIR) profiles, common data elements (CDEs), and detailed clinical models (DCMs) Evaluate new standards or approaches (vocabularies and information models) for representing semantics Recommend a strategy for maintaining a consistent and sustainable approach to semantic standards 7

9. 2014 Q42015 Q12015 Q22015 Q3 OctNovDecJanFebMarAprMayJunJulAugSep Upcoming FACA Milestones Kick-off Federal Milestone Joint HITPC/HITSC Meeting Federal HIT Strategic Plan Posted for Comment Interoperability Roadmap Recs prior to posting for comment FACA HIT Strategic Plan Comments Interoperability Roadmap Posted for Comment HITPC comments on MU3 NPRM HITSC comments on Certification NPRM All workgroups kicked off FACA Milestone FACA Interoperability Roadmap Comments (estimate) 8

10. DRAFT Workplan 9 TasksStart DateDue Date14- Dec 15- Jan 15- Feb 15- Mar 15- Apr 15- May 15- Jun 15- Jul 15- Aug 15- Sep Workgroup Kick-Off12/1/14 Presentations to inform future work (e.g. response to NPRM, Interoperability Roadmap) 12/1/142/1/2015 Comment on published version of Interoperability Roadmap TBD TBD - Q1 Comment on Certification NPRM TBD TBD - Q1 TBD - Structured Data Capture Recommendations (structure and syntax for common data elements) TBD – Q2