Data Access Framework (DAF) All Community Meeting October 23rd, 2013.
Data Access Framework (DAF) All Community Meeting August 28th, 2013.
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Data Access Framework (DAF) All Community Meeting August 28th, 2013
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Transcript of Data Access Framework (DAF) All Community Meeting August 28th, 2013.
Data Access Framework (DAF) All Community
Meeting August 28th, 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– 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.
NOTE: This meeting is being recorded and will be posted on the Meeting Minutes Wiki page after
the meeting
From S&I Framework to Participants:Hi everyone: remember to keep your phone on mute
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Agenda
Topic Time Allotted
General Announcements 5 minutes
Timeline discussion 5 Minutes
Review of the Consensus Process (for Project Charter) 5 minutes
Use Case Development 40 minutes
Next Steps/Questions 5 Minutes
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General Announcements• We reached Consensus on the Project Charter• We are launching the Use Case subwork group starting this
Thursday (tomorrow) August 29th, 2013 from 1-2 pm EST– Meeting details can be found on the DAF wiki homepage: 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
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S&I Framework Phases & Data Access Framework Activities
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We are Here
Notional Project Timeline
Kick-off (7/16)Pre-Discovery,
Call for Participation
Jan 2014
Nov
Discovery
S&I Lifecycle(Discovery Pilot & Evaluation)
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July 2013 Sept
Implementation
Define Use Case & Functional Requirements
Standards Gap Analysis Harmonized Specifications
Technology Evaluations
Technical Project Outline (11/14)
Use Case 1 Consented 10/29
UC
1:
Lo
cal
Dat
a A
cces
s:
Intr
a-O
rgan
izat
ion
al
Qu
ery
UC
2:
Targ
eted
D
ata
Acc
ess:
In
ter-
Org
aniz
atio
nal
Qu
ery
Discovery
Define Use Case & Functional Requirements
Implementation
Standards Gap Analysis
Use Case 2 Consented 11/29
Charter Review & Consensus
Today 8/28
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Local Data Access User Story SWG (8/29)
Project Charter consented!!!!
• We have successfully reached our first milestone:– Consensus on the Project Charter– Updating Charter with final comments received during
consensus voting– Final charter and comments will be posted by August 30th, 2013
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Local Data Access Framework (LDAF)
Use CaseAugust 28, 2013
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Today’s Agenda:
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Discussion Topic Estimated Time
Review Revised Local Data Access Scenario & Context Diagram
8 minutes
Review and Discussion• In and Out of Scope Items• Assumptions
20 minutes
Introduce Sample LDAF User Stories & SWG 15 minutes
Next Steps 2 Minutes
Data AccessFramework
Local Access viaIntra-Organization Query
Targeted Access viaInter-Organization Query
Multiple Data Source Access via Distributed Query (Query Health) –
Completed Initiative
Standards based approach to enable access at all levels: Local, Targeted, and Distributed
• Create and disseminate queries internal to organization
• Query Structure Layer • APIs
• Receive standardized responses• Query Results Layer
• Create and disseminate queries to external organization
• Query Structure Layer • Transport Layer• Authentication/Authorization Layer
• Receive standardized responses from external orgs• Query Results Layer
• Create and disseminate queries to multiple orgsGoverned by a network
• Receive aggregated or de-identified responses
• Focus on Information Model for the network and leverage standards from earlier phases.
DataSource
DataSource
DataSource
Query Request
Query Response
Organization X Organization X
Organization Y
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DAF Scope – Current focus: Local Data Access
Note: An organization can be a hospital that is part of larger organization and can also include HIEs, RIOs, other types of organizations etc.
Generic Scenario Example: A business user uses a query requesting application to access data from a query responding application within the same local Health IT system. The query responding application gathers the appropriate requested data and returns in the requested format to the query requesting application.
DAF - Local Data Access Workstream via Intra-Organizational QueryLocal Data Access Workstream
Health Organization
Local Health IT System
1. Sends: Data Query
2. Receives: Patient(s) Data or Document
Query Requesting Application
Query Responding Application
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Requested information
returned
LDAF Scope
Pre-Step: Local Provider Enters
Query
API
Proposed Use Case Development Timeline
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Week Target Date All Hands WG Meeting Tasks Review & Comments
due Monday COB
1 8/14 Use Case Kick-Off & UC Process Overview Review: In/Out of Scope and Assumptions sections
2 8/21 Review: In/Out of Scope and Assumptions
Review: In/Out of Scope and Assumptions
Review: In/Out of Scope and Assumptions Sections, User Stories
3 8/28Review: In/Out of Scope and Assumptions, Context Diagram, User Stories
Finalize: In/Out of Scope and Assumptions, Context DiagramReview: Pre/Post Conditions
Review: User Stories, Context Diagram, Pre/Post ConditionsNote- Separate User Story SWG will launch on 8/29
4 9/4 Review: Pre/Post Conditions, Actor and Roles Review: Base Flow, Activity Diagram
Review: User Stories, Pre/Post Conditions, Base Flow and Activity Diagram
5 9/11 Functional Requirements Finalize: User Stories, Base Flow, Activity Diagram Review: Functional Requirements
6 9/18 Functional Requirements,Sequence Diagram
Review: Functional Requirements, Sequence Diagram
Review: Functional Requirements, Sequence Diagram
7 9/25 Data Requirements Finalize: Functional Requirements, Sequence Diagram Review: Data Requirements
8 10/2 Data Requirements Finalize: Data Requirements Review: Data Requirements
9 10/9 Full Review & Finalize Data Requirements End-to-End Review (10/9-10/16)
10 10/16 End-to-End Review (10/9-10/16) End-to-End Review comments due 10/15
11 10/23 Consensus Review (10/17-10/22) Cast consensus vote
FINAL CONSENSUS (10/23)
Local Data Access Use Case Section Review
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1. Review the Local Data Access Framework:– In Scope (continue review from last week) – Out of Scope– Assumptions
2. Begin discussing Local Data Access draft User Stories
3. Introduce Pre and Post Conditions
SWG Goals & Objectives
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• Goal:
1. The goal of the Local Data Access User Story sub workgroup is to develop and prioritize real world examples best capturing the need for local data access.
