February 23, 2016 CBCC Conference Call

Community-Based Collaborative Care Working Group Meeting

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Attendees

	Member Name		x	Member Name		x	Member Name
x	Johnathan ColemanCBCC Co-Chair		x	Suzanne Gonzales-Webb CBCC Co-Chair		x	Jim Kretz CBCC Co-Chair
.	Max Walker		x	Mike Davis		x	John Moehrke Security Co-Chair
x	Kathleen Connor Security Co-Chair		x	Ken Salyards CBCC Interim Co-Chair			Lori Simon CBCC Interim Co-Chair
	Diana Proud-Madruga SOA Interim Co-Chair		x	Rick Grow		.	Harry Rhodes
x	Serafina Versaggi		x	Ioana Singureanu			Glen Marshall
x	Steve Eichner		.	Steve Daviss		.	Wende Baker
x	Neelima Chennamaraja			Lee Wise		.	Mike Lardiere
	Reed Gelzer		.	Marlowe Greenberg			Chris Clark, WV
.	Paul Knapp		.	Matt Peeling			Brian Newton
.	William Kinsley			Lisa Nelson		.	Amanda Nash
	Russell McDonell			Susan Litton			David Bergman
.	Linda Bailey-Woods			Debbie Bucci			Chirag Bhatt
	Oliver Lawless			Keith Boone			Lori McNeil Tolley
.	Mohammed Jafari			Rob Horn			Gary Dickinson
x	Beth Pumo			Ann Cavoukian			Dawn Jutla

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Agenda

1. (05 min) Roll Call, Approve Meeting Minutes from February 16, 2016 CBCC Conference Call
2. (45 min) Ballot Reconciliation for Consent Directive moved to next week

Participants have been e-mailed for updates for the following information for inclusion in today's meeting minutes Back to CBCC Main Page

1. (05 min) Update on TSC/SGB discussion of HL7 Consent steward WG from 2/22 call Kathleen
2. (05 min) Behavioral Health Domain Analysis Model (HL7 BH DAM) Ballot Update
3. (05 min) Healthcare Security and Privacy Access Control Catalog - Update post ballot
4. (05 min) HL7 Policy Advisory Committee - Requesting input on the draft 2017 Interoperability Roadmap based on 2016 comments that were not addressed, and any new comments
5. (05 min) PASS Access Control Services Conceptual Model - (Standing agenda item) update (Diana)
6. (05 min) Joint EHR, Security, Privacy Vocabulary Alignment - (Standing agenda item) update (Diana/Mike)
7. (05 min)Draft HL7 Interoperability Standards Advisoryincludes the comments that we feel had not been addressed sufficiently in the last round leading up to the 2016 release, as well as any new comments submitted for consideration. Need our input finalized by March 15 to allow time for final adjustments with the EC.

**New**  
FHIR Security Topics  in support of FHIM
Meeting Information:  Tuesdays 2:00PM PT/5:00PM ET
Phone: +1 770-657-9270, Participant Code: 994563 hosted by Security
Web meeting Info:   https://global.gotomeeting.com/join/520841173  
Discussion includes: Security - Audit, Provenance, Labels, Signature

**New Day Time!!** 
FHIR Consent Profile (FHIR Privacy IG)  FRIDAY 10AM PT / 12NOON ET hosted by CBCC
GoToMeeting information: https://global.gotomeeting.com/join/520841173 
Phone: +1 770-657-9270, Participant Code: 994563 

Meeting Minutes (DRAFT)

February 16, 2016 CBCC Conference Call - minutes approved (Objections: none, Abstentions: none, Approval: 13)

