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November 13, 2018 Security Conference Call

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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 . David Staggs
x Diana Proud-Madruga . Johnathan Coleman x Francisco Jauregui x Joe Lamy
. Theresa Ardal Connor . Greg Linden . Grahame Grieve x Dave Silver
. x Beth Pumo . Jim Kretz . Peter Bachman x Peter VanLiesdonk]

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  1. (2 min) Roll Call, Agenda Approval
  2. (5 min) Review and Approval of Minutes November 6, 2018
  3. (5 min) Update on revision of PASS Audit - Is reconciliation spreadsheet ready for upload? - Mike
  4. (5 min) Security Harmonization proposal codes approved Some value sets will be proposed in March - Kathleen
  5. (5 min) v2.9 Change Request related to Confidentiality codes - Kathleen
  6. (5 min) HL7 v2 to FHIR PSS, v2 to FHIR Spreadsheet for Security - Kathleen
  7. (5 min) GDPR whitepaper on FHIR Update, reminder of new call schedule - Alex
  8. (5 min) FHIR Security call update - John

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Meeting Minutes

Meeting Chair - Chris Shawn

Meeting Minute Approval - November 6, 2018

  • (Motion to approve (Suzanne/Kathleen): Vote: objections/abstentions: none;

((Suzanne to add harmonization proposal link))

Update on PASS Audit reconciliation

  • last understood was that reconciliation comments were completed, and we could ask for withdrawal
  • Kathleen brought up that Bernd B wants to see corrections in the document before he withdrawals
    • as far as Mike is concerned we should push forward and request withdrawal of negative
  • e-mail from Lynn Laakso; there was material due in order to ballot TF4FA; she has listed that one and two have not been published? was this a new requirement...Kathleen asked if this was a new rule? which could be a show stopper...
    • we will wait and see what her answer is before proceeding. Current answer is we don't know.

Harmonization codes

  • all three proposals were approved; Kathleen is deferring the codes that were not completed to next harmonization
  • policy codes have been brought into v2
  • next harmonization
  • there were changes in the xx ballot to update confidentiality

V2.9 HL7 access proposal

  • in chapter 4; want clarification. security labels content is different than found in orders
  • two sections which are talking about kind of labs--they were using vocabulary that was close to vocab in v3; which we changed years ago because of a mix of sensitivity and confidentiality--Kathleen proposes that the codes be retired
  • recommendation is that they use the ARV segment be used which can point to any part of the lab order for results--removing table from both segments where they currently occur; avoiding conflict, note this is not a controversial issue...strictly clean-up. Rikki Merrick is trying to get into OO agenda to get in publishing of v2.9 clean-up
  • question on harmonization – (Mike) this is a vocabulary--where does Hl7 specify where these marking are optional or mandatory?... <Kathleen response> no, there is a specific policy; it says what is in the law; so, it’s still an interpretation of the law.
    • mike - part of the law 7332; has to do with what we've determined are the handling instructions... HII of the law; he has it from the legal folks, that their interpretations that its a requirement on the recipient not of the VA--or to tell them that such a restriction exists
    • if 7332 hadn't been specified for just health; there is something in the law (if specified)… then

(listen to recording)

    • in other words, it’s up to the implementer to decide on the language


  • standards approach mapping from v2 to FHIR
  • each of the datatypes;
  • effort is underway (meetings every other week); the mapping between chapter 9 con segment and the FHIR consent and contract
    • important in regard to the transform; having capability from going from one set to another. i.e. get transform set into FHIR (confirm)

GDPR whitepaper

  • no meeting this week
  • next meeting is 11/19 - noon (Monday)

FHIR Security call update

  • Short call today; went over v2 FHIR
  • current build is frozen
  • because of HIMSS several subjects are up in the air
  • September care planning are not going to be at HIMSS--and not be at the January WGM--this will lower about ability to move with security and consent--we will still be able to do work with break glass

additional agenda items?


Motion t adjourn (Kathleen) Meeting adjourned at 1320 Arizona Time --Suzannegw (talk) 15:20, 13 November 2018 (EST) Temporary Recording:

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