1. Automate Blue Button Initiative
All Hands Community Meeting
August 22, 2012

2. Meeting Etiquette
• Remember: If you are not speaking, please 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
o Hold = Elevator Music = frustrated speakers and participants
• This meeting is being recorded
o Another reason to keep your phone on mute when not
speaking
• Use the “Chat” feature for questions, comments and items you
would like the moderator or other participants to know.
o Send comments to All Panelists so they can be addressed
publically in the chat, or discussed in the meeting (as
appropriate). From S&I Framework to Participants:
Hi everyone: remember to keep your phone
on mute 
All Panelists
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3. Agenda
Topic Time Allotted
Welcome and Announcements 10 minutes
Call to Action 5 minutes
Project Charter Review 40 minutes
Workgroup Formation 20 minutes
Consensus Process Overview (time permitting) 10 minutes
Next Steps / Reminders 5 minutes
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4. Current Registrants
• Access My Records, Inc. • KirbyIMC.com
• ADHS • Laboratory Corporation of America
• Allscripts • Louisiana Dept of Health and Hospitals
• American Academy of Family Physicians • McKesson
• American College of Physicians • Microsoft
• AORN • Napersoft
• Cerner • Optum
• Data Exchange Specialist California Immunization • OrionHealth
Registry • Sager Systems
• Department of Defense (Booz Allen Hamilton • Patient First
Contractor) • Patients as Partners
• Dossia • Regulatory Informatics
• Ep-Con • RelayHealth
• eRECORDS, Inc • Ricoh Healthcare
• Florida Hospital • Sutter Medical Center of Santa Rosa
• CakeHealth • Thotwave Technologies, LLC.
• Humetrix • Transformations at the Edge (TATE)
• Gartner • UnitedHealth Group
• Gorge Health Connect, Inc. • US Army
• Health Information Xperts • Veterans Affairs
• HealthURL • Videntity
• Healthwise and HITSC FACA • WellSpan Health
• HHS • Wittie, Letsche & Waldo, LLP
• Hunter College
• IMS Health
• IPS Technology Services
JOIN THE INITIATIVE:
http://wiki.siframework.org/Automat
e+Blue+Button+Join+the+Initiative 4

5. Announcements
• The Automate Blue Button Initiative will hold weekly
community meetings on Wednesdays at 3:00 pm Eastern.
– To participate, please see the “Attend the Weekly Community
Meeting” section of the Automate Blue Button Wiki Page:
• http://wiki.siframework.org/Automate+Blue+Button+Initiative
Weekly
Meetings
Please check the meeting schedule weekly as the meeting link and call in numbers will change
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6. ABBI Wiki
Orientation Quick Links
Weekly
Meetings
Calendar
Community
Schedule
Contacts

7. Call to Action
• You’re Invited! We need experts to develop standards, organizations
ready to drive towards implementation, innovators to push the
envelope, and patients and providers willing to provide their
perspective.
• Your commitment and participation are critical to our success and the
ability to provide patients and their families with electronic access to
their health data when and where it is needed.
• To join the Automate Blue Button Initiative, go here:
http://wiki.siframework.org/Automate+Blue+Button+Join+the+Initiative
read about the commitment process and fill out the “Join the Initiative”
form at the bottom of the page.
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8. Project Charter Review
• This is your opportunity to provide input!
• We will discuss each section of the Project Charter in the
community meeting.
• Updates will made to the wiki after the meeting.
– http://wiki.siframework.org/Automate+Blue+Button+Project+Charter
• Please also review and comment on the wiki after the meeting.
Review and
Comment
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9. Automate Blue Button Project Charter
Challenge and Goals
• Challenge
– How can we advance the implementation standards, tools,
and services associated with the Blue Button to provide
consumers with automated updates to their health
information in a human readable and machine readable
format?
