<div dir="ltr">I've included my meeting notes below as well. Debbie, would it be helpful if I take notes in the future so you can be more active in facilitating the discussion? Also, does anyone object to me rewriting this use-case to incorporate the feedback from the last two weeks so we have a more comprehensive document to work from at the next meeting?<div><br></div><div>Thanks,</div><div><br></div><div>Sarah</div><div><br></div><div>Sarah Squire</div><div>Engage Identity</div><div><br></div><div><span id="docs-internal-guid-0fa4f15b-690e-159e-f668-20ef43c47c23"><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 would like us to be careful not to conflate identity proofing, identity lookup, authentication, and authorization. The working group at large should make an effort to be pedantic and precise with wording so that these things don’t get conflated.</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">“Identity verification” can be interpreted as “identity proofing,” i.e. matching an account to a person in the real world.</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">“Identity validation” can be interpreted as “authentication,” i.e. the user has presented a valid credential.</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">Adrian would also like us to be careful not to conflate privacy and security. We should have privacy and security. No compromise is necessary at this level. For example, current-day VA security policy requirements should not be considered as part of the HEART standard.</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">Everyone agrees that the HEART standard should be geared toward current-day technologies, but not toward current-day policies.</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 acknowledgement of receipt of the Practice’s HIPAA privacy statement could be integrated into the Kantara Initiative’s Consent Receipt project. It’s important to emphasize that this is a contract of adhesion, which is fundamentally different from consent. Patients do not have the option to opt-out. <a href="https://kantarainitiative.org/groups/ciswg/">https://kantarainitiative.org/groups/ciswg/</a></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">“Initial patient web portal information” is basically telling Alice what her endpoint is in their EHR system. It could be paper or digital. This step is superfluous if Alice gives an identity pointer at check-in.</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 would at some point provide a pointer to her identity, verify her ownership, and integrate her authorization server. Those steps can happen at the front desk on patient check-in, or they can be separated and happen later in the visit.</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">Adrian would like to add a specific step to the use case in which authorization is delegated to another person, and that delegate accesses a protected resource using their own credentials. Jin pointed out that delegated access is a fundamentally different concept than having a power of attorney.</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">Adrian would also like the patient to be able to delete the record. However, providers are required to keep medical records, so right to be forgotten is out of scope in a healthcare context.</span></p><div><span style="font-size:15px;font-family:Arial;color:rgb(0,0,0);vertical-align:baseline;white-space:pre-wrap;background-color:transparent"><br></span></div></span></div></div><div class="gmail_extra"><br><div class="gmail_quote">On Mon, May 18, 2015 at 2:49 PM, Debbie Bucci <span dir="ltr"><<a href="mailto:debbucci@gmail.com" target="_blank">debbucci@gmail.com</a>></span> wrote:<br><blockquote class="gmail_quote" style="margin:0 0 0 .8ex;border-left:1px #ccc solid;padding-left:1ex"><div dir="ltr"><font color="#000000" face="Times New Roman" size="3">
</font><p style="margin:0in 0in 0pt"><span><font color="#000000" face="Calibri" size="3"></font></span><br></p><font color="#000000" face="Times New Roman" size="3">
</font><p style="margin:0in 0in 0pt"><font color="#000000" face="Calibri" size="3">Attendee 5/18:</font></p><font color="#000000" face="Times New Roman" size="3">
</font><font color="#000000" face="Times New Roman" size="3">
