Modular Specifications Provider Directories - Standards for Provider Directories


The revised MSPD artifacts have been posted as of 9/20/2013. Please review the following artifacts:
Requirements Traceability Matrix (RTM):
  1. Revised RTM version 1.1 (used for version 1.3 of client and test tool, referenced below)
Provider Directory Test Implementation (PDTI):
  1. PDTI Client version 1.3
  2. PDTI Test Tool version 1.3
  3. Test Plan
  4. Test Scripts
  5. Test Summary Report

How to View the Artifacts:
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Please click on Artifacts to view the HPDPlus Requirements Traceability Matrix (RTM) as well as the finalized Provider Directory Test Implementation (PDTI).
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Summary

ONC is looking to collaborate with key stakeholders in the implementation of Healthcare Provider Directory (HPD) for the Modular Specifications Provider Directories project. HPD is a healthcare provider directory that can be used for multi-state EHR/HIE Interoperability; it is an enhanced version of the current standard HPD model as defined by the S&I Framework PD Initiative - Query for Electronic Service Information including Electronic Address Use Case.

The goal of the Modular Specifications Provider Directory project is to develop implementable, testable specifications along with a conformant test implementation and high quality test cases that verify conformance of the test implementations to the specification.

Discovering Electronic Service Information (ESI), including electronic addresses from Provider Directories with some known provider attributes, can be accomplished through the use of HPD. Solutions developed from this work are critical to support state in Health Information Exchanges (HIEs) implementations.

Scope

The Modular Specifications Team shall extract specifications currently being utilized in Health Information Exchange communities of practices and develop implementable, testable specifications along with a conformant test implementation and test cases that verify conformance of test implementations to the specification.

The following are the specifications related reference materials that were used to enhance, clarify and assist with the creation of the deliverables for this project.

Reference Materials
Applicability to Mod Spec Project
Link
Western States Consortium (WSC) Interface and Functional Specifications
These documents define the California & Trust Services (D&TS) interfaces and functional specifications.
D&TS Functional Specification

California D&TS Interface Specification V3

WSC and Inter-State Exchange
EHR/HIE Interoperability workgroup (IWG) Specification and Testing documents
These documents define the IWG technical, functional, and testing specifications.
Statewide Send and Receive Patient Record Exchange Technical Specification Appendix -
HPD Plus Implementation Guide

Statewide Send and Receive Patient Record Exchange Technical Specification

Statewide Send and Receive Patient Record Exchange Functional Specification
Integrating the Healthcare Enterprise(IHE)
These documents define IHE HPD technical specification and appendix for HPD Plus additions.
IHE IT Infrastructure Technical Framework

IHE IT Infrastructure Technical Framework Supplement

Data Element Mapping Master Spreadsheet

IHE Change Proposal
Provider Directory Sub Work Group Final Data Model
This Data Model was developed by the S&I Framework Provider Directory Work Group. The model addresses the use case for Provider Directories for Electronic Service Information (including electronic address and any required security information).
Provider Directory SWG Final Data Model

Justification

It is ONC’s goal to identify requirements for the standards for the next version of HPD. The Modular Specifications Provider Directory project provides a unified vendor-neutral platform for implementation of Provider Directories.

The desired outcomes of this project are:
  1. The ability for providers and other authorized entities to query and receive provider information from provider directories to facilitate secure exchange of health information,
  2. A standardized query mechanism for Provider Directory that can be adopted by EHR and HIE vendors, State HIEs, HISPs and other mediators of exchange,
  3. The standardization and simplification of the implementation of interfaces to query -compliant Provider Directories.

Tasks

The tasks of the Modular Specifications Project are outlined below:

Task 1: Develop Implementable, Testable, Certifiable Specifications

    • This task involves analyzing the relevant specifications documented at the links referenced above and creating a robust Implementation Guide that is clear, complete, accurate, implementable, and testable.

Task 2: Create a conformant Test Implementation based on the specifications produced by the Modular Specifications project

The following will be created:
    • Adopt and re-use the Test Implementation (TI) created by the specific community of practice (if available)
    • Identify gaps and enhance the TI to conform to the Implementation Guide.

This approach will serve multiple purposes:
    • Saves implementation time and effort
    • Identifies the gaps that pilots might be experiencing
    • Provides an easy path for many of the pilots and organizations who have adopted the Provider Directory and Certificate Discovery Trial Implementation to upgrade without having to replace.

Task 3: Create quality test cases and if necessary to execute the test cases, a test tool may be developed that can test a Test Implementation's conformance to the specifications produced by the Modular Specifications project

  • The test cases should be able to fully test any independent implementation for conformance to the Implementation Guide.
  • The Test Team will execute the test cases.
  • The test cases should be executed against the Test Implementation and grade the Test Implementation’s conformance to the Implementation Guide.

Success Criteria

The success of the project will be dependent on Quality and Real World Implementation/Adoption.

Quality


  • Specification quality will be evaluated based onimplementationof the specification.
  • The quality of test cases will be evaluated based on the clarity and breadth of the test cases to test independent implementations.
  • The quality of the Test Implementations will be evaluated based on the level of conformance to the specification and passing the independent test cases.

Real World Implementation/Adoption

  • Successful pilot implementation by State HIE or other partners.


Timeline

  • March 27th, 2013 – Modular Specifications Project Kick-off
  • April, 2013 – RTM Evaluation
  • April-June, 2013 – Test Implementation and Test Cases Development
  • May-June, 2013 –RTM and TI Refinement & Validation of Test Cases
  • May 15th, 2013 – First Public Call
  • Mid June to July – Pilots commence

Deliverables

The following are the deliverables by tasks and the responsible teams.
Task
Deliverable
Responsible Team
Task 1 – Develop implementable, testable and certifiable specification
Specification Development Project Plan
Specification Team

Requirements Traceability Matrix (RTM) for Standard for Provider Directories
Specification Team

Data Elements Mapping
Specification Team
Task 2 – Develop Test Implementation for ESI based on modular specs
Test Implementation
Test Implementation
Task 3 – Develop high quality Test cases
Create and execute test cases against the Test Implementation
Testing Team
Task 4 – Implementation Guide
Robust Implementation Guide
All Teams


Mod Specs Public Process

The first public call for Modular Specification Provider Directories project was held on Wednesday, May 15th, 2013 from 12:00pm to 1:00pm EST. Click here to submit feedback from the artifact discussed on the first public call. You may also email Matt Rahn or Farrah Darbouze with your feedback.

The next public call is scheduled for Friday, July 19h, 2013 from 12:00pm to 1:00pm EST. Click here to attend the meeting.


Subsequent public calls for Modular Specifications Provider Directories will be announced.
Any questions regarding this project please contact Matt Rahn (Matthew.Rahn@hhs.gov) and/or Farrah Darbouze (Farrah.Darbouze@hhs.gov).