The purpose of the Discovery phase is to identify the use cases and user stories for the Initiative. Interoperability gaps, costs and barriers are identified and defined to further refine the Initiative. Feasibility tests and prototypes are done using relevant models and standards to determine potential approaches to solve the challenges outlined. The information accumulated and the lessons learned through the Discovery phase will jump-start the next phase and also provide the necessary details to determine if the Initiative needs to continue. Learn more about the S&I Initiative Phases and Outputs.

Initiative Phase - Use Cases (Discovery)

UC 1 - Provider Registration with Payer

The specific purpose of the PPA workgroup is to evaluate solutions to:

1. Register providers with CMS and other payers to receive eMDRs and
2. Support CMS and other payers in securely sending eMDRs to Agents and Providers

Visit the following page to access the Use Case: UC 1 - Provider Registration with Payer

UC 2 - eMDR and Structured Content

The esMD Use Case 2 is focused on the sending of the electronic Medical Documentation Request (eMDR) from a Payer or Payer contractor to a registered Provider or Provider Organization. It also includes the requirements for the structured content of the eMDR itself along with the transport requirements to send the eMDR.

Visit the following page to access the Use Case: UC 2 - eMDR and Structured Content

UC 3 - Author of Record Level 1

The scope of effort includes the five focus areas for the Author of Record Workgroup identified during the initial pre-discovery efforts:

1. Identity Proofing
2. Digital Identity Management
3. Digital Signatures
4. Delegation of Rights
5. Encryption (encryption only as it pertains to protecting the confidentiality of payloads containing PHI).

Visit the following page to access the Use Case: UC 3 - Author of Record Level 1

UC 4 - Author of Record Level 2

The scope of effort includes the five focus areas for the Author of Record Workgroup identified during the initial pre-discovery efforts:

1. Identity Proofing
2. Digital Identity Management
3. Digital Signatures
4. Delegation of Rights
5. Encryption (encryption only as it pertains to protecting the confidentiality of payloads containing PHI).

Note : *This Use Case document only focuses on AoR Level 2 Use Case. AoR Level 1 is complete and available to the community for reference and Level 3 Use Case will be developed at a later time.

Visit the following page to access the Use Case: UC 4 - Author of Record Level 2