2020 04 10 Minutes - AudaciousInquiry/fhir-saner GitHub Wiki

Agenda Template

Attendance

  • Keith Boone
  • Katie Iser
  • Christina Caraballo
  • Austin Kreisler
  • Brian Harris
  • Michael Donnelly
  • Sandeep Savarala
  • Sean Zitello
  • Adam Dolde
  • Gino Canessa
  • Ankit Agarwal
  • Elysa Jones
  • Joe Wall
  • Chris Lindop
  • Josh Mandel
  • John Moehrke
  • Ben Hanley
  • Ryan Argentieri
  • Peter Muir
  • Rob McClure
  • Scott Robertson
  • Barbara Hobbs
  • Carl Anderson
  • Hans Buitendijk

Current Work/Announcements

  • Connectathon Planning is beginning - started a confluence to managing this. If you want to be able to edit
    • Webinar for the track, we will hold two: one next week for people who have never done a connectathon. Another one towards the end of this month in prep for the Connectathon
    • Will use one our Friday call on 4.17.20 to hold the first one.
  • BU Resiliency Challenge - 9-week hackathon being held by BU Spark! SANER Project is participating.
  • Rush University work?
    • Trying to find out from both sides
    • City of Chicago put out a public health order
      • Hospitals in their jursidiction to provide a copy of the CDC/NHSN reports to them as well
      • Right now, there are a few options for submission, but currently all manual
      • Working on a FHIR-based approach as well
      • Hans has Rush contacts and can try to reach out. Keith to check in with Abigail Watson.
      • Want to make sure that the work they do aligns with what we are doing
      • https://www.chicagohan.org/
      • Public Health Order 2020-4
      • PDF Direct link

News / Announcements

  • Introduced Brian Harris and Sandeep Savarala from the Ai team.
  • Renamed the saner-ig to saner-ig-old to make sure we keep things straight and there is a redirect on the old one.

Hot Topics

Testing Commitments

  • Checked in with the team on testing commitments for connectathon, will continue to follow up on following meetings.

Sensitive Information Sharing

  • Security updates from John Moehrke are listed here.
  • SANER starting to appear in the news, we just want to identify any risks to organizations (# of deaths in facility), regions (# of deaths in the region), ramifications of these risks like being targeted or being bullied (not explicitly expressed but also could man targeting by scams and advertising).
  • We want to make sure the regions we are reporting on is not too small. "Too small" was not defined. K-anonymity starts at a value of 3. This means you don't have any data in your data set that has groups smaller than 3. Implying that if you have less than 3 incidences you should report it as NA until you have 3 - but this is potentially problematic.
  • Some things we should be thinking about while designing IG: not grouping all reports into one document even though it may seem efficient. As soon as you do that you create vectors where you are reporting on a region/age/gender in one report and people can see correlations.
  • Operational Mitigations we should express: Having to do a risk analysis at each location, making regions as big as they need t be to not have data grouped, if you need it more fine-grained locations then you have sensitive data and you have to be careful who you share that data with.
  • The information being reported about beds available/occupied is sensitive information because it indicates how well you are doing as a business. That is only shared in situations like this one or in emergencies.
  • Summary reports can have risk but the risk discussions in the de-id handbook are not as easily applied towards sensitivity on a summary report. We may just have t explain in our own security considerations our specific points.

Measure and MeasureReport Discussion

  • JSON FHIR Bundles > Gino to put it in the input folder in ig-data here stripped out of the bundles to make it easier to link to individual measure: https://github.com/AudaciousInquiry/fhir-saner/tree/master/fsh/ig-data/input
  • Cohort vs. Measure Population - if you read the quality reporting section of FHIR if you are doing ratio or measure Cohort isn't really the right answer. May want to reach out.
  • Will continue on Zulip

Action Items

  • Hans and Keith to reach out to Rush contacts
  • Gino to put FHIR Bundles into input folder
  • Next week follow up on testing commitments

Live Notes From - https://hackmd.io/VtRv6bosRuuCboME3qwNSw