Presentation on the NIEM to the NHIN Spec Factory

1. THE ONC STANDARDS AND INTEROPERABILITY FRAMEWORK An Introduction to S&I Framework and NIEM

3. ONC Standards and Interoperability Framework Tools and Services (Use Case Development, Harmonization Tools, Vocabulary Browser, Value Set Repository, Testing Scripts, etc) Use Case Development and Functional Requirements Standards Development Certification and Testing Harmonization of Core Concepts Implementation Specifications Pilot Demonstration Projects Reference Implementation

4. Why do we need an interoperability framework?

11. S&I Governance (Artifacts, Roles and Controls) 08/26/10 Core artifacts are versioned and controlled Artifacts are “packaged” and released Each artifacts has a responsible role Artifacts and releases have prioritization and approval points, or “controls”

14. NIEM Process From NIEM website http://www.niem.gov/index.php IEPD: Information Exchange Package Documentation

17. S&I NIEM Process Harmonized Capability Elaboration Capability Formulation Construction Release & Publication Use Case Development Spec Development Harmonization Reference Impl Cert &Testing S&I Development Phases S&I Governance Health Community Participants Scenario Planning Analyze Requirements Map & Model Build & Validate Assemble & Document Pub. & Impl. NIEM Lifecycle

18. Addressing Challenges for the Health Information Exchange Model Challenge Approach Existence of disparate health information exchange standards and specifications and implementation approaches Map exchange requirements to existing standards & specifications and address any gaps, duplications, or overlaps Harmonization and management of several well-established, large vocabularies for semantic interoperability Leverage existing vocabulary repositories (e.g. PHIN VADS), coordinate with Unified Medical Language System (UMLS), and collaborate with standards development organizations Usability of existing HIT exchange protocols and specifications Use NIEM processes and adapt supporting tools to create computable, useable implementation specifications NIEM only addresses data content, but transaction behavior and security provisions are necessary for health information exchange Adapt structure and content of S&I IEPD to incorporate transport and security aspects of exchange Compatibility of S&I IEPDs with existing NIEM infrastructure and tools, as well as existing health information exchange protocols Develop and adapt NIEM and health information technology tools and framework to support NHIN goals

19. Model Centric Specifications

27. Model Centric Solution - NIEM Harmonization of Core Concepts Implementation Specifications Reference Implementation and Pilots Use Case Development and Functional Requirements Certification and Testing CIM PIM PSM Scenario Planning Analyze Requirements Map and Model Publish and Implement Build and Validate Assemble and Document Specification Models NIEM Processes and Artifacts S&I Activities Business Processes, Use Cases Business Rules, Business Requirements Exchange Content Model, Mapping Document Exchange Schema, Subset/Constraint Schema, Main Document, IEPD Catalog, IEPD Metadata, Sample XML Vision Document, Process Model Use Case Model, Interaction Model, Domain Model Behavior Model Domain Model Web Services Schema and WSDL

29. Sample Model – CIM Business Scenario

30. Sample Model – PIM Realization

31. Sample Model – PIM Service Architecture

32. Sample Model – PIM Domain Model

33. Sample Model – PSM WSDL Interface

36. Questions