January 9, 2018 Security Conference Call

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Attendees

x	Member Name		x	Member Name		x	Member Name		x	Member Name
.	John Moehrke Security Co-chair		x	Kathleen Connor Security Co-chair		x	Alexander Mense Security Co-chair		.	Trish Williams Security Co-chair
x	Christopher Shawn Security Co-chair		x	Suzanne Gonzales-Webb		x	Mike Davis		x	David Staggs
x	Mohammed Jafari		x	Beth Pumo		.	Ioana Singureanu		.	Rob Horn
x	Diana Proud-Madruga		.	Serafina Versaggi		x	Joe Lamy		.	Greg Linden
.	Paul Knapp		.	Grahame Grieve		.	Johnathan Coleman		.	Aaron Seib
.	Ken Salyards		.	Jim Kretz		.	Gary Dickinson		x	Dave Silver
.	Oliver Lawless		.	Lisa Nelson		.	David Tao		.	Nathan Botts
.	Francisco Jauregui]		.	[		.	[		.	[

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Agenda

1. (2 min) Roll Call, Agenda Approval
2. (3 min) Review and Approval of December 19, 2017 minutes
3. (10 min) TF4FA and Domain Modeling update- Mike Davis
4. (5 min) ONC Draft Trusted Exchange for Common Agreement released Please review and help the WG prepare PAC comments. - Kathleen
5. (10 min) Update on Consumer Centered Data Exchange Connectathon track - Kathleen and Mohammad
6. (5 min) PSAF call report out - Chris Shawn
7. (5 min) Is Privacy Obsolete? Study Group wiki page has the "Is Privacy Obsolete?" Listserve link. Update on project - Mike Davis
8. (3 min) Security Jan 2018 WG Health is excellent!
9. (5 min) Draft New Orleans Security WGM Agenda
10. (1 min) FHIR Security update Call cancelled - John Moehrke

Meeting Minutes (DRAFT)

Christopher Shawn chair Roll taken Meeting minutes reviewed (Kathleen/Alex)9-0-0 We're still planning to go ahead with the May ballot

• with updates to chapter 2 - trust framework / behavior model
• will also be balloting the DAM which is starting work
• plan to ballot as informative standard chapter 3 - audit (provenance, smart contracts, block chain)
  • iEHR security working group - vocabulary harmonization information to go into there (regarding provenance, audit) if possible

Presentation on where we are with the DM itself (HL7 Healthcare Domain Model

• DRAFT floating around, PPT high level view to incorporate the ideas
  • examples
  • discussion on the vocabulary

1. Normal Domain – Privacy metadata indicating that the information is typical, non-stigmatizing health information which presents typical risk of harm if disclosed without authorization
2. Restricted Domain - privacy metadata indicating highly sensitive, potentially stigmatizing information, which presents a high risk to the information subject if disclosed without authorization
   • may have policies associated with the domain
   • intended to be clear; at bottom is a representation description of this type of domain
3. Very Restricted Domain 0 privacy metadata indicating extremely sensitive, like stigmatizing information which presents a very high risk if disclosed without authorization.
   • representative of domains, single confidentiality code associated with them
4. Multi-domain information object
   • problem list is more likely than a single instance; no longer a simple domain, containing several domain objects

Dealing with the simplest possible domain - to reach of the classifications there is series of classifications where we have data which we are giving a category and classification.

Definitions: already in trust framework

Poster format available for Domain Model

TEFCA - Kathleen DRAFT Trusted Exchange Framework and Common Agreement

• requesting comments

Please take a look, it’s very important to security work

• included on the page is a quick-start
• building off MU data comments
  • first part - governance
  • second - rules of the road, note that consent and privacy is not mentioned (same as in xx except in the context of research)
    • section 6 also has information for identity proofing

VERY SHORT TURNAROUND for comments

• this is an opportunity to advance our privacy with protections idea; it’s not clear

[https://gforge.hl7.org/gf/project/security/docman/Security%20FHIR/FHIR%20Security%20Connectathon/HL7%20FHIR%20Consumer%20Centered%20Data%20Exchange%20Privacy%20Preserving%20On%20Behalf%20On%20Right%20of%20Access%20v6.pdf FHIR Consumer Centered Data Exchange - Kathleen

• Interest in leveraging MiHIN eConsent Portal
• Aaron Seib (lead) also has other scenarios with other folks), interactions with EHRs
• • Consumer Centric Choice - one stop app shopping
  • solving multiple portal problem - privacy presenting OAuth
  • granular choice

Alice Recruit being used as their personal

• issues include PTSD related MH conditions, among others

Privacy Preserving Right of Access - Alice's Preferences (Description of approach given) Opportunities to show granular consent during the

Variation on Sync for Science Architecture;

• Privacy Preserving OAuth Right of Access - Alice's Preferences

PSAF Call Report Out

• Spent the call doing reconciliation of Bernd Blobel's comments
• Hoping to complete at next week's call

Privacy Obsolete - Study Group

• Mike will presenting the study group information at the Q3/Q4 joint meeting face-to-face
• this is a global approach US, Japan, Australia, UK, EU, China
• how to get to a conclusions; looking at law, recent changes
  • law
    • USA Freedom Act (built in expiration date of 2020?)
  • privacy breaches
  • standards activities - types
    • including SC27
  • enforcement activities
    • governmental organizations, US, ONC, etc.
  • Facebook, google, big data impacts

• several links on privacy is dead

DRAFT - Judge Sonia Sotomayor - in the US , the law is not keeping up with the technology

No call for FHIR Security this afternoon

Meeting adjourned at 1404 Arizona time