Standards and Interoperability Framework
Primer of S&I Phases, Procedures, and Functions
S&I Framework Process
We Are Here
S&I Framework Functions
IMPLEMENTATION
DISCOVERY
PILOTS
EVALUATION
Align initiative with SDO
balloting or
development priorities
Contribution
Extend, modify, or develop
a standard and develop
implementation guidance
Support standards
analysis against
requirements
Confirm Gaps
Work with WG and SDOs
to create plan and
recommendations to
address gaps
Foundation
Action
Successfully implement
developed standards
Initiative Progress
Result
Standards Development Support
Team “Building Blocks”
Engage SDOs through
initiative awareness
Scan the standards &
implementation
environment
Develop a “Candidate
Standards” list
4
S&I Framework
Harmonization of Standards
Candidate Standards
Evaluate
• Use Case and functional requirements determine candidate standards
• Applicable standards evaluated on HITSC-outlined criteria
• Further evaluation may be conducted relying on environmental scans of realworld implementations for factors such as Deployment/Operational
Complexity, Market Adoption and Past Performance (Pilots)
Selected Standards
Analyze
• Assess support of detailed interoperability requirements for required CEDD
data elements, including value sets
• Identify standards harmonization gaps and redundancies
• Determine most implementer-friendly approach to implementation
Draft Harmonized Standard
Harmonize
• Work with SDOs to develop, extend or modify required standards artifacts
and follow-up with appropriate balloting process alignment
• Develop implementation guidance that meets functional and technical
requirements using current standard(s)
• Feedback on the implementation guidance is received from pilots, RI, and
SDO balloting, and is then incorporated to result in a standard suitable for
inclusion in regulation
Recommended Standard
Artifacts
*denotes potential artifact
• Use Case &
Functional
Requirements (UCR)
• Candidate Standards
• SDO Communication
Plan
• Standards Analysis
Mapping
• Gap Mitigation Plan
• Initiative CEDD*
• Implementation
Guide*
• Standards
modification*
• New standard*
5
The S&I Framework
Harmonization Process
•
Provides detailed analysis of candidate
standards to determine “fitness for use”
in support of workgroup/initiative
interoperability requirements
Activities lead to a selected draft standard
to be supported and validated through
Reference Implementation and Pilots
•
Gap mitigation results and lessons learned
are incorporated into an SDO-balloted
artifact to be proposed as implementation
guidance for Recommendation
•
Depending on the workgroup/initiative,
Activities may not lead to the
development of a new standard
Draft Harmonized Standard
Reference Implementation,
Pilots, SDO Balloting
Harmonized Standard
Recommended to HITSC
Validation of
Standard
•
Gap
Analysis
Development of
Draft Standard
Candidate
Standards
Use Case
Requirements
6
Harmonization Process
Harmonization for Use Cases may include the following
steps:
1. Expand dataset requirements into a full data model
2. Review and select standards identified by SDS
•
Choose standards based on use case, data model requirements, and community expertise
3. Map data model to select standards
•
Identify gaps and work with SDS to communicate needs with SDOs
4. Develop Implementation Guide(s)
•
7
Guide should enable implementation of data model
S&I Framework Functions
IMPLEMENTATION
DISCOVERY
We Are Here
PILOTS
EVALUATION
Feb 13
Mar 13
Apr 13
May 13
Jun 13
Jul 13
Aug 13
Sep 13
Oct 13
Dec 13
LCC WG Timeline: Feb 2013 – Dec 2013
LCC Roadmap, Project Charter, Environmental Scan Development
LCC Stakeholder Outreach
LCC Use Case 2.0 Development & Consensus
SDO Stakeholder Outreach
C-CDA Gap Analysis (Document Resolution)
HL7 Ballot & Reconciliation
ToC IGs Development (Transfer Summary, Referral Note, Consult Note)
Care Plan/ Home Health Plan of Care IG Development
HL7 Ballot Package Development
Pilot Identification & Engagement
IMPACT ToC Pilot Monitoring
IMPACT Care Plan Pilot Monitoring
Milestones
NY Pilots Monitoring
ToC IGs Complete
Lantana Contract
Awarded
HITPC LCC WG Briefing
Care Plan IGs Complete
HL7 Intent to Ballot Due
HL7 Project Scope
Statement Due
HL7 Final Ballot Due
HL7 Fall Ballot Open
HL7 Ballot
Publication
S&I Building Blocks
Eventually, we’ll be able to fill in this diagram with LCC-specific content, further
building the S&I Tools and References Repository
Vocabulary &
Code Sets
Content
Structure
Transport
Security
Transformation