1. Data Access Framework All Hands Community Meeting March 5, 2014

2. Meeting Etiquette 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 meeting is being recorded – Another reason to keep your phone on mute when not speaking Feel free to use the “Chat” feature for questions, comments or any items you would like the moderator or participants to know. NOTE: This meeting is being recorded and will be posted on the Wikipage, under “Past Meetings” after the meeting From S&I Framework to Participants: Hi everyone: remember to keep your phone on mute 2

3. Agenda TopicEstimated Time Review Revised Notional Project Timeline5 minutes Brief Overview of the S&I Implementation Phase5 minutes Introduction to the DAF Technical Work Stream45 minutes Next Steps/Questions5 minutes 3

4. Notional Project Timeline DAF Initiative Kickoff (7/16) Discovery (Use Case 1) S&I Lifecycle (Discovery  Pilot & Evaluation) August November Define Use Case & Functional Requirements Define Use Case & Functional Requirements Sub-Work Group Signifies milestone or deliverable July 2013 September OctoberDecember UC 1 Kickoff (8/14) Project Charter Consensus (8/28) UC 2 Kickoff (12/11) UC 1 Consensus (12/11) UC 1: Local Data Access: Intra- Organizational Query Pre-Discovery Development of Charter Define Use Case & Functional Requirements Define Use Case & Functional Requirements Implementation (DAF/IHE Community) Discovery (Use Case 2) UC 2: Targeted Data Access: Inter- Organizational Query Sub-Work Group DAF IHE/ S&I Joint Work Group IHE Activities

5. Notional Project Timeline CONTINUED S&I Lifecycle (Discovery  Pilot & Evaluation) Today 3/5 February May Signifies milestone or deliverable March AprilJune Define Use Case & Functional Requirements Define Use Case & Functional Requirements Discovery (Use Case 2) UC 2 Consensus (2/5) Draft DAF/IHE White Paper Complete (2/28) DAF/IHE White Paper Published January 2014 UC 2: Targeted Data Access: Inter- Organizational Query Implementation (DAF/IHE Community) DAF IHE/ S&I Joint Work Group IHE Activities Publish DAF/IHE White Paper IG Consensus Implementation (S&I Community) Candidate Standards Analysis TWG 1: Document Metadata based access for LDAF & TDAF Finalize Actors + Transactions + Technology Stacks and Standards Create IG’s based on existing standards Create SWG to modify/add standards as necessary Update IG’s based on SWG output Candidate Standards Analysis Finalize Actors + Transactions + Technology Stacks and Standards Create SWG to profile standards for data element access TWG 2: Data Element based access for LDAF & TDAF White Paper Comment Period

6. S&I Framework Lifecycle 6 DISCOVERY IMPLEMENTATIONPILOTS EVALUATION

7. S&I Framework Lifecycle 7

8. Data Access Framework (DAF) Technical Work Group March 5, 2014

9. 9 In Scope: – Leverage the IHE White Paper developed by IHE PCC outlining existing IHE profiles and their applicability to DAF – Identify additional standards/profiles that can be leveraged to meet the DAF (LDAF and Targeted) query use cases with a focus on modularity and substitutability – Identify the gaps in the existing standards/profiles to meet the use cases and requirements outlined – Development of implementation guides/API’s required for implementation of the use cases – Support DAF Pilot activities Out of Scope: – Creation of policies to enable queries Policies include consent, patient matching, disclosure requirements etc. – Identifying business processes and workflows required to enable queries. DAF Technical Work Group SCOPE

10. DAF Timeline S&I Lifecycle (Discovery  Pilot & Evaluation) Today 3/5 February May Signifies milestone or deliverable March AprilJune Define Use Case & Functional Requirements Define Use Case & Functional Requirements Discovery (Use Case 2) UC 2 Consensus (2/5) Draft DAF/IHE White Paper Complete (2/28) DAF/IHE White Paper Published January 2014 UC 2: Targeted Data Access: Inter- Organizational Query Implementation (DAF/IHE Community) DAF IHE/ S&I Joint Work Group IHE Activities Publish DAF/IHE White Paper IG Consensus Implementation (S&I Community) Candidate Standards Analysis TWG #1: Document Metadata based access for LDAF & TDAF Finalize Actors + Transactions + Technology Stacks and Standards Create IG’s based on existing standards Create SWG to modify/add standards as necessary Update IG’s based on SWG output Candidate Standards Analysis Finalize Actors + Transactions + Technology Stacks and Standards Create SWG to profile standards for data element access TWG #2: Data Element based access for LDAF & TDAF White Paper Comment Period

