October 20, 2015 CBCC Conference Call

Community-Based Collaborative Care Working Group Meeting

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Attendees

	Member Name		x	Member Name		x	Member Name
	Johnathan ColemanCBCC Co-Chair			Suzanne Gonzales-Webb CBCC Co-Chair			Jim Kretz CBCC Co-Chair
.	Max Walker CBCC Co-Chair			Mike Davis Security Co-Chair			John Moehrke Security Co-Chair
	Kathleen Connor		.	Ken Salyards CBCC Interim Co-Chair			Lori Simon CBCC Interim Co-Chair
	Diana Proud-Madruga			Rick Grow			Harry Rhodes
	Serafina Versaggi			Ioana Singureanu			David Bergman
	Steve Eichner		.	Steve Daviss		.	Wende Baker
.	Reed Gelzer		.	Marlowe Greenberg			Chris Clark, WV
.	Paul Knapp		.	Matt Peeling			Brian Newton
	Lisa Nelson		.	Mike Lardiere		.	Amanda Nash
.	Mohammed Jafari			Oliver Lawless			Keith Boone
	Neelima Chennamaraja			Susan Litton			Sandra Huyck
.	William Kinsley		.	Debbie Bucci			Chirag Bhatt
.	Linda Bailey-Woods			Lee Wise			Lori McNeil Tolley
.	Peter Fiaspa, Columbia University			Gary Dickinson			Russell McDonell

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Agenda

1. (05 min) Roll Call, Approve Meeting Minutes from October 13, 2015 CBCC Conference Call
2. (05 min) Patient Friendly Language for Consumer User Interfaces - (Standing Agenda Item) - Update
3. (05 min) Data Provenance IG Update (Standing Agenda item)
4. (05 min) Behavioral Health Domain Analysis Model (HL7 BH DAM) Update update
   • Unique Ballot ID: V3_DAM_BH_R2_I1_2015SEP, HL7 Version 3 Domain Analysis Model: Behavioral Health Record, Release 2 (Project Insight ID: 1174)
5. (10 min) PASS Access Control Services Conceptual Model - (Standing agenda item) update (Diana)
6. (10 min) Joint EHR, Security, Privacy Vocabulary Alignment - (Standing agenda item) update (Diana/Mike)
7. Interoperability Standards Advisory (ISA) - Kathleen
8. (10 min) International Patient Summary

Meeting Minutes (DRAFT)

Approve Meeting Minutes from October 13, 2015

Objection: none; Abstentions: 1 (Steve); Approval: Remaining

International Patient Summary - (New item) - Rick

• PSS is available on Google Drive at International Patient Summary project
  • The artifact white paper mentioned in the PSS that will form the basis of the International Patient Summary template is also available at the above site.
• HL7 Structured Documents WG is sponsoring this project.
• Attempt to find a single document (International Patient Summary template) that can be used for exchanging patient information for persons traveling between Europe and USA.
• Also an attempt to determine vocabulary subsets that support data elements within the harmonized template.
  • Template will be based on HL7 CDA R2. Vocabulary subsets will be based on HL7 vocabularies, SNOMED CT, and other vocabularies as needed.
• Work on this project to begin in November. The project lead is Dr. Mark Roche (mrochemd@gmail.com). Subscribe to the Structured Docs WG listserv to receive forthcoming emails that will contain the project meeting information.

• Mike suggested Rick should initially get involved in the project to ensure that it leverages security labeling to protect sensitive patient information.

Patient Friendly Language for Consumer User Interfaces Update

• Received notice that IG has been published. Has its own website that we may want to add; available for folks to look at in unpublished form
• Looked at the product brief and added a few corrections to send back to Lynn
• Patient Friendly Language for Consumer User Interfaces IG: http://www.hl7.org/implement/standards/product_brief.cfm?product_id=412

Behavioral Health Domain Analysis Model (HL7 BH DAM) Update

A review of the BH DAM and ballot comments is scheduled for next week's CBCC WG teleconference.

