1. Data Provenance Community Meeting December 11, 2014

2. Meeting Etiquette Click on the “chat” bubble at the top of the meeting window to send a chat. 2 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).

3. Agenda TopicTime Allotted Announcements5 minutes Presentations by Gary Dickinson: HL7 EHR Interoperability Model DSTU (2007) HL7 Implementation Guide for CDA Release 2: Reference Profile for EHR Interoperability Model DSTU (2008) HL7 EHR Lifecycle Model DSTU (2008) ISO/HL7 10781 EHR System Functional Model, Release 2 (2014) HL7 Record Lifecycle Events on FHIR (project underway 2014 for FHIR DSTU Release 2) 55 minutes

4. 4 Today Standards Evaluation Solution Planning IG Development DPROV Harm Launch Standards SME presentations Solution Planning Create IG Template Introduction Implementation Approach Suggested Enhancements End-to-End Review 1/29 – 3/5 10/23 – 1/8 12/15 - 1/5 1/22 - 2/5 3/5 – 4/5 4/5 – 4/12 4/12 – 5/5 DPROV Harmonization Timeline Standards Analysis & Assessment 1/8-2/5

5. Data Provenance Standards Presentations Schedule DateStandard to PresentSME NameConfirmed 11/20/2014 ISO 21089 Health Informatics: Trusted End-to-End Information FlowsGary Dickinson Y SOAPGlen Marshall Y THANKSGIVING HOLIDAY 12/4/2014 1. C-CDA 2. CDA R2 3. HL7 Implementation Guide for CDA® Release 2: Data Provenance, Release 1 – US Realm 4. HL7 V2 Bob Yencha + Kathleen Connor Y 12/11/2014 1.HL7 EHR Interoperability Model DSTU (2007) 2. HL7 Implementation Guide for CDA Release 2: Reference Profile for EHR Interoperability DSTU (2008) 3. HL7 EHR Lifecycle Model DSTU (2008) 4. ISO/HL7 10781 EHR System Functional Model, Release 2 (2014) 5. HL7 Record Lifecycle Events on FHIR (project underway 2014 for FHIR DSTU Release 2) Gary Dickinson Y 12/18/2014 HL7 Implementation Guide for CDA® Release 2: Digital Signatures and Delegation of Rights, Release 1 Bob Dieterle N HL7 Implementation Guide for CDA®, Release 2: Consent Directives, Release 1Serafina Versaggi Y HL7 EHR Records Management and Evidentiary Support (RM-ES) Functional Model, Release 1 Reed Gelzer Diana Warner Y 1/8/2015 As a grouping of Implementation Guides: 1. HL7 Health Care Privacy and Security Classification System, Release 1 2. HL7 Version 3 Standard: Privacy, Access and Security Services (PASS) 3. HL7 Version 3 Standard: Privacy, Access and Security Services; Security Labeling Service, Release 1 (SLS) *Associated vocabulary HL7 Implementation Guide: Data Segmentation for Privacy (DS4P), Release 1 Kathleen Connor Y

6. Updated Candidate Standards #TransactionContent and Structure Terminology and Code Values - DP TransportSecurity 1 a) Start Point sends clinical data with provenance information to End Point *C-CDA *CDA R2 *W3C PROV: PROV-AQ, PROV- CONSTRAINTS, PROV-XML *Personal Health Record System Functional Model *HL7 EHR Records Management and Evidentiary Support (RM-ES) Functional Model, Release 1 *ISO/HL7 EHR System Functional Model Release 2 *HL7 EHR Lifecycle Model (2008) *HL7 Record Lifecycle Event Metadata using FHIR (project underway 2014) *HL7 V.2.x *ISO 21089 Health Informatics: Trusted End-to-End Information Flows *HL7 FHIR DSTU Release 1.1 Provenance Resource *HL7 Implementation Guide for CDA® Release 2: Data Provenance, Release 1 – US Realm *HL7 Implementation Guide for CDA®, Release 2: Consent Directives, Release 1 *HL7 EHR Interoperability Model DSTU (2007) *HL7 Implementation Guide for CDA Release 2: Reference Profile for EHR Interoperability DSTU (2008) *HL7 V.2/ V.3 Vocabulary & Terminology Standards *Representation State Transfer (RESTful) *Cross Enterprise Document-Sharing XDS *SOAP *HL7 Implementation Guide: Data Segmentation for Privacy (DS4P), Release 1 * HL7 Health Care Privacy and Security Classification System, Release 1 (HCS) *HL7 Version 3 Standard: Privacy, Access and Security Services (PASS) *HL7 Version 3 Standard: Privacy, Access and Security Services; Security Labeling Service, Release 1 (SLS) *HL7 Implementation Guide for CDA® Release 2: Digital Signatures and Delegation of Rights, Release 1 2 a) Start Point sends clinical data to transmitter with provenance information 2 b) Transmitter send clinical data to end point with provenance information 3 a) Start Point sends clinical data to assembler/composer with provenance information 3 b) Assembler/composer compiles clinical data which is sent to end point with provenance information

7. Presentations by Gary Dickinson

8. 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: Julie Chua: julie.chua@hhs.govjulie.chua@hhs.gov OST Sponsor: Mera Choi: mera.choi@hhs.govmera.choi@hhs.gov Subject Matter Experts: Kathleen Conner: 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 – Use Case Development: Atanu Sen: atanu.sen@accenture.comatanu.sen@accenture.com – Harmonization and Standards Development Support: » Alex Lowitt: alexander.s.lowitt@accenturefederal.comalexander.s.lowitt@accenturefederal.com » Atanu Sen: atanu.sen@accenture.comatanu.sen@accenture.com » Perri Smith: perri.smith@accenturefederal.comperri.smith@accenturefederal.com – Support: Lynette Elliott: lynette.elliott@esacinc.com and Apurva Dharia: apurva.dharia@esacinc.comlynette.elliott@esacinc.com apurva.dharia@esacinc.com