S&I Public Health

*We will start the meeting 3 min after the hour

May 12th, 2015

This meeting is being recorded and un-paused and will be available via the wiki

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Logistics• As a reminder, please mute your phone when you are not talking to the group. • When speaking, please say your name before making your comment.• You can ask questions by unmuting or by using the “Chat” feature on the web

meeting.To find the “Chat” feature, look for the “Chat” bubble at the top of the meeting window.

From S&I Framework to Participants:Could you please explain how the terminologies are used in this instance?

All Panelists

CQF Wiki: cqframework.info 3

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S&I Public Health Contact Information

ONC Public Health Lead: Daniel Chaput (daniel.chaput@hhs.gov)

CDC Public Health Lead: John M. Saindon (uzn0@cdc.gov)

CDC Project Coordinator: Julie Lipstein CTR (iii7@cdc.gov)

PHTT Wiki Page: http://wiki.siframework.org/Public+Health+Tiger+Team

SDC Wiki Page: http://wiki.siframework.org/Structured+Data+Capture+Initiative

DAF Wiki Page: http://wiki.siframework.org/Data+Access+Framework+Homepage

CQF Wiki http://wiki.siframework.org/Clinical+Quality+Framework+Initiative

PHRi Archived Wiki http://wiki.siframework.org/Public+Health+Reporting+Initiative

Weekly PHTT Meeting Info (Tuesdays):• Time: 2:00pm - 3:00pm Eastern Mailbox:

Interoperability@cdc.gov • URL: https://siframework1.webex.com/• Dial-In Number: 1-650-479-3208• Access Code: 667 552 050

Announcements

• Updates – NPRM Stage 3 Released and available for comment

more information at http://www.cdc.gov/ehrmeaningfuluse/index.html

– NO PHTT Meeting next week May 19• Next PHTT will be May 26

– PHTT Education Meetings• No more Weds meetings• Topics for future sessions send to interoperability@cdc.gov

Structured Data Capture (SDC)

– FHIR Profile IG:• May 2015 DSTU Ballot closed on Monday, May 4th

– Ballot reached quorum, but not approval - once comment reconciliation begins we will start to work on changing negative votes to affirmatives and getting approval

» 38 Affirmative Votes; » 67 Negative Votes; » 72 Abstentions

– Total number of comments will be finalized after the WGM once duplicates are marked and some comments get sent up to FHIR Core or from FHIR Core to the SDC Profile

Data Access Framework

Use Case 3- Federated Queries– The DAF internal team continued outlining the pre-discovery phase for the UC3

• The DAF FHIR IG DSTU. The ballot period has ended and the final

results are as follows: – Vote: 47 Affirmatives; 59 Negatives; 74 Abstains; 38 Non-Votes– Approximately ~230 comments by ~20 unique commenters

• DAF ballot participation compared to the overall FHIR DSTU 2 ballot: – Vote: 57 Affirmatives; 90 Negatives; 60 Abstains; 54 Non -Votes

• The next step is to begin preliminary ballot reconciliation at the Paris WGM then continue in InM workgroup meeting calls, which we will be sure to notify the community of before they begin.

Data Provenance

• System Requirements: – Reviewed the Candidate Standards list that we

developed on the last Community call– Defined what is means to “change” data– Discussed security implications as they relate to the

system requirements

Clinical Quality Framework

• Risks• Harmonization with additional standards (e.g., SDC, HL7

FHIR, CIMI, DAF) may require additional time to implement. • Continued dependence on FHIR artifacts and deadlines.

Current State of PHTT

• More of a distributor of information (from S&I, Meaningful Use, Education Series)

• Original intent was to have working groups to help develop tools to be utilized– Limitation: don’t have resources to do this– Fear: if opportunities do come up we don’t have our

priorities lined up

Current State of PHTT

• More of a distributor of information (from S&I, Meaningful Use, Education Series)

• Original intent was to have working groups to help develop tools to be utilized– Limitation: don’t have resources to do this– Fear: if opportunities do come up we don’t have our

priorities lined up

The balloting process?

• Would the group like to have a presentation on the balloting process for standards development organizations (SDOs) – HL7, HIE, CDISC?

Potential Updates

• The Public Health Community Platform– Soon?– Wait until after PHCP representatives have compiled

results from their RFI?– RFI discussion?

• FHIR– Would you be interested in more detail on the voting

and comments on the FHIR specification?

Our place in a unified public health vision

• Is this in our scope?• Do we have the right people?• Are there organizations, or representatives of

organizations that should be involved?

Vocabularies

• Many public health projects use PHIN-VADS• SDC projects are using NLM• Where would a public health SDC project use as

a repository for vocabularies? Why?

PHRI

• PHRI produced a number of “deliverables”• What there an understanding that those would

then subsequently be used by one or more other projects?

• Does anyone have details?

Other topics?

• Open discussion