1. EU-US eHealth/Health IT Cooperation Initiative Interoperability of EHR Work Group October 30, 2013 0

2. Meeting Etiquette Participants automatically enter the webinar in “listen only” mode. The organizer will then unmute all participants. We ask if you are not speaking to manually mute yourself NOTE: VoIP participants have the ability to “Mute” themselves by clicking on the green microphone. However, if you would like to speak, only you can unmute yourself. If you are dialing in using a telephone and NOT using the VoIP you MUST dial the audio pin in order for the organizer to unmute you – if you do not use the audio pin and just push # when prompted the Organizer cannot unmute you

3. Meeting Etiquette CONTINUED If you are calling from a telephone, please do not put your phone on hold. If you need to take a call, hang up and dial in again when you have completed your other call This meeting is being recorded Another reason to keep your phone or your VoIP on mute when not speaking Use the “Chat” or “Question” feature for questions, comments and items you would like the moderator or other panelists to know. 2

4. We thank everyone for their patience during the U.S. government shutdown. We will be resuming work group activities this week 3

5. Agenda TopicTime Allotted General Announcements5 minutes Recap of Interoperability Work Group Activities5 minutes Review Use Case Development Timeline5 minutes Scenario Discussion40 minutes Next Steps/Questions5 minutes 4

6. General Announcements The Interoperability of EHR Work Group continues to meet every Wednesday from 10:00am – 11:00am ET or 4:00pm-5:00pm CEST – To participate in our weekly webinars, please visit the EU-US eHealth Collaboration Wiki Homepage: http://wiki.siframework.org/EU- US+eHealth+Cooperation+Initiativehttp://wiki.siframework.org/EU- US+eHealth+Cooperation+Initiative Thank you to those who attended the 3 rd EU-US eHealth Marketplace and Conference in Boston, MA, USA, last week! 5 Note: Please check the meeting schedule weekly to get the most up-to-date meeting information

7. Join the EU-US eHealth/Health IT Cooperation Initiative 6 We encourage all members to “sign up” for the initiative. By joining, this ensures you stay up-to-date with the work being done, communications and any initiative activities Simply complete the EU-US MOU Project Signup Form on the Wiki Page: http://wiki.siframework.org/EU- US+MOU+Roadmap+Project+Sign+U p http://wiki.siframework.org/EU- US+MOU+Roadmap+Project+Sign+U p

8. Archived Meeting Materials 7 For all meeting minutes, presentations, reference materials and recordings please visit the Materials tab and select “Past Meetings” from the drop down menu http://wiki.siframework.org/Project+Meeting+Artifacts. http://wiki.siframework.org/Project+Meeting+Artifacts

9. Submit Your Bio We will be creating a repository of bios to post onto the Wikipage and need your help! Please submit a brief biography of yourself (150 words or less) that outlines your: – current professional responsibilities; – most recent projects in relation to the EU-US work stream and/or interest to work with the EU-US initiative; – areas of interest and/or expertise; – any relevant credentials and/or professional appointments; and – a photo (optional). Please e-mail your bio and photo (optional) to Gayathri Jayawardena at gayathri.jayawardena@esacinc.comgayathri.jayawardena@esacinc.com 8

10. Week of November 25 th Federal U.S. holiday-Thanksgiving Day, will be taking place on Thursday, November 28th We would like to poll the work group to see if there is an interest in re-scheduling this webinar for either Monday, November 25 th OR Tuesday, November 26 th from 10:00am – 11:00am ET/4:00pm-5:00pm CEST Second option would be to cancel and resume webinar on Wednesday, December 4 th, 2013 from 10:00am – 11:00am ET/4:00pm-5:00pm CEST 9

11. Criteria for Selecting Scenarios Ensuring it is a realistic and common health care event Scope can be accomplished in a short timeframe – Within 1 year – 16 months Can leverage existing health care interoperability standards – Balance domains and standards that are applicable Semantic Interoperability Privacy and Security considerations Broad application – Likely to be adopted by EU and US – High probability of stakeholder engagement – Springboard for extension to other areas 10

