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Data Access Framework (DAF) All Community Meeting

Data Access Framework (DAF) All Community Meeting . October 23rd, 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

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Data Access Framework (DAF) All Community Meeting

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  1. Data Access Framework (DAF) All Community Meeting October 23rd, 2013

  2. 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. From S&I Framework to Participants: Hi everyone: remember to keep your phone on mute  NOTE: This meeting is being recorded and will be posted on the Meeting Minutes Wiki page after the meeting

  3. Agenda

  4. General Announcements • We are resuming our DAF meetings as planned going forward • We meet every Wednesday from 12:00 -1:00 pm ET • For meeting details see the DAF wiki page at: http://wiki.siframework.org/Data+Access+Framework+Homepage • All DAF Materials are posted on the DAF (video of meetings, materials, reference materials from the meeting) • http://wiki.siframework.org/Data+Access+Framework+Meeting+Artifacts

  5. S&I Framework Phases & Data Access Framework Activities We are Here

  6. Notional Project Timeline S&I Lifecycle (Discovery  Pilot & Evaluation) Jan 2014 July 2013 Sept Nov Today 10/23 Pre-Discovery, Call for Participation Kick-off (7/16) Use Case 1 Consented 11/20 UC 1: Local Data Access: Intra-Organizational Query Discovery Implementation Define Use Case & Functional Requirements Harmonized Specifications Charter Review & Consensus Standards Gap Analysis User Story SWG (8/29) Meetings cancelled due to HL7 and Govt. Shutdown UC 2: Targeted Data Access: Inter-Organizational Query Discovery Define Use Case & Functional Requirements 6

  7. Local Data Access Framework Use Case October 23rd, 2013 7

  8. Today’s Agenda:

  9. Proposed Use Case Development Timeline

  10. SDO Engagement • HL7 Workgroup Meeting - September 23rd-27th • Informative presentations about DAF to various workgroups to spread awareness of this initiative • IHE Planning Meetings – October 8th – 9th • DAF was presented as a project at IHE Planning committee • Proposal accepted by Patient Care Coordination (PCC) committee to develop a white paper that provides guidance on the DAF Framework. Further collaboration with IHE will be conducted to determine next steps • Conduct additional outreach and engagement with SDOs

  11. Local Data Access Use Case Quick Recap As of the 9/18 meeting, the following sections had been reviewed • Generic Scenario* • Generic Assumptions • Generic Pre & Post conditions* • User Stories – Finalized 2 User Stories for inclusion • Patient Level Document Metadata based access • A Provider accesses clinical summary documents on an ad hoc basis for a new diabetic patient with documented poor glucose control • Patient Level - Data Element based access • Physician referral to Endocrinologist within the same organization using different EHRs with system alerts for patient protected information • Activity diagram & Base flow* • Began initial discussions on the Functional Requirements Note* – Sections noted with an asterisk above have been updated with feedback and will be reviewed today

  12. Local Data Access Use Case Quick Recap (cont.) Sections to be further discussed in the next few weeks • New User Story ( Patient Portability) • Draft Functional Requirements • Information Interchange, System Requirements, & Sequence Diagram • Draft Data Requirements for the following • Document Metadata based access – Querying for document metadata • Data Element based access – Querying for specific clinical value(s)

  13. Patient Portability User Story (#3) A provider needs to access information for one of his patients’ who recently moved to a new state and that has a new care team. A patient is moving from Michigan to Florida for retirement. The patient has diabetes and has also undergone multiple open heart surgeries to correct irregular heartbeats and other ailments related to the heart. His new care team in Florida is preparing for an initial visit and has requested the patient to retrieve his medical history from as many sources as possible. The patient approaches the Michigan hospital, the PCP and the cardiologist office who are part of the current care team and where he has received treatment before. He requests each one to provide his medical records (clinical documents) to date. The providers query each of their local EHR systems to obtain the clinical documents, requested by the patient. Now that the patient has all necessary records, he can carry them with him on his initial visit to a new care team in Florida.

  14. Use Case Discussion • Refer to Use Case document for discussion

  15. Next Steps • Attend our next All Hands call on Wednesday 10/30 12:00 PM EST to continue our discussion from today with Functional and Data Requirements • The latest Use Case document will be posted to the wiki by COB Thursday for your reviews http://wiki.siframework.org/Use+Case+1+Local+Data+Access

  16. 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: • Jamie Parker jamie.parker@esacinc.com • Technical Support: • Dragon (Nagesh) Bashyam nagesh.bashyam@drajer.com • Use Case Development: • Presha Patel presha.patel@accenture.com • Vocabulary and Terminology Subject Matter Expert: • Mark Roche mrochemd@gmail.com • Project Support • GayathriJayawardenagayathri.jayawardena@esacinc.com

  17. Data Access Framework (DAF) 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

  18. Appendix B: Additional Use Case Reference Material

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

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

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