December 09, 2014 CBCC Conference Call

Community-Based Collaborative Care Working Group Meeting

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Attendees

x	Member Name		x	Member Name		x	Member Name
x	Johnathan ColemanCBCC Co-Chair		.	Wende Baker		.	Steve Eichner
x	Suzanne Gonzales-Webb CBCC Co-Chair		.	Mike Lardiere		.	Rita Torkzadeh
x	Jim Kretz CBCC Co-Chair		.	Lori Simon		.	Paul Knapp
.	Max Walker CBCC Co-Chair		.	Mohammed Jafari		.	Harry Rhodes
x	Kathleen Connor		.	Ioana Singureanu		.	Tony Weida
x	Diana Proud-Madruga		.	Steve Daviss		.	Bob Yencha
x	Serafina Versaggi		.	Marlowe Greenberg		.	Chris Clark, WV
x	Rick Grow		x	Matt Peeling		.	Brian Newton
x	Lisa Nelson		.	Amanda Nash		.	Kathy Odorow
x	Ken Salyards		.	John Moehrke		.	Toria Thompson, Colorado
.	Neelima Chennamaraja		.	Ken Ortbals		.	Oliver Lawless
.	Reed Gelzer		.	Mike Davis Security Co-Chair .		.	David Tao
x	Robert Dieterle		x	[mailto: Kate Weatherby]		.	[ .

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Agenda DRAFT

1. (05 min) Roll Call, Approve Meeting Minutes from December 02
2. (05 min) Action Item Review - no action items this week
3. (05 min) HL7 Implementation Guide for CDA Release 2: Privacy Consent Directives, Release 1 - Ballot Reconciliation Update
4. (05 min) Patient Friendly Natural Language - Update
   1. Update of the CBCC project: Patient Friendly Natural Language
   2. (30 min) Data Provenance - Review and vote on proposed ballot dispositions Proposed DPROV CDA IG dispositions as of 12-01. Comment dispositions for voters asking for in person reconciliation will be prioritized if those voters attend the call.
      1. Bob Dieterle
      2. Lisa Nelson

Meeting Minutes

Meeting minutes from December 2 Motion to accept (Grow/Kretz), unanimous approval (no updates/changes)

January 2015 HL7 WGM in San Antonio, TX

Suzanne has posted the agenda template, with some DRAFT agenda items, to the CBCC Wiki. CBCC WG members were asked to please send any information that they would like to be added to the WGM agenda.

Ballot Reconciliation - HL7 Implementation Guide for CDA Release 2: Privacy Consent Directives, Release 1

• No update; no withdrawals received to date.

Patient Friendly Natural Language - update

• Latest Word document shared with the group highlighting the format for IG ballot.(add link)
• Transfer of spreadsheet information to the Word document continues.

Ballot Reconciliation - DATAPROV_R1_D1_2014SEP

• Motion passed (Connor/Dieterle) to approve the dispositions on comments made by Bob Dieterle (the conversation between Kathleen and Bob is shown below)
• Lisa Nelson's negative comments were not covered, and will be first in the queue for next week's meeting.
• Benjamin Flessner, Epic; did not ask for an in-person walk-through of his comments, so dispositions on his comments were submitted.

Kathleen:

"The IG has four template documents. Bob says that any author is going to be using some kind of electronic device (software, EHR), and that information should be captured. In order to preserve the idea of having the software that was generating CDAs algorithmically, that could be separated from the idea of any author using some kind of software to generate a CDA, even if they’re entering every choice about what’s inception, entry, etc. This happens to align with the discussions from the ONC Data Provenance initiative where folks were noticing and wanted to make a distinction between the Assembler (there’s no human interaction on what’s being pulled) vs. the situation where a provider or patient is actually involved with the selection, to some extent (authoring the content). The term that came up was “Composer” because they’re composing and not just assembling on pre-existing information without human decision-making. The resolution that I thought was appropriate was to add an additional participant that would be comparable to an Assembler, that could be a Composer and would be defined as a functional role for a device and that down the road, work on the initiative could come up with a code of the kind of devices that could fall into the bucket of being the appropriate software or device that would be used for this function that I’m proposing. I’ve put this forward as a disposition and want to see if Bob can comment on this."

Bob:

"There’s no situation under which a person generates the XML for a CDA by hand; there’s always software involved. We need to have a record of the software involved because if there are problems or we are looking for consistency, we need to record that so we have some idea of how it was generated. When Dr. Smith generates something, they don't write XML, they write something. This becomes the record of what caused the information to become part of the XML document we call the C-CDA that ultimately gets signed by the legal authenticator. As long as we record what software assisted or was responsible for the creation of the CDA, then we’ve achieved a significant part of what we need for provenance."

Action Items

• Suzanne to contact Lynn Laasko on Patient Friendly Language (confirming of NIB on January ballot)
• Lisa Nelson plans to make a proposal to change the name of the Patient Friendly Language for Consent Directive
  • Confirm with Mike Davis/Security WG that the name change proposal is acceptable

Meeting adjourned at 1203 PST