Healthcare+Certificate+Discovery+for+Pull-based+Exchanges+SWG+Meeting+Minutes+2011-06-06


 * Date:** June 6, 2011 4:00-5:30PM EDT
 * Name**: Provider Directories (PD) Initiative – Healthcare Certificate Discovery for Pull-based Exchange SWG Meeting Session 1

Agenda/Objectives:

 * **Topic** || **Time Allotted** ||
 * User Stories || 45 minutes ||
 * Use Case Diagrams || 25 minutes ||
 * Identification of Community Volunteer Leads/Co-Leads || 10 minutes ||
 * Sprint Team Logistics || 5 minutes ||
 * Next Steps and Questions || 5 minutes ||

Attendees:
__Workgroup Attendees:__ Lester Keepper, Ryan Balsick, Rao Parvatam, Sri Koka, Dave Shevlin, Jennifer Cockle, John Mattison, Bob Yencha, Erik Pupo, Karen witting, Sean Gibson, Van Nguyen, Jitin Asnaani, nam nguyen, Scott Chapin, Veronica Yackuboskey, Terri Skalabrin, Smriti Singal, Chris Andreou, Joy Styrcula, Jaime Estrada, Robert Dieterle

__Panelist Attendees:__ Virginia Riehl, Victoria Njoku, Jitin Asnaani

Action Items:

 * **Action Item** || **Status / Next Steps** || **Lead** || **Contributors** || **Due Date** ||
 * Propose change of scope for second work stream to PD Sprint Team || Scope for second work stream should be on electronic address discovery ||  || SWG Members || 6/10/11 ||

Key Discussion Points: User Stories

 * For this user story, a note should be made about error and validation messages when the sender has cashed the certificate information
 * In a Pull case, there can be a machine to machine exchange. Having a provider requests for information is not exactly how it works in a pull environment.
 * The user story could be more specific for Exchange, it is rather broad at this point. In Exchange, there is no problem of EHR to EHR interaction, getting certificate is not a critical issue.
 * Querying for electronic address and certificate is more valid use case in a pull-based exchange. For pull-based exchange, a query for certificate alone is not valid. The query has to be followed by a retrieve. One cannot get certificate alone in a pull-based scenario
 * There are some cases where one system has a SOAP URL and can get the certificate or other credentials
 * There should be clarity as to whether the user story is wide open and not constrained with problems that Exchange deals with. The use case here is not clear, is it discovering certificates with some initial location information
 * Exchange does not have a Provider Directory and nothing has been adopted yet. Exchange has minimal lookup capability
 * Many organizations are struggling with solving the problem of finding electronic addresses and getting certificate/security information with electronic addresses using some provider attributes. This should be the focus of the group.
 * There is also a need to determine what the stepping stone/intermediary step prior to solving the bigger problem of discovering electronic addresses. If there is not any work similar to User Story 1, then the work can be focused on the broader electronic address discovery issue.
 * The question is whether work on electronic address discovery can be completed within short timeframe
 * It is not appropriate to leave certificate use in push scenario undefined. This should also be addressed.
 * The preference is to solve the electronic address discovery (and certificate) along with the certificate discovery under directed exchange as separate tracks of work
 * Both user stories are not mutually exclusive
 * The effort should be focused on having a mechanism for a provider to find an electronic address and associated credentials to deliver something to another provider/entity
 * There are existing efforts that should be leveraged include the HITSC Privacy and Security Workgroup recommendations
 * There is a need to also define electronic address and clarify whether there is a 1:1 relationship when a query is done

Resolutions:

 * The SWG will propose to the full Sprint Team that the second work stream should focus on discovery of electronic addresses
 * Karen will provide definition of electronic address

**Key Discussion Points:** **Identification of Community Volunteer Leads/Co-Leads**

 * A volunteer lead was solicited for this SWG

Resolutions:

 * Karen volunteered to lead this SWG if the work is focused on discovering electronic addresses

Wrap-Up:

 * Propose change in scope of second work stream to PD Sprint Team at next meeting. Scope should be on electronic address discovery.