HITSP Process to support TC Restructuring

1. HITSP Process to support TC Restructuring Includes Deliverables and Transition Plan

2. Restructuring Plan Perspective Technical Committees Care Management and Health RecordsTechnicalCommittee Infrastructure, Security and Privacy Technical Committee Administrative and Financial TechnicalCommittee Population Perspective TC Provider Perspective TC Consumer Perspective TC Use Case Use Case Use Case Use Case Use Case Use Case Use Case Use Case Use Case Use Case Use Case Use Case Security & Privacy Workflow and Process Terminology And Knowledge Representation Messaging and Datatypes Modeling Domain Technical Committees - TC Leadership Oversight - Communications function Foundations Committee

3. Revised HITSP Process Steps – Initial Planning

4. Revised HITSP Process Steps – RDSS Development

5. Revised HITSP Process Steps – IS Development

6. Revised HITSP Process With IRB Review Points 3 Months 1 Month 1 Month 2-3 Months 3 Months Interoperability Specifications, System Integ Preliminary Use Case Analysis Preliminary Project Plan RDSS Inspection Test/ Public Comment Interoperability Constructs Preliminary Use Case Final Use Case RDSS Comments Implementors/SDO Feedback 2-3 Months Maintenance Panel Approval, Public Release Resolve and Disposition Comments Legend Domain TC Perspective TC IRB

7. TC Restructuring Transition Plan Proposal • Do 2008 Work Planning – TC Leadership at January face-to-face, including use-case allocation • In February, using telecons • Do transition of existing TCs to Perspective TCs – retain co-chairs • Do preliminary use case analysis with 6 ad hoc groups with assigned co-chairs • Establish Domain TCs – two t-cons – mid-Feb, early March • Hold preliminary discussions, retain co-chairs for S&P • Allow facilitators to run Care Management and Admin domain TCs or Have interim co-chairs that volunteer (?) • Provide comments on new use-cases • Complete organization transition by March 15, including 6 work-groups • Do election for Care Management and Admin Domain TCs – open discussion • Open Question - when in March to establish co-chairs • Suggest defer decision until after January face-to-face • March face-to-face under new structure • Assumption that all V3 and phase 2 Interoperability Specs work complete pre-face-to-face

8. Backup Material Process Steps

9. Revised HITSP Process Steps (1 of 3) Initial Planning (IRB Review when complete) Preliminary Use Case Analysis Assess and Assign Ownership to Perspective TC - TC Leadership Identify Scoping, feasibility and Broad areas of Domain TC Involvement - Perspective TC with appropriate Domain TCs Provide comments on Preliminary Use Case – Perspective TC with Domain TCs Project Plan – Perspective TC with review by Domain TC Color coding for 3 major components (Perspective TC, Domain TC, and IRB).

10. Revised HITSP Process Steps (2 of 3) RDSS Development (IRB Review when complete) Detailed Requirements Analysis - Perspective TC with Domain TC as needed Assess possibility for Reuse/Repurpose of existing constructs - Perspective and Domain TC Preliminary RDSS Design – Perspective TC (IRB & TC Leadership In Process review point) Initial RDSS Design Draft – Experienced HITSP editor (likely from Project team) with Perspective TC Co-chairs Identify New Constructs and allocate requirements Perspective and Domain TC Finalize RDSS Design – Perspective TC Color coding for 3 major components (Perspective TC, Domain TC, and IRB).

11. Revised HITSP Process Steps (3 of 3) IS Development (IRB Review when complete) Finalize requirements - concurrently (IRB & TC Leadership In Progress Review) for IS - Perspective TC for New Constructs for assigned Domain TC – Domain TC with Perspective TC - New Construct Development, Standards Selection for New Construct– Domain TC Finalize constraints on constructs - Perspective TC Interoperability Specification Writing and System Integration of Constructs - Perspective TC Color coding for 3 major components (Perspective TC, Domain TC, and IRB).