May 2016 CBCC Working Group Meeting - Montreal, Canada

2016 May Working Group Meeting - Montreal, Canada - CBCC WORKING GROUP

• HL7 WGM EVENT Page Link
• On-Site Meeting Schedule
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Community Based Collaborative Care (CBCC) WORKING GROUP SESSIONS

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Agenda and Meeting Minutes]

Day	Date	Qtr	Time	AGENDA ITEMS	Session Leader	Room
SUN	MAY 08	Q1	9:00-10:30	No Meeting	.
		Q2	11:00-12:30	No Meeting	.
		Q3	1:45 -3:00	No Meeting	.
		Q4	3:30 -5:00	No Meeting	.
MON	MAY 09	Q1	9:00-10:30	No Meeting	.
		Q2	11:00-12:30	No Meeting	.
		Q3/ Q4	1:45 -3:00 / 3:30-5:00	Joint CBCC - Security Welcome and Introductions Agenda Review Joint Project report out International Report out New Joint Project review Security and Privacy advancements since last WGM, informal/around the room NEW discussion items; NEW projects FHIR Connect-a-thon Report Out/Demo(Duane DeCouteau, Mohammad Jafari): Security WG is providing a VA hosted DSTU3 FHIR Server with SLS/PPS supported natively. The servers labels out-going data on a dynamic per-request basis labeling at resource level and providing high-water mark to resource bundle. It uses a limited set of clinical sensitivity and organizational policy set. Security WG FHIR DSTU3 Server http://vha.edmondsci.com:8080/hapi15 Privacy Impact Assessment Project update - Suzanne FHIR Consent Directive work, resolution and IG creation (report out) Implementing FHIR based privacy consent using the Contract resource - Ioana Address lack of US representation at Montreal WGM	CBCC	Salon 5
TUE	MAY 10	Q1	9:00-10:30	No Meeting	.	.
		Q2	11:00-12:30	Privacy Impact Assessment review	CBCC (tentative)	Salon Garcia Lorca
		Q3	1:45-3:00	FHIR Consent Directive work, resolution and IG creation (Suzanne @Security, Jim @CBCC)	CBCC	Salon Garcia Lorca
		Q4	3:30 - 5:00	Discussion: Gap Analyss, BHS DAM vs C-CDA and FHI -Ioana Privacy Impact Assessment continued (tentative)	.	Salon Garcia Lorca
		Q5	5:15-6:15	Birds of a Feather: Adding Patients and Caregivers to the Flock	.	Salon Drummond West
		Q5	5:15-6:15	Birds of a Feather: Enterprise Architect	.	Salon Drummond Centre
.	.	.	.
WED	MAY 11	Q1	9:00-10:30 split-meeting	Joint w/EHR, Security, CBCC, SOA, FHIR See EHR Agenda for topics Electronic Health Records Hosting FHIR Connect-a-thon - Security WG is providing a VA hosted DSTU3 FHIR Server with SLS/PPS supported natively. The servers labels out-going data on a dynamic per-request basis labeling at resource level and providing high-water mark to resource bundle. It uses a limited set of clinical sensitivity and organizational policyset. Security WG FHIR DSTU3 Server http://vha.edmondsci.com:8080/hapi15	EHR Hosting	Salon Drummond East
		Q2	11:00-12:30	Co-chair administrative next WGM agenda prep	CBCC	Salon Garcia Lorca
		Q3	1:45 -3:00	EHR/Vocab alignment sub-group (EHR Hosting)	EHR Hosting	Salon 5
		Q4	3:30 -5:00	Not Meeting	CBCC	Room TBD
THU	MAY 12	Q1	9:00-10:30	tentative FHIR Consent Profile - Discussion (CBCC-Security) see Wiki: HL7 FHIR Consent Directive Project		Salon Drummond East
		Q2	11:00-12:30	No Meeting	.
		Q3	1:45 - 3:00	No Meeting	.
		Q4	3:30 - 5:00	No Meeting	.
FRI	MAY 13	Q1	9:00-10:30	No Meeting	.
		Q2	11:00-12:30	No Meeting	.
		Q3	1:45 -3:00	No Meeting	.
		Q4	3:30 -5:00	No Meeting	.