• Goals
– PUSH: Automating transmission of personal health data to
a specific location, using the Blue Button
– PULL: Allowing a third party application to periodically
access personal health data, using the Blue Button
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10. Automate Blue Button Project Charter
Scope Statement
• Identify, define, and harmonize implementation standards, tools
and services that facilitate the automated PUSH and automated
PULL of patient information via the Blue Button
• Identify, define and harmonize content structures and
specifications for the Blue Button so that information
downloaded is machine readable and human readable
• Identify, define, and harmonize protocols around identification
and credentialing, and protocols around access and
authorization, that facilitate the automated PUSH and automated
PULL of patient information via the Blue Button
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11. Automate Blue Button Project Charter
Value / Vision Statement
Consumers want more access to and portability from their
health care information. They want to be able to:
• Better understand their health and make more informed
decisions
• Help to make sure that they and all of their care team
members are on the same page
• Improve the accuracy and completeness of the information
• Plug it into apps and tools that promise to make
information truly available when and where it’s neededc
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12. Automate Blue Button Project Charter
Success Metrics
For dataholders:
• Number of existing BB dataholders that implement Auto Blue
Button
• Number of new dataholders that take the pledge and implement
Auto Blue Button
For patients:
• Number of patients that access their data using Blue Button
• Number of patients that use new features of Blue Button (both
push and pull)
For third-parties:
• Number of application developers parsing Blue Button data
• Number of patients using applications that are powered by Blue
Button
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13. Automate Blue Button Project Charter
Target Milestones & Timelines
Driving Milestones
• Pilot Push implementation by November 22, 2012
• Pilot Pull implementation by March 3, 2013
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14. Automate Blue Button Project Charter
Expected Deliverables
• Workgroup Charters
• Use Case(s) and Functional Requirements
• Standards for Blue Button
• Implementation Guidance for Blue Button
• Tool development to support Blue Button
• Pilots and results
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15. Automate Blue Button Project Charter
Relevant Standards & Stakeholders
• DIRECT: A set of transport standards, services, and use cases that any data holder or receiver can
implement, to package and send/receive electronic health information in a private and secure fashion.
• ToC Content Recommendations: Recommendations on document structures to fulfill Meaningful Use
Stage 2 Transitions of Care requirements (consolidated CDA).
(http://wiki.siframework.org/ToC+Document+Recommendations)
• OAuth & OpenID: Community-developed, industry-standardized protocols for authentication and
authorization. (Note: The FHA is currently developing a RESTful approach to information exchange that
leverages OAuth and OpenID.)
• LRI Content Recommendations: Recommendations on document structures for Lab Interfaces to
electronic health records
• RHEx: Working on security standards (OpenID and OAuth) and content standards (working now) for
applying a RESTful design approach to exchanging health information.
• OSEHRA is an open, collaborative community of users, developers, and companies engaged in
advancing electronic health record software and health information technology
• Markle Foundation's recommendations for Blue Button (including privacy and security specifications)
• Work to create and encourage adoption of a new CCD to Blue Button “Transform tool” (to support
OPM request)
• Work underway to specify use cases for using EHRs and DIRECT to transmit updated summaries of care
to a patient as they become available.
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16. Proposed Workgroups
Automating transmission of personal health data to a specific location
• Discovery: review existing standards and formulate project charter and scope
Push • Work on use cases
Project • Define deliverables and timeline
• Scope input needed on content and privacy and security
Allowing a third party application to periodically access my personal
health data
Pull • Discovery: review existing standards and formulate project charter and scope
Project • Work on use cases
• Define deliverables and timeline
• Scope input needed on content and privacy and security
A Blue Button file must be machine-readable and human-readable
Content
Sub-Group • Review existing efforts and standards to leverage
• Develop plan to support PUSH and PULL projects
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17. Workgroup 1: Push
PUSH
Automating transmission of personal health data to a specific location
EXAMPLE USE CASES
By patient request, a provider can specify in an
A patient can specify in a dataholder’s system to
EHR that a patient be sent an updated copy of
be sent an updated copy of his/her personal
his/her personal health information as it becomes
health information as it becomes available.
available
REQUIREMENTS & IN SCOPE OUT OF SCOPE
ASSUMPTIONS (TO BE CONSIDERED) (NOT TO BE CONSIDERED)
• Patient/Provider is already • Transport standards, • Policy concerns and
authenticated in services, and specifications constraints. This initiative
dataholder’s system. • Content standards: will define the mechanism,
• Transport must be secure whether or not to include – how and where they
• Data sent must be both in implementation guide(s) apply it will be up to state
human-readable and • Implementation guide(s) to and local laws
machine-readable support use case(s),
building off existing
standards
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18. Workgroup 2: Pull
PULL
Allowing a third party application to periodically access my personal health data
EXAMPLE USE CASE
A patient can direct a third party application to periodically have access to his/her
personal health information via the internet. The dataholder will ensure this data is
made available and follow certain privacy and security standards.
