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Health eDecisions (HeD) All Hands Meeting. June 27th , 2013. 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
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Health eDecisions (HeD)All Hands Meeting June 27th, 2013
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
Announcements • July 4th All Hands meeting is canceled • We are having a pilots open house July 8th from 1:00-2:00 • Chance for the community and other federal partners, business community, vendors and FACA leads to virtually come see what we have accomplished • Date and Time: July 8, 2013 1:00 pmDial In: +1-650-479-3208Access code: 664 366 291URL:https://siframework1.webex.com/siframework1/onstage/g.php?t=a&d=664366291 • Announcement also on our HeD Wiki homepage: http://wiki.siframework.org/Health+eDecisions+Homepage
Weekly Meeting Schedule • Stay tuned for additional working meetings to ensure we meet the HL7 Ballot deadline (5 weeks and counting….)
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
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)
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 • Submission of explicit feedback to sub workgroups such as vMR and Vocabulary and Terminology work group to close gaps • 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 New
Timeline We are Here
SDS & Harmonization HeD • Timeline Overview • HeD UC2 vMR Mapping Template Update • DSS Profile Update • vMR Profile Update • Ballot Work Products Update
SDS & Harmonization HeD • Timeline Overview • HeD UC2 vMR Mapping Template Update • DSS Profile Update • vMR Profile Update • Ballot Work Products Update
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 (6/27) DSS vMR Extension & Alignment HeD UC2 Guidance Community Review & Ballot Preparations
Key Milestone Dates for September Ballot Administrative Deadlines: • HL7 Notification of Intent to Ballot: July 7 • HL7 Initial Content Deadline: July 14 Content Deadlines: • End-to-End Review Period: • Initial DSS Update & Profile Review & Packaging : 6/25 – 7/9 • Initial vMR DAM Review & Packaging: 7/12 – 7/25 • Initial vMRXML IG Review & Packaging : 7/22 – 8/2 • Initial vMRXML HeD UC1 IG Review & Packaging: 7/22 – 8/2 • New DSS IG Review & Packaging: 7/22 – 8/2 • There will be end to end reviews of each section as they are completed at earlier dates • HL7 Final Content Deadline: August 4 • HL7 Examples Deadline: August 19 • HL7 Final Content Deadline: August 4 • 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
SDS & Harmonization HeD • Timeline Overview • HeD UC2 vMR Mapping Template Update • DSS Profile Update • vMR Profile Update • Ballot Work Products Update
HeD UC2 vMR Mapping • Due to dependencies between our vMR mapping and the vMR DAM, a freeze on updates to the vMR DAM will occur on Friday, June 28th • If updates to the vMR and vocab and terminology are a moving target, the google doc will never be up to date • With a freeze date, we can ensure that no further updates will be made in the short term, and that the google doc can be synched up with the most recent updates • These updates will need to be vetted with the CDS WG next week, and Aziz will update harmonization group on any changes • There is also a dependency between the vMR Mapping document and the Vocab and Terminology document • There are current discussions on which document will be the source or truth
vMR Harmonization (continued…) Below is the suggested strategy for harmonization, which will begin Monday: • Kick off harmonization meetings • Hold 3 live working sessions a week • First meeting will be Monday 7/1 at 11:00 • Utilize Monday/Tuesday Vocab and Terminology WG • Wednesday SWG, • Complete work offline as needed • Resource familiar with each standard/work stream should be present at all meetings • vMR – Bryn Rhodes/Dave Shields/Aziz Boxwala/Claude Nanjo • CCDA – David Tao/Elvino Saldanha • QRDA – Mark Roche • Value Restrictions – Victor Lee/Rob McClure/Mark Roche • Begin harmonization efforts on the Problems tab on Monday 7/1 • Option 1: Review tab line by line for updates and then complete harmonization simultaneously • Option 2: Complete all updates first, then begin harmonization
SDS & Harmonization HeD • Timeline Overview • HeD UC2 vMR Mapping Template Update • DSS Profile Update • vMR Profile Update • Ballot Work Products Update
SDS & Harmonization HeD • Timeline Overview • HeD UC2 vMR Mapping Template Update • DSS Profile Update • vMR Profile Update • Ballot Work Products Update
SDS & Harmonization HeD • Timeline Overview • HeD UC2 vMR Mapping Template Update • DSS Profile Update • vMR Profile Update • Ballot Work Products Update
Next Steps Canceled!!
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
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