March 08, 2016 CBCC Conference Call

Community-Based Collaborative Care Working Group Meeting

Back to CBCC Main Page

Attendees

	Member Name		x	Member Name		x	Member Name
	Johnathan ColemanCBCC Co-Chair			Suzanne Gonzales-Webb CBCC Co-Chair		x	Jim Kretz CBCC Co-Chair
.	Max Walker			Mike Davis		x	John Moehrke Security Co-Chair
x	Kathleen Connor Security Co-Chair			Ken Salyards CBCC Interim Co-Chair			Lori Simon CBCC Interim Co-Chair
x	Diana Proud-Madruga SOA Interim Co-Chair		x	Rick Grow		.	Harry Rhodes
x	Serafina Versaggi		x	Ioana Singureanu		x	Glen Marshall
	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
x	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
	Beth Pumo			Ann Cavoukian			Dawn Jutla

Back to CBCC Main Page

Agenda

1. (05 min) Roll Call, Approve Meeting Minutes from March 01, 2016 CBCC Conference Call
2. (30 min) Ballot Reconciliation for Consent Directive
3. (10 min) Healthcare Privacy and Security by Design IG - Update

• New project.
• Initial joint team meeting held with members of Architecture Board (ARB) WG. Joint project team meetings are held weekly on Mondays at 5 p.m. Eastern.
• CBCC members who are interested in this work are encouraged to attend.
• Rick to speak with ARB WG tomorrow, confirm elements in PSS.
  • PSS to be updated following that discussion and emailed to CBCC members for their review/comment before next week's CBCC meeting.
  • CBCC agenda for next week to include a motion to vote on approval of PSS.

1. (05 min) CBCC co-sponsorship of HL7 v.2.9 v2.5 and v2.9 Consent Segment Use Cases and Elements
2. (01 min) Healthcare Security and Privacy Access Control Catalog - Update post ballot
3. (05 min) PASS Access Control Services Conceptual Model - (Standing agenda item) update (Diana)
4. (05 min) Joint EHR, Security, Privacy Vocabulary Alignment - (Standing agenda item) update (Diana/Mike)

**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)

Roll Call, Approve Meeting Minutes from March 01, 2016 CBCC Conference Call

• The minutes from the March 1, 2016 meeting were approved. (Ioana/Glen)
  • (Approve: 8; Object: 0; Abstain: 2 (Ioana/Serafina)

CBCC co-sponsorship of HL7 v.2.9 (v2.5 and v2.9 Consent Segment Use Cases and Elements)

• Questions centered on how CBCC can work with Structured Documents. CBCC needs to declare its co-sponsorship of HL7 v2.9 going forward.
• Jim sent out the PSS earlier this week. Appeared from Ioana, John, and Kathleen's emails that it probably wasn't worth CBCC's effort.
  • Kathleen countered with examples from DPROV project where they're doing the mapping to the different approaches HIEs are using to generate CDAs.
  • Ioana said she didn't know anyone who was using the Medical Records Management messaging.
  • John has seen a few; Canada uses one. If this is all about "Should CBCC add an interest in the v2.9 work item?" is there really any work that is scheduled to modified the consent segment? If not, this is all just administrative overhead with no real value.
  • Kathleen: there was a debate on Vocabulary. FHIR is going to pick up v2 definitions (Restriction Codes, for example). An emerging need to be aware. No need to revamp structure of v2, but falls within CBCC's scope.
  • Ioana: Unless we're thinking there's a need for consistency across HL7 v2, CDA, and FHIR, then I don't think we would want to change anything because the instructions are not in use right now.
    • Do we have the authority to make changes in other people's domains?
  • Kathleen: I think we can manage the Vocabulary. We've been doing it all along.
  • John: Let's have CBCC indicate interest in being a stakeholder in v2.9. You'll see if anyone suggests anything for the Consent segment.

• Ioana: MOTION - As it relates to v2.9, CBCC takes responsibility to address any change proposals/technical corrections outstanding against the segment related to Consent. CBCC will include them in the Document Management chapter of HL7 v2.9.
  • Kathleen: This proposal is fine.
  • John seconded Ioana's motion.
    • MOTION PASSES (Approve: 10; Object: 0; Abstain: 0)

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

• No update. The latest that Rick knows is that VA reached out to DoD, which had some outstanding negatives on the ballot, and asked for DoD to withdraw its negative vote. To Rick's knowledge, VA has not gotten the negative vote withdrawal from DoD just yet. He needs to follow up with Suzanne, who's been out. Rick doesn't believe Suzanne's received any information on that front, but if she happens to have any, Rick will send her a note and make sure we move forward with it. Once we get the negatives withdrawn, we can move forward with a request for publication. It's just the fact of having to get DoD to remove its negative is the one remaining hurdle we need to take care of.

PASS Access Control Services Conceptual Model

• No update. Still waiting to hear back from Alex Mense. Last week, when Diana spoke with Alex on the Security WG call, he hadn't had a chance to talk to Bernd yet. Diana has started to update the document based on the resolutions to all of the DoD and VA comments since all of those have been accepted and negatives have since been withdrawn from those comments.

Joint EHR, Security, Privacy Vocabulary Alignment

• No meeting was held this morning. Therefore, there is no update. Reed sent out an email to a few of us and Diana is sorting through it and trying to figure out how to respond.

Healthcare Privacy and Security by Design IG - update

• Rick: A follow-up item from last week. New project. Last week, Rick had shown CBCC the draft PSS. A few of the members had recommended that I go back to the Architecture Board (ARB) WG to clarify a few items in the PSS, namely whether it would be a Normative or an Informative ballot. ARB gave Rick guidance to designate it as an Informative ballot as well as the guidance to check off the box for HL7 policy/procedures/guidelines update. Previously, it was marked off as a Logical Model.
• The IG is an implementation of the Service-Aware Interoperability Framework (SAIF), building in Privacy and Security by Design requirements and principles along with conformance guidance that is particular to the SAIF CD.
• Rick is going to go back to ARB tomorrow during their weekly meeting and confirm that everything in the PSS is valid and correct. He'll then send an email to the CBCC listserv asking for review/feedback on the PSS before he can take it back to CBCC at next week's meeting and ask for a vote on formal approval of the PSS.
• A couple of ARB members, co-chair Lorraine Constable and Zoran Milosevic, who was a contributor to the modeling portion of the Healthcare SOA Ontology, have convened initial discussions with Rick on how this IG would look. Rick asked for volunteers from CBCC to participate in this project.

Meeting adjourned at 1442 EST