[Openid-specs-heart] Universal Patient Identifiers for the 21st Century

[Aaron Seib]

Adrian,

 

I think this is the best thing you have ever written.  Bravo.

 

Thanks for sharing.  Is it sufficient to give the consumer the option to decline having a voluntary universal identifier assigned and to always get their permission before sharing it with a relying party?

 

Let’s say someone provides the Virtual Clipboard.  For arguments sake let’s say it is a benefite of membership for being a member of some benevolent fraternity.

 

You pay your membership dues and they send you a URL that takes you to a data capture screen where they collect some PII attributes – say the following:

·        First Name 

·        Middle Initial

·        Last Name

·        Suffix 

·        Date of Birth 

·        Gender

·        SSN – Last 4 digits

·        Address 1 & Address 2

·        City, State, Zip 

·        Home & Mobile Phones

 

At the bottom of the screen there is a save and continue button.  When you click the button a pop-up window appears and says – would you like us to add a voluntary unique health identifier to your Virtual Clipboard?  If the consumer says no – the data is captured and the field for the Voluntary Identifier is left null.  If they say an API is called to get a GUID and that is stored in the Voluntary identifier field.  

 

The user is then presented with an action that he can take.  Would you like us to gather your health insurance information?  The user decides, yeah – it would be a good thing to have this in my Virtual Clipboard and clicks yes.  Before making an Eligibility Request (equivalent to an X12n 270) to the payer we ask the user for the name of their insurer and their membership id.  We also ask the consumer if they would like us to share their Voluntary Identifier with their health insurer.  If the consumer says yes we send it along with the call to the insurers FHIR API which returns the EligibilityResponse resource which includes all the details about your health insurance plan that gets stored in your virtual clipboard.

 

A few weeks go by and the consumer need to schedule an appointment with a doctor.  Via FHIR the user is able to share the Patient Resource and the Eligibility resource with the docs EMR system.  Before we include the voluntary identifier we ask the consumer if they would like to have their voluntary id shared with this EMR.  If they say yes it is passed along to the EMR which incorporates it into their patient record along with the insurance card information needed to check if the patient has active coverage.- 

 

Is that essentially what you are recommending in the blog post?

 

Aaron Seib, CEO

@CaptBlueButton 

 (o) 301-540-2311

(m) 301-326-6843



 

From: Openid-specs-heart [mailto:openid-specs-heart-bounces at lists.openid.net] On Behalf Of Adrian Gropper
Sent: Tuesday, September 01, 2015 5:00 PM
To: openid-specs-heart at lists.openid.net
Subject: [Openid-specs-heart] Universal Patient Identifiers for the 21st Century

 

I think this blog posting is relevant to some of our conversations. http://thehealthcareblog.com/blog/2015/09/01/universal-patient-identifiers-for-the-21st-century/

Adrian



-- 

 

Adrian Gropper MD

RESTORE Health Privacy!
HELP us fight for the right to control personal health data.
DONATE:  <http://patientprivacyrights.org/donate-2/> http://patientprivacyrights.org/donate-2/ 

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