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June 12, 2018 CBCP Conference Call

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

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Meeting Information

Dial-in Number:  (515) 604-9861;  Access Code: 429554
* International Dial-in Numbers: https://fccdl.in/i/cbhs

* Online Meeting Link: https://join.freeconferencecall.com/cbhs  
* Click on Join an Online Meeting Enter Online Meeting ID:  cbhs 
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Please be aware that teleconference meetings are recorded to assist with creating meeting minutes

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Attendees

Meeting Recording - https://fccdl.in/QJiuGUlmTb Temporary

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


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Agenda

  1. Roll Call, Agenda Review
  2. Meeting Minutes approval: (still in process)
  3. eLTSS Update - Irina / Becky
  4. FHIR Security Project Update - Johnathan / John Moehrke


Meeting Minutes DRAFT https://fccdl.in/kMPknMwAeV Meeting recording (temporary)

eLTSS update

  • latest draft for volume 2 and volume 3
  • homework to look at, respond to Irina will discuss in detail next week
  • Suzanne to forward to the next group up for (May deadline missed); to cc Becky, Irina/co-chairs on confirmation that project can go forward with current project deadlines


FHIR Security Project - John Moehrke

  • not updated in about a month and a half

Johnathan

Activiely walking through the ONC API paper - additional improvements to the spec

  • four that will probably worked through today; what do those four mean (to asssit editor)
  • quality check
  • moving slowly

GDPR subworkgrou Monday 7am PT

  • moving slowly relative to GPR priority
  • getting group beyond strming stage
  • =conflucnece tooling is getting in the way for progress
  • writing paper that expresses essentially that we have baked into FHIR a signtificatn S&P interoperability cabalities that emmet beyond. there are a few obscure gap that have been identified that we might be able to further deliveping with stakehold interest
  • kicked off at Cologne meeting - iformal project at this time.

FHIR CP

  • still looking to see if we can get output from ONC work for patient choice
    • mapping has been stalled due to mission reviews
  • looks like CCDA on FHIR is linked to the contract on FHIR resource; we'd like to move over... as this is not the official position on consent (?)
  • consent on FHIR is not owned by 'any one' WG - we're trying to get it moved over to CBCP sothat we can own it and resolve the disparity between the two systems
  • not a lot of CPs that require action at this time.
  • contract resource in a fairly good state, need to look at other (privacy) through the other use
    • treatment, adv directives, reseache
    • lots of work done on pt choice, andn…..
    • start mappng against consent resource from dtat recied
  • not a lot of forward motion but looking ofrared to great things

Jim - Piper Ranallo

  • clarification requested on latest
  • asked question of Jim/Ioana on e-mail, may not know enough CCD specifications to
  • there is a group SNOMED - mental health clinical group )?) want ot update content in snomed--how do we approach priorities
    • discussion: important for us to know--what kind of findings are clinicials colelctiong for clinical care
    • we have a dta sets that contain types and section heading for mH notes
    • we thought we would pull these heading for those dta types catues
    • its important that this work happens in collaboration with CCCDA
      • thre is nothing happing with CCDA and BH note is the template are already set... no further work was to be happening (?) is this correct
      • per Piper resonse to person raised … what sections are defined for CCDA is that there are no sections beyond the standard history of present illess, social history... it would not get any more granulari than tha
      • that granularity includes ICD10, snomed… that level of detail can certainly be added
  • overview: the CCDA - consl
    • there is an IG, with specific spectionsin the operative note, the BH note does not have any specific content section befont clinical note... is that correct? content would be coded with snomed/loic… so content would be limited to those codes
    • there is nothing in the CCD in note/note types... a generalized note section in CCD (there is no such thing as a BH CCD) =CCd can be used for all areas of clinical care. there is one free text section, it is not specific to surger or BH or whatever
  • the diagnosis, assessment,... usingthe standardcoding schemes whether they include BH items or not, they are all there. The entire DSM5 is encoded , snomed is avaialbe, so that the question that you're delaing with .
    • does the snomed code need to be proliferated in some way--if that's the cse then that's a problem youwould deal with snomed

document/section level templates... ? there are templates, but they are not system specific... they are specici to record bP then they are expecting xxxxx-xx digits

the person who raised this question, did work onteh oreative notes... it looks like there is a diagontic note, discharge note, etc... ([jim: these are different flavors of the CCD--used for different kidns of things, not specific to a specific body system]

understood; if a discharge summary / procedure summary / I got a feeling they created more granuals sections...

  • who deals with CCDA? which working group - structured docs
    • Piper will reach out to Structured docs with questions (0002)
  • we would need to sponsor the project, but work in conjunctions with Structured docs
    • maybe an update to IG to add MH/BH items rather than an entirely new project

Meeting adjorned at 0934 Arizona Time

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