PASS Access Control Services Conceptual Model Update

Continuing ballot reconciliation

• work being done in the Security WGM meeting
• still need to determine if the changes required are expansive enough to require a re-ballot
• if a re-ballot is needed we need to decide today as the information is needed by Sunday

Joint EHR, Security, Privacy Vocabulary Alignment Update

Today's meeting was cancelled

• work being dong is generating conversation in other places (i.e., lab requests); getting "air time" from other groups
• Reed will be going to Bern, Switzerland for the TC 215 meeting
• Diana is hoping to send a more complete glossary with (more of the) blank spaces filled in with properties
• more updates to be provided at next meeting

Interoperability Standards Advisory

• Draft 2016 Interoperaibilty Advisory Security and CBCC comments

• adoption is low?
• john, the HCS set of vocabulary has been put into the IG, FHIR, the NwHIN has been using POU--not for data labels but in user assertions, I'd like to give thismore pick than 20% adoption (suggest 20-40)
  • we should add why we think so..
  • indicate it is part of IHE XD family as well as DS4P us-realm in IHE (two others uses)
  • as well as FHIM
  • confidentialit codes...etc are being used often in HIExchanges, not sure about Direct
  • XDR and XDM have it....US realm call out for DS4P
• Kathleen will send out so that we can fix/add

terminology , content structure, transporting (3 sections)

add SLS any call on the adoption level here

• we are in th eprocess of impletmeenting this in the VA - potentially with partners
• john - unsure of adoption level
• mike - it is still lower... and definitely lower than the vocabulary, I am okay with '1'

HL7 Data Segementation for Privacy CDA IG II-N Segementation of sensitive information

• recommend - CDA confidential code on document level - als XD* - also in Direct XDR/XDM (optional)
• in the IHE specificiation you need to fill out at least one; but the xx (12:50) document allows none

changed Implementaiton mature to 'production at header and XD*' , and at 20%

HL7 Privacy Consent Directive CDA IG

• change to production at a low level -
  • we can potentially claim higher, where eDA document is used to record that a consent - that this encapsulates the BPPC component, and compliant in CDA consent Class

HL7 Data Provenance CDA IG Standards Process Maturity - final DSTUS Adoption level - 20% (compliant by accident... closer to 0 than 20) Implementation Maturuity - Pilots - ONC DPROV

Patient Preference/Consent

• change any ratings? none
• final (standards process matururity) and in production (Implementation maturutity)

HL7 PASS Access Control

• final (remaining ballot reconciliation are VA comments/DoD comments)
• implementation maturutiy - pilot
• adoption level 0-20%

we are expecting this to pass

HL7 PASS Security Labeling Service Functional Model - SEE ABOVE - Use it istead

HL7 Role Based Access Control RBAC Catalog

• adoption level increased to 40-60%
• ASTM roles = compliance in production

we've updated ASTM 1986 / XSPA/Provider Taxonomy - used in C-CDA's

Kathleen will send document out for review / final review

International Patient Summary - (New item) - https://drive.google.com/folderview?id=0ByAfdYPeAnM-ajZic285MnZDcWc&usp=drive_web

• PSS is available on Google Drive at International Patient Summary project
  • The artifact white paper mentioned in the PSS that will form the basis of the International Patient Summary template is also available at the above site.
• HL7 Structured Documents WG is sponsoring this project.
• Attempt to find a single document (International Patient Summary template) that can be used for exchanging patient information for persons traveling between Europe and USA.
• Also an attempt to determine vocabulary subsets that support data elements within the harmonized template.
  • Template will be based on HL7 CDA R2. Vocabulary subsets will be based on HL7 vocabularies, SNOMED CT, and other vocabularies as needed.

Mark Roche - mrochemd@gmail.com

• Work on this project to begin in November. The project lead is Dr. Mark Roche (mrochemd@gmail.com). Subscribe to the Structured Docs WG listserv to receive forthcoming emails that will contain the project meeting information.