November 8, 2016 Security Conference Call

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Attendees

x	Member Name		x	Member Name		x	Member Name		x	Member Name
x	John MoehrkeSecurity Co-chair		x	Kathleen ConnorSecurity Co-chair		x	Alexander Mense Security Co-chair		.	Trish WilliamsSecurity Co-chair
x	Mike Davis		x	Suzanne Gonzales-Webb		x	David Staggs		.	Mohammed Jafari
x	Glen Marshall, SRS		x	Beth Pumo		.	Ioana Singureanu		.	Rob Horn
x	Diana Proud-Madruga		.	Serafina Versaggi		.	Joe Lamy		.	Galen Mulrooney
.	Duane DeCouteau		.	Chris Clark		.	Johnathan Coleman		.	Aaron Seib
.	Ken Salyards		.	Christopher D Brown TX		.	Gary Dickinson		.	Dave Silver
.	Rick Grow		.	William Kinsley		.	Paul Knapp		.	Mayada Abdulmannan
.	Kamalini Vaidya		.	Bill Kleinebecker		.	Christopher Shawn		.	Grahame Grieve
.	Oliver Lawless		.	Ken Rubin		.	Paul Petronelli , Mobile Health		.	Russell McDonell

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Agenda DRAFT

1. (2 min) Roll Call, Agenda Approval
2. (3 min) Approve November 1, 2016 Security Conference Call
3. (30 min) Integration of Information Model and tools Steve Hufnagel
4. (15 min) PSAF/TF4TA Mike and Dave Silver to discuss any updates to the ballot material.
5. (15 min) Review and Approval of the long overdue Security and Privacy DAM Reconcilation spreadsheet - Kathleen: We need to get these affirmative comments resolved and uploaded to the ballot site in order to get the DAM published and included in the 2017 Normative Edition.
6. (3 min) PASS Audit Conceptual Model – Diana
7. (2 min) FHIR AuditEvent and Provenance ballot comments & FHIR Security Call

Minutes

• John Chaired

• Agenda Approval (Unanimous approval)
• Approve November 1, 2016 Security Conference Call (Unanimous approval)
• Integration of Information Model and tools Steve Hufnagel
  • Project Scope statement focuses on patient (clinical goal is to make patients as healthy as possible) and developing and learning health systems such as precision medicine, clinical decision and research public health.
  • The Data across current systems must have update Standard information Model to integrate with HL7
  • The information Model would be chronological and create consistency in applications
  • We would use the enterprise data warehouse to have a growing knowledge base
  • Our foundation is SOLAR which is the SMOMED extension for LOINC and RXNorm
  • This allows a growing knowledge base of information to depend upon
  • proposal of change of standards by having a standard information model
  • using the various clinical domains
  • We may have a detailed clinical model for vital signs, or pediatrics etc.
  • We have integrated models such as framework, and clinical models that we are expected to ballot
  • Using the tools we would create a FHIR recourse and extension
  • FHIR resources are connected to the terminology server
  • Developers would not have to worry about logical model unless creating a new information model, but they would use information resources
  • We set up a task force in April of stakeholders
  • We developed an inter-agency ground for the harmonization of models he
  • During the HL7 Meeting in September we did a presentation to the Federal Health Architecture Managing Board
  • During the meeting we realized the value of aligning the FHIR core with Semi Core to create extensions
  • We are in the process of harmonizing the information models
  • We are began harmonization with patient care
  • We continue to have ongoing work with various work groups in HL7 to obtain harmonize models
  • As we continue to do conduct studies we will be generating implementation guides for the use and models and tools
  • Next steps:
  • current status we are looking to finalize project scope statement and approved by January 2017
  • Next year (2017) we are seeking to HL7 normative Ballot of DSTU2 or DSTU3
  • Go to normative standard and into an ISO standard within 5 years
  • Issues:
  • to resolve RXNorm is US realm, we are working with National Driver of Medicine on how we can make RXNorm more international
  • DAS is also only US realm, but has potential to also become international
  • Comments: (Mike)
    • The Project the VA looked at medical records for security and privacy, rather than doing RXnorm, Snowmed etc we integrated the different standards into one. Is this similar to what your doing?

Answer: (Steve) We are working with the Library of Medicine, but unsure if we are doing something similar to the VA initiative, but can circle back to find an answer.

Motion to Approved: Security WK want to cosponsor (Glen, Mike, John) - Unanimous approval

• • Exceptions: (John) areas in which we are working on we would like to participate in

• • (Presentation Link to be added)

• PSAF/TF4TA Mike and Dave Silver to discuss any updates to the ballot material.

Review and Approval of the long overdue Security and Privacy DAM Reconciliation spreadsheet - Kathleen: We need to get these affirmative comments resolved and uploaded to the ballot site in order to get the DAM published and included in the 2017 Normative Edition.

• • We expect to have draft for review soon (shared with group)
  • Contract Model is an important part of the Trust framework
  • Three types of constraints are highlighted in the diagram
• PASS Audit Conceptual Model – Diana
  • Sent out doodle poll, meeting time could not be agreed upon
  • Posted and sent link to Lyn for Pass Audit for Jan Ballot
  • Security WK will be able to make comments in the coming weeks
• FHIR AuditEvent and Provenance ballot comments & FHIR Security Call- Diana
• NTR