November 6, 2018 Security Conference Call

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Attendees

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x	Member Name		x	Member Name		x	Member Name		x	Member Name
x	John Moehrke Security Co-chair		x	Kathleen Connor Security Co-chair		x	Alexander Mense Security Co-chair		.	Trish Williams Security Co-chair
x	Christopher Shawn Security Co-chair		x	Suzanne Gonzales-Webb		x	Mike Davis		.	David Staggs
x	Diana Proud-Madruga		.	Johnathan Coleman		.	Francisco Jauregui		.	Joe Lamy
.	Theresa Ardal Connor		.	Greg Linden		.	Grahame Grieve		.	Dave Silver
.	Beth Pumo		x	Jim Kretz		.	Peter Bachman		.	Bo Dagnall

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Agenda

1. (2 min) Roll Call, Agenda Approval
2. (2 min) Review and Approval of Minutes October 30, 2018
3. (2 min) Update on revision of PASS Audit - reconciliation is ready for upload - Mike
4. (30 min) Review of Final Security Harmonization proposals

• Submission deadline at 12AM ET 11/6. Harmonization meeting scheduled for 11/8 & 11/9 from 12PM to 6PM ET.
• Policy Vocabulary spreadsheet
• Policy proposal
• Adding the v3 Policy codes to HL7 v2 Table 0717 for security labeling

1. (5 min) GDPR whitepaper on FHIR Update - Alex

• No FHIR Security call update - John sends his regrets

Meeting Minutes

Meeting Chair - Kathleen

Meeting Minute approval for 10/30 Discussion/ updates to be made - add count to vote under DS4P (Suzanne / Joe L) Vote: Objection: none; Abstain: none Approval: 8

PASS AUDIT Revision

• Unknown if ballot reconciliation sheet was ever uploaded to ballot site
  • If it hasn't, it needs to (Mike/Diana/Kathleen - need to decide plan of action to review)
  • Unsure if withdrawals have been requested
• Approximately 50 of the comments had been addressed; to the best of knowledge nothing has been done since then
  • DaveS - thought Mike had said that reconciliation is done is to request to withdraw negative votes
  • Kathleen's understanding was we were waiting on updates to the document

Harmonization proposals

• Tonight is when final proposals need to be in
• We have reviewed them all earlier
  • Additional CUIs need to be added per Kathleen (specific to the portion marking in the print name code
    • Only a slight variation/change is needed to correct
  • Reviewed a spreadsheet instead of word document
  • It was noted that banners do not have parenthesis around them, but when you go to the portion marking, there are, and a different CUI marking is needed) as shown under 'Marking Multiple Pages'

• Additional issue -
  • under Rose Tree, xml used in version 3 if you look at code system; under _ActCodeSystem
    • SecurityPolicy(Security Policy)
    • adding privacy marker; one for CUI, second for security labeling mark - talked about last week. These are marks that you display which may be in the description (i.e. confidential, high water mark; 42CFR42, etc.)

<<add link to harmonization proposal>> Proposal has been reviewed by co-sponsor Patient Administration - they have reviewed the presented and final.

• VOTE: Motion to approve Harmonization Proposal as presented (Suzanne/Theresa) with addition of CUI changes
  • Opposed: none: abstention: none; Approve: 8
  • Kathleen will submit today (tonight) with additional CUI changes

GDPR White Paper

• Low attendance, would like more people from EU
• Peter started discussion with POU which fits very nicely with current POU vocabulary definition
• Agreement during meeting that there is a difference in POU and purpose of processing
  • Peter is currently working (in company for proposal) for possible codes to better define purpose of processing
• Peter is trying to mesh POU in Europe - some of the items do not make sense when applied to purpose of processing; based on purpose i.e. law, xx or xx (is this policy per Kathleen?); saying marketing or data analysis may not be enough of a description when describing purpose of processing
• (Kathleen) There is a branch that is not healthcare specific which may be helpful to look at. (shown in Rose Tree by Kathleen) - codes specifically not related to healthcare ; when Peter is ready to share codes, Kathleen will assist to push through harmonization
• next GDPR call in two weeks - we will discuss proposal; come up with harmonized list. Will send out to Security and European group to spread out to their organizations and get feedback on the vocabulary
• vocabulary can be updated to be more granular or robust per Kathleen--or even get rid of all together
• In order to check our definitions we have decided upon a few use cases--one of the use cases will be from national summary? (from Giorgio)
  • one will be from John, as described during Baltimore WGM from---one big scenario revolving around patient care with a link to the model from FHIR call care plan/care plan track
• next call on November 19 NEW TIME- at noon Eastern on Monday

Upcoming Connectathon

• Note: MiHIN is willing to join in the Montréal Connectathon
• finished storyboard in June, people involved in SLS, consent will also be involved in January and in May.

Meeting adjourned at 1:44 Arizona Time --Suzannegw (talk) 15:46, 6 November 2018 (EST)

Temporary Recoding; https://fccdl.in/q8Ci7x2ZYP

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