HL7 FHIR Security 2018-08-21

Call Logistics

Weekly: Tuesday at 02:00 pm EST

Web conference desktop and VOIP https://www.freeconferencecall.com/join/security36 
Online Meeting ID: security36
Phone: +1 515-604-9567, Participant Code: 880898
 Please be aware that teleconference meetings are recorded to assist with creating the meeting minutes 

Back to HL7 FHIR security topics

Attendees

	Member Name			Member Name			Member Name
x	John Moehrke Security Co-Chair		.	Kathleen Connor Security Co-Chair		.	Alexander Mense Security Co-chair
x	Suzanne Gonzales-Webb CBCC Co-Chair		.	Johnathan Coleman CBCC co-chair		.	Chris Shawn Security co-chair
.	Jim Kretz		.	Kenneth Salyards		.	Nathan Botts Mobile co-chair
.	Diana Proud-Madruga		x	Joe Lamy AEGIS		.	Beth Pumo
.	Irina Connelly		.	Matt Blackman Sequoia		.	Mark Underwood NIST
.	Peter Bachman		.	Grahame Greve FHIR Program Director		.	Kevin Shekleton (Cerner, CDS Hooks)
x	Luis Maas		.	Julie Maas		.	Francisco Jauregui
.	Gary Dickinson		.	Dave Silver		.	Foo Bar

Agenda

• Roll;
• approval of agenda
• approval of HL7 FHIR Security 2018-08-14 Minutes
• Announcements
  • TBD?
• Review Kathleen's proposal for Safety Checklist
  • Feedback for Safety Checklist
• Process for "Security and Privacy Considerations" section

• All security open http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemBrowse&tracker_id=677&tracker_query_id=4967
• New business

ACTIONS

• Kathleen - update her proposal for safety checklist
• John - propose next steps on "Security Considerations" on each FHIR page

Security Considerations on each page

• General sensitivity:
  • All resources can contain sensitive information, these groups are only general expectations based on the Resource intended use-case
  • Public/Infrastructure, --- Should be Public and not sensitive themselves, but care as inappropriate use might put sensitive information within
    • Bundle, Linage, MessageHeader, OperationOutcome, Parameters, Subscription, CapabilityStatement, StructureDefinition, ImplementationGuide, SearchParameters, MessageDefinition, OperationDefinition, CompartmentDefinition, StrucureMap, GraphDefinition, ExampleScenario, CodeSystem, ValueSet, ConceptMap, NamingSystem, TermininologyCapability, Library, Questioniare, ActivityDefinition, DeviceDefinition, EntryDefinition, EventDefinition, ObservationDefinition, PlanDefinition, SpecimenDefinition, TestScript, TestReport
  • Business-Sensitive, --- Mostly Public and not sensitive, but care as they may contain business sensitive
    • Organization, OrganizationAlliliation, HealthcareServices, Endpoint, Location, Substance, BiologicallyDerivedProduct, Device, DeviceMetric, Task, PractitionerRole, Schedule, Slot, ProcessRequest, ProcessResponse, Measure, MeasureReport
    • all of the Financial ????
    • all of the Medication Definition ???
  • Provider-Sensitive, --- Provider identified data, may be appropriate to release for specific use-cases, but does expose the provider individual
    • Appointment, AppointmentResponse, Practitioner, PractitionerRole, Person, CareTeam
    • all Patient-Sensitive
    • all of the Financial
  • Patient-Sensitive
    • Patient, RelatedPerson, Person, Encounter, EpisodeOfCare, Flag
    • all of the Clinical
    • all of the Financial
  • Unknowable -- Could contain anything, thus might be public or might be highly sensitive
    • Binary, List, Group, QuestionaireResponse

resources

• To focus on FHIR as a scoping mechanism. That is to say that this effort could be applied everywhere, but we need to start somewhere. There has been some interest for this kind of review in FHIR.
  • Person resource http://build.fhir.org/person.html#security
• Much like IETF has with W3C PING?
  • W3C PING https://w3c.github.io/privacy-considerations/
  • W3C specification for writing Privacy Considerations http://yrlesru.github.io/SPA/
  • W3C Self-Review Questionnaire: Security and Privacy https://www.w3.org/TR/security-privacy-questionnaire/
• IETF guidance on writing the Security Considerations section https://tools.ietf.org/html/rfc3552
• IETF guidance on writing a protocol module -- a description of your standard so that an analysis can be made https://tools.ietf.org/html/rfc4101
• Could try to apply W3C process without customization to see how well it applies?
  • W3C Self-Review Questionnaire: Security and Privacy -- GITHUB active version https://w3ctag.github.io/security-questionnaire/
  • Note not all FHIR resources are sensitive, some are intended to be publicly exposed.

references

• stream for Security and Privacy discussions. Specification development, and Implementation.
  • https://chat.fhir.org/#narrow/stream/Security.20and.20Privacy
• stream for Patient Empowerment. Discussions about empowering patients. Focus on deployment and advocacy.
  • https://chat.fhir.org/#narrow/stream/patient.20empowerment
• Proposed FHIR Connectathon track for Cologne -- GDPR
  • http://wiki.hl7.org/index.php?title=201805_GDPR
• Blockchain FHIR Connectathon
  • Grahame is trying to find a community wanting to 'play' with blockchain. He is willing to standup the infrastructure.
  • See blockchain zulip stream https://chat.fhir.org/#narrow/stream/blockchain
• Certificate Management
  • Zulip chat https://chat.fhir.org/#narrow/stream/Security.20and.20Privacy/subject/Do.20we.20need.20to.20say.20anything.20about.20Certificate.20Management
• Improvement beyond SMART scopes
  • Zulip chat https://chat.fhir.org/#narrow/stream/Security.20and.20Privacy/subject/Improvement.20beyond.20SMART.20scopes
• Patient Directed backend communication
  • Zulip chat https://chat.fhir.org/#narrow/stream/Security.20and.20Privacy/subject/Patient.20directed.20backend.20communication
• Oauth App Registration
  • Zulip chat https://chat.fhir.org/#narrow/stream/Security.20and.20Privacy/subject/OAuth.20App.20Registration

Current Open issues in gForge

• 9167 AuditEvent+needs+to+make+more+obvious+how+to+record+a+break-glass+event (John Moehrke) Considered for Future Use
• 10343 Three+additional+Signature.type+codes (Kathleen Connor) Considered for Future Use
• 11071 Improve+security+label+guidance+-+2016-09+core+%2390 (Kathleen Connor) None
• 12660 HCS+use+clarification (John Moehrke) None
• 17192 Verification+of+given+resource+without+changing+the+content (Thomas Johansen) None
• 17299 enhance+current+disclosure+AuditEvent+so+that+it+explains+what+is+being+recorded+and+why (John Moehrke) None
• 17300 Break-Glass+description+needs+clarifications (John Moehrke) None
• 14678 Implementation+guide+for+signatures+-+2018-Jan+Core+%231 (Brian Pech) Not Persuasive

Minutes

• John chaired
• Roll;
• did not approve prior agenda
• Announcements
  • Topic for at Baltimore
    • Need an Introduction to Privacy/Security within FHIR -- John -- Monday joint afternoon
    • Deeper dive Tuesday Q3, answer questions from previous -- John
    • Discussion of go-forward plan for FHIR Security
• Review Kathleen's proposal for Safety Checklist
  • Feedback for Safety Checklist
  • new version emailed
  • Committee review and editing onscreen
    • Significant discussion of the use of SHALL / SHOULD. Concern with IETF use of these words relative to Compliance and Conditional-Compliance
  • ACTION: Revision sent back to Kathleen for submission to FHIR-I as recommendation