Data Access Framework All Hands Community Meeting

December 11th, 2013

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.

NOTE: This meeting is being recorded and will be posted on the Wikipage, under “Past Meetings”

after the meeting

From S&I Framework to Participants:Hi everyone: remember to keep your phone on mute

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Agenda

Topic Estimated Time

General Announcements 5 minutes

DAF IHE/S&I Joint Work Group Update 8 minutes

Review Comments from Consensus Voting Process & Conduct Consensus Round Robin 15 minutes

Introduce and Discuss Targeted DAF In/Out of Scope and Assumptions Sections 30 minutes

Next Steps/Questions 2 minutes

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• Consensus Update– Yes (4)– Yes w/comments (3)– Formal Objection with comments (0)– Abstain (0)

• All Hands Community Meeting Holiday Schedule– Wednesday, December 18th (Regular Schedule)– Wednesday, December 25th (Cancelled)– Wednesday, January 1st (Cancelled)– Wednesday, January 8th (Regular Schedule)

• All DAF meeting artifacts (presentations, videos and reference materials) can be found by visiting: http://wiki.siframework.org/Data+Access+Framework+Meeting+Artifacts

General Announcements

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Notional Project Timeline

DAF Initiative Kickoff (7/16)

Discovery (Use Case 1)

S&I Lifecycle(Discovery Pilot & Evaluation)

Today 12/11

September

March

June 2014

Define Use Case & Functional

Requirements

Sub-Work Group

Signifies milestone or deliverable

July 2013

November

January May

UC 1 Kickoff (8/14)

Project Charter Consented (8/28)

UC 2 Kickoff (12/11)

UC 1 Consented (12/11)

UC

1:

Local

Data

Access:

Intr

a-

Org

an

izati

on

al Q

uery

Pre-Discove

ry

Develo

pm

en

t of

Ch

art

er

Define Use Case &

Functional Requirements

Implementation (S&I Community)

Standards Gap

Analysis

Harmonize Specifications

Technology Evaluations

Implementation (DAF/IHE Community)

Draft IHE/DAF White Paper (WP) for Review

2/3/14

IHE Vienna Meeting present

WP2/10-2/14

IHE Public Comment Meeting 4/28-5/2

DA

F I

HE/

S&

I Jo

int

Work

Gro

up

Publish WP to PCC Domain

Resources

Public Comment Period: 60 Day

Discovery (Use Case 2)

UC

2:

Targ

ete

d

Data

Access:

Inte

r-O

rgan

izati

on

al

Qu

ery

UC 2 Consented (2/5)

Draft DAF/IHE White Paper Complete(2/3)

IHE DAF White Paper Published

Local Data Access Framework Use Case

December 11th, 2013

Agenda

7

Topic Estimated Time

DAF IHE/S&I Joint Work Group Update 8 minutes

Review Comments from Consensus Voting Process & Conduct Consensus Round Robin 15 minutes

Introduce and Discuss Targeted DAF In/Out of Scope and Assumptions Sections 30 minutes

Next Steps/Questions 2 minutes

DAF IHE/S&I Joint Work Group Update

DAF IHE/S&I Joint Work Group

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• Goal: to help support the advancement of the whitepaper to the overall DAF Framework technical solution

• Reoccurring every Monday at 10:00 am (EST)

• To access meeting materials and to track the project activities, please visit the Standards, Harmonization and Implementation section of the DAF Wikipage located at: http://wiki.siframework.org/DAF+Standards+Harmonization+and+Implementation

DAF IHE/S&I Joint Work Group

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• To join IHE as a member, visit: http://www.ihe.net/Join_IHE_Application/ 

IHE/S&I Joint DAF Technical Workgroup Dial In Information: Every week on Monday at 10:00AM EST

[IHE International PCC Domain] Data Access Framework (DAF) Disc. Call

Meeting Number: 921 745 495Meeting Password: meeting-------------------------------------------------------To join this meeting-------------------------------------------------------1. Go to https://himss.webex.com/himss/j.php?J=921745495&PW=NYjU3ODhkOGM12. Enter the meeting password: meeting3. Click "Join Now".4. Follow the instructions that appear on your screen to join the teleconference. -------------------------------------------------------To only join the teleconference-------------------------------------------------------To receive a call back, provide your phone number when you join the meeting, or call the number below and enter the access code.Call-in toll-free number (US/Canada): 1-866-469-3239 Call-in toll number (US/Canada): 1-650-429-3300 Access code:921 745 495

