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S&I Framework Update HIT Standards Committee

S&I Framework Update HIT Standards Committee. July 16, 2014. Steve Posnack Office Standards & Technology Office of the National Coordinator for Health IT. S&I Initiative Portfolio Snapshot:. Structured Data Capture. In production. Data Access Framework . EU/US eHealth Cooperation .

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S&I Framework Update HIT Standards Committee

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  1. S&I Framework Update HIT Standards Committee July 16, 2014 Steve Posnack Office Standards & Technology Office of the National Coordinator for Health IT

  2. S&I Initiative Portfolio Snapshot: Structured Data Capture In production Data Access Framework EU/US eHealth Cooperation Active Initiatives Blue Button Plus PDMP & HIT Integration Clinical Quality Framework Data Provenance Public Health Laboratory Results Interface Community-Led* or Other Agency-Led Laboratory Orders Interface Electronic Submission of Medical Documentation Longitudinal Coordination of Care Direct Project (S&I Archetype) Data Segmentation for Privacy Inactive or Closed Initiatives Transitions of Care Query Health HealtheDecisions * Community led initiatives leverage the S&I framework platform with minimal or no ONC funded contractor support. 1

  3. Summary of Current & Upcoming SDO Engagement:S&I Active Initiatives [as of 7/1/2014] 2 2

  4. Summary of Current & Upcoming SDO Engagement:S&I Community Led/Other Agency Led [as of 7/1/2014] 3

  5. For Your Reference FOR YOUR REFERENCE CURRENT S&I INITIATIVE TIMELINES 4

  6. SDC Initiative Timeline (Today) Project Charter Pre-Discovery Use Cases FHIR Profile IHE Profile SDC Use Case SOAP/SAML IG Standards Analysis & Gap Mitigation Harmonization Patient Safety Event/Adverse Event Pilot RI, Test & Pilots Public Health Tiger Team Pilot Evaluation 5

  7. DAF Initiative Timeline (Today) Pre-Discovery Project Charter Use Cases Federated DAF Use Case Local and Targeted Access Use Cases IHE DAF White Paper Development Document Metadata Candidate Standards Evaluation DAF White Paper published August 2014 Harmonization Document Metadata IG Development Data Elements Candidate Standards Evaluation Data Elements IG Development Pilots RI, Test & Pilots Evaluation (~Spring/Summer 2015) Evaluation 6

  8. EU-US initiative Timeline (Today) Charter Development Pre-Discovery Use Cases EU-US Interoperability Use Case International Patient Summary template development Comparative Analysis Between HL7 C-CDA R1.1 CCD and epSoS PS v1.4 (Interoperability Standards Mapping) Harmonization Workforce Competency Mapping Workforce White Paper Development and Proof of Concept Tooling RI, Test & Pilots Interoperability Pilots Evaluation Evaluation 7

  9. Blue Button Plus Initiative Timeline (Today) Pre-Discovery Use Cases Use Cases (Completed Fall 2012) Standards Evaluation (Completed Spring 2013) Harmonization IG Development (Completed Summer 2013) Reference Implementation and Pilots RI, Test & Pilots Evaluation Evaluation 8

  10. PDMP & HITI Initiative Timeline (Today) Pre-Discovery Charter Use Cases Use Case Candidate Standards Evaluation Harmonization IG Development Pilots RI, Test & Pilots Evaluation Evaluation 9

  11. Data Provenance Timeline (Today) Charter Pre-Discovery Use Cases Use Case Tiger Team September Ballot Development IG Development Harmonization Candidate Standards Evaluation RI, Test & Pilots Pilots Evaluation Evaluation 10

  12. Clinical Quality Framework (CQF) Timeline (Today) CQF Charter Pre-Discovery Use Cases CQF Use Case Quality Information Domain Analysis Model (HL7 Ballot Reconciliation Complete) FHIR as a Potential Common Logical Model paper (HL7 Comment Period Complete) FHIR Profile Harmonization Harmonization of Health Quality Information Models (HL7 DSTU) Clinical Quality Expression Language (HL7 DSTU) Clinical Quality Common Metadata (Spec Changes) RI, Test & Pilots CQF Pilots CQF Evaluation Evaluation 11

  13. Laboratory Results Interface (LRI) (Today) Pre-Discovery Use Case1 (Completed Spring 2011) Use Cases LRI DSTU R2 Update (Fall/Winter 2014) HL7 DSTU Ballot (Completed Fall 2011 and Spring 2012) Implementation Guide (Completed Summer/Fall 2012) Harmonization EHR Functional Requirements (Jan 2015) RI, Test & Pilots Pilots (Summer 2012-Summer 2013) Evaluation Evaluation 12

  14. Laboratory Orders Interface (LOI) (Today) Pre-Discovery Use Case (Completed Summer 2012) Use Cases HL7 eDOSImplementation Guide (Completed Fall/Winter 2013) HL7 LOI Implementation Guide (Completed Fall 2012) Harmonization HL7 LOI and eDOSImplementation Guides (Summer/Fall 2014) LOI and eDOS Integrated Deployments (Summer/Fall 2014) RI, Test & Pilots Evaluation Evaluation 13

  15. esMD – Electronic Submission of Medical Documentation (Today) Charter Pre-Discovery AoR L1 Use Case Use Cases AoR L3 Use Case AoR L2 Use Case eDoC User Story Development UC 1 IG HL7 Digital Signatures Ballot/Recon UC 2 IG AoR L2 IG Provider Directories Guidance for esMD IG HL7 eDoCAdditional C-CDA R2 Templates Ballot/Recon Harmonization AoR L1 IG eDoC Companion/Implementation Guide Development eDoC Coded Data Mapping RI, Test & Pilots Pilots Evaluation Evaluation 14

  16. Longitudinal Coordination of Care Timeline (Today) Pre-Discovery Use Case1 (Transfer Summary) (Completed Summer 2012) Use Cases Use Case2 (Care Plan / Home Health Plan of Care) (Completed Summer 2013) HL7 LTPAC Summary Document (Completed Fall 2012) HL7 CCDA R2.0 Implementation Guide (Care Plan) (Completed Summer/Fall 2013) Harmonization Transfer Summary Pilots (Completed 2012) CCDA R2.0 Care Plan Implementations (Completed Fall 2013 / Spring 2014) RI, Test & Pilots CCDA R2.0 Transfer Summary Go-Live (Summer/Fall 2014) Evaluation Evaluation 15

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