Wednesday June 6, 2012

1. Electronic Submission of Medical Documentation (esMD)Digital Signature and Author of RecordWorkgroup Kick-Off Wednesday June 6, 2012

2. Meeting Etiquette • Please announce your name each time prior to making comments or suggestions during the call • 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 meetings, is being recorded • Another reason to keep your phone on mute when not speaking! • Feel free to use the “Chat” or “Q&A” feature for questions or comments 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 esMD Wiki page after the meeting

3. Agenda

4. Announcements • esMD meeting Friday, June 8th, 2012 at 2 PM canceled • Schedule of esMD Meetings moving forward:

5. esMD Initiative Timeline July ‘12 Oct ‘12 Oct ‘11 Jan ‘12 April ‘12 Pre-Discovery Initiative Charter/Scope Target Initiative Completion: Oct ‘12 Today (6/6/12) PPA Workgroup (Use Case 1) 11/30-12/7 Charter Consensus Kick-Off/ F2F Outline Use Cases & Stories Harmonization/ Standards Analysis of Registration Use Case #1: Registration Combined Registration/ eMDR Pilots (TBD) Harmonization/ Standards Analysis of eMDR Use Case #2: Sending eMDR Structured Content WG (Use Case 2) Pre-Discovery Use Case and Requirements L1 Harmonization L1 Author of Record WG Pilots (TBD) AoR Workgroup Through April 2014 SDS 5

6. AoR Proposed Timeline June ‘12 July ‘12 August ‘12 Sept ‘12 Oct ‘12 Nov ‘12 Dec ‘12 Jan ‘13 Feb ‘13 Mar ‘13 Target Initiative Completion: Oct ‘12 AoR Kickoff Today (6/6/2012) Author of Record Level 1 Pre-Discovery Use Case and Requirements L1 Harmonization L1 Implementation Guide L1 Pilots L1 Author of Record Level 2 Use Case and Requirements L2 Harmonization L2 Implementation Guide L2 Author of Record Level 3 Use Case and Requirements L3 6 SDS

7. Author of Record Levels Level 1 – Current Focus Level 2 - TBD Level 3 - TBD • Digital signature to allow traceability of individual contributions to a document • Digital signature on aggregated documents (bundle) Digital signature on an individual document

8. Scope of Effort Spans 6 Areas 1. Author of Record (Levels 1, 2, and 3)

9. esMD AoR – Framing the Scope • *All In Scope items will be necessary, at minimum, to address needs for • esMD Use Case 1 and 2 Signature Artifact • AoR Level 1 aggregate document bundle level digital signatures

10. Glossary of Terms • Posted on Reference Materials tab on the wiki - http://wiki.siframework.org/esMD+Reference+Materials • The definitions have been pulled from the Pre-Discovery efforts to date • We will update, refine, and make additions to the list, as necessary

11. AoR Charter Review

12. Next Meeting - 6/13 • Focus until now has been on the AoR/Digital Signatures and the needs of the various S&I initiatives, including esMD • Focus next on what efforts are already underway by various organizations including but not limited to HL7, DIRECT, NSTIC, etc. • Next week we will continue with the environmental scan and hear from experts on what they’ve done • Possible presenters for the coming weeks include individuals from HL7 RM-ES, DIRECT, NIST, Certificate Authorities, and EHR Vendors