1. Health eDecisions (HeD)All Hands Meeting April 18th, 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 • Vocabulary and Terminologies sub work will be meeting this week • Friday 12:30-1:30 EDT • http://wiki.siframework.org/Health+eDecisions+Homepage • We will be presenting the work of HeD at an AMIA webinar • June 6th from 1-2 pm EST (please watch the “Announcements” section of our wiki homepage for details on how to participate • May HL7 Meeting May 5-10th • http://www.hl7.org/events/wgm052013/ • HeD will have no formal meetings • There will be discussion on the vMR

5. HL7 Update • We have completed a rough draft of the Implementation Guide • http://wiki.siframework.org/HeD+Pilot+Tools • The Vocabulary and Terminology IG is also complete and will be incorporated into our IG. • To view and comment on the work of the Vocab and Terminology team please see the pilots tool page: http://wiki.siframework.org/HeD+Pilot+Tools • Plans: • We are postponing our HeD/CDS meetings but will resume as needed during Pilots http://wiki.siframework.org/Health+eDecisions+Homepage )

6. HeD Pilots Update • We met this week • CDC gave a brief description of their pilot • San Diego Pertussis pilot (ECA rule written in HQMF being transformed into the HeD schema) • Bryn gave some additional training on the HeD Schema Framework tool • NewMentor, AllScripts and Bryn are working on getting an NQF rule translated • Zynx is working with DesignClinicals on an Order Set • CDC and Aziz are working to translate the HQMF rule into HeD schema • VA is now agreed to pilot a Documentation Template

7. HeD Pilots Goal • Goal • The goal of this initiative is to produce, consume and where feasible, execute implementable CDS interventions. • Event Condition Action Rules (ECA Rules) • Order Sets • Documentation Templates • Pilot Scope • Health eDecisions will apply defined aspects of the Implementation Guide in a real-world setting. • Modify the Implementation Guide to ensure it is usable • Provide explicit feedback to other sub-working groups (i.e. the vMR and the Terminology and Value Sets SWGs). • 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. • Demonstrate intent of artifact (specifically structures and semantics) are communicated either by direct execution or by translation to native format • Ensure completeness and consumability of artifact

8. Timeline We are Here

9. Vendor Partners

10. HeD Use Case 2

11. OUT OF SCOPE CDS Guidance Requestor CDS Guidance Supplier • Authoring, Creation and Maintenance of Clinical Decision Support Knowledge • Internal workings of the CDS services supplier FUTURE TOPICS Query for Available Guidance OUT OF SCOPE List of Available Guidance • Workflow Integration • User Presentation • Direct Interaction with the User • How the Guidance Integrator will utilize the information • Deciding what guidance is subscribed to Query for Metadata for Specific Clinical Guidance Metadata for Clinical Guidance, e.g. Data Requirements IN SCOPE CDS Request (patient data and potentially context) CDS Response (guidance and/or other response elements) IN SCOPE • Interface Definitions for Sending Patient Data & CDS Guidance • Patient Data Input and Clinical Context to Service • Format of the CDS Guidance (output from CDS service) • Requirements to Support Service Transactions, Transport & Security • Stateless Transactions • Format of the request

13. Next Steps • Work Stream 1 – HL7: • Next HL7 meeting TBD • (see HeD Homepage wiki for meeting details: http://wiki.siframework.org/Health+eDecisions+Homepage • Work Stream 2 – Pilots: • We are beginning the work of pilots • Next Pilots meeting: April 22nd, 1-2:30 pm EDT see HeD home page wiki for meeting details: http://wiki.siframework.org/Health+eDecisions+Homepage • Updates on Pilot Activities, Review of Timelines • Work Stream 3 – Use Case 2: • Data Elements and Standards Sub Work Group • Next Meeting: April 24th, 20132 • Homepage wiki for meetings: http://wiki.siframework.org/Health+eDecisions+Homepage • All Hands Community Meeting • We will reviewing candidate standards • Next meeting April 25th, 11-12:30 EDT (see the HeD Homepage wiki for meeting details: http://wiki.siframework.org/Health+eDecisions+Homepage

14. Questions?

15. 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 • Christina Arenas: christina.arenas@esacinc.com • Use Case 2: • Dave Shevlin: d.s.shevlin@accenturefederal.com • Virginia Riehl: virginia.riehl@verizon.net • Harmonization: • Lynette Elliott: lynette.elliott@esacinc.com • Anna Langhans: anna.langhans@accenture.com

16. 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