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August 11, 2015 CBCC Conference Call

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Community-Based Collaborative Care Working Group Meeting

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Meeting Information

Attendees

Member Name x Member Name x Member Name
Johnathan ColemanCBCC Co-Chair x Mike Davis Security Co-Chair Max Walker CBCC Co-Chair
x Suzanne Gonzales-Webb CBCC Co-Chair John Moehrke Security Co-Chair . Jim Kretz CBCC Co-Chair
x Kathleen Connor . Ken Salyards CBCC Interim Co-Chair Lori Simon CBCC Interim Co-Chair
x Diana Proud-Madruga x 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
x Neelima Chennamaraja Susan Litton Sandra Huyck
. William Kinsley x Debbie Bucci Chirag Bhatt
. Linda Bailey-Woods x Lee Wise Lori McNeil Tolley


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Agenda

  1. (05 min) Roll Call, Approve Meeting Minutes from July 28, 2015 CBCC Conference Calland August 04, 2015 CBCC Conference Call
  2. (05 min) Patient Friendly Language for Consumer User Interfaces - (Standing Agenda Item) - Update
  3. (10 min) TSC Review on Outstanding work for: HL7 Version 3 Domain Analysis Model: Behavioral Health Record, Release 2 (PI ID: 1174) (1st Informative Ballot) (Project Insight ID: 1174) - update
    • Unique Ballot ID: V3_DAM_BH_R2_I1_2015SEP
  4. (10 min) (Sequoia?) discussion: Vocabulary alignment, code incompatibility (Mike)
    • i.e. TREATMENT vs TREAT in HL7 vs NHIN
    • ISO group privacy engineering project
  5. (05 min) Data Provenance IG Update (Standing Agenda item)
  6. Behavioral Health Domain Analysis Model (HL7 BH DAM) Update update
  7. PASS Access Control Services Conceptual Model - (Standing agenda item) update (Diana)
  8. Joint EHR, Security, Privacy Vocabulary Alignment - (Standing agenda item) update (Diana/Mike)
  9. (10 min) Action Item Review (if any)

Meeting Minutes (DRAFT)

Approve Meeting Minutes for August 04, 2015 CBCC Conference Call

The minutes from the July 28 meeting were unanimously approved.

Patient Friendly Language for CUI - Update

  • Request sent to remove remaining negative votes
    • Received verbal agreement change from John Moehrke
      • John has agreed to contact GE-Scott Bolte and GE Keith Boone for response
    • Awaiting vote changes from:
      • Lenel James (e-mail agreement received on 5/14/2015 based on proposed changes which addressed his concerns)
      • Harry Rhodes (e-mail agreement received on 8/5/2015 confirming desire to withdraw his negative vote)
      • David Tucker, Anthem still waiting

TSC Review on Outstanding work for: HL7 Version 3 Domain Analysis Model: Behavioral Health Record, Release 2 (PI ID: 1174) (1st Informative Ballot)

(Project Insight ID: 1174)

  • Unique Ballot ID: V3_DAM_BH_R2_I1_2015SEP
  • 1 recirculation needed; 1 unpublished ballot; 75% of projects > 120 days; 4 idle ballots; 3 missing reconciliation packages
    • These are non-issues (information was reported at the Paris meeting and was responded to, including legacy items) and no outstanding items should be remaining
  • NIB for project is being held up. The initial ballot material is due August 23.
  • The next TSC meeting will be held: ? (follow up with Melva/John Roberts)
    • Johnathan is writing up a review for the TSC given at Paris meeting
    • Co-chairs will be responsible for follow up on administrivia

E-mail: The TSC will be considering the ballot list again next week. Would you please send some words of reassurance that the project work load is not a matter of concern; specifically, not a risk to the ballot item you want on the ballot list this cycle? (John Roberts)

Per Ioana: This project does not have any outstanding work: it's a new project. The outstanding work items may pertain to other ballots or projects, but not this one."

For instance, the Privacy Consent normative ballot may require re-circulation.

Recommend: Review the outstanding items. Assign them for resolution so we can reassure the TSC that the work group is making progress.

BH DAM

NIB sent; original ballot information was added to GForge

  • There is still time to receive comments from the SMEs; we have until August 3 to finalize the documentation.
  • Note and reminder being sent by Ioana for final contact submissions.
  • SME call on Thursday for discussion on the BH DAM

PASS Access Control Services

  • The Access Control Functional Model requirements continue to undergo refinement and Diana is putting preliminary information into the working document. Preliminary content needs to be submitted to Lynn Laakso ASAP.

Joint EHR, Security Privacy Vocabulary

  • Meeting held this AM
  • Shared Terms worksheet "Originate (VERB)" definition - from an EHR point of view
  • Agree with the direction with which group is moving to include the concise definition and an additional extended definition found on the extended definition tab
    • Suggestion made to place all items on one spreadsheet to make more usable
  • RI at the top of the sheet stands for Record Infrastructure
  • Conversation continues on technology vs. policy

If you are interested in helping with the Vocabulary Alignment project definitions:

  • Join by phone
    • 1-866-469-3239 Call-in toll-free number (US/Canada)
    • 1-650-429-3300 Call-in toll number (US/Canada)
    • Access code: 731 143 084

Discussion: Vocabulary alignment, code incompatibility

2.0 of XSPA specificiation

  • Want to refer to the HL7 vocabulary, except the e-Health Exchange especially in "Treatment and "Emergency Treatment" (some are the same / some are different); possibly an oversight on our side
    • Harmonization/harmonization mapping should have come earlier
    • Trying to figure out how to deal with this
  • Could we change the HL7 code for TREAT to TREATMENT? What would be the impact (is there international impact and has this been fully implemented? Could this alignment happen?)?
    • This is the biggest issue
    • Sequoia is the new name for HealtheWay, which has picked up the management of the NHIN e-Health Exchange
  • Share: Exchange Synopsis 31 - Criminal charges and risk assessments
  • It's important that we get the vocabulary into standards; to align the vocabularies aligned in the documents (and consent directives) and assertions - makes this a lot easier for Access Control

Option:

  • Additionally TREAT and TREATMENT can be allowed during migration;
  • In theory, it's what Sequoia can ask their people what is reasonable to do;
  • Completely change the vocabulary from TREAT to TREATMENT

Meeting adjourned at 1157 PDT

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