• Objectives:
1. Identify and prioritize user stories to support LDAF
2. Present final and selected user stories to the larger DAF community
• Week 1 - Thursday August 29th, 2013: Review User Story content on DAF Wiki page; potentially identify new user stories
• Week 2 - Thursday September 5th, 2013: Review updated/new User Stories and prioritize for inclusion in LDAF
• Week 3 - – Wednesday September 11th, 2013: Present
recommendations to the larger DAF community during All Hands
– Thursday September 12th, 2013: Incorporate community feedback
• Week 4 Wednesday September 18th, 2013: Present final recommendations on select User Stories to the community
DAF User Story SWG Schedule
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Call for Participation email sent on 8/27
User Story 1: Analytics Scenario where a primary care physician (PCP) is using Analytics Tool to access
data in order to understand severity of illness in patient population within organization
A primary care physician has a patient panel with a significant number of patients with
cardiovascular disease and diabetes. She would like to use an analytics tool to break down cohorts of
patients with mild, moderate, and severe disease, to determine who is missing recommended preventive
and disease management services such as lab checks and diabetic foot exams, and highlight within
these cohorts who has the most rapidly progressive disease over the past 5 years. She will also use the
analytics on patients missing preventive and disease management services and those with the most
rapidly progressive disease to allocate high priority clinic appointments. To run her third party software
analysis tool (a function that is not currently provided in her EHR or exists but does not sufficiently meet
her needs with respect to the types of questions she can design and ask), she needs to identify her
diabetic and cardiovascular disease patients over the past 5 years, and retrieve the data that is relevant
to the care these patients received. This includes data such as patient age, sex, weight, blood pressure,
diagnoses, and dates of lab tests such as Hemoglobin A1c, lipid panels, etc. for each patient during that
time period. The primary care physician envisions using DAF to access the required data for all patients
using standards so that it enables the use of the third party analytics application. The use of DAF and its
related standards will help individual and small practice providers to avoid custom solutions and its
related costs.
LDAF Sample User Story (Author - Rebecca Coelius, MD)
Wiki Page - http://wiki.siframework.org/Use+Case+1+Local+Data+Access+User+Stories 16
Next Steps
• Join us for the Local Data Access User Story Sub Workgroup call tomorrow August 29th, 2013 from 1:00 PM-2:00 PM (EST)
• Attend our next session on Wednesday 09/04 at 12:00 PM EST to discuss...• Defining Actors and Roles • Local Data Access User Stories
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Initiative Support Leads
• For questions, please feel free to contact your support leads:
– Initiative Coordinator: John Feikema [email protected]– ONC Sponsors: Mera Choi [email protected]– Support Team:
• Project Management: – Jamie Parker [email protected]
• Technical Support: – Dragon (Nagesh) Bashyam [email protected]
• Use Case Development: – Presha Patel [email protected]
• Vocabulary and Terminology Subject Matter Expert: – Mark Roche [email protected]
• Project Support– Gayathri Jayawardena [email protected]
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Questions
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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
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Appendix B: Additional Use Case Reference Material
S&I Community Enabling Toolkit (CET)Use Case Overview
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Some Previous and Ongoing S&I Use Cases (not a complete list)
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Use Case Name (including links) StatusData Access Framework In ProgressTransitions of Care CompleteLab Results Interface CompleteProvider Directory - Certificate Discovery CompleteProvider Directory - Electronic Service Information Discovery CompleteQuery Health CompleteData Segmentation for Privacy CompleteesMD - PPA Provider Registration (UC 1) CompleteesMD - Secure sending and Structure of eMDR (UC 2) CompleteesMD - Author of Record Level 1 CompleteLab Orders Interface CompleteLab Orders Interface - eDOS CompleteHealth eDecisions CDS Artifact Sharing UC 1 CompleteHealth eDecisions CDS Guidance Service UC 2 CompleteStructured Data Capture CompleteLongitudinal Coordination of Care CompletePublic Health Reporting CompleteAutomate Blue Button Initiative CompletePrescription Drug Monitoring Program CompleteesMD – Author of Record Level 2 Complete
