May 24, 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			Ken Salyards			Lori Simon CBCC Interim Co-Chair
x	Diana Proud-Madruga SOA Co-Chair		x	Rick Grow		.	Harry Rhodes
.	Serafina Versaggi		x	Ioana Singureanu		x	Glen Marshall
.	Steve Eichner		.	Neelima Chennamaraja		.	Mike Lardiere
x	Beth Pumo		x	M'Lynda Owens		x	Lee Wise
	William Kinsley		.	Marlowe Greenberg			Chris Clark, WV
.	Paul Knapp		.	Matt Peeling			Brian Newton
	[			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

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Agenda

1. (05 min) Roll Call, Approve Meeting Minutes from May 03, 2016 CBCC Conference Call
2. (15 min) Ballot Reconciliation for CDA R2 Implementation Guide: Privacy Consent Directives R1 (PID 553)
3. (10 min) Behavioral Health Data Exchange CrossParadigm IG: Project 800) revision review - Ioana
4. FHIR Consent Directive
5. (05 min) Standards Privacy Impact Assessment (SPIA) Cookbook Update - Rick
6. (05 min) Pass Audit Service Conceptual Model
7. (05 min) PASS Access Control Services Conceptual Model - (Standing agenda item) update (Diana)
8. (05 min) (remove)Joint EHR, Security, Privacy Vocabulary Alignment - (Standing agenda item) update (Diana/Mike)

Meeting Minutes (DRAFT)

Meeting chaired by Suzanne

Agenda Approved

Meeting minutes for May 03, 2016 CBCC Conference Call

Approved: 12; Abstain: 1 (M'Lynda Owens); Objection: 0

Ballot Reconciliation for CDA R2 Implementation Guide: Privacy Consent Directives R1 (PID 553)

Request for publication made by Ioana. Note that after multiple attempts to resolve negative comments, no resolution met. Document will move forward with unresolved negatives.

MOTION to forward negatives to TSC along with request to publish (Ioana/Jim) Approved: 13; Abstain: 0; Objections: 0

Behavioral Health Data Exchange CrossParadigm IG: Project 800)

In Montreal, we discussed continuation of BH IG work. Initially meant to conform with CCDA. Other things came along like MU and FHIR. We have rqmt to exchange BH info with a variety of specialties, it became apparent that IG had to reflect more than one way of encoding the BH data. Probably want to look at the CrossParadigm IG. We re taking a V3 artifact (which describes our rqmts) and mapping the rqmts. to V2 Laboratory transactions, V3-based CCDA document, and the Access Framework profiles. Want to provide examples that are pertinent to the BH specialty.

MOTION to approve PSS with changes that Ioana made during today's call (Ioana/Johnathan) Approved: 13; Abstain: 0; Objections: 0

Standards Privacy Impact Assessment (SPIA) Cookbook

In Montreal, the DESD approved the PSS. It goes to the TSC next ofr their approval. Outside of the formal approval process, Rick's been working with Diana on the process and has been able to make some adjustments to the process flows as well as some of the other content that's necessary for completing a PIA-type process for standards in HL7. It remains a work in progress. It's nearing a final draft. Rick will have more internal discussions and make more tweaks as needed.

PASS Audit Service Conceptual Model

Diana got confirmation from Russ Hamm that the PSS was unanimously passed by the FTSD. It now needs to be passed on to the TSC for their approval.

PASS Access Control Services Conceptual Model

Down to one negative vote (Bernd has not withdrawn his negative), but have gotten confirmation from him that he's good with all the reconciliations. Suspect he will not withdraw the negative until he sees all the changes in the document itself. Diana is going through the document and making all the changes as quickly as she can.

