June 26, 2018 CBCP Conference Call

Community-Based Care and Privacy (CBCP) Working Group Meeting

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Meeting Information

Dial-in Number:  (515) 604-9861; Access Code: 429554
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Attendees

	Member Name		x	Member Name		x	Member Name		x	Member Name
x	Johnathan ColemanCBCP Co-Chair		x	Suzanne Gonzales-Webb CBCP Co-Chair		x	Jim Kretz CBCP Co-Chair		x	David Pyke CBCP Co-Chair
.	Kathleen Connor Security Co-Chair		x	Mike Davis		.	John Moehrke Security Co-Chair		x	Diana Proud-Madruga
x	Chris Shawn		.	Neelima Chennamaraja		x	Joe Lamy		.	Greg Linden
x	Irina Connelly		.	Saurav Chowdhury		.	Dave Silver		x	Francisco Jauregui
x	[mailto: Mark.Meadows@dch.ga.gov]		.	Amber Patel		x	Becky Angeles		.	Jennifer Brush
.	Mohammad Jafari		.	Ali Khan		.	Ken Salyards		.	[mailto: chandler.grey@lewin.com ]
.	David Staggs		x	[1]		.	Ioana Singureanu		x	Beth Pumo

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Agenda

1. Roll Call, Agenda Review
2. Meeting Minutes approval: June 12, 2018
   • FHIR CPs for review
   • FHIR Consent CPs are located: link to ALL Consent Change requests
3. eLTSS Update - Irina / Becky
   • eLTSS gForge folder: https://gforge.hl7.org/gf/project/cbcc/docman/eLTSS%20-%20%20ONC%20Electronic%20Long-Term%20Services%20and%20Supports
   • Latest PSS posted to gForge TEFT eLTSS Supplemental ATL F2F
4. FHIR Security Project Update - Johnathan / John Moehrke
   • Weekly meeting on Tuesday - 2 PM Eastern
   • https://www.freeconferencecall.com/join/security36; Phone Number: +1 515-604-9567. Participant Passcode: 880898

Meeting Minutes DRAFT

June 19 - Meeting minutes reviewed

• Motion made to approve (Suzanne / Johnathan)
• Abstain: none; Opposed: none;

FHIR

• zero cPs
• one cp needs to be compelted, changing a name of one of the serarch itesm
  • others need to be marke as invalid or need to be discussed at the FM group
• having spoken to the FM group and others, we need to start some kind of way to give a pth from moving fromt he FHIR contract profile from the consenet prifle, to the consent profile itself (it's currently out of date.
• as such there are a number of implementation that are using the older version as their study
• we need a path / direction to move them to the new to the FHIr contract profile
  • importance of maiting the pints of the 'contract' that are enforceable for interability state, but are not considered part of the 80%
  • path to brign them up to STU4 which has the consent resource
• need to elarn what cababilitys int he contract.. and why they went with contract an dnot consent
  • let's move is easy to say, but may have financan, operations,e tc implemcaitons to those who are using the older vesrsion.
  • issue those working with FHIr STU2 (consent resource is not in STU2)
  • including ARgonaut, Commonwell
  • contract profies a way for the patinte to get ack from the parties that sign consent--how htye will be handles, when we have consent as a form, this tends to be handled as this is thepatients reuest' if we can/cannot approve...
  • discussion
  • bigger question: not just from a consent/contact potision.. what will it take to have people go from STU2 to STU4 --not just about switching 'resource consent module' that's the bigger question.
  • Johnathan/MikeD agreen
  • anticipating the convestsions; granular consent pilots that are using contract, it has to be part of the STU2 to STU4 conversation
    • this is above the CBCP WG; we will need to monitor the convestaion with the bigger picture in mind
  • deprecate moving forward not removing entirely from sTU
  • suggestion: is to bring the contract aspects into the consent. brings usmore to a level of equivalency--roughly equivalent. transition sense we can have an overlap;
  • problem there hasnt' been any modification since 2014; and stopped at STU3, no coments, or changes and is a DSTU artifact (STU2); ther eis no contract(?) as of STUF4; we need to create a plan as they molve up the STUs and make normative--we need to work out the needs, what part of the contract can be offloade and linked back; not everhting needs to be in the consent resource, etc
  • if peole are still using STU2... (17:02)
• Dave sending out a doodle poll to constinue the convesations/meeting to progress (including how FHIR-I, versioning, moving from STU2 to STU4 and FHIR consent vs FHIR contract moving forward

also adding the FHIR-I list (Lloyd, Graham)

• we have also taken over FHIR contract, so those folk also need to be part of the conversation (Paul Knapp, Kathleen) to be included

elTSS - Irina

• will need to engage with items involing contarct
  • David and Irina to review use cases
• produced a newer white paper draft, including section 4--overgive of goals objectives; why the project was initiations and hwt they are trying to accomplish
  • appendices, mapping themselves of eltss to FHIR standards (still getting tweaks, and will be included int he document)

===feedback needed=== by end of week July 13

• next version addting section 5 - narrative discussion of what is in the mappings;

sections 6 mention of oter various items that need to be mentioned, referenced and/or out of scope, expect to be out mid-july

• will continue to adjust until final content deadline
  • universal vs US reals
  • adjusted dates
  • explanation of involvemdnt with CMS, (they are exemplary...not thetc...
  • updates should be made directly to the PSS, resend to Melva
• Bonnie - after get passed PSS,
  • need a project number (post PSPS acceptance) a NIB will be sent
  • will we meet the intent to ballot for September? maybe once PSS approved, we can get the rest out pretty quick, will also need to push up to TSC
  • remind Melva the Intent is to ballot in September.

FHIR Securiy update (last Meeting today to go over 8 CPs,

• reviewed over document in its entirety... all CPs entered
• 2:00 PM Et today

• leave agenda item on for now

additional agenda items?

Motin to adjorn (JOhnathan)

meeting adjorned at 9

35AM Arizona Time--Suzannegw (talk) 13:26, 26 June 2018 (EDT)