REQUIREMENTS & IN SCOPE OUT OF SCOPE
ASSUMPTIONS (TO BE CONSIDERED) (NOT TO BE CONSIDERED)
• Data must be transmitted • Authentication, transport, • Policy concerns and
securely and content standards. constraints. This initiative
• Patient must give • Leverage REHx project will define the mechanism,
application consent to pull (Oauth and OpenID) – how and where they
health information from • Leverage ToC project apply it will be up to state
data holder • Leverage lab interface and local laws
• Data sent must be both project
human-readable and
machine-readable
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19. Sub-Group: Content
CONTENT
A Blue Button file must be both machine-readable and human-readable.
EXAMPLE USE CASES
A patient can download a copy of his/her records A patient can point a software or web application
and is able to read and print it out. to their Blue Button file and it can parse it.
REQUIREMENTS & IN SCOPE CHALLENGES
ASSUMPTIONS (TO BE CONSIDERED)
• File must be both human- • Leverage work done by HL7 • A cross-platform file that is
readable on multiple and Consolidated CDA self contained.
platforms: PC, Mac, iOS, • Leverage work done by the • Enabling easy-parsing of
and Android ToC S&I Initative the file. Should take a
• File must be printable developer less than 3
• File needs to be machine minutes to use.
readable
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20. Consensus on the Project Charter
For those of you who are committed members, we ask you to vote on the Automate Blue Button Project
Charter:
• Yes
– A Yes vote does not necessarily mean that the deliverable is the ideal one from the perspective of
the Initiative Member, but that it is better to move forward than to block the deliverable
• Yes with comments
– If a Consensus Process attracts significant comments (through Yes with comment votes), it is
expected that the comments be addressed in a future revision of the deliverable.
• Formal Objection- with comments indicating a path to address the objection in a way that meets the
known concerns of other members of the Community of Interest. "Formal Objection" vote without
such comments will be considered Abstain votes.
– A Formal Objection means that the objector cannot proceed with the project unless the
objections are met. It is acceptable and expected to use a Formal Objection in a first consensus
round to communicate a point of view or process issue that has not been addressed in the
drafting of the initial deliverable.
– Should a Consensus Process attract even one "Formal Objection" vote with comments from an
Initiative Member, the deliverable must be revised to address the "Formal Objection" vote
(unless an exceptional process is declared).
• Abstain (decline to vote)
Note: Each Organization, no matter the number of Committed Members only receives 1 Vote. If there are multiple
committed members from your organization please verify your collective vote with them

21. Submitting your Vote
1. Review the Project Charter: 1
– http://wiki.siframework.org/Automa
te+Blue+Button+Project+Charter
2. Complete the Voting Form:
– NOTE: You must be a Committed
Member to Vote
• Yes
• Yes with comments. 2
• Formal Objection
• Abstain (decline to vote)
3. Submit your Vote
3
4. A Message is displayed verifying your
vote was recorded
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22. Viewing your vote
5. View and track your Vote. (Voting record is directly below the Voting Form.
• Note: you may need to refresh your browser to see your vote
5 Automate Blue Button Project Charter Consensus Vote
Jane Smith
Committed Member
Note: All Consensus Votes are due Sept 17th by 8:00 pm EST
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23. Next Steps
• Next Steps
– Comment on the Project Charter:
– http://wiki.siframework.org/Automate+Blue+Button+Project+Charter
• Next Work Group Meeting
– 3:00pm - 4:30pm Eastern, Wednesday, August 29, 2012
– http://wiki.siframework.org/Automate+Blue+Button+Initiative
• All ABBI (ABBI) Announcements, Meeting Schedules, Agendas,
Minutes, Reference Materials, Use Case, Project Charter and
general information will be posted on the HeD Wiki page
– http://wiki.siframework.org/Automate+Blue+Button+Initiative
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24. Contact Information
For questions, please contact your support leads
• Initiative Coordinator: Pierce Graham-Jones (pierce.graham-jones@hhs.gov)
• Subject Matter Experts: to be announced
• Project Management: Jennifer Brush (jennifer.brush@esacinc.com)
• S&I Admin: Apurva Dharia (apurva.dharia@esacinc.com)
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25. Useful Links
• Automate Blue Button Wiki
– http://wiki.siframework.org/Automate+Blue+Button+Initiative
• Join the Initiative
– http://wiki.siframework.org/Automate+Blue+Button+Join+the+Initiative
• Automate Blue Button Project Charter
– http://wiki.siframework.org/Automate+Blue+Button+Project+Charter
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