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Q1=9:00 – 10:30 am; Q2=11:00 – 12:30 pm; Q3=1:45 – 3:00 pm; Q4=3:30 – 5:00 pm

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Meeting Minutes Draft

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MON Q3 and Q4 Joint CBCC - Security

1. Welcome and Introductions
2. Agenda Review, approval
3. Joint Project report out - skipped
4. International Report out -
   • Europe
   • Japan
   • US
     • Ioana
     • Kathleen
5. New Joint Project review
6. Security and Privacy advancements since last WGM, informal/around the room
7. NEW discussion items; NEW projects
   • FHIR Connect-a-thon Report Out/Demo(Duane DeCouteau, Mohammad Jafari): Security WG is providing a VA hosted DSTU3 FHIR Server with SLS/PPS supported natively. The servers labels out-going data on a dynamic per-request basis labeling at resource level and providing high-water mark to resource bundle. It uses a limited set of clinical sensitivity and organizational policy set. Security WG FHIR DSTU3 Server
   • Privacy Impact Assessment Project update - Suzanne
   • FHIR Consent Directive work, resolution and IG creation (report out)
   • Implementing FHIR based privacy consent using the Contract resource - Ioana
   • Address lack of US representation at Montreal WGM

TUE Q2

- attendees: Jim Kretz, Ken Salyards, David Pyke, Suzanne Gonzales-Webb (chair)

Privacy Impact Assessment review

TUE Q4

- attendees: Jim Kretz, Ken Salyards, David Pyke, Suzanne Gonzales-Webb (chair) Ioana Singureneau, Lori Simon

FHIR Consent Directive work, resolution and IG creation (Suzanne @Security, Jim @CBCC) **confirm in minutes

Review, discussion of Draft Gap Analysts – BH DAM vs C-CDA and FHIR If we can avoid making new templates...create companion guides to use the current templates. Decision to be BH summary CDA R2 IG...to create a companion guide. How to tell implementers how use. FHIR DAF profile, our requirements (if any), there aren't anything new... if I were a BH vendor and I'm new to this, i.e. allergies--are there need for additional guidance? We want to include an example. This is how we would prove an allergy tolerance.

If there no additional guidance or new requirements in BH, we want to include an example. In some cases i.e. laboratory results. We have toxicology (in substance abuse); is it valuable to include a data set? Would there be value in the companion guide to point to a value set. Enter reference value sets (first version of toxicology observation identifiers...added/maintained as needed) LOINC has an exhaustive list that is broken down by substance being detected (in preliminary research)

• To what extent in BH is this helpful (Lori question)
  • Presence vs absence
  • Clinical pathway of test (urine, blood, saliva, etc.)
  • LOINC code, Component, property (i.e. threshold), system method

Result: No new creation of new value set recommended by attendees, rather direct implantation to LOINC/Regenstreif, via link to toxicology

<38:00> <<link to document>> to include examples observation to gender identity and sexual orientation

WED Q2

Attendees: Ken Salyards, Jim Kretz, Ioana Singureau, David Pyke, Lori Simon, Suzanne Gonzales-Webb

MOTION: To approve the Decision Making Process (DMP) Document, 3-year Project Spreadsheet, Mission Statement, SWOT (Ioana/Jim) Opposed: none / abstain: none / approve: 5

Approved Documents have been uploaded to gForge under CBCC Administrative Folder

WED Q3 – joint with EHR

Original agenda item was to discuss the EHR Vocabulary alignment Noted confusion on whether the project is complete per Reed’s email. (see email string) <<add link to document>>, <<EHR Meeting minutes for WEDQ3>> The players for this project were not in attendance

ISO/HL7 107 1 EHRS FM Release 2 – anticipated or in progress

Attendees

CBCC Attendee	MON Q3	MON Q4	Co-Chair	DESD SD	TUE Q1	TUE Q2	TUE Q3	TUE Q4	WED Q1 at EHR	WED Q2	WED Q3	WED Q4	THU Q1
Suzanne Gonzales-WebbCBCC Co-Chair	x	x	x	x @Security	x	x	x	x	x	x	x	.	.	.
[mailto: Jim Kretz] CBCC Co-Chair	x	x	.	.	x	.	.	.	.	.	.	.	.	.
Paul Knapp FHIR	.	x	.	.	.	.	.	.	.	.	.	.	.	.
[mailto: MaryKay McDaniel]	.	x		.								.	.	.
[mailto: Hideyuki Miyohara] Mitsubishi, HL7 Japan	x	x	.	.	x	x	x	x	.	.	.
[mailto: John Moehrke]Security Co-Chair	.			.								.	.	.
[mailto: Lisa Nelson]	.	.		.		x						.	.	.
[mailto:	.	.	.	.	.	.	.	.	.	.	.	.	.	.
Paul Knapp FHIR	.	x	.	.	.	.	.	.	.	.	.	.	.	.
[mailto: Harry Rhodes], AHIMA	.	.		.								.	.	.
[mailto: Ioana Singureanu]	.	.	x	.							x		.	.
[mailto: Leslie Sistla] Microsoft	.	x		.								.	.	.
[mailto: Duane DeCouteau	x	x	.	.	x	x	x	x	.	.	.
Mohammad Jafari	x	x	.	.	x	x	x	x	.	.	.
[mailto:	MON Q3	MON Q4	TUE Q1.	.	.	.	.	.	.	.	.	.	.	.
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[mailto:	.	.	.	.	.	.	.	.	.	.	.	.	.	.
[mailto:	.	.	.	.	.	.	.	.	.	.	.	.	.	.
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