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An important discussion point missed in the notes below:<br>
<br>
If Alice wants to move information between her PHR and PCP in either
direction, this just changes the roles that each party plays. The
PHR can be a client of the PCP's protected resource, or the PCP can
be a client of the PHR's protected resource, or both. It's important
that the protocols we're working on be able to work in either or
both directions like this.<br>
<br>
-- Justin<br>
<br>
<div class="moz-cite-prefix">On 6/1/2015 11:19 PM, Sarah Squire
wrote:<br>
</div>
<blockquote
cite="mid:CAN1PkMazBog9a7N7u76R40ACU5WLe2M+7jwQ97takk6HNn8ghg@mail.gmail.com"
type="cite">
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<div dir="ltr"><span
id="docs-internal-guid-f7155a40-b246-b3f4-5af3-b10378fa4f3d">
<p dir="ltr"
style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"><span
style="font-size:15px;font-family:Arial;color:rgb(0,0,0);vertical-align:baseline;white-space:pre-wrap;background-color:transparent">Attendees:</span></p>
<br>
<p dir="ltr"
style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"><span
style="font-size:15px;font-family:Arial;color:rgb(0,0,0);vertical-align:baseline;white-space:pre-wrap;background-color:transparent">Debbie
Bucci</span></p>
<p dir="ltr"
style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"><span
style="font-size:15px;font-family:Arial;color:rgb(0,0,0);vertical-align:baseline;white-space:pre-wrap;background-color:transparent">Dustin
Gage</span></p>
<p dir="ltr"
style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"><span
style="font-size:15px;font-family:Arial;color:rgb(0,0,0);vertical-align:baseline;white-space:pre-wrap;background-color:transparent">Edmund
Jay</span></p>
<p dir="ltr"
style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"><span
style="font-size:15px;font-family:Arial;color:rgb(0,0,0);vertical-align:baseline;white-space:pre-wrap;background-color:transparent">Greg
K</span></p>
<p dir="ltr"
style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"><span
style="font-size:15px;font-family:Arial;color:rgb(0,0,0);vertical-align:baseline;white-space:pre-wrap;background-color:transparent">Jim
Kragh</span></p>
<p dir="ltr"
style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"><span
style="font-size:15px;font-family:Arial;color:rgb(0,0,0);vertical-align:baseline;white-space:pre-wrap;background-color:transparent">Justin
Richer</span></p>
<p dir="ltr"
style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"><span
style="font-size:15px;font-family:Arial;color:rgb(0,0,0);vertical-align:baseline;white-space:pre-wrap;background-color:transparent">Rachel
Houseman</span></p>
<p dir="ltr"
style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"><span
style="font-size:15px;font-family:Arial;color:rgb(0,0,0);vertical-align:baseline;white-space:pre-wrap;background-color:transparent">Mark
Russell</span></p>
<p dir="ltr"
style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"><span
style="font-size:15px;font-family:Arial;color:rgb(0,0,0);vertical-align:baseline;white-space:pre-wrap;background-color:transparent">Sarah
Squire</span></p>
<p dir="ltr"
style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"><span
style="font-size:15px;font-family:Arial;color:rgb(0,0,0);vertical-align:baseline;white-space:pre-wrap;background-color:transparent">Thompson
Boyd</span></p>
<p dir="ltr"
style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"><span
style="font-size:15px;font-family:Arial;color:rgb(0,0,0);vertical-align:baseline;white-space:pre-wrap;background-color:transparent">Tom
Sullivan</span></p>
<p dir="ltr"
style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"><span
style="font-size:15px;font-family:Arial;color:rgb(0,0,0);vertical-align:baseline;white-space:pre-wrap;background-color:transparent">William
Kinsley</span></p>
<p dir="ltr"
style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"><span
style="font-size:15px;font-family:Arial;color:rgb(0,0,0);vertical-align:baseline;white-space:pre-wrap;background-color:transparent">Nat
Sakimura</span></p>
<p dir="ltr"
style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"><span
style="font-size:15px;font-family:Arial;color:rgb(0,0,0);vertical-align:baseline;white-space:pre-wrap;background-color:transparent">Adrian
Gropper</span></p>
<br>
<br>
<p dir="ltr"
style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"><span
style="font-size:15px;font-family:Arial;color:rgb(0,0,0);vertical-align:baseline;white-space:pre-wrap;background-color:transparent">The
patient should be given a FHIR API endpoint whether they
ask for it or not. They can choose to authorize various
things to use the API, but they shouldn’t have to ask for
it.</span></p>
<p dir="ltr"
style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"><span
style="font-size:15px;font-family:Arial;color:rgb(0,0,0);vertical-align:baseline;white-space:pre-wrap;background-color:transparent">The
opt-in/opt-out choice comes when Alice chooses whether or
not to authorize a client.</span></p>
<br>
<p dir="ltr"
style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"><span
style="font-size:15px;font-family:Arial;color:rgb(0,0,0);vertical-align:baseline;white-space:pre-wrap;background-color:transparent">Alice
can move information between her PHR and PCP portal, or
request that information be synced automatically as it is
added. The details of how that two-way sync could be
accomplished has yet to be fleshed out.</span></p>
<br>
<p dir="ltr"
style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"><span
style="font-size:15px;font-family:Arial;color:rgb(0,0,0);vertical-align:baseline;white-space:pre-wrap;background-color:transparent">Alice’s
authorization servers will have white lists, black lists,
and gray lists, which will determine the policy by which
the authorization server agrees to register a client.
Trust frameworks can provide a default policy. Alice can
express her own policy preferences at run-time.</span></p>
<br>
<p dir="ltr"
style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"><span
style="font-size:15px;font-family:Arial;color:rgb(0,0,0);vertical-align:baseline;white-space:pre-wrap;background-color:transparent">Alice’s
FHIR identifier within all systems would be a unique URI.
Ideally, this would be discovered automatically, but Alice
should be able to paste it in manually in the case where
discovery fails.</span></p>
<br>
<p dir="ltr"
style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"><span
style="font-size:15px;font-family:Arial;color:rgb(0,0,0);vertical-align:baseline;white-space:pre-wrap;background-color:transparent">Alice
can choose whether to do a one-time import of her
information at registration, or to authorize an ongoing
sync that allows new information to be imported every time
it is added. The information that is imported into a
client may or may not be used to update existing
information. The client can also give Alice the option to
refresh the cache that is being used by the client.</span></p>
<br>
</span></div>
<br>
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