Data Access Framework All Hands Community Meeting

1. Data Access Framework All Hands Community Meeting July 23, 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. From S&I Framework to Participants: Hi everyone: remember to keep your phone on mute  NOTE: This meeting is being recorded and will be posted on the DAF Wikipage, under “Materials” “Past Meetings”

3. Agenda

4. Notional Project Timeline S&I Lifecycle (Discovery  Pilot & Evaluation) July2014 August September Today 7/23 October November December DAF/IHE White Paper Published Data Element IG Consensus Document IG Consensus Implementation (DAF/IHE Community) IHE Activities WP Comment Period IHE Trial Implementation Meeting DAF IHE/ S&I Joint Work Group Implementation (S&I Community) Pilots & Testing TWG 1: Document Metadata based access for LDAF & TDAF Create IGbased on existing standards Creating Operation Plan for Pilot Testing Pilots and Testing Balloting Activities Implementation (S&I Community) Pilots & Testing Candidate Standards Analysis Finalize Actors + Transactions + Technology Stacks and Standards Create IG Creating Operation Plan for Pilot Testing Pilots and Testing TWG 2: Data Element based access for LDAF & TDAF Balloting Activities

5. DAF Data ElementsStandards Selection • The DAF standards comparison spreadsheet is posted to the Harmonization section of the DAF wikipage • Please visit the following link to submit your comments: http://wiki.siframework.org/DAF+Standards+Harmonization+and+Implementation#Comment

6. Candidate Standards Discussed … • All standards identified by the community have been discussed • FHIR • QUICK • QED • HL7v2.x • HQMFv2 • Need to start narrowing down to a single standard from the existing set of candidates. • Standards selected may still need to be enhanced to satisfy DAF requirements • Profiles may be required to create an implementable IG

7. HQMF v2 • Early decision to not pursue further analysis of HQMFv2 due to • Its focus on quality measures • Complexity of creating queries • Document Paradigm • Not completely computable • Results are to be obtained using other types of documents such as QRDA Category I, QRDA Category III, C-CDA etc.

8. QED - SWOT RESTful QED looking at FHIR as an option to adopt

9. QUICK • Quality Improvement Clinical and Knowledge model • QUICK = Harmonization of vMR and QDM with mappings to FHIR • Objective is to use the model in clinical quality artifacts • In expressions and criteria for eMeasures, CDS artifacts • Hence, the model is tuned for that purpose • Objectives of Mapping to FHIR • Interoperability • Gain physical format, API • CQL • complements FHIR and does not replace it. (Enables complex queries) • This expression is used in knowledge artifacts. • The execution of this artifact may leverage FHIR to obtain the data for use within the reasoning engine. • S&I CQF is going to leverage FHIR to implement QUICK/CQL

10. HL7v2.x • Query Specification Formats • Query by Simple Parameters • Query by Example Variant • Query by Using the QSC Variant • Query profiles will be required to be created similar to the Immunization profile

11. Discussion to Narrow Down the Standards • FHIR seems to be emerging as a leading candidate • QED/QUICK adopting FHIR in the near future or as part of the roadmap • Is the emerging standard backed by industry support • Is in sync with FACA guidance to embrace RESTful approaches • HL7v2.x seems to be the other alternative to puruse Strawman Poll: • Pursue FHIR for Simple DAF Data Element Queries using existing DSTU and create profile and IG as needed • Monitor CQL and how it evolves as a Query syntax for complex queries instead of developing a parallel query syntax

12. Questions

13. Data Access Framework Resources • DAF Wiki Homepage • http://wiki.siframework.org/Data+Access+Framework+Homepage • Become a Community Member • http://wiki.siframework.org/Data+Access+Framework+Join+the+Initiative • DAF Charter • http://wiki.siframework.org/Data+Access+Framework+Charter+and+Members • DAF Standards, Harmonization and Implementation Activities • http://wiki.siframework.org/DAF+Standards+Harmonization+and+Implementation • Standards and Interoperability(S&I) Framework • http://wiki.siframework.org/Introduction+and+Overview • S & I Calendar of Events • http://wiki.siframework.org/Calendar

14. Initiative Support Leads • For questions, please feel free to contact your support leads: • Initiative Coordinator: John Feikema john.feikema@siframework.org • ONC Sponsors: Mera Choi mera.choi@hhs.gov • Support Team: • Project Management: • GayathriJayawardenagayathri.jayawardena@esacinc.com • Technical Support: • Dragon (Nagesh) Bashyam nagesh.bashyam@drajer.com • Standards SME: • Ed Larsen ed_larsen@comcast.net • Standards Support: • Angelique Cortez angelique.j.cortez@accenture.com • Vocabulary and Terminology Subject Matter Expert: • Mark Roche, MD mrochemd@gmail.com