1. Data Access Framework All Hands Community Meeting 1 December 16, 2015

2. 2 If you are not speaking, please keep your phone on mute DO NOT place your phone on hold, if you need to take another call or step away, please hang up and dial in again Hold = Elevator Music = Frustrated Speakers and Participants Feel free to use the “Chat” feature for any questions, comments or any items you would like the moderator or participants to know Meeting Etiquette NOTE: This meeting is being recorded and will be archived on the DAF Wikipage, under “Materials”  “Past Meetings” From S&I Framework to Participants: Hi everyone: remember to keep your phone on mute

3. 3 Agenda TopicEstimated Time General Announcements5 minutes Standards Development Organization (SDO) Updates5 minutes DAF Phase 3 Updates5 minutes Next Steps & Questions5 minutes

4. 4 General Announcements  DAF All Hands Community Meeting Our next All Hands meeting is on Wednesday, January 13, 2015 at 12:00 PM (ET). The meeting details can be accessed on the homepage: http://wiki.siframework.org/Data+Access+Framework+Homepage http://wiki.siframework.org/Data+Access+Framework+Homepage  DAF Wikipage Please visit the DAF wikipage at any time to access any of our current and past artifacts: http://wiki.siframework.org/Data+Access+Framework+Homepagehttp://wiki.siframework.org/Data+Access+Framework+Homepage

5. 5 SDO Updates HL7 DAF FHIR IG  DAF PSS A new Project Scope Statement was introduced at the HL7 WGM with our sponsoring work group, Infrastructure and Messaging (InM WG) The PSS is a way to account into the DAF FHIR IG any updates from pilot implementations, any changes for FHIR DSTU R2.1 and beyond, and any changes from Meaningful Use regulations It was Approved by InM, Structured Documents (SDWG), and the US Realm Board Committee (USRBC). It will be directed now for additional approvals with the Foundation and Technology Steering Division, and then further to the HL7 Technical Steering Committee The sponsoring work group for the DAF FHIR DSTU IG, Infrastructure and Messaging (InM), meeting artifacts can be found here: http://www.hl7.org/Special/committees/inm/index.cfm http://www.hl7.org/Special/committees/inm/index.cfm

6. 6 SDO Updates HL7 FHIR Connectathon  FHIR Connectathon  The HL7 FHIR Management Group (FMG) has decided that all tracks for the upcoming FHIR Connectathon in January 2016 will run as “official” in Orlando, given that the coordinator is in attendance and all test scripts are created and provided.  A survey with detailed descriptions of the candidates for connectathon tracks was sent out  The following five organizations will be participating by testing DAF profiles:  Cerner (3 attendees)  Qvera (1 attendee)  CareEvolution, Inc (1 attendee)  Aegis.net, Inc (1 attendee)  InterSystems (1 attendee)  If you are an implementer of DAF profiles, please participate in testing of the DAF profiles at the HL7 Connectathon (Also located on the S&I Wiki DAF page)HL7 Connectathon

7. 7 SDO Updates IHE USA DAF Document IG  IHE 2016 North America Connectathon The DAF Document Metadata IG will be available for testing at the IHE 2016 NA Connectathon at the HIMSS Innovation Center in Cleveland OH, January 25- 29, 2016 http://www.iheusa.org/connectathon-registration.aspx The DAF Document IG has had 4 organizations sign up for testing at the Connectathon We are working with the IHE USA and Connectathon support staff in confirming the structure of the testing and testing scripts  Ongoing Collaboration with Sequoia Project/ Carequality Project- Query Workgroup Anticipating Change Proposals (CP) for additional long term alignment with Carequality IG Additional information can be found Sequoia Project: http://sequoiaproject.org/ http://sequoiaproject.org/ Query Workgroup: http://sequoiaproject.org/carequality/get-involved/query- workgroup/http://sequoiaproject.org/carequality/get-involved/query- workgroup/ Completed our first alignment discussion Addressed differences between DAF IG and Care Equality IG Query Stacks, Error Flows, Details in terms of transactions, Policy vs Technical

8. SDO Updates IHE USA DAF Connectathon January 25 th – 29 th in Cleveland, OH Participants for DAF include: – Greenway Health – IOD Incorporated – MedInformatix 8

9. 9 DAF Phase 3 Updates  Completed  DAF Phase 3 project charter  Reviewed and published the comment dispositions on the project charter  Second round of discussions and pilot and technical requirements with potential pilot sites:  pSCANNER CDRN  REACHNet CDRN  Cincinnati Children's Hospital CDRN  PopMedNet  DataGlider / National Health Data Systems, Inc.  Current Activities  Potential pilot sites will fill out technical proposal slide decks for DAF team to review  Pilot sites will generate business proposals by the beginning of next year

