1. EU-US eHealth/Health IT Cooperation Initiative Interoperability of EHR Work Group February 12, 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

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 Announcements10 minutes C-CDA CCD to epSoS PS Mapping Update45 minutes Next Week logistics5 minutes 3

5. Meeting Times 4 Washington, DC 10:00am (ET) Washington, DC 10:00am (ET) London 3:00pm/15:00 (GMT) London 3:00pm/15:00 (GMT) Germany 4:00pm/16:00 (CET) Germany 4:00pm/16:00 (CET) Athens 5:00pm/ 17:00 (EET) Athens 5:00pm/ 17:00 (EET) Interoperability of EHR Work Group meets every Wednesday

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. 6 Washington, DC 9:00am (ET) Washington, DC 9:00am (ET) London 2:00pm/14:00 (GMT) London 2:00pm/14:00 (GMT) Germany 3:00pm/15:00 (CET) Germany 3:00pm/15:00 (CET) Athens 4:00pm/ 16:00 (EET) Athens 4:00pm/ 16:00 (EET) Mapping Sub-Work Group Meeting Time Every Tuesday through March (Next meeting: February 18, 2014)

8. Mapping Sub-Work Group Artifacts 7 To access archived meeting materials (e.g. presentation and video), visit the Project Meeting Artifacts section: http://wiki.siframework.org/Project+Meeting+Artifacts http://wiki.siframework.org/Project+Meeting+Artifacts Please review the epSOS/C-CDA Header Data Element Spreadsheet and submit comments through the online comment form located here: https://docs.google.com/spreadsheet/ccc?key=0AiAfdYPeAnM- dG1mczY3dXN4WEl5eEpYVE5fV0pFWUE&usp=drive_web#gid=11 https://docs.google.com/spreadsheet/ccc?key=0AiAfdYPeAnM- dG1mczY3dXN4WEl5eEpYVE5fV0pFWUE&usp=drive_web#gid=11

9. Phases of Harmonization 8 (Clinical Summary Form) (Clinical Summary Form) (document ID, author, patient ID…) (document ID, author, patient ID…) [Body] [Procedures] (Colonoscopy) [Gastroscopy] [CABG] … (Colonoscopy) [Gastroscopy] [CABG] … [Current Medications] … [ASA] [Warfarin] [CABG] [ASA] [Warfarin] [CABG] Phase 1 Section level mapping between epSOS and CCD Phase 2 Header’ Data Element mapping Phase 3 Sections’ Data Element mapping Phase 4 Value Set mapping Completed Remaining Data Granularity and Complexity

10. Mapping Review/Validation: Resources and Process All harmonization/mapping work is done on Google spreadsheet: – Link: https://docs.google.com/spreadsheet/ccc?key=0AiAfdYPeAnM- dG1mczY3dXN4WEl5eEpYVE5fV0pFWUE&usp=drive_web#gid=11https://docs.google.com/spreadsheet/ccc?key=0AiAfdYPeAnM- dG1mczY3dXN4WEl5eEpYVE5fV0pFWUE&usp=drive_web#gid=11 – Access: anyone with link – Privileges: “View and Comment” – everyone with link (the one above) “Edit” – selected – EU: one designated XML/epSoS PS subject matter expert – US: Mark Roche (for now) » Above may be reviewed/updated as project continues Review Process: – Review/validate mapping outcomes after each phase with community – Review points: Mapping completeness Mapping accuracy Mapping gaps 9

11. Mapping Sub-Workgroup 10 Goal: The mapping SWG will continue our current epSOS-CCDA mapping efforts for the EU-US Interoperability Informative Guide Overview of Meeting: Reviewed Header Data Element Mapping Discussed need for volunteers to review Section Data Element Mapping SWG Homework: Review Header Data Element Mapping Determine which section you would like to volunteer to map based on experience and knowledge of section content Next meeting: February 18 th, 2014 Meeting Time: Tuesdays 9 AM – 10 AM EST / 2 PM – 3 PM GMT (UTC) Note: As mapping sections are completed, they will be presented to the full workgroup for review and comment

12. Homework: Review Phase 2, Header’ Data Element Mapping 1.Are template names and OIDs correct? 2.Are all Header Data Elements (DE) listed? 3.Are DE names correct? 4.Are X-Path Statements correct? 5.Are requirements (R,R2,O) correct? 6.Are Data Types correct? 6.Is mapping complete (within header)? 7.Is mapping accurate (correct)? 8.Are there mapping gaps (Exists in epSoS PS but not in C- CDA CCD and vice versa)? 9.Is mapping clear and unambiguous? 10.What is missing? 11

13. Homework: Review Phase 2, Header’ Data Element Mapping Review google doc Demonstrate how to comment 12

14. Preparing for Next Meeting 13 Next meeting will be on Wednesday, February 19, 2014 at 10:00 am (ET)/5:00 pm (EET) Please attend the next Mapping Sub-Work Group on Tuesday, February 18, 2014 at 9:00 am (ET)/4:00 pm (EET)

15. Interoperability of EHR Project Support Team 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

16. 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 15