<div dir="ltr"><div><div>All <br><br></div>Great idea from Justin to post now and great discussion ... If other post - I will try to merge before the weekend for next week.<br><br><br>
<p class="" style="margin-left:0.75in"><span style><span style>1.<span style="font:7pt "Times New Roman""> </span></span></span>Alice
calls the practice and schedules her initial appointment.</p>
<p class="" style="margin-left:1in"><span style><span style>A.<span style="font:7pt "Times New Roman"">
</span></span></span>The Scheduler does not find an existing account
for Alice and creates a new account.</p>
<p class="" style="margin-left:1.2in"><span style><span style><span style="font:7pt "Times New Roman"">
</span>i.<span style="font:7pt "Times New Roman"">
</span></span></span>Local account – Alice may not know</p>
<p class="" style="margin-left:1.2in"><span style><span style><span style="font:7pt "Times New Roman"">
</span>ii.<span style="font:7pt "Times New Roman"">
</span></span></span>Could bind an external account/identity to it –
binding ceremony</p>
<p class="" style="margin-left:1.2in"><span style><span style><span style="font:7pt "Times New Roman"">
</span>iii.<span style="font:7pt "Times New Roman"">
</span></span></span>Object at database/table – that point to Alice
OIDC + Public key or other stuff</p>
<p class="" style="margin-left:1in"><span style><span style>B.<span style="font:7pt "Times New Roman"">
</span></span></span>The Scheduler creates an appointment with the
PCP Alice has selected.</p>
<p class="" style="margin-left:0.75in"><span style><span style>2.<span style="font:7pt "Times New Roman""> </span></span></span>Alice
arrives at the practice and registers with the front desk.</p>
<p class="" style="margin-left:1in"><span style><span style>A.<span style="font:7pt "Times New Roman"">
</span></span></span>Alice provides the Registrar with her driver’s
license and insure card(s). </p>
<p class="" style="margin-left:1.2in"><span style><span style><span style="font:7pt "Times New Roman"">
</span>i.<span style="font:7pt "Times New Roman"">
</span></span></span><span style> </span>– id
proofing process</p>
<p class="" style="margin-left:1.2in"><span style><span style><span style="font:7pt "Times New Roman"">
</span>ii.<span style="font:7pt "Times New Roman"">
</span></span></span>online eligibility checking – what is covered?
payment</p>
<p class="" style="margin-left:1.2in"><span style><span style><span style="font:7pt "Times New Roman"">
</span>iii.<span style="font:7pt "Times New Roman"">
</span></span></span>collect and scan – but how about verification ?<span style> </span></p>
<p class="" style="margin-left:1in"><span style><span style>B.<span style="font:7pt "Times New Roman"">
</span></span></span>The Registrar scan the cards and updates Alice’s
account.</p>
<p class="" style="margin-left:1.2in"><span style><span style><span style="font:7pt "Times New Roman"">
</span>i.<span style="font:7pt "Times New Roman"">
</span></span></span>Id proofing</p>
<p class="" style="margin-left:1.2in"><span style><span style><span style="font:7pt "Times New Roman"">
</span>ii.<span style="font:7pt "Times New Roman"">
</span></span></span>Can this ID process be re-used “known to the
practice?”<span style> </span>How can we represent that
within the protocols?<span style> </span></p>
<p class="" style="margin-left:1.2in"><span style><span style><span style="font:7pt "Times New Roman"">
</span>iii.<span style="font:7pt "Times New Roman"">
</span></span></span>FITS into vectors of trust in IETF work</p>
<p class="" style="margin-left:1.4in"><span style><span style>1.1.1.2.B.iii.1.<span style="font:7pt "Times New Roman"">
</span></span></span>Verify holder of claims/document with identity–
high level of confidence</p>
<p class="" style="margin-left:1.4in"><span style><span style>1.1.1.2.B.iii.2.<span style="font:7pt "Times New Roman"">
</span></span></span>Onboarding ceremony can bind and verify
separately</p>
<p class="" style="margin-left:1.4in"><span style><span style>1.1.1.2.B.iii.3.<span style="font:7pt "Times New Roman"">
</span></span></span>Quick photograph and imbed into record for
evidence of practice. </p>
<p class="" style="margin-left:1.2in"><span style><span style><span style="font:7pt "Times New Roman"">
</span>iv.<span style="font:7pt "Times New Roman"">
</span></span></span>How does the profiles represent the level of
trusts – two levels of proofing<span style> </span>- trust
elevation <span style> </span>- </p>
<p class="" style="margin-left:1.4in"><span style><span style>1.1.1.2.B.iv.1.<span style="font:7pt "Times New Roman"">
</span></span></span>(bill concerns) Login to phr<span style> </span>- portals will create login account – Alice
has a choice – PCP or PHR<span style> </span>- potential to
use multiple accounts with different levels of trust – how does the levels of
trust get described across relying parties/resource servers (?)<span style> </span>How do we know Alice is Alice?</p>
<p class="" style="margin-left:1.4in"><span style><span style>1.1.1.2.B.iv.2.<span style="font:7pt "Times New Roman"">
</span></span></span>Alice should have the choice to use whatever.
Identity to bind external accounts with local accounts is powerful</p>
<p class="" style="margin-left:1.4in"><span style><span style>1.1.1.2.B.iv.3.<span style="font:7pt "Times New Roman"">
</span></span></span>When alice goes to specialist – why would alice
need an additional proofing? Specialist can always do their own binding
process. </p>
<p class="" style="margin-left:1.4in"><span style><span style>1.1.1.2.B.iv.4.<span style="font:7pt "Times New Roman"">
</span></span></span>Who is the system of record – not bound in OAUTH
world.<span style> </span>Alice could prove in multi- ways.</p>
<p class="" style="margin-left:1.4in"><span style><span style>1.1.1.2.B.iv.5.<span style="font:7pt "Times New Roman"">
</span></span></span>FHIR Referral message – between provider – I am
referring to alice –I know here as 1234 – she used cred (issuer/subject) –<span style> </span>if you trust me<span style> </span>- let her in – save binding ceremony.<span style> </span>Who’s to trust bits of information – </p>
<p class="" style="margin-left:1.4in"><span style><span style>1.1.1.2.B.iv.6.<span style="font:7pt "Times New Roman"">
</span></span></span>If FHIR API increases patient engagement going
forward …once Alice has set up credential –next system –if level of trust –
should be able to transfer /share information.</p>
<p class="" style="margin-left:1.2in"><span style><span style><span style="font:7pt "Times New Roman"">
</span>v.<span style="font:7pt "Times New Roman"">
</span></span></span>More info – vectors of trust and binding … take
advantage of capabilities that did not exist in paper world<span style> </span></p>
</div></div>