10. Phase 3/ DAF for Researchers DAF Pilots Potential DAF Pilots:  pSCANNER CDRN  REACHNet CDRN  Cincinnati Children's Hospital CDRN  PopMedNet  DataGlider / National Health Data Systems, Inc. 10

11. RAHN Dataglider Technology Team Seeking DAF Phase 3 Pilot Partner We are beginning to seek researchers and data marts in support of our pilot proposal – PCORnet sites or other data marts that satisfy DAF’s requirement Pilot sites need to be working with data sources/data holders currently who will be able to provide the data necessary for research – Researchers to query the data marts Pilot sites need to be working with researchers currently or planning to work with researchers who will be using the data for performing their research Partnering with us gives you a platform that includes: – A backend and middleware that supports FHIR throughout the process – An advanced and flexible front end with a built-in computational engine useful for research Contact Dr. Steve Beller at sbeller@nhds.com; 914-271-5434 ext 2

12. NEXT MEETING: Join us on Wednesday, January 13, 2015 at 12:00 PM (ET) for our next All Hands meeting PILOTS: Plan to kick off pilot work in the new year 12 Next Steps

13. Questions 13

14. Additional DAF Resources 14

15. Useful Links DAF Homepage – http://wiki.siframework.org/Data+Access+Framework+Homepage http://wiki.siframework.org/Data+Access+Framework+Homepage DAF Initiative Signup – http://wiki.siframework.org/Data+Access+Framework+Join+the+Initiative http://wiki.siframework.org/Data+Access+Framework+Join+the+Initiative DAF Charter – http://wiki.siframework.org/Data+Access+Framework+Charter+and+Members http://wiki.siframework.org/Data+Access+Framework+Charter+and+Members DAF Standards, Harmonization and Implementation Activities – http://wiki.siframework.org/DAF+Standards+Harmonization+and+Implementa tion http://wiki.siframework.org/DAF+Standards+Harmonization+and+Implementa tion DAF HL7 FHIR IG – http://hl7.org/fhir/2015May/daf.html http://hl7.org/fhir/2015May/daf.html DAF IHE White Paper – http://ihe.net/uploadedFiles/Documents/PCC/IHE_PCC_White_Paper_DAF_R ev1.1_2014-10-24.pdf http://ihe.net/uploadedFiles/Documents/PCC/IHE_PCC_White_Paper_DAF_R ev1.1_2014-10-24.pdf 15

16. DAF Project Team  ONC Sponsor: Mera Choi mera.choi@hhs.govmera.choi@hhs.gov  S&I & DAF Initiative Coordinator: Johnathan Coleman jc@securityrs.comjc@securityrs.com  Support Team: Project Management: o Jamie Parker jamie.parker@esacinc.comjamie.parker@esacinc.com o Gayathri Jayawardena gayathri.jayawardena@esacinc.comgayathri.jayawardena@esacinc.com Technical SME: o Nagesh (Dragon) Bashyam nagesh.bashyam@drajer.comnagesh.bashyam@drajer.com Standards SME: o Brett Marquard brett@riverrockassociates.combrett@riverrockassociates.com o Ed Larsen ed_larsen@comcast.neted_larsen@comcast.net Privacy and Security SME: o Glen Marshall gfm@securityrs.comgfm@securityrs.com Standards Development Support: o Angelique Cortez angelique.j.cortez@accenturefederal.comangelique.j.cortez@accenturefederal.com 16

17. 17 SDO Updates DAF Publications  DAF FHIR IG DSTU (HL7) On September 23, 2015, Health Level Seven® International (HL7®) published Release 2 of the HL7 Fast Healthcare Interoperability Resources (FHIR®) Draft Standard for Trial Use (DSTU). Additionally, we are pleased to announce that the DAF FHIR Implementation Guide, a US-realm specific implementation guide, has also been published!! The DAF FHIR IG identifies and recommends standards for the interoperable representation and transmission of data using the notion of a Query Stack which modularizes the various layers of the Data Access Framework.DAF FHIR Implementation Guide  DAF Document Metadata Based Access IG (IHE) On September 24, 2015, the Integrating the Healthcare Enterprise (IHE) Patient Care Coordination (PCC) Technical Committee published The Data Access Framework (DAF) Document Metadata Based Access Implementation Guide. This US National Extension provides requirements and guidance on accessing clinical documents created during clinical workflows. The guide accomplishes this using RESTful resources based on HL7 FHIR® and the more traditional SOAP based IHE Profiles.The Data Access Framework (DAF) Document Metadata Based Access Implementation Guide