[Openid-specs-heart] Purpose of Use
Nancy Lush
nlush at lgisoftware.com
Thu May 11 18:01:19 UTC 2017
Hello all,
Per our last meeting, I agreed to provide more information on the need for
the pou claim.
The claim pou was recently removed from the HEART specs and needs to be
restored.
I spoke with Duane Decouteau from the VA team and provide the following
details:
Purpose of use drives policy in many electronic exchanges today. The
custodian organization uses the claimed purpose of use to interpret policy.
For instance, if the pou is 'Treatment' a complete record might be provided,
but if the pou is 'Coverage' the policy may limit what is sent. If the pou
is 'Research' then the custodian organization might need to de-identify the
data on the way out.
The pou is passed as a claim within the request. It is a determining factor
in evaluating which policies apply to a request. Pou is implemented in
ehealth exchange as an underlying principal. Duane feels that pou should be
a cornerstone for patient consent. It is fully implemented now in ehealth
exchange at the VA, Kaiser and others.
The list of pou values can be found at this link:
https://www.hl7.org/fhir/v3/PurposeOfUse/vs.html
Respectively,
Nancy
Nancy Lush
nancy.lush at lgisoftware.com
Lush Group, Inc
Office: (401) 423-9111
28 Narragansett Ave
PO Box 651
www.lgisoftware.com
Cell:(401) 965-9347
Jamestown, RI 02835
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