[Openid-specs-heart] Health Relationship Trust Profile for Fast Healthcare Interoperability Resources (FHIR) OAuth 2.0 Scopes

Glen Marshall [SRS] gfm at securityrs.com
Tue Oct 6 18:16:18 UTC 2015


Who on this listserve is active in HL7?  I used to be, but am not now.  
But I am fairly certain that if we want to be influential on HL7 and 
Argonaut's work, HEART must initiate and become actively engaged with HL7.

*Glen F. Marshall*
Consultant
Security Risk Solutions, Inc.
698 Fishermans Bend
Mount Pleasant, SC 29464
Tel: (610) 644-2452
Mobile: (610) 613-3084
gfm at securityrs.com
www.SecurityRiskSolutions.com

On 10/6/15 11:26, Kinsley, William wrote:
>
> I am more concerned with what I interpret as Argonaut’s hard coding 
> specific security roles and that they are not representative of the 
> OAuth and UMA approach. This is serving as a wake call to us (the 
> HEART WG) that without any guidance from us, they are going to create 
> a de facto security/privacy standard that will be difficult to unwind 
> once it is adopted by other projects in the industry.
>
>  Bill
>
> *From:*agropper at gmail.com [mailto:agropper at gmail.com] *On Behalf Of 
> *Adrian Gropper
> *Sent:* Tuesday, October 06, 2015 11:19 AM
> *To:* Kinsley, William <BKinsley at nextgen.com>
> *Cc:* Justin Richer <jricher at mit.edu>; openid-specs-heart at lists.openid.net
> *Subject:* Re: [Openid-specs-heart] Health Relationship Trust Profile 
> for Fast Healthcare Interoperability Resources (FHIR) OAuth 2.0 Scopes
>
> To begin the discussion, I would suggest three terms with healthcare / 
> generic names:
>
>   * Patient / Subject
>
>       o The Subject of the resource when the resource refers to only
>         one person. The Subject is also the Principal when they
>         register their resource with the Authorization Server.
>
>   * Custodian / Principal
>
>       o The person that registers a resource with an Authorization
>         Server. This is typically the Resource Owner (RO).
>       o When a Custodian is in control of multiple Subjects, they are
>         able to identify (name) the separate Subjects any way they
>         choose.
>       o A Custodian can access resources for multiple Subjects in a
>         single transaction including, for example, a Patient List.
>
>   * User
>
>       o Anyone or anything that is not a Subject or a Custodian.
>       o A User can access resources for multiple Subjects in a single
>         transaction including, for example, a Patient List.
>
> I hope we can map this to FHIR:
>
>   * Pseudonymous Subject Resource
>
>       o A resource for a single Subject identified by an opaque
>         pseudonym as registered with the Authorization Server.
>       o The resource may contain Subject identity information or not.
>       o When the resource does not contain Subject identity
>         information, the Authorization Server is responsible for
>         associating the pseudonyms with an identity.
>
>   * Multi-Subject Resource
>
>       o A resource for multiple Subjects registered with the
>         Authorization Server by a Custodian or a User.
>
>   * Identified Subject Resource
>
>       o A resource for a single Subject that includes Subject
>         identifying information in the resource URI as registered with
>         the Authorization Server.
>       o An identified subject resource must be protected as personally
>         identified information (PII).
>
> Adrian
>
> On Tue, Oct 6, 2015 at 10:05 AM, Kinsley, William 
> <BKinsley at nextgen.com <mailto:BKinsley at nextgen.com>> wrote:
>
>     This is very informative detail of what the Argonaut project is
>     doing and I don’t want to deter the information sharing process. I
>     also think this is a reminder that these groups are proceeding
>     without our guidance and that we need to discuss what is our
>     timeline to produce some type of guidance to help them implement a
>     process that is aligned with the finial product the HEART
>     workgroup delivers.
>
>     Bill
>
>     *From:*Justin Richer [mailto:jricher at mit.edu
>     <mailto:jricher at mit.edu>]
>     *Sent:* Tuesday, October 06, 2015 8:12 AM
>     *To:* Kinsley, William <BKinsley at nextgen.com
>     <mailto:BKinsley at nextgen.com>>
>     *Cc:* openid-specs-heart at lists.openid.net
>     <mailto:openid-specs-heart at lists.openid.net>
>     *Subject:* Re: [Openid-specs-heart] Health Relationship Trust
>     Profile for Fast Healthcare Interoperability Resources (FHIR)
>     OAuth 2.0 Scopes
>
>     To clarify the objective, we were presenting the first draft of
>     one of the outputs of this working group.
>
>     The HEART working group exists specifically to create these
>     technical specifications. All of the discussions on use cases are
>     intended to drive work on these specifications.
>
>     Also, the group should note that the terms “patient” and “user”
>     were imported directly from the Argonauts projects.
>
>      — Justin
>
>         On Oct 5, 2015, at 11:31 PM, Kinsley, William
>         <BKinsley at nextgen.com <mailto:BKinsley at nextgen.com>> wrote:
>
>         This document was presented quickly during the last few
>         minutes of our call and I am not sure what the objective was.
>         However, it did raise some questions that could not be
>         addressed at the time, specifically paragraph 2.1 “Permission
>         type” raised some questions which I broke out below:
>
>         1.The term “Patient” and “User” seem misleading and the
>         purpose is not clear.
>
>         a.A patient can have access to multiple patient records. For
>         example, a parent who has five children at the same
>         pediatrician would be a patient that can access multiple
>         patient records.
>
>         b.It also sounds like we are hardcoding two specific security
>         roles, which would seem to contradict what we are trying to
>         support in HEART (i.e. RBAC vs ABAC).
>
>         c.There can be resource that are not related to specific
>         patient or patients in general such as “Organization”,
>         “HealthcareService”, “Practitioner”, etc.
>
>         Bill
>
>
>         	
>
>         _________________________________ _
>
>         William Kinsley , CISSP
>         Enterprise Architect, Ambulatory
>         *NEXTGEN HEALTHCARE
>         *Solutions for: Ambulatory, Inpatient and Community Connectivity
>         795 Horsham Road, Horsham, PA 19044
>         (215) 657-7010 x21128 <tel:%28215%29%20657-7010%20x21128>
>         BKinsley at nextgen.com <mailto:BKinsley at nextgen.com>
>
>         	
>
>         <http://www.oneugm.com/>
>
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> -- 
>
> Adrian Gropper MD
>
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