Proposed Use Case Development Timeline

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Week Target Date All Hands WG Meeting Tasks Review & Comments

due Monday COB

1 8/14 Use Case Kick-Off & UC Process Overview Review: In/Out of Scope and Assumptions sections

2 8/21 Review: In/Out of Scope and Assumptions Review: In/Out of Scope and Assumptions Review: In/Out of Scope and Assumptions Sections, User

Stories

3 8/28Review: In/Out of Scope and Assumptions, Context Diagram, User Stories

Finalize: In/Out of Scope and Assumptions, Context DiagramReview: Pre/Post Conditions

Review: User Stories, Context Diagram, Pre/Post ConditionsNote- Separate User Story SWG will launch on 8/29

4 9/4 Review: Pre/Post Conditions, Actor and Roles Review: Pre and Post Conditions and Actors & Roles Review: User Stories, Pre/Post Conditions, Base Flow and

Activity Diagram

5 9/11 Review: Activity Diagram and Base Flow

Review: Base Flow, Activity DiagramFinalize: Pre and Post Conditions and Actors & Roles

Review: Activity Diagram, Base Flow and Functional Requirements

6 9/18 Functional Requirements,Sequence Diagram

Finalize: User StoriesReview: Functional Requirements, Sequence Diagram

Review: Functional Requirements, Sequence Diagram

9/25- 10/16 Meetings cancelled due to HL7 WGM & Govt. Shutdown

7 10/23Use Case Recap, Review of editorial updates,Data Requirements

Finalize: Functional Requirements, Sequence Diagram Review: Data Requirements

8 10/30 Data Requirements Finalize: Data Requirements Review: Data Requirements

9 11/6 Data Requirements Review: Data Requirements

10 11/13 Data Requirements (IHE Meeting) Final Dataset Requirement comments due 11/18

11 11/20 End-to-End Review End-to-End Review comments (11/20-12/2)

12 11/26 Review End-to-End Comments Review End-to-End Review ends 12/2

13 12/4 Finalize End-to-End Review Comments Begin casting consensus vote (12/4-12/9)

14 12/11 Consensus Vote Conclude consensus voting (12/2)

FINAL CONSENSUS completed 12/11

Local DAF Use Case 1

Section Review

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1. Discuss and review comments from consensus voting2. Conduct consensus round robin to gather final votes and

comments for Local DAF Use Case 1

Local DAF Use Case 1

Voting Options1. Yes

1. A Yes vote does not necessarily mean that the deliverable is the ideal one from the perspective of the Initiative Member, but that it is better to move forward than to block the deliverable.

2. Yes with comments1. If a Consensus Process attracts significant comments (through Yes with comment

votes), it is expected that the comments be addressed in a future revision of the deliverable.

3. Formal Objection with comments1. Indicating a path to address the objection in a way that meets the known concerns of

other members of the Community of Interest. Should a Consensus Process attract even one "Formal Objection" vote with comments from an Initiative Member, the deliverable must be revised to address the "Formal Objection" vote (unless an exceptional process is declared). "Formal Objection" vote without such comments will be considered Abstain votes.

4. Abstain (decline to vote)

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NOTE: Only one vote will be counted per committed organization no matter how many individuals from that organization are committed members. If committed members of an organization have conflicting votes, those votes will need to be reconciled to the vote that best represents the committed organization. For example, if one member of ACME Corp. votes "Yes (with comment)" another member from ACME Corp. cannot vote "Object (with comment)." Since ACME Corp. gets one vote per organization the member's votes would need to be reconciled to one vote.

Targeted Data Access Framework

Use CaseDecember 11th, 2013

Targeted DAF Use Case 2Proposed Use Case Development Timeline

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Week Target Date All Hands WG Meeting Tasks Community Review & Comments

due Monday COB

1 12/11 Targeted DAF Work Stream Use Case Kick-Off and Introduce In/Out of Scope and Assumptions sections

Review: In/Out of Scope and Assumptions sections

2 12/18Introduce: Pre/post conditions, generic scenario and user stories

Finalize: In/Out of Scope and Assumptions

Review: Pre/post conditions, generic scenario and user stories

3 12/25 CHRISTMAS HOLIDAY

4 1/1/2014 NEW YEARS HOLDAY

5 1/8/14Review: User StoriesIntroduce: Activity Diagram, Base Flow and Functional Requirements

