1. Health eDecisions (HeD) All Hands Meeting February 21st, 2013

2. Meeting Etiquette Remember: If you are not speaking, please 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 = frustrated speakers and participants This meeting is being recorded Another reason to keep your phone on mute when not speaking Use the “Chat” feature for questions, comments and items you would like the moderator or other participants to know. Send comments to All Panelists so they can be addressed publically in the chat, or discussed in the meeting (as appropriate). From S&I Framework to Participants: Hi everyone: remember to keep your phone on mute All Panelists

3. Agenda TopicTime Allotted Announcements5 minutes Work Stream 1 Update: HL7 Meeting Update 5 minutes Work Stream 2 Update: Pilots5 minutes Work Stream 3: Use Case 265 minutes Next Steps5 minutes Wrap up/Questions5 minutes

4. Announcements Vocabulary and Terminologies sub work will be meeting this week –Friday 12:30-2:30 EDT –http://wiki.siframework.org/Health+eDecisions+Homepagehttp://wiki.siframework.org/Health+eDecisions+Homepage CQI (HL7) Meeting –Working on Harmonizing vMR and QDM Tuesdays from 3-4pm EDT http://wiki.siframework.org/Health+eDecisions+Homepage

5. HL7 Update We met with CDS Workgroup to review the HeD/HQMF harmonization activities –Documentation Template (FLAC Pain Score example) We continue incorporate comments into the IG Pilots will pilot a Draft Final of the IG We will incorporate all pilot feedback (within the scope of ballot reconciliation) Final IG will be submitted to HL7 end of April-beginning May as our DSTU To see all comments and dispositions consult the HL7 section of the HeD Reference Wiki page: http://wiki.siframework.org/Health+eDecisions+Reference+Materials http://wiki.siframework.org/Health+eDecisions+Reference+Materials Plans: –We will continue to use our Wednesday meeting time to continue work on any the IG, harmonization efforts etc. http://wiki.siframework.org/Health+eDecisions+Homepage ) http://wiki.siframework.org/Health+eDecisions+Homepage –We will continue integrating comments into the IG

6. Continue with pilots Harmonize metadata Reconcile ballot comments HQMF/HeD harmonized artifact model VMR/QDM harmonized clinical data model DSTUDSTU Update IG Revise IG NormativeNormative BallotBallot Feb/Mar September 2~ years FHIR? HeD Roadmap for UC 1 Apr/May We are Here

7. Pilots Update – Work Stream 2 11 Pilot Participants Total We did not meet this week –We have 2 more potential pilots Design Clinicals (Medication Tracking and monitoring) Visumpoint- (model translation) February 25 Meeting (upcoming) –Zynx scheduled to present –3 slots open for other presenters In the coming weeks –Drafting pilot success criteria and metrics –Pilots sites will be preparing the pilot project documentation and presenting their pilot plans to the group To follow the work of pilots please see our wiki page: http://wiki.siframework.org/Health+eDecisions+Pilots http://wiki.siframework.org/Health+eDecisions+Pilots

8. HeD Pilots Goal Goal The goal of this initiative is to produce and consume implementable CDS interventions. 1.Event Condition Action Rules (ECA Rules) 2.Order Sets 3.Documentation Templates Pilot Scope 1.Health eDecisions will apply defined aspects of the Implementation Guide in a real-world setting. 2.Modify the Implementation Guide to ensure it is usable 3.The real-world pilots evaluate not only the technology, standards and model (VMR), but also provide a test bed to evaluate the interaction of technology, implementation support, and operational infrastructure required to meet Health eDecisions use case 1 objectives at the stakeholder or organization levels.

