[Openid-specs-heart] Alice's health resource set

[Adrian Gropper]

Jeremy,

Sorry, I should have said HIPAA TPO "consent".

If access to the FHIR resources does not require Alice's authorization and
the RS wants to keep Alice in the dark because HIPAA's accounting of
disclosures is seldom implemented as well, then HEART is not involved. I
would not call the TPO loophole consent except sarcastically.

Adrian

On Tue, Aug 2, 2016 at 2:22 PM, Maxwell, Jeremy (OS/OCPO) <
Jeremy.Maxwell at hhs.gov> wrote:

> Also, want to clarify what “typical of HIPAA TPO consent” means?  TPO is a
> permitted use under HIPAA that does not require consent.
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> *From:* Openid-specs-heart [mailto:
> openid-specs-heart-bounces at lists.openid.net] *On Behalf Of *Debbie Bucci
> *Sent:* Tuesday, August 02, 2016 2:17 PM
> *To:* Adrian Gropper
> *Cc:* openid-specs-heart at lists.openid.net
> *Subject:* Re: [Openid-specs-heart] Alice's health resource set
>
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> Lost me again Adrian -
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> We should also not ignore the Client-to-AS first flow. This is the
> preferred flow from a privacy engineering perspective. (see other thread
> with Justin). In the majority of cases of HIE, the Client has a
> relationship with Alice already (this is typical of HIPAA TPO consent) or
> the Client has found Alice via a "Relationship Locator Service" which is a
> directory operated by the state or some private entity like CommonWell.
> When the Client matches with Alice in the RLS, does the RLS return a list
> of RSs or a pointer to Alice's AS?
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> The most privacy-preserving thing would be for RLSs to return pointers to
> Alice's AS and in the future this is what Alice might insist on if she is
> still given a choice to opt-in or opt-out of HIE. Alice does have that
> choice today in the US. In other countries, not-so-much.
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>  Are you suggesting the AS is some sort of proxy for all data - I don't
> think you were saying that.  At some point the Client would need a
> relationship with the RS as well - correct?   Is the Client to AS flow a
> separate spec?  Would you please provide the link?   Looking at UMA 1.01 -
> client needs a permission ticket first - that is generated from AS - to RS
> to client (?)
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-- 

Adrian Gropper MD

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