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2017-10-20 Learning Health Systems Call

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Facilitator Stephen Chu (covering for Russell Leftwich) Note taker(s) Emma Jones
Attendee Name Affiliation

Russell Leftwich InterSystems
John Roberts Tennessee Department of Health
X Stephen Chu Individual
X Evelyn Gallego ONC
Kathy Walsh LabCorp
Asim Muhammad Philips Research Europe
X Laura Heermann-Langford Intermountain Healthcare
X Emma Jones Allscripts
Jeff Brown Cancerlinq
X Lisa Nelson Individual
Dave Carlson VA
Chris Melo Phillips Healthcare
Michelle Miller Cerner
Benjamin Kummer Columbia University
Matt Rhan
X Michael Padula
Joseph Quinn
Thomson Kuhn
Rob Hausum
X Kathleen Connor
Serafina Versaggi VA


  • Chair: Stephen Chu
  • Scribe: Emma Jones
  • Kathleen Connor presenting - see the following referenced information located hereSee reference and resource documents
    • Care Teams Consent Attributes and Security Labels
    • Care Team ABAC Provisioning Table Example
    • Healthcare Team Model Glossary
    • Cambridge_Health_Alliance_Team-Based_Care_Toolkit

    • last presentation on consent attributes - called privacy tags and security labels - how they work and what standards are behind them.
  • On the care team model, how to provision and ensure members of the care team have access
    • differentiating kinds of care team, roles on the care team. Members having secure access while at the same time maintaining patient privacy.
  • Security Labels
    • Security labels can be used in various places - demographics, specific data peices
  • Privacy protective service that transforms information - un-encrypted when the provider have the authorization so will be able to view the information.
    • Supports break glass
  • Common agreement for trusted exchange - lets the receiver take on the burden
  • HIPAA allows each covered entity to have different rules
  • A suggestion - minimum necessary suggests that ONC come up with minimum necessary data - for treatment, payment, operation etc.
    • Need the ability to think about how minimum necessary
  • Australia - lets the security label travel with the data as metadata. Label on the data and the policy that goes with it.
  • Definition of types of care team
    • Suggest taking a look at book from Columbia
  • HL7 Compartment Codes have a care team compartment
  • Need to provision the care team members in a way to reflect the care team
  • David Staggs (Healthcare privacy/Security Attorney) - interested in working with this group. Kathleen will forward LHS info to him.
  • Are we updating the care team category? - Valuable for care team structure.
    • Suggest the need to figure out what the communication needs are for the conditional type of care team.
    • We may need to add the public health focus to the care team category list
  • Evelyn would like to have ONC leads connect with leads about this project. Will get in touch with Kathleen