9. HeD Use Case 2 Development Data Element Requirements

11. UC2 Data Requirements CDS Response (guidance and/or other response elements) CDS Request (patient data + context) Actions (UC1) Supporting Reference (UC1) Supporting Evidence (UC1) Clinical Mapping (UC1) Context (DSS/Infobutton) System Responses (e.g., Errors) Assessment

12. Request Data Requirements The Clinical Mapping data requirements will be leveraged from Use Case 1, but this portion of the work is on hold while other parallel efforts are underway DSS and Infobutton were used as a starting point for the Context data –The Data Elements SWG evaluated these on 2/20. Community, please provide detailed review by COB 2/26 What is missing? What other references are available for Context data elements? CDS Request (patient data + context) Clinical Mapping (UC1) Context (DSS/Infobutton)

13. Response Data Requirements Based on previous discussions, we plan to leverage several “buckets” of data from Use Case 1 –We will review these today. Community, please provide detailed review by COB 2/26 Other elements proposed last week: System Responses and Assessment data –Volunteers requested to help with initial definitions of these requirements CDS Response (guidance and/or other response elements) Actions (UC1) Supporting Reference (UC1) Supporting Evidence (UC1) System Responses (e.g., Errors) Assessment

14. Work Stream 1 – HL7: –Continue HeD HQMF Harmonization Activities and IG updates –Next HL7 meeting February 27th, 2013 3-5 pm EDT (see HeD Homepage wiki for meeting details: http://wiki.siframework.org/Health+eDecisions+Homepage http://wiki.siframework.org/Health+eDecisions+Homepage –HL7 CQI meeting Harmonizing VMR/QDM –Next Meeting: February 26 th, 3-4 pm EDT (see HeD Homepage wiki for meeting details: http://wiki.siframework.org/Health+eDecisions+Homepagehttp://wiki.siframework.org/Health+eDecisions+Homepage Work Stream 2 – Pilots: –We will be discussing Pilot Plans (please work on your project pans) –Next Pilots meeting: February 25 th, 1-2:30 pm EDT see HeD home page wiki for meeting details: http://wiki.siframework.org/Health+eDecisions+Homepage http://wiki.siframework.org/Health+eDecisions+Homepage –Review UC 1 for background information for UC 2 Work Stream 3 – Use Case 2: –We will continue reviewing the components of Use Case 2 –Next meeting February 28th, 2013 11-12:30 EDT (see the HeD Homepage wiki for meeting details: http://wiki.siframework.org/Health+eDecisions+Homepage http://wiki.siframework.org/Health+eDecisions+Homepage Next Steps New

15. Questions?

16. Contact Information For questions, please contact your support leads –Coordinator: Ken Kawamoto: kensaku.kawamoto@utah.edukensaku.kawamoto@utah.edu –Co-Coordinators: Aziz Boxwala: aziz.boxwala@meliorix.comaziz.boxwala@meliorix.com Bryn Rhodes: bryn@veracitysolutions.combryn@veracitysolutions.com –ONC Leadership: Alicia Morton: alicia.morton@hhs.govalicia.morton@hhs.gov –Project Management: Jamie Parker: jamie.parker@esacinc.comjamie.parker@esacinc.com Becky Angeles: rebecca.angeles@esacinc.comrebecca.angeles@esacinc.com –Harmonization: Cem Mangir cmangir@deloitte.comcmangir@deloitte.com Shalina Wadhwani: shwadhwani@deloitte.comshwadhwani@deloitte.com

17. Useful Links Wiki –http://wiki.siframework.org/Health+eDecisions+Homepagehttp://wiki.siframework.org/Health+eDecisions+Homepage Use Case 1& 2 –http://wiki.siframework.org/Health+eDecisions+Use+Casehttp://wiki.siframework.org/Health+eDecisions+Use+Case –UC 2: Use Case 2: http://wiki.siframework.org/UC+2+- +CDS+Guidance+Servicehttp://wiki.siframework.org/UC+2+- +CDS+Guidance+Service Pilots –http://wiki.siframework.org/Health+eDecisions+Pilotshttp://wiki.siframework.org/Health+eDecisions+Pilots HL7 Ballot Submission: –http://wiki.siframework.org/Health+eDecisions+Reference+Materials #Ballothttp://wiki.siframework.org/Health+eDecisions+Reference+Materials #Ballot UC 1 Harmonization and IG: –http://wiki.siframework.org/Health+eDecisions+Harmonization+and+ Standards+%28Implementation%29http://wiki.siframework.org/Health+eDecisions+Harmonization+and+ Standards+%28Implementation%29 HeD Glossary –http://wiki.siframework.org/HeD+Glossaryhttp://wiki.siframework.org/HeD+Glossary