Health eDecisions (HeD) All Hands Meeting

1. Health eDecisions (HeD)All Hands Meeting July 11th, 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

4. Announcements • We submitted the NIB for our UC 2 HL7 Ballot • We officially have 3.5 weeks until our HL7 Ballot for UC 2 is submitted 

5. Weekly Meeting Schedule • Stay tuned for additional working meetings to ensure we meet the HL7 Ballot deadline (3.5 weeks and counting….)

6. HL7 Update • We have completed a working final Draft of the IG – it is being circulated to the support team once we are finished we will put it out on the wiki for comment and review • The Vocabulary and Terminology work for UC 1 will now be rolled into a “Master HeD” terminology spreadsheet that will include Data Elements and mappings for all of UC 1 and 2

7. HeD Pilots Update – WE ARE DONE!!!!!!!!!!!!!!!! • We met this week to review findings • Pilots Update • CDC and AllScripts–ECA Rule --- DONE • NewMentor and AllScripts – ECA Rule DONE • Zynx and DesignClinicals - Order Set DONE • VA and Wolters Kluwer - Documentation Template DONE • Please come to our open house to support to see what we have accomplished and the major milestone for the HeD initiative we have just crossed!!! (invite your friends)

8. HeD Pilots Open House • We had the first ever S&I and HeD virtual Pilots Open House on Monday July 8th, 2013 • are having a pilots open house July 8th from 1:00-2:00 • 165 Participants attended • Materials and recording posted on HeD Wiki homepage: http://wiki.siframework.org/Health+eDecisions+Homepage

9. Timeline We are Here

10. Use Case 2

11. SDS & Harmonization HeD • Timeline Overview • HeD UC2 vMR Mapping Template Update • Ballot Work Products Update • DSS IG Review

12. HeD Use Case 2 Timeline HL7 Initial Content Deadline (July 14) HL7 Notification of Intent to Ballot (July 7) HL7 Final Submission Deadline (Aug 4) Jun ‘13 Jul ‘13 Aug ‘13 Today (7/11) DSS vMR Extension & Alignment HeD UC2 Guidance Community Review & Ballot Preparations

13. Key Milestone Dates for September Ballot Administrative Deadlines: • HL7 Notification of Intent to Ballot (NIB): July 7 – COMPLETE • 6 NIBs submitted • HL7 Initial Content Deadline: July 14 Content Deadlines: • HL7 Final Content Deadline: August 4 • HL7 Examples Deadline: August 19 • HeDConsensus Review Period: August 19 – September 2 • Comments will be received during balloting from August 19 – August 26 • Comments will be vetted by the community • Submit Comments to HL7 on September 3

14. SDS & Harmonization HeD • Timeline Overview • HeD UC2 vMR Mapping Template Update • Ballot Work Products Update • DSS IG Review

15. HeD UC2 vMR Mapping

16. HeD UC2 vMRTemplates Harmonization Definition of “Status” Types: 0. Not Started – Template has been created, but is blank 1. Drafted – populated with content and ready for assigned team to begin work 2. Initial Review in Process – work is being done by the assigned team 3. Ready for Standards SWG Review – assigned team has completed work and requests entire SWG review for any feedback 4. Complete – ready for incorporation into the vMR IG Priority: Represents the suggested order for harmonizing the vMR Templates

17. Open Discussion • Issue:  For the HeD UC2 vMR Mapping Template Mappings Google doc, we need to make sure that the 9 Category tabs (e.g., for Problems, Substance Administration, etc.) have the latest vMR data elements, cardinality, and data types • Proposed action:Bryn is working on this? • Issue:  We need to decide whether we are going to attempt to provide normative guidance on EVERY data element in the vMR with respect to value restriction, etc. (the notion of creating the “Mega Tab”). Good to have, but we probably need to prioritize given the time pressures • Proposed action:  Focus on those data elements to be included in published Templates first.  Work on other data elements later with a goal of complete coverage.  This MAY occur before ballot materials are due or it MAY occur after that date (e.g., submitted through ballot comments and reconciliation)

18. Open Discussion cont. • Issue:We need to decide on the location of the source of truth. (3 potential locations – separate V&T SWG document, the Proposed Templates tab , or the 9 Category tabs • Proposed action: • All relevant terminology SWG content are moved into the Templates Google Doc in the 9 Category tabs • The primary value set restrictions will be done in the 9 Category tabs (e.g., observation focus is LOINC code) • This means that the Template development work MUST be synchronized with what is in the 9 Category tabs.  For example, if a template needs to use LOINC, but the Category tab only allows SNOMED CT at the moment, update the Category tab to allow both LOINC and SNOMED CT.  This should either be done by one of the V&T SWG members (e.g., Rob, Mark, and David Tao) or it should be discussed with them prior to making the change • Any initial content provided by Dave S. in the Template’s value restrictions are strictly strawman and intended to be reviewed/edited • All terminology restrictions in the Proposed Templates must be compatible with the terminology restrictions in the 9 Category tabs (e.g., observation focus is LOINC code, LOINC code for systolic BP, etc.) • I.e., the value restrictions in the 9 Category tabs MUST be the union/superset of the value restrictions in the Templates tab

19. SDS & Harmonization HeD • Timeline Overview • HeD UC2 vMR Mapping Template Update • Ballot Work Products Update • DSS IG Review

20. Ballot Work Products Update Legend: Not Started; In progress; Ready

21. Ballot Work Products Update Legend: Not Started; In progress; Ready

22. SDS & Harmonization HeD • Timeline Overview • HeD UC2 vMR Mapping Template Update • Ballot Work Products Update • DSS IG Review

23. DSS IG Review • Review the “Implementation Approach” section of the DSS IG

24. Next Steps

25. Questions?

26. Contact Information • For questions, please contact your support leads • Coordinator: • Ken Kawamoto: kensaku.kawamoto@utah.edu • Co-Coordinators: • Aziz Boxwala: aziz.boxwala@meliorix.com • Bryn Rhodes: bryn@veracitysolutions.com • ONC Leadership: • Alicia Morton: alicia.morton@hhs.gov • Project Management: • Jamie Parker: jamie.parker@esacinc.com • Use Case 2: • Dave Shevlin: d.s.shevlin@accenturefederal.com • Virginia Rhiel: virginia.riehl@verizon.net • Harmonization: • Lynette Elliot: lynette.elliott@esacinc.com • Anna Langhans: anna.langhans@accenture.com

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