Ongoing/Planned Activities for Week of 4/29

• Final UCR Crosswalk due COB 4/30 • Hold two working sessions to complete UCR Crosswalk on 4/30• Hold working session at the Standards SWG on 5/1 to discuss results of the UCR

Crosswalk using summary slides, and choose Standards to move forward with• Present Results of UCR Crosswalk All Hands meeting on 5/2• Our concentration is the Service/Payloads Standards; transport/security and

vocab and code set are secondary discussions

• Discuss selection of standards on 5/1 SWG call and continue conversation/selection during 5/2 WG

• Gap Mitigation Plan will be developed out of the UCR Crosswalk and initial draft will be due COB 5/7

• Solution Diagram has been updated with suggested changes. Will review with the community at the All Hands Call on 5/2, and will update with the Selected Standards

• Populating Data Requirements Table Internally.

Use Case 2 – CDS Guidance Service Transactions

CDS Guidance Requestor

2. CDS Response(Clinical Data, Supporting Evidence, Supporting

Reference, Actions, Attribute-Value List, Response Metadata & Exceptions)

CDS Guidance Supplier

1. CDS Request (Clinical Data & Context)

INSERT SELECTED STANDARDS HERE

INSERT SELECTED STANDARDS HERE

Transport and Security

Transactional Layers

3

Transport and SecurityResponse Service: e.g., DSS Response ElementResponse Items Organizer/Container: e.g., HeD Action Groups Element

Response Item Payload: e.g., VMR Proposal

Request Service: e.g., DSS Request ElementRequest Items Organizer/Container: e.g: VMR or CCDA

Request Item Payload: e.g., VMR Clinical Statement

Use Case 2: CDS Guidance Service Transactions - Standards per Transaction

# Transaction Service Organizer/Container Item PayloadsReference

Information Model

1CDS Request (patient data

and potentially context)

• Decision Support Service (DSS)

• Context Aware Retrieval Application (Infobutton)

• CDS Knowledge Artifact Implementation Guide (HeD UC1 IG)

• Consolidated CDA• Virtual Medical Record

(vMR)

• Context Aware Retrieval Application (Infobutton)

• Virtual Medical Record (vMR)• Consolidated CDA (hL7 Clinical

Statements)• HL7 Version 3 Standard: Order Set

Publication, Release 1

• Federal Health Information Model (FHIM)

• HL7 v2.x• HL7 v3

2 CDS Response (guidance

and/or other response elements)

• Decision Support Service (DSS)

• Context Aware Retrieval Application (Infobutton)

• CDS Knowledge Artifact Implementation Guide (HeD UC1 IG)

• HL7 Version 3 Standard: Order Set Publication, Release 1

• Consolidated CDA• Virtual Medical Record

(vMR)

• Context Aware Retrieval Application (Infobutton)

• Virtual Medical Record (vMR)• Consolidated CDA (HL7 Clinical

Statements)• HL7 Version 3 Standard: Order Set

Publication, Release 1

• Federal Health Information Model (FHIM)

• HL7 v2.x • HL7 v3

Use Case 2: CDS Guidance Service Transactions - Standards per Transaction

# Transaction Transport Authentication/Authorization Encryption Vocab & Code Set

1CDS Request (patient data

and potentially context)

• SOAP• REST

• SAML • TLS • LOINC• SNOMED CT• CVX• Manufacturers of Vaccines (MVX)• OID• RxNorm• ICD-9-CM and ICD-10-CM• HCPCS• C80 - Clinical Document and

Message Terminology Component • NQF Value Sets

• ICD-10-PCS• UCUM• CPT• C154• NDC• FDA Route Administration• HL7 Vocabulary• Diagnostic and Statistical Manual

of Mental Disorders, Fourth Edition (DSM-IV)

2 CDS Response (guidance

and/or other response elements)

• SOAP • REST

• SAML • TLS • LOINC• SNOMED CT• CVX• Manufacturers of Vaccines (MVX)• OID• RxNorm• ICD-9-CM and ICD-10-CM• HCPCS• C80 - Clinical Document and

Message Terminology Component • NQF Value Sets

• ICD-10-PCS• UCUM• CPT• C154• NDC• FDA Route Administration• HL7 Vocabulary• Diagnostic and Statistical Manual

of Mental Disorders, Fourth Edition (DSM-IV)

CDS Guidance Request Transaction: Service Standards Rationale

Standard Summary of Findings from UCR Crosswalk Keep? Rationale

Decision Support

Service (DSS)

(Y) Fits: (Sender) CDS Request; (Receiver) CDS Request; (Sender) CDS Response; (Receiver) CDS Response; Exceptions

(P) Partially Fits: Response Metadata;

(N) Does not Fit:

Y

Context Aware

Retrieval Application (Infobutton)

(Y) Fits: Context; Supporting Evidence; Supporting Resource

(P) Partially Fits: (Sender) CDS Request; (Receiver) CDS Request; (Sender) CDS Response; (Receiver) CDS Response

(N) Does not Fit: Clinical; Actions; Attribute Value List; Response Meta Data

N

CDS Guidance Response Transaction: Service Standards Rationale

StandardSummary of

Findings from UCR Crosswalk

Keep? Rationale

Decision Support

Service (DSS)

(Y) Fits:(P) Partially Fits:(N) Does not Fit:

Y

Context Aware

Retrieval Application (Infobutton)

(Y) Fits:(P) Partially Fits:(N) Does not Fit:

N