Finalize: Pre/post conditions, generic scenario

Review: User Stories, Activity Diagram, Base flow and Functional Requirements

6 1/15/14

Introduce: Sequence Diagram and Dataset Requirements

HL7 Meetings (1/18-1/24)

Finalize: User Stories, Activity Diagram, Base Flow and Functional Requirements

Review: Sequence Diagram and Dataset Requirements

7 1/22/14 Finalize Sequence Diagram and Data Requirements Launch Consensus Process (1/22-1/27)

8 1/29/14 Review and Finalize Comments from Consensus Process Cast consensus vote (1/29-2/3)

9 2/5/14 FINAL CONSENSUS (2/5)

10 2/12/14 IHE MEETINGS (2/10/14-2/14/14)

Targeted DAF Use Case 2

Section Review

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Note- Below sections will be reviewed within the separate Use Case word document: 1. Review the following sections for the Targeted DAF Use Case:

a. In/Out of Scope b. Assumptions

Data AccessFramework

Local Access viaIntra-Organization Query

(Complete)

Targeted Access viaInter-Organization Query (In

Progress)

Multiple Data Source Access via Distributed Query (Query Health) –

Completed Initiative

Standards based approach to enable access at all levels: Local, Targeted, and Distributed

• Create and disseminate queries internal to organization

• Query Structure Layer • APIs

• Receive standardized responses• Query Results Layer

• Create and disseminate queries to external organization

• Query Structure Layer • Transport Layer• Authentication/Authorization Layer

• Receive standardized responses from external orgs• Query Results Layer

• Create and disseminate queries to multiple orgsGoverned by a network

• Receive aggregated or de-identified responses

• Focus on Information Model for the network and leverage standards from earlier phases.

DataSource

DataSource

DataSource

Query Request

Query Response

Organization X Organization X

Organization Y

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DAF Scope

Current Focus: Targeted Data Access

Note: An organization can be a hospital that is part of a larger organization and can also include HIEs, RIOs, other types of organizations etc.

Targeted DAF Use Case 2

WorkstreamThe scope of the Targeted Data Access Use Case is to define the requirements for inter-organizational access to individual patient data. The requirements in this use case will focus on the interchange between applications across two trusted healthcare organizations willing to exchange data. The diagram below illustrates the scope within the larger workflow of a user (e.g. Healthcare Professional) accessing patient data from a trusted external healthcare organization.

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Next Steps

• Provide comments and feedback on the In/Out of Scope & Assumption sections for the Targeted DAF use case here.

• Attend our next All Hands call on Wednesday 12/18 12:00 PM EST where we will be:– Finalizing In/Out of Scope & Assumptions Sections– Introducing and discussing Pre/Post Conditions & User

Stories

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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: – Gayathri Jayawardena gayathri.jayawardena@esacinc.com

• Technical Support: – Dragon (Nagesh) Bashyam nagesh.bashyam@drajer.com

• Use Case Development: – Presha Patel presha.patel@accenture.com– Hema Patel hema.patel@accenture.com

• Standards Support: – Angelique Cortez angelique.j.cortez@accenture.com

• Vocabulary and Terminology Subject Matter Expert: – Mark Roche mrochemd@gmail.com

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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

• Standards and Interoperability(S&I) Framework– http://wiki.siframework.org/Introduction+and+Overview

• S & I Calendar of Events– http://wiki.siframework.org/Calendar

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Appendix B: Additional Use Case Reference

Material

S&I Community Enabling Toolkit (CET)Use Case Overview

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Previous and Ongoing S&I Use Cases (not a complete list)

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Use Case Name (including links) StatusData Access Framework In ProgressTransitions of Care CompleteLab Results Interface CompleteProvider Directory - Certificate Discovery CompleteProvider Directory - Electronic Service Information Discovery CompleteQuery Health CompleteData Segmentation for Privacy CompleteesMD - PPA Provider Registration (UC 1) CompleteesMD - Secure sending and Structure of eMDR (UC 2) CompleteesMD - Author of Record Level 1 CompleteLab Orders Interface CompleteLab Orders Interface - eDOS CompleteHealth eDecisions CDS Artifact Sharing UC 1 CompleteHealth eDecisions CDS Guidance Service UC 2 CompleteStructured Data Capture CompleteLongitudinal Coordination of Care CompletePublic Health Reporting CompleteAutomate Blue Button Initiative CompletePrescription Drug Monitoring Program CompleteesMD – Author of Record Level 2 Complete