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Chair:  @ Johnathan Coleman

Scribe: @ Suzanne Gonzales-Webb

Agenda (ATTENDEES TABLE moved to after Agenda)  - Please use audio from FreeConference Call 515-604-9861 

Agenda Item

Meeting Minutes from Discussion

Decision Link(if not child)

FYI - Virtual FHIR Connectathon - May 13-15, 2020

Virtual FHIR Connectathon MAY 13-15, 2020 - Registration OPEN

Link:  https://www.hl7.org/events/fhir/connectathon/2020/05/

  • Three Day Event - Wednesday May 13, Thursday May 14, and Friday May 15
  • Online registration is available until the end of the day ET. on Tuesday, May 12th.
  • will be running round the clock / round the clock testing

Advance Registration/Payment

Payment must be received in order to attend the event.

Cancellation/Refund Policy

For more information, please contact Mary Ann Boyle, Director of Meetings at: +1 (734) 677-7777 or maryann@HL7.org.


FYI - CBCP moving to ZOOM in May 2020 (tentative

CBCP Will be moving to ZOOM - waiting on final coordinates from HL7 Office - MOVE to ZOOM - tentatively first week of May 2020 

Minutes Approval

Approve: 2020-04-14 CBCP Meeting Agenda/Minutes DRAFT

2020-04-14 CBCP Meeting Minutes Approval

Motion made to approve meeting minutes as written Suzanne/GregW

Vote: Opposed 0; Abstain 0 Approval: 12

Minutes Approval

Approve: 2020-04-07 CBCP Meeting Agenda/Minutes DRAFT  

2020-04-07 CBCP Meeting Minutes Approval

Motion made to approve meeting minutes as written: Suzanne / Kathleen

Vote: Opposed 0Abstain0; Approval: 12

Minutes Approval

Approve: 2020-03-31 CBCP Meeting Agenda/Minutes DRAFT 

2020-03-31 CBCP Meeting Minutes Approval

Motion made to approve meeting minutes as written Suzanne / GregW

Vote: Opposed 0; Abstain: 0; Approval: 12

PACIO Project 

  • May 2020 Connectathon
  • September 2020 Ballot Cycle

FHIR IG 

Dave Hill - Continuing to plow forward

  • use case agreement with participants
  • Multi-layered use case.  Six scenes including
    • Patient starting in Home Health Care and falling and being moved to hospital
    • Patient being discharged from hospital and moved to Skilled Nursing Facility
    • Released from SNF to Home Health Agency
    • Patient / family getting access to all that has happened along the way
  • actively developing sample data - plan to demo at connectathon

Wrapping up the data model for functional status

  • Per Dave: Physicians on their calls would like to know the lists of risks and precautions - looking to use eLTSS resource (provides the information they need–mostly the code for what the risk is/information for physicians (i.e. 'wandering' - patient may wander off), also using eLTSS for reference to refer to something else i.e. cognitive status
  • list of equipment needed to form an assessment for patient 
    • observation resource ; may need an extension to use
    • device codes, FHIR device type value set (provided as an example in device/device definition...but may not apply for use case); ties in better to FHIR arrangement
      • potentially constrain to minimal binding
  • LOINC is more familiar to physicians

What is dependency on US-core? LOINC, HL7 device codes...

  • US core - there is a type device/device resources value set; not a lot of references, code sets are mostly SNOMED CT based; for post-acute care is mostly LOINC
  • looking to use eLTSS resource to cover pain (assessment) - open to other recommendations
    • clinicians would like to know pain, vital signs information (for pain using eLTSS resource)
      • is there a broader way to express pain? - need to look at 

https://confluence.hl7.org/display/PC/PACIO+Project+Functional+Status

https://confluence.hl7.org/display/PC/PACIO+Project+Cognitive+Status

NIB - Dave needs to contact primary WG Co-chairs to complete 

PSS Approved

 eLTSS

DATA driven by information above "Betsy Johnson-Smith"

  • small project underway with Missouri State to pilot eLTSS 
  • IG is out there and being utilized



GitHub Link:   https://github.com/onc-healthit/eLTSS-Reference-Implementation

PACIO eLTSS Track - building out a data hub eLTSS/PACIO data; using their Patient Share client to present the data on the client side..an instantiation of the eLTSS IG maturity.

