1. EU-US eHealth/Health IT Cooperation Initiative Interoperability of EHR Work Group April 9, 2014 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 1

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. Agenda TopicTime Allotted General Announcements5 minutes Review of White Paper Process10 minutes Review of Proposed White Paper Outline30 minutes Review of Draft White Paper Milestones & Timeline10 minutes Next Steps and Logistics5 minutes 3

5. Meeting Times –CHANGE TO SCHEDULE 4 Washington, DC 10:00 am (EDT ) Eastern Daylight Time Washington, DC 10:00 am (EDT ) Eastern Daylight Time London 15:00 (BST) British Summer Time London 15:00 (BST) British Summer Time Germany 16:00 (CEST) Central European Summer Time Germany 16:00 (CEST) Central European Summer Time Athens 17:00 (EEST) Eastern European Summer Time Athens 17:00 (EEST) Eastern European Summer Time Interoperability Work Group will meet every other Wednesday (through mid-May) Next meeting April 23 rd, 2014

6. General Announcements To join our weekly webinars, visit the EU-US eHealth Collaboration Wiki Homepage for the latest meeting information: http://wiki.siframework.org/EU-US+eHealth+Cooperation+Initiative http://wiki.siframework.org/EU-US+eHealth+Cooperation+Initiative 5 To subscribe to our mailing list, simply complete the EU-US MOU Project Signup Form: http://wiki.siframework.org/EU- US+MOU+Roadmap+Project+Sign+Uphttp://wiki.siframework.org/EU- US+MOU+Roadmap+Project+Sign+Up To submit a brief biography of yourself (150 words or less), review the criteria listed at http://wiki.siframework.org/Interoperability+of+EHR+Work+Group #Work Group Members and e-mail your bio and photo (optional) to Gayathri Jayawardena at gayathri.jayawardena@esacinc.com http://wiki.siframework.org/Interoperability+of+EHR+Work+Group #Work Group Membersgayathri.jayawardena@esacinc.com To access current and archived meeting materials, visit the Project Meeting Artifacts section: http://wiki.siframework.org/Project+Meeting+Artifac ts http://wiki.siframework.org/Project+Meeting+Artifac ts

7. We are going to be working on a white paper in addition to the harmonized template – Templates WG will kick off in mid-May and will focus on developing the harmonized template – Interoperability WG will focus on developing the white paper Scope of the white paper – The white paper will be a comparative analysis of epSoS to C-CDA and will provide an overview of the outcomes of the mapping exercise and incorporate the detailed mapping spreadsheets as well as discuss the differences between epSoS to CCD sections – The white paper is listed as a deliverable in the EU-US roadmap Developing the white paper – The EU support team will draft sections of the white paper and we will review and update these sections with the community during the WG meetings Approval of the white paper – Upon completion of the white paper, it will be reviewed and approved by the EU & US leadership 6 Review of White Paper Process

8. 7 Title: “Comparative Analysis HL7 CDA R1.1 with epSOS IG v1.4” Starting Document Version: v0.1 Front Matter – Table of Contents – Table of Tables – Table of Graphics – Editors/authors & log of version numbers and changes Summary of Findings Background – MOU – About S&I initiative Purpose, Goal, Vision – Compare patient summary standards to identify common sections and data elements and to map data element value sets to assess the extent to which data values can be mapped with validity and reliability Standards comparison – epSoS, C-CDA CCD – List of file names – List of sources Review of Proposed White Paper Outline

9. 8 Scope: – Compare: Sections For overlapping sections: – Data Elements listed in Chapter 10 and 11 in epSoS – For aforementioned Data Elements » Associated value sets » Value set codes Outcomes: – Section level comparison – Header data elements comparison – Section data elements (in scope only, Chapters 10 and 11) – Value set maps – Value set code maps – Graphical mapping for each section except header Review of Proposed White Paper Outline (continued)

10. 9 Conclusions – Based on analysis Here are minimum data and associated value sets: we’ll put together some kind of table listed this Examples – Example C-CDA CCD – Example epSoS Appendix Review of Proposed White Paper Outline (continued)

11. 10 Review of Draft White Paper Milestones MilestoneDate of Milestone Kick-off development of the white paperApril 9 th Draft Document Finalized and section reviews completed by the community May 21 st Document posted for End to End ReviewMay 26 th Approval Process StartsJune 5 th Approval Announced and Artifact considered completeJune 11 th

12. 11 Review of Draft White Paper Timeline White paper section Date section presented to community Date section Finalized BackgroundApril 23 rd April 30 th Purpose, Goal, VisionApril 23 rd April 30 th Standards ComparisonApril 23 rd April 30 th ScopeApril 23 rd April 30 th OutcomesMay 14 th May 21 st ConclusionsMay 14 th May 21 st ExamplesMay 14 th May 21 st Summary of FindingsMay 14 th May 21 st End to End ReviewTBDJune 2 nd Begin Approval ProcessTBDJune 10 th

13. Next meeting will be on Wednesday, April 23 rd, 2014 at 10:00 am (ET)/16:00 pm (EET) Agenda for next meeting: – Review timeline for completion of the white paper – Review & Update the following white paper sections: Background Purpose, Goal & Vision Standards Comparison Scope Now through mid May we will be meeting every other week – During the off weeks we will be drafting sections of the white paper Community Calls will be a review and input of the drafted white paper sections Community will also be providing updates on the Templates work resulting from the mapping activities Next Meeting 12

14. 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 – 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 Project Support Team 13

15. Initiative 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 EU-US Initiative Reference Materials – http://wiki.siframework.org/EU- US+MOU+Roadmap+Project+Reference+Materials http://wiki.siframework.org/EU- US+MOU+Roadmap+Project+Reference+Materials Interoperability of EHR Homepage – http://wiki.siframework.org/Interoperability+of+EHR+Work+Gr oup http://wiki.siframework.org/Interoperability+of+EHR+Work+Gr oup 14