11. 11 DAF Technical Work Group Abstract Model

12. 12 Transactions/Queries Required for DAF Find Patient Identifiers for Patient Demographics Find Document(s) based on Patient Identifiers Find Document(s) based on Patient Demographics Get Document(s) based on Document Identifiers Supply and Consume User Assertions to support security aspects of the query DAF Queries for Document Metadata Based Access

13. Document Metadata Based DAF Queries to IHE Profiles Mapping (Initial Version) 13 Transactions/Queries required for DAF TransportLDAFTDAFFDAF Find Patient Identifiers for Patient Demographics SOAP PIX/PDQv3PIX/PDQv3 - ITI 45, ITI 47 PIX/PDQv3PIX/PDQv3 - ITI 45, ITI 47 XCPDXCPD – ITI55 XCPDXCPD – ITI55 REST GAP (In progress in IHE) Find Document(s) based on Patient Identifiers SOAPXDSXDS – ITI 18 XDSXDS – ITI 18 XCAXCA - ITI 38 XCAXCA - ITI 38 RESTMHDMHD – ITI 66, ITI 67?? Find Document(s) based on Patient Demographics SOAPGAP RESTGAP Get Document(s) based on Document Identifiers SOAPXDSXDS – ITI 43 XDSXDS – ITI 43 XCAXCA - ITI 39 XCAXCA - ITI 39 RESTMHDMHD – ITI 68?? Supply and Consume User Assertions to support security aspects of the query SOAP XUAXUA – ITI 40 BPPC XUAXUA – ITI 40 BPPC XUAXUA – ITI 40 BPPC RESTIUAIUA - ITI Y1, ITI Y3IUAIUA - ITI Y1, ITI Y3IUAIUA - ITI Y1, ITI Y3

14. Document Metadata Based DAF Queries Other Candidate Standards 14 Transport ? Security ? Content (Query Structure and Query Response Structure) ? Vocabularies ?

15. Questions 15

16. Next Steps Attend our next All Hands call on Wednesday, March 12 th, at 12:00 pm (EST) where we will discuss: DAF Queries ‾Analyze any other potential candidate standards and their maturity for DAF Document Metadata based access ‾Start identifying granular parts of the IHE profiles that would be required for DAF purposes ⁰ Actual Transport/Security aspects ⁰ Queries to support ⁰ Optionality that needs to be removed ⁰ Result structure for documents 16

17. Initiative Support Leads For questions, please feel free to contact your support leads: – Initiative Coordinator: John Feikema john.feikema@siframework.orgjohn.feikema@siframework.org – ONC Sponsors: Mera Choi mera.choi@hhs.govmera.choi@hhs.gov – Support Team: Project Management: – Gayathri Jayawardena gayathri.jayawardena@esacinc.comgayathri.jayawardena@esacinc.com Technical Support: – Dragon (Nagesh) Bashyam nagesh.bashyam@drajer.comnagesh.bashyam@drajer.com Use Case Development: – Presha Patel presha.patel@accenture.compresha.patel@accenture.com – Hema Patel hema.patel@accenture.comhema.patel@accenture.com Standards Support: – Angelique Cortez angelique.j.cortez@accenture.comangelique.j.cortez@accenture.com Vocabulary and Terminology Subject Matter Expert: – Mark Roche mrochemd@gmail.commrochemd@gmail.com 17

18. Data Access Framework Resources DAF Wiki Homepage – http://wiki.siframework.org/Data+Access+Framework+Homepage http://wiki.siframework.org/Data+Access+Framework+Homepage Become a Community Member – http://wiki.siframework.org/Data+Access+Framework+Join+the+Initiativ e http://wiki.siframework.org/Data+Access+Framework+Join+the+Initiativ e DAF Charter – http://wiki.siframework.org/Data+Access+Framework+Charter+and+Me mbers http://wiki.siframework.org/Data+Access+Framework+Charter+and+Me mbers DAF Standards, Harmonization and Implementation Activities – http://wiki.siframework.org/DAF+Standards+Harmonization+and+Imple mentation http://wiki.siframework.org/DAF+Standards+Harmonization+and+Imple mentation Standards and Interoperability(S&I) Framework – http://wiki.siframework.org/Introduction+and+Overview http://wiki.siframework.org/Introduction+and+Overview S & I Calendar of Events – http://wiki.siframework.org/Calendar http://wiki.siframework.org/Calendar 18