ONC released the Leading Edge Acceleration Projects (LEAP) in Health IT, Special Emphasis Notice (SEN) on grants.gov. You can also find information on the healthit.gov website.

FHIR Consent

No update


Cross Paradigm Security Labeling IG


(part of "Cross Paradigm Security Labeling IG")

  1. Cross Paradigm, Controlled Unclassified Information (CUI) IG
  2. Cross Paradigm, 42CFR Part 2 IG
  3. Cross Paradigm, Title 38 7332, Security Labeling IG
  • Ballot postponed to September - need to get FHIR DS4P IG completed first for the FHIR US Regulatory Security Label IG portion of the Cross Paradigm Security Labeling IG
  • Value set for DS4P FHIR IG will be used in the Cross Paradigm Security Labeling IG for FHIR, CDA, and HL7 V2

Security Labeling Connectathon Track proposal 2020-05 Security Labeling Track2020-05 Security Labeling Track proposed. To potentially include: VA, WebShield confirmed. MyLinks,, Perspecta, and eHX considering.

DS4P FHIR IG - Kathleen Connor

Update: In upcoming ballot; working on next "v1" we are missing work - inviting you to please review

FHIR track is being led by Mohammad Jafari, Kathleen Connor

LINK:  FHIR DS4P IG

PSS Approved 6/4/2019: FHIR Data Segmentation for Privacy (DS4P) Implementation Guide PSS (by Steering Division)

FHIR Proposals approved

FHIR Security Meetings 

FHIR Security Meetings: Monday mornings 

No update

Confluence page created for folks to submit uses cases - LINK:  FHIR Permission

Information Model Refresh- Mike Davis

New Update for Information Model / Security and Privacy Domain Analysis Model - primary sponsor is Security // Project ID # 

Drivers include:

  • the current IM is long in the tooth
    • within the VHA we are using the HL7 model as part of the VA model ;
  • recommending review in HL7 to reorganize, update how model diagrams are represented (i.e. Access Control, etc.) there may be gaps, i.e. in Provenance, TF4FA, Security Labeling that may need to be included

Additional Agenda Items



Adjournment

 Meeting adjourned at  0925 Arizona Time 

Temporary Meeting Recording: https://fccdl.in/0JDfRB0vfZ

Attendees

PresentNameAffiliation
 PresentName Affiliation 
  •  
SRS
  •  

 David Pyke Co-Chair

Ready Computing 
  •  
@Jim Kretz Co-Chair SAMHSA 
  •  
VA (Book Zurman) 

Present

NameAffiliation
  •  

HHS

  •  

Amber Patel

ayp@securityrs.com

SRS
  •  
Cambia Health
  •  

@Beth Connor

Beth.Connor@cms.hhs.gov

HHS
  •  
Kaiser
  •  
VA
  •  
Colleen Wadman 443-553-3533
  •  
Altarum
  •  

David Angeles 616-446-6549


  •  
MITRE
  •  

DeboraAnnSimmons@gmail.com


  •  

Forrest White

forrest.white@altarum.org

Altarum

  •  
SRS
  •  

@Hannah Galvan

hannah.galvin@lahey.org

Lahey
  •  
Carradora
  •  

Jessica Skopac 

jskopac@mitre.org

MITRE

  •  

John Davis aka Mike

VA
  •  
ByLight
  •  
SSA (Aegis)
  •  
VA (Book Zurman)
  •  

Laura Bright

laurabright4@gmail.com

AMA ?
  •  
Altarum
  •  
Leavitt Partners, CARIN
  •  
MDIX Inc
  •  
Avality
  •  

Mindy Lee

ml4459@cumc.columbia.edu

Colombia University
  •  
VA (Book Zurman)
  •  
LGI Software
  •  
Carradora
  •  

Sean Mahoney

smahoney@mitre.org

MITRE
  •  
MITRE
  •  

Ty Mullen

tmullen@mitre.org

MITRE
  •  

Victor Vadim

Vadim@medside.com

Medside
  •  

Willie Eetmiott

(914) 485-5076


Supporting Documents

Outline Reference

Supporting Document

Minute Approval


Action items Suzanne Gonzales-Webb