1. Electronic Submission of Medical Documentation (esMD) Digital Signatures, and Delegation of Rights Sub-Workgroup December 21, 2012

2. Meeting Etiquette Please announce your name each time prior to making comments or suggestions during the call Remember: If you are not speaking keep your phone on mute Do not put your phone on hold – if you need to take a call, hang up and dial in again when finished with your other call –Hold = Elevator Music = very frustrated speakers and participants This meeting, like all of our meetings, is being recorded –Another reason to keep your phone on mute when not speaking! Feel free to use the “Chat” or “Q&A” feature for questions or comments NOTE: This meeting is being recorded and will be posted on the esMD Wiki page after the meeting From S&I Framework to Participants: Hi everyone: remember to keep your phone on mute 2

3. Agenda 3 TopicPresenter Announcements and Administrative ItemsZach DS/DoR SWG White Paper Review Consensus Votes Round Robin Vote Bob/Zach

4. December 2012 Proposed Schedule 4 SundayMondayTuesdayWednesdayThursdayFridaySaturday December 2012* 1 2345678 AoR L1 SWG White Papers E2E Review Period BEGINS 9101112131415 AoR L1 SWG White Papers E2E Review Period ENDS Leads will review E2E review comments and provide dispositions AoR L1 SWG White Papers Comment Reconciliation Consensus Period BEGINS Delegation of Rights and Digital Signatures White Paper E2E Review Period ENDS Delegation of Rights and Digital Signatures White Paper Consensus Period BEGINS 16171819202122 AoR L1 SWG White Papers Consensus Period ENDS Leads will review consensus votes and provide dispositions AoR L1 SWG White Papers Consensus Comment Reconciliation Leads will review consensus votes and provide dispositions AoR L1 SWG DoR/DS White Papers Consensus Comment Reconciliation 23242526272829 3031 *This is a tentative schedule and subject to change All esMD Meetings this week are cancelled. Happy Holidays!! AoR L1 SWG White Papers E2E Review Period AoR L1 SWG White Papers Consensus Voting Period AoR L1 SWG White Papers E2E Review Period AoR L1 SWG White Papers Consensus Voting Period

5. There will be no esMD meetings during the first week of January The consensus voting period for all three SWG White Papers has been extended, and will end COB Monday, January 7 th. esMD Meetings will resume on Wednesday, January 9 th with our normal meeting times –Wednesday from 10-11 AM ET –Wednesday from 1-3 PM ET –Friday from 2-3 PM ET Schedule for January 2013

6. The consensus voting period for all three White Papers has been extended and will run through COB Monday, January 7 th. –Digital Credentials White Paper: http://wiki.siframework.org/esMD+AoR+L1+SWG+1+%28Digital+Cr edentials%29+White+Paper+Consensus+Form http://wiki.siframework.org/esMD+AoR+L1+SWG+1+%28Digital+Cr edentials%29+White+Paper+Consensus+Form –Identity Proofing White Paper: http://wiki.siframework.org/esMD+AoR+L1+SWG+2+%28Identity+Pr oofing%29+White+Paper+Consensus+Form http://wiki.siframework.org/esMD+AoR+L1+SWG+2+%28Identity+Pr oofing%29+White+Paper+Consensus+Form –Digital Signatures and Delegation of Rights White Paper: http://wiki.siframework.org/esMD+AoR+L1+SWG+3+%28Digital+Sig natures+%26+Delegation+of+Rights%29+White+Paper+Consensus +Form http://wiki.siframework.org/esMD+AoR+L1+SWG+3+%28Digital+Sig natures+%26+Delegation+of+Rights%29+White+Paper+Consensus +Form Please remember, if you are not yet registered as a committed member for esMD, your vote may not be counted towards the consensus vote, so we encourage everyone to register as a committed member of esMD here. here Consensus Voting

7. Thank you for all the hard work and effort you have put towards the esMD Initiative this year! We have accomplished a lot and could not have done it without you! –Use Case 1: Provider Registration –Use Case 2: eMDR Structured Content and Transport –Use Case 3: Author of Record Level 1 Digital Credentials Management White Paper Identity Proofing White Paper Digital Signatures and Delegation of Rights White Paper –Use Case 1 Implementation Guide –Use Case 2 Implementation Guide –Provider Directory Guidance for esMD Year-End Review

8. Author of Record Level 1 Implementation Guide Author of Record Level 2 and 3 Use Cases Author of Record Level 2 and 3 Implementation guides Pilots!!! Coming Up Next Year…

9. We could not have accomplished the vast amount of work for esMD without your support! Wishing you a very happy holidays and a wonderful and prosperous new year from the esMD team!! We look forward to a very productive 2013!! THANK YOU!!

10. 6 Yes Votes (7 after round robin) 1 Yes with comments 0 No votes 0 Abstain votes DS/DoR White Paper Consensus Votes