12. Use Case Development Timeline 11 DateInputsDiscussionOutputs 10/30/13 Draft integrated user storyReview and finalize integrated user story Updated integrated user story to be posted for comments 11/06/13 Review comments that need further discussion Draft Scope, Assumptions, and Actors/Roles Review and finalize scope, assumptions, and actors/roles Scope, assumptions and actors to be posted for comments 11/13/13 Updated scope, assumptions, and actors based on comments that need further discussion Review and update  Data exchange diagrams  Data exchange tables  Pre and Post Conditions Data exchange diagrams, data exchange tables, pre and post-conditions to be posted for comments 11/20/13 Updated data exchange diagrams, data exchange tables, pre and post-conditions based on comments Comments that need further discussion Draft data element tables Review and finalize  Data exchange diagrams  Data exchange tables  Pre and Post Conditions Review and update draft data element tables Finalized  Data exchange diagrams  Data exchange tables  Pre and Post Conditions Draft data element tables to be posted for comments 11/25/13 Updated data element tables based on comments Comments that need further discussion Review and finalize data element tablesFinalized data element tables 12/04/13 Draft use case with all sections completed End to end review of draft use case Updated use case based on end to end comments and ready for consensus posting 12/11/13 Consensus comments mapped into the use case Review consensus comments and finalize use case Approved use case

13. Consolidated Scenarios & User Stories Working Session 12

14. Scenario Matrix 13

15. Scenario Matrix CONTINUED 14

16. Next Steps 15 Review the current scenarios and provide feedback on the Wikipage by visiting: http://wiki.siframework.org/Interoperability+of+EHR+Work+ Group#Work Group Activities http://wiki.siframework.org/Interoperability+of+EHR+Work+ Group#Work Group Activities Send in your Bios Interoperability of EHR Work Group will continue to meet every Wednesday from 10:00am - 11:00am (ET)/4:00pm - 5:00 pm (CEST) Check the Interoperability of EHR Work Group Wikipage regularly for updates: http://wiki.siframework.org/Interoperability+of+EHR+Work+ Group http://wiki.siframework.org/Interoperability+of+EHR+Work+ Group

17. Upcoming Meetings 16 DateInputsDiscussionOutputs 10/30/13Draft integrated user storyReview and finalize integrated user story Updated integrated user story to be posted for comments 11/06/13 Review comments that need further discussion Draft Scope, Assumptions, and Actors/Roles Review and finalize scope, assumptions, and actors/roles Scope, assumptions and actors to be posted for comments 11/13/13 Updated scope, assumptions, and actors based on comments that need further discussion Review and update  Data exchange diagrams  Data exchange tables  Pre and Post Conditions Data exchange diagrams, data exchange tables, pre and post-conditions to be posted for comments 11/20/13 Updated data exchange diagrams, data exchange tables, pre and post-conditions based on comments Comments that need further discussion Draft data element tables Review and finalize  Data exchange diagrams  Data exchange tables  Pre and Post Conditions Review and update draft data element tables Finalized  Data exchange diagrams  Data exchange tables  Pre and Post Conditions Draft data element tables to be posted for comments 11/25/13 Updated data element tables based on comments Comments that need further discussion Review and finalize data element tablesFinalized data element tables 12/04/13Draft use case with all sections completedEnd to end review of draft use case Updated use case based on end to end comments and ready for consensus posting 12/11/13Consensus comments mapped into the use case Review consensus comments and finalize use case Approved use case

18. Interoperability Support Leads 17 US Point of Contacts – Mera Choi: Mera.Choi@hhs.govMera.Choi@hhs.gov – Jamie Parker: jamie.parker@esacinc.comjamie.parker@esacinc.com – Gayathri Jayawardena, gayathri.jayawardena@esacinc.comgayathri.jayawardena@esacinc.com – Amanda Merrill, amanda.merrill@accenturefederal.comamanda.merrill@accenturefederal.com – Emily Mitchell, emily.d.mitchell@accenturefederal.comemily.d.mitchell@accenturefederal.com – Mark Roche, mrochemd@gmail.commrochemd@gmail.com – Virginia Riehl, virginia.riehl@verizon.netvirginia.riehl@verizon.net EU Point of Contacts – Benoit Abeloos, Benoit.ABELOOS@ec.europa.eu Benoit.ABELOOS@ec.europa.eu – Frank Cunningham, frank.cunningham@ec.europa.eufrank.cunningham@ec.europa.eu – Catherine Chronaki, chronaki@gmail.comchronaki@gmail.com UK Point of Contacts – Pending

19. Questions 18

20. Resources EU US Wiki Homepage – http://wiki.siframework.org/EU-US+eHealth+Cooperation+Initiative http://wiki.siframework.org/EU-US+eHealth+Cooperation+Initiative Join the Initiative – http://wiki.siframework.org/EU-US+MOU+Roadmap+Project+Sign+Up http://wiki.siframework.org/EU-US+MOU+Roadmap+Project+Sign+Up Reference Materials – http://wiki.siframework.org/EU- US+MOU+Roadmap+Project+Reference+Materials http://wiki.siframework.org/EU- US+MOU+Roadmap+Project+Reference+Materials 19