March 22, 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		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			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
.	Serafina Versaggi		x	Ioana Singureanu		x	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
	Beth Pumo			M'Lynda Owens			[

Back to CBCC Main Page

Agenda

1. (05 min) Roll Call, Approve Meeting Minutes from March 15, 2016 CBCC Conference Call
2. (15 min) Ballot Reconciliation for Consent Directive
3. (10 min) - Vote on CBCC sponsor approval of PSS
   • ACTION ITEM: Rick to consult with ARB WG to answer the questions above, and streamline/clarify the PSS. He will then bring the updated PSS back to CBCC and ask for an approval vote during next week's meeting.
   • Link to Project Scope Statement
   • Joint project team meetings (CBCC and ARB) are held weekly on Wednesdays at 4 p.m. Eastern.
   • CBCC members who are interested in this work are encouraged to attend.
4. (10 min) Review HL7 2017 ONC Interoperability Standards Advisory Cover Letter and HL7 2017 ONC Interoperability Standards Advisory draft recommendations
5. (05 min) CBCC co-sponsorship of HL7 v.2.9 v2.5 and v2.9 Consent Segment Use Cases and Elements
6. (15 min) FHIR Change Requests #8526- Discontinued medications, reason code/text
7. (01 min) Healthcare Security and Privacy Access Control Catalog - Update post ballot
8. (05 min) PASS Access Control Services Conceptual Model - (Standing agenda item) update (Diana)
9. (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)

Meeting Minutes for March 15

• Motion to approve: (Diana/Johnathan)
  • Unanimously approved (9 approve / 0 object / 0 abstain)

Ballot Reconciliation for Privacy Consent Directives

• Suzanne provided the remaining ballot reconciliation sheets to Ioana

• Review of Swapna Abhyankar
  • Motion made to approve comment resolutions as presented (Ioana/Jim)
    • Objections: 0 / Abstentions: 0 / Approve: 9

• Review of Austin Kreisler
  • Motion made to approve ballot comment resolution as presented (Ioana/Kathleen
  • Note: (Kathleen) if this comes up for reaffirmation: .... could this be tied to the XDS
    • Objections: 0 / Abstentions: 0 / Approve: 8

Healthcare Privacy and Security by Design IG

• Kathleen would like to add: that we are only accountable for S&P FHIR artifacts (in regard to test scripts), security labels, provenance, and that CBCC would be working on test scripts for Consent Directives. We would attempt to do more than just a document as suggested in Orlando---that there would be doing test scripts as a vehicle for uptake for FHIR management (FHIR governance board) i.e. as part of a Connectathon. Assists in conformance of an implementer's work.
  • develop exemplar test scripts (artifact) for FHIR privacy and security as an example on how it would be operationalized

additional comments: reviewed the deliverables and due dates

operationalize security and privacy work being done (some of previous work that has been done is only US Realm---6.b.REalm universal has been checked in inclusion of FHIR artifacts and not the general S&P projects).

• universal realm artifacts, an don a case-by-case
  • decision to leave as Universal

• Note: September 2016 is anticipated ballot
  • add dates for delivery of test scripts
  • add line: guideline on how to develop FHIR test scripts (leverage the FHIR conformance test plan resource? to develop initial set of test scripts; plus second and third waves (maybe Audit in the future as not everyone wants to do audit)
  • to be completed by January 2017, May 2017 for completion of more complete test scripts

Continued discussion will be held in Security for input

Review HL7 2017 ONC Interoperability Standards Advisory Cover Letter and HL7 2017 ONC Interoperability Standards Advisory draft recommendations

? any response

FHIR Change Requests #8526- Discontinued medications, reason code/text

• not discussed

Healthcare Security and Privacy Access Control Catalog - Update post ballot

• e-mail received from Nancy Orvis (DoD), comment resolutions have been accepted and negative votes have been removed.

ACTION ITEM: Suzanne to follow up with ballot reconciliation (if any remaining reminders need to be sent. ACTION ITEM: Suzanne to proceed with publication process.)

PASS Access Control Services Conceptual Model

• Diana is still waiting to hear from Alex Mense on whether he's been able to talk with Bernd Blobel.

Joint EHR, Security, Privacy Vocabulary Alignment update

• No Update

Meeting adjourned at 1154 Arizona time