[Openid-specs-heart] Recap of HEART meeting 5/16/16 on a non-data-blocking self-assertion label: Foo

[Adrian Gropper]

Thanks to all for a very friendly and constructive discussion of a label
("Foo" for now) that any two FHIR endpoints can self-assert to indicate
that "Independent Decision Support at the Point of Care for Physicians and
Patients" is supported. Done right, this could eliminate all sorts of
regulatory mandates and certifications.

Much of the call was about what standards or profile groups would be
appropriate to define Foo and how much of that would be in-scope for HEART.
Foo would start by requiring support for the existing FHIR Subscription and
History features at the patient-level. We also discussed if UMA or other
current Kantara projects could be adapted to the definition of Foo.

During the call it was proposed that FHIR-based interoperability labels
need to handle maybe 5 different health records architectures:

   1. Centralized EHR (inpatient and outpatient as in, maybe Israel)
   2. Decentralized EHR (central inpatient, distributed outpatient, as in
   UK)
   3. Patient Centered EHR Summary (centralized and patient-controlled, as
   in AU My Health Record)
   4. Patient Owned EHR (distributed to each patient, as in Apple
   HealthKit, ResearchKit, and CareKit)
   5. EHR Apps and Independent Decision Support (user-interactive)

Given that FHIR EHR endpoints might be participating in any and all of the
5 patterns (the physician or the patient as requesting party could be on
either side of the FHIR transaction) does Foo apply only to some or all of
the 5 architectures? I propose that a single Foo can cover all 5 and
provide a clear objective goal for all of the various standards and data
blocking measures.

We concluded with a suggestion that Foo might be documented as a new HEART
Use Case over the next few weeks.

Adrian
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