esMD+Pilots+-+PAHISP+LLC+&+NHDS

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=Overview= PAHISP LLC and NHDS are jointly participating in the "**Provider Profiles Authentication**", "**Digital Signatures**" and "**E-Clinical Template for PMD**" Pilot Projects within the esMD initiative of the Standards & Interoperability Framework.

Technical approach
PAHISP LLC and NHDS are integrating current S&I Framework initiatives and our specific implementation of standards. We are developing a dot net XADES-XL software signing solution for the small practice and for other use case actors. Outputs from an EHR are processed into Microsoft Office and missing elements for the document user story are surfaced to the authenticated use case actor for review and to be filled in via a gap analysis.

Once review or required signing by that use case actor is completed, the signed documents are sent via Direct to the other use case actors for their review and actions. The end output is formatted to meet esMD requirements and sent to CMS.

=Objectives= The reduction of missing documents and data fields for patients leading to delays in processing by assisting use case actors in securely sharing data. Long term validation of data by the application of XADES-XL digital signatures. Location of electronic endpoints by registration in a Provider Directory. Development of structured data to meet defined workflows. Application of "lessons learned" in NwHIN development in HHS project portfolio applied to software reuse across various S&I Framework initiatives applied to simplify and lower overhead costs in applying HL7 technology using COTS computing technology for use case actors that were not part of MU incentives.

=Stakeholders & Points of Contact=
 * Name || Role || Email ||

Peter Bachman PAHISP CEM peterb@pahisp.org Stephen Beller NHDS sbeller@nhds.com

=Demonstrated Standards= This pilot will demonstrate:

RFC-3161 Trusted Timestamping Service abd other relevant IETF standards RFC-5280 as adopted by CMS ETSI XADES-XL XML DIG SIG Core [] SAML Assertions [|https://www.oasis-open.org/standards#samlv2.0] X.500 Directory with LDAPv3 using IHE HPD+ schema [] X.509v3 Digital Certificates [] HL7 C-CDA Stuctured Documents c=US Realm for Clinical Documents IHE DSG Direct Project Applicability Statement for Directed Exchange transport http://wiki.directproject.org/Applicability+Statement+for+Secure+Health+Transport e-SIGN ABA and current legal requirements for digital signatures [] Federal Bridge Policy Frameworks as interpreted by Federal Partners for PKI exchange of data [] Common Criteria Security Profile for target of evaluation []

=Ecosystem Diagram=

=Pilot Project Timeline=

=Anticipated Resources=

=Success Metrics=

=Reference Materials=
 * **Artifact Name** || **Artifact** || **Upload Date** || **Comments** ||
 * Pilot Projects Profile || [[file:PAHISP NHDS_esMD_PilotProjectProfile_v2_121013.docx]] || 01/10/2014 ||  ||

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