Joint EHR, Security, Privacy Vocabulary Alignment

e-mail from Gary/EHR WG
Subject: Disposition of the HL7 Joint Vocabulary Alignment Project (EHR, Security, CBCC WGs)
Reed,

As you have acted as primary lead of our joint Vocabulary Alignment Project between HL7 EHR, Security and CBCC WGs,  I’m going to offer some facts, late-breaking news and my opinion on what is being discussed as disposition of this project.  At the HL7 meeting in Montreal this past week, the Security and CBCC Work Groups offered their complete and final documents and stated that objectives of the project had been met.  See details in the message from Mike Davis (below).
EHR WG Co-Chairs discussed this development and indicated that project disposition would be brought back for EHR WG review and consensus.  (This will be a topic, but not a vote, on next Tuesday’s EHR WG call.)
It is important to recognize that two key deliverables have resulted directly from the Vocab Alignment project:
1) Lifecycle Event Model, developed by Mike Davis and Diana Proud-Madruga.
It depicts each of the Lifecycle Events - using conventions of the W3C Provenance model - and resulted from our Vocab Alignment discussion regarding use of a common model to which vocabulary terms and definitions could thereby be mapped from multiple models and perspectives (e.g., ISO/HL7 EHR and PHR System FMs, HL7 Security Classification, Federal Health Information Model (FHIM), maybe the emerging Clinical Information Model from HL7 CIMI).  More details in Mike’s message below.
2)  Revision and Upcoming ISO Ballot:  DRAFT ISO 21089 - Trusted End-to-End Information Flows
Extensive updates to DRAFT ISO 21089, Section 3, Terms and Definitions, were captured (in large part) from the  Vocab Alignment project and were posted for ISO TC215 review on 13 March 2016.  In Vocab Alignment we agreed that ISO 21089 is the next formal iteration of the lifecycle events, including three new events and a major refresh of terms and definitions.  Currently we step lifecycle events forward through iterations of ISO 21089, ISO 10781 and ISO 16527 (ISO/HL7 EHR/PHR System Functional Models).
ISO 21089 is being promoted to a Technical Specification, first level normative.  ISO 21089 was first published as a Technical Report (informative) in 2004.  On Friday, 6 May 2016, ISO TC215 (in plenary session) agreed to move ISO 21089 forward to DTS ballot, set to start around 1 August 2016.  The DTS draft is available to members of your ISO National Member Body.  In the US, information regarding US TAG membership and access to review and comment on ISO DRAFTs is available from Lisa Spellman (Lisa.Spellman@ahima.org<mailto:Lisa.Spellman@ahima.org>).
Opinion:  I agree with Mike, and the HL7 Security and CBCC WGs, that the Vocab Alignment project has achieve its  objectives and should be declared “final and complete”.  From our discussion in Montreal, there will be no further Security or CBCC WG resources allocated to this effort.  It is no longer a joint project.  It has reached a conclusion.  Vocabulary definition and consistency is still key to the EHR WG and can be taken up separately, in a new PSS if appropriate.

This conclusion will allow us to focus energies on other key EHR WG endeavors over the next several months, including:
a)  EHR as Legal Record, fully engaged in RM-ES WG, working on two ONC requests:  1) savings/benefits (as fact and  prospect);  2) crosswalk of MU 2015 Edition to EHR-S FM R2 (showing key gaps from a EHR as Legal Record perspective)
b)  EHR Interoperability Assessment RFI, published by ONC, comments due 3 June
c)  EHR System Reliability Assessment
d)  EHR System Usability Functional Profile, based on EHR-S FM R2, with HIMSS experts now engaged
e)  Meaningful Use Functional Profile for 2015 Edition, (see (a) above), 70+ Test Procedures now captured and are now being analyzed for corresponding EHR-S FM R2 functions and conformance criteria and more…
 
Look forward to further discussion on Tuesday.

Thanks for your role and vital leadership of Vocabulary Alignment!!

Regards,

Gary

FHIR Consent Directive

One-time meeting set up for Friday, May 27. See FHIR_Consent_May_27,_2016 for details.

Meeting adjourned at 1200 PT