FHIR Consent July 05, 2016

HL7 CBCC FHIR Consent Working Meeting

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Attendees

	Member Name		x	Member Name		x	Member Name		x	Member Name
x	Johnathan ColemanCBCC Co-Chair		x	Kathleen Connor FM Co-Chair		x	John MoehrkeSecurity Co-Chair		x	[mailto: Grahame Grieve] FHIR
	Alexander Mense Security Co-Chair		.	Jim Kretz			Tarik Idris		x	Ken Salyards
x	Suzanne Gonzales-Webb CBCC Co-Chair		.	Diana Proud-Madruga		x	[mailto: Oliver Lawless]		x	[mailto: Patrick Loyd]
.	M'Lynda Owens		x	David Staggs		.	Glen Marshall		x	Ken Sinn (Canada)
x	Rob Horn		x	Beth Pumo			William Kinsley		.	[mailto: Wayne Kubick]
.	Serafina Versaggi		.	[mailto: David Pyke]		x	Mike Davis		x	Mohammad Jafari (VA/ESC)
	Igor Sirkovich			Adrian Gropper		.	[mailto: Andrew Rampolla (SSA)]		x	[mailto: Eve Mahler]
x	[mailto: Joe Lamy], Aegis		.			.

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Agenda

1. Agenda Review, Attendance
   • (NOT READY) Approve FHIR CD June 29 Meeting Minutes
2. FHIR Consent changes made by Grahame - update
3. * 'author' change to ____?
4. open issues discussion (see wiki)
5. Kathleen has edits that are not in the track yet re tracker capabilities/tracker needs (ready for review?)
6. Discussion: will we go to ballot without profiles?

• is it too late to place profiles (given a compelling case?)
  • we can with a note that they have not yet been approved

question: should author remain as 'author' (a known resource)... Assumption: what did we mean the author element to be... definition was ambiguous

• the author is probably not the word--HL7 meaning id different. author can explain the sections of the document. In a patient who is agreeing to the consent--they are not the author. NHS handles/has put together consent polices and selctions critiera, patient elcts a policy
• recommend renaming to signer or party or agreer consent signature(an ASTM code)
• what matters is who agrees to
• which org has given the consent and who signs it - this is the information we need to captures
• patient digitally or wet signs a consent (legally signer responsible)

note party is used in a general sense other areas which may cause more confusioin (grahame)

consent organization = grantee and not legally accountable for signing the consent (organization is managing the consent, consent management system)

• need to separate out the actor to see an element... separate from a dignital signature it might be better to stop the discussion and write a proposal
  • Kathleen is adjusting her comments to include the above and sending out to the group

• I need to know which records are affected when the consent is signed...useful for provenance
• what consensts apply to the patient...
• what are the active consents (not those revoked)
  • there is already a state in the current model to look for active

• (GG) the actual resource; where signature is a noun and not a verb; from the discussion I would use signer
  • (RH)add multiple signers such as 'both parents'
• (J) consentor in simple terms is the person nodding their hear
  • can consentor = consentor signature

• could we add a code that designates what capacity the consentor

use case brought forward by Oliver

Ken S wants to amek sure that constor is an ID and not a 'field' meaning

• it will be just like autor as today but called consentor and requirements will be more clearly written... the one who has agreed; its not an element with a type... more like consent patient or consent author; where its meaning is defined as part of the element. if there is moe than one, then they must all be consentors--they are all part of the party signing the consent

Ken - does not want a caretaker or legal person accountable for paitnet to be lumped in as the patient as to whom the consent is for

• ther eis an element for patient; there is a different element for consentor

Care Team:

• can be individualized rather than give permission to the entire team because the reality is that memebers of the team may change
• Kathleen will put in a CP so that the group can think

• add to recipient

Motion to Adjourn: --Suzannegw (talk) 16:01, 6 July 2016 (EDT)