November 07, 2017 CBCP Conference Call

Community-Based Care and Privacy (CBCP) Working Group Meeting

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Meeting Information

Dial-in Number:  (515) 604-9861;  Access Code: 429554
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Attendees

	Member Name		x	Member Name		x	Member Name		x	Member Name
.	Johnathan ColemanCBCP Co-Chair		x	Suzanne Gonzales-Webb CBCP Co-Chair		x	Jim Kretz CBCP Co-Chair		.	David Pyke CBCP Co-Chair
x	Kathleen Connor Security Co-Chair		x	Mike Davis		.	John Moehrke Security Co-Chair		x	Diana Proud-Madruga SOA Co-Chair
.	Mohammed Jafari		.	Ali Khan		.	Ken Salyards		.	Ken Sinn
.	David Staggs		.	Steve Eichner		.	Ioana Singureanu		.	Beth Pumo
x	Chris Shawn		x	Neelima Chennamaraja		.	Joe Lamy		.	Joseph Quinn
.	Irina Connelly		.	Becky Angeles		X	Dave Silver		x	Piper Ranallo

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Agenda

1. (05 min) Roll Call, Approve Agenda
   • Approve Meeting Minutes for October 31st call.
2. (05 min) CBCC FHIR THURSDAY call at 1:00 ET // FHIR Consent Directive Project Wiki, Main page
   • FHIR Consent discussion
   • FHIR Consent CPs are located: link to ALL Change requests
3. [PrivacyConsent] listerve - updates?
4. Behavioral Health special Interest Group (BH-SIG) - "Condition" FHIR resource discussion (Piper Ranallo)
   • FHIR Condition resource for DSM-5 disorders
5. (05 min) Security and Privacy Impact Assessment Cookbook (SPIA) - SUR definition - Suzanne
   • no update for 11/7; e-mail sent to Ann at HL7 office for update
6. Re-balloting of Security and Privacy Domain Analysis Information model - Mike Davis
7. Patient Choice Technical Project - Johnathan
8. September 2017 CBCC Working Group Meeting - San Diego, California USA, September 10-15, 2017 DRAFT MEETING

MINUTES

Suzanne chaired

• Agenda approved
• Approval of minutes from October deferred, and a
• January 2018 CBCP Working Group Meeting - New Orleans, Louisiana USA, January xx-xx, 2018 DRAFT Agenda
• Patient Choice for Research report out - Team met to discuss research use case. More information forthcoming after discussions with stakeholders. Consumer Centric Data Exchange Connectathon track for January discussed. One track is focused on OAuth technology for decisions and ceremony outputting Consent Resource as documentation of decisions, but not the decisions. Consent Resource shows the relationship executed but no Consent capture has taken place.
• Kathleen stated that another CCDE track is being developed by Security and CBCP WGs to feature Cascading OAuth for Right of Access request from ONC Basic Patient Choice pilot as enhancement to September 2016 and January 2017 Connectathons, and HIMSS 2017 Interoperability Showcase.
• HL7 Rim mapping complete. Kathleen is working on a v2 mapping of CON Segment to Consent Resource.
• Kathleen raised questions about the need for HHS clarification on 3 views on compliance with HIPAA Right of Access: (1) Clicking accept on App Terms of Service is adequate to ensure authorization of an App to access PHI (protected health information)on behalf of a patient; (2)Retrospective generation of a FHIR Consent Resource is adequate to ensure and document the authorization of an App to access PHI on behalf of a patient; and (3) that wrt to an App acting on behalf of a patient, that a consent directive prior to access must be recorded and signed by the patient. This use case is not the same as a patient with a Meaningful Use (MU) Portal accepting the Terms of Service of an App registered with a MU EHR. Kathleen to draft for CBCP to forward to HL7 Policy Advisory Committee, which if approved, would be submitted to HL7 Executive Committee for submission to HHS.
• Piper gave a presentation on gaps that the BH SIG found in the FHIR Condition Resource for conveying DSM codes related to mental health conditions. David Pyke walked the WG through the resource and pointed out flexibility to support many of the gaps, and assisted Piper in framing questions to take to the Patient Care WG for further clarification and requests for changes that might be needed to support the BH SIG requirements.
• Meeting adjourned.