Candidate Standards Analysis by Transaction

1. Candidate Standards Analysis by Transaction SDC Solution Diagram

2. Standards Development & Harmonization:Workflow Survey SDO or standards organization options Select balloting approach Align timeline with ballot cycles Submit PSS (HL7) Submit NIB (HL7) Submit Content (HL7) Conduct balloting cycle & reconciliation per SDO guidelines Balloted standards Validate candidate standards list Draft Solution diagram Analyze candidate standards per HITSC criteria to narrowlist of standards Perform technical feasibility analysis Map UCR to standards Develop gap mitigation plan Review with community Gap mitigation plan Validate solution plan Confirm data model approach Modify/harmonize existing standard(s) to produce final standards Achieve community consensus or agreement Final standards Using final standards, develop Implementation Guide document Document IG Conformance Statements in RTM Develop Examples to inform implementers Validate examples Achieve community consensus or agreement Implementation Guidance Outputs Requirements Traceability Matrix

3. Structured Data Capture InitiativeProposed Standards & Harmonization Timeline

4. Tiger Team Review Summary • Discussed current understanding of four standards for SDC (slide 6) • Provided inputs on SDC Solution Diagram (slide 7) • Reviewed interoperability standards for Use Case transactions and discussed items to remove or add to each category (slide 8) • Goal was to narrow down the list to 8-10 standards for each category to increase the efficiency of downstream Harmonization activities

5. Structured Data Capture Conceptual Workflow CDE Library Finds form/template 2 Selects form/template 1 EHR System Converts, populates & displays form 3 Other domain AHRQ CDEs CDEs 4 Provider Form Library [Common Formats] Inputs data Specified Structured Displayed Form/Template Caches data Captured Data Form 5 xx Actor Key John Doe x 6 x Provider/ End User x Stores/ transmits data x x EHR System Domain-specified Clinical Research Patient Safety Other domain- Template Library External Data Forms[Common Formats] specified Forms Templates CDEs Repository Extract, Transform, & Load Data by form/ template 7 End User

6. Structured Data Capture – Standards Overlay CDE Library 3. EHR Interaction Standard: Find, display, cache, store/transmit Finds form/template 1. CDE Standard 2 Selects form/template 1 EHR System Converts, populates & displays form 3 Other domain AHRQ CDEs CDEs 4 Provider 4. Pre-populate Standard Form Library [Common Formats] Inputs data Specified Structured Displayed Form/Template Caches data Captured Data 2. Structure Standard Form 5 xx Actor Key John Doe x 6 x Provider/ End User x Stores/ transmits data x x EHR System Other domain- Patient Safety Clinical Research Domain-specified Template Library External Data Forms[Common Formats] specified Forms Templates CDEs Repository Extract, Transform, & Load Data by form/ template 7 End User

7. SDC’s 4 Standards (Working Definition)

8. SDC Sequence Diagram:SDC’s 4 Components by Transaction C A B C A B D A B D A B A B A B A B A C B A B

9. SDC Use Case:Interoperability Standards

10. Structured Data Capture Initiative:Activities Planned for Next Week