Update on TSC/SGB discussion of HL7 Consent steward WG from 2/22 call

• Kathleen attended call, summarized the discussion.
  • One option: CBCC could take the entire medical records chapter. There has been a lot of attention paid to medical consent. CBCC hasn't really focused on v2 consent, a lot of which shows up in v3 and got moved conceptually into CDA.
  • Email from Kathleen: "Since I was working on v.3 Consent based on v.2 Consent when Nancy LeRoy and John Travis asked to disband Medical Records, I distinctly recall that the decision was to split Consents from Medical Records as in Documents between CBCC and SDWG. This decision has been reflected in the CBCC Mission and Charter since that time, approximately 2008. CBCC published normative v3, CDA, DAM, and is working on FHIR Consent Directives since then, including ensuring that the FHIR Contract could support non-privacy consents – e.g., medical, power of attorney, advanced directives etc. Ioana and Serafina also did a lot of work on Consent – in the above and in the HL7 Security and Privacy DAM. Richard Thoreson was the SAMHSA sponsor at the time, and SAMHSA continues to fund work in this area. Has SDWG done any work on Consents in this time period other? Guess this needs some higher governance level of review. I’m not sure how to proceed with that."
  • Email response from Austin Kreisler (Structured Docs WG): "What I’m suggesting is that the two work groups (CBCC and SDWG) discuss the ownership of the CON segment in Chapter 9 Medical Records in 2.x before we decide there is an issue here that needs to be escalated to the TSC. I don’t think anyone on the SDWG side is going to disagree that CBCC should take the lead on further development of Consent in 2.x. The practical problem is that in general, only one work group retains the primary responsibility for a 2.x Chapter. That doesn’t prevent work groups from actively cooperating on development of 2.x content. Orders and Observations has been doing this for years with a variety of work groups where content responsibilities in Version 2 overlap. OO has documented in their Mission Charter some of the specifics of ownership. I think both work groups would benefit from updates to their Mission and Charters to call out specifically the overlap in content responsibilities in 2.x Chapter 9 so as to avoid this sort of problem in the future. I’ve added this as a topic on this week’s SDWG conference call agenda. I’d also be happy to schedule a separate joint conference call for CBCC and SDWG and other interested parties should that be deemed necessary to sort this out."

Behavioral Health Domain Analysis Model (HL7 BH DAM) Ballot Update

• Request for publication was submitted to Lynn Laakso.

Healthcare Security and Privacy Access Control Catalog - Update post-ballot

• Suzanne received word from Vannak Kaan (VA). Vannak emailed the DoD stating that VA will be withdrawing its negative vote. Hopefully, that will prompt DoD to withdraw their negative and we will then be able to move forward with publication.

HL7 Policy Advisory Committee

• Kathleen passed along the message to the Co-Chairs that HL7 is doing a refresh of the comments that were submitted for the draft 2017 Interoperability Roadmap based on 2016 comments that were not addressed, and any new comments. Some comments were accepted, but many were not. Their "ask" is for people to take another look at it. We need to make sure we're still on board with the comments that are there and if any new items come to mind. The deadline for submitting comments is March 15.

PASS Access Control Services Conceptual Model

• Diana needs to get confirmation from Alex Mense on one comment resolution. She also needs to go back to Bernd with proposed resolutions on his comment and ensure he's happy with the resolutions and that they would be sufficient for him to remove his negative vote.

Joint EHR, Security, Privacy Vocabulary Alignment

• Meeting held this morning. Went through and refined names for a couple of the Lifecycle Events. Some questions raised about the Lifecycle Events in FHIR. Gary wants to address these questions during this afternoon's FHIR meeting.
• The team is examining the models that Mike has created based on the provenance model as well as all of the terms that will be part of the ISO 21089 standard. They are determining how the terms will be incorporated in FHIR so that we're all on the same page and working from the same list of terms.
• Mike wanted to discuss the provenance models on today's Security call and discuss, after the team gets the Lifecycle Events harmonized with HL7, how they will bring them into FHIR.
• Kathleen said that once the terms are brought into the July round for harmonization, they would already be standard and could go into the September ballot.
• Mike would also like to discuss how to integrate the UML models/diagrams that they've created into FHIR. He's seeking advice from a FHIR expert.

--Rgrow (talk) 10:43, 1 March 2016 (EST)