November 13, 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
.	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		x	Francisco Jauregui		x	Joe Lamy
.	Theresa Ardal Connor		.	Greg Linden		.	Grahame Grieve		x	Dave Silver
. x	Beth Pumo		.	Jim Kretz		.	Peter Bachman		x	Peter VanLiesdonk]

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Agenda

1. (2 min) Roll Call, Agenda Approval
2. (5 min) Review and Approval of Minutes November 6, 2018
3. (5 min) Update on revision of PASS Audit - Is reconciliation spreadsheet ready for upload? - Mike
4. (5 min) Security Harmonization proposal codes approved Some value sets will be proposed in March - Kathleen
5. (5 min) v2.9 Change Request related to Confidentiality codes - Kathleen
6. (5 min) HL7 v2 to FHIR PSS, v2 to FHIR Spreadsheet for Security - Kathleen
7. (5 min) GDPR whitepaper on FHIR Update, reminder of new call schedule - Alex
8. (5 min) FHIR Security call update - John

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Meeting Minutes

Meeting Chair - Chris Shawn

Meeting Minute Approval - November 6, 2018

• (Motion to approve (Suzanne/Kathleen): Vote: objections/abstentions: none;

((Suzanne to add harmonization proposal link))

Update on PASS Audit reconciliation

• last understood was that reconciliation comments were completed, and we could ask for withdrawal
• Kathleen brought up that Bernd B wants to see corrections in the document before he withdrawals
  • as far as Mike is concerned we should push forward and request withdrawal of negative
• e-mail from Lynn Laakso; there was material due in order to ballot TF4FA; she has listed that one and two have not been published? was this a new requirement...Kathleen asked if this was a new rule? which could be a show stopper...
  • we will wait and see what her answer is before proceeding. Current answer is we don't know.

Harmonization codes

• all three proposals were approved; Kathleen is deferring the codes that were not completed to next harmonization
• policy codes have been brought into v2
• next harmonization
• there were changes in the xx ballot to update confidentiality

V2.9 HL7 access proposal

• in chapter 4; want clarification. security labels content is different than found in orders
• two sections which are talking about kind of labs--they were using vocabulary that was close to vocab in v3; which we changed years ago because of a mix of sensitivity and confidentiality--Kathleen proposes that the codes be retired
• recommendation is that they use the ARV segment be used which can point to any part of the lab order for results--removing table from both segments where they currently occur; avoiding conflict, note this is not a controversial issue...strictly clean-up. Rikki Merrick is trying to get into OO agenda to get in publishing of v2.9 clean-up

• question on harmonization – (Mike) this is a vocabulary--where does Hl7 specify where these marking are optional or mandatory?... <Kathleen response> no, there is a specific policy; it says what is in the law; so, it’s still an interpretation of the law.
  • mike - part of the law 7332; has to do with what we've determined are the handling instructions... HII of the law; he has it from the legal folks, that their interpretations that its a requirement on the recipient not of the VA--or to tell them that such a restriction exists
  • if 7332 hadn't been specified for just health; there is something in the law (if specified)… then

(listen to recording)

• • in other words, it’s up to the implementer to decide on the language

HL7 2 to FHIR PSS

• standards approach mapping from v2 to FHIR
• each of the datatypes;
• effort is underway (meetings every other week); the mapping between chapter 9 con segment and the FHIR consent and contract
  • important in regard to the transform; having capability from going from one set to another. i.e. get transform set into FHIR (confirm)

GDPR whitepaper

• no meeting this week
• next meeting is 11/19 - noon (Monday)

FHIR Security call update

• Short call today; went over v2 FHIR
• current build is frozen
• because of HIMSS several subjects are up in the air
• September care planning are not going to be at HIMSS--and not be at the January WGM--this will lower about ability to move with security and consent--we will still be able to do work with break glass

additional agenda items?

None

Motion t adjourn (Kathleen) Meeting adjourned at 1320 Arizona Time --Suzannegw (talk) 15:20, 13 November 2018 (EST) Temporary Recording: https:fccdl.in/yN1FTQeUV

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