</font><ul><li><div style="margin:0in 0in 0pt"><font face="Calibri"><font color="#000000" size="3">Deb Bucci</font><span><font color="#000000" size="3"> </font></span><font color="#000000" size="3">Thompson Boyd</font><span><font color="#000000" size="3"> </font></span><font color="#000000" size="3">Sarah Squire</font></font></div></li><font color="#000000" face="Times New Roman" size="3"></font><li><div style="margin:0in 0in 0pt"><font face="Calibri"><font color="#000000" size="3">Greg Groves</font><span><font color="#000000" size="3"> </font></span><span><font color="#000000" size="3"> </font></span><font color="#000000" size="3">Adrian Gropper</font><span><font color="#000000" size="3"> </font></span><font color="#000000" size="3">Jin Wen</font></font></div></li><font color="#000000" face="Times New Roman" size="3"></font><li><div style="margin:0in 0in 0pt"><font face="Calibri"><font color="#000000" size="3">Tom Sullivan</font><span><font color="#000000" size="3"> </font></span><font color="#000000" size="3">Edmund Jay</font><span><font color="#000000" size="3"> </font></span><font color="#000000" size="3">Dustin Gage</font></font></div></li><font color="#000000" face="Times New Roman" size="3"></font><li><div style="margin:0in 0in 0pt"><font face="Calibri"><font color="#000000" size="3">Justin Richer</font><span><font color="#000000" size="3"> </font></span><font color="#000000" size="3">Eric Friedman</font><span><font color="#000000" size="3"> </font></span><font color="#000000" size="3">Jeremy Maxwell</font></font></div></li><font color="#000000" face="Times New Roman" size="3"></font><li><div style="margin:0in 0in 0pt"><font face="Calibri"><font color="#000000" size="3">Catherin Shulten</font><span><font color="#000000" size="3"> </font></span><font color="#000000" size="3">Sal D’Agostino</font><span><font color="#000000" size="3"> </font></span><font color="#000000" size="3">James Kraugh</font></font></div></li></ul><font color="#000000" face="Times New Roman" size="3">
</font><p style="margin:0in 0in 0pt"><font color="#000000" face="Calibri" size="3"> </font></p><font color="#000000" face="Times New Roman" size="3">
</font><p style="margin:0in 0in 0pt"><font color="#000000" face="Calibri" size="3">Regrets</font></p><font color="#000000" face="Times New Roman" size="3">
</font><ul><li><div style="margin:0in 0in 0pt"><font face="Calibri"><font color="#000000" size="3">Bill Kinsley</font><span><font color="#000000" size="3"> </font></span><font color="#000000" size="3">Eve Maler</font></font></div></li></ul><font color="#000000" face="Times New Roman" size="3">
</font><p style="margin:0in 0in 0pt"><font color="#000000" face="Calibri" size="3"> </font></p><font color="#000000" face="Times New Roman" size="3">
</font><p style="margin:0in 0in 0pt"><font color="#000000" face="Calibri" size="3">Stats - 99 list serv - 31 IPR </font></p><font color="#000000" face="Times New Roman" size="3">
</font><p style="margin:0in 0in 0pt"><font color="#000000" face="Calibri" size="6"> </font></p><font color="#000000" face="Times New Roman" size="6">
</font><p style="margin:0in 0in 0pt"><font color="#000000" face="Calibri" size="6">NO MEETING NEXT Monday</font></p><font color="#000000" face="Times New Roman" size="3">
</font><p style="margin:0in 0in 0pt"><font color="#000000" face="Calibri" size="3"> </font></p><font color="#000000" face="Times New Roman" size="3">
</font><p style="margin:0in 0in 0pt"><font color="#000000" face="Calibri" size="3">Two take-aways from the meeting today:</font></p><font color="#000000" face="Times New Roman" size="3">
</font><ul><li><div style="margin:0in 0in 0pt"><font color="#000000" face="Calibri" size="3">How to avoid conflation</font></div></li><font color="#000000" face="Times New Roman" size="3"></font><li><div style="margin:0in 0in 0pt"><font color="#000000" face="Calibri" size="3">Delegation is in scope for HEART wg -</font></div></li></ul><font color="#000000" face="Times New Roman" size="3">
</font><p style="margin:0in 0in 0pt"><font color="#000000" face="Calibri" size="3"> </font></p><font color="#000000" face="Times New Roman" size="3">
</font><p style="margin:0in 0in 0pt"><font color="#000000" face="Calibri" size="3"> </font></p><font color="#000000" face="Times New Roman" size="3">
</font><p style="margin:0in 0in 0pt"><font color="#000000" face="Calibri" size="3">How to avoid conflation? </font></p><font color="#000000" face="Times New Roman" size="3">
</font><ul><li><div style="margin:0in 0in 0pt"><font color="#000000" face="Calibri" size="3">Identity Proofing</font></div></li><font color="#000000" face="Times New Roman" size="3"></font><li><div style="margin:0in 0in 0pt"><font color="#000000" face="Calibri" size="3">Identity Lookup</font></div></li><font color="#000000" face="Times New Roman" size="3"></font><li><div style="margin:0in 0in 0pt"><font color="#000000" face="Calibri" size="3">Authentication </font></div></li><font color="#000000" face="Times New Roman" size="3"></font><li><div style="margin:0in 0in 0pt"><font color="#000000" face="Calibri" size="3">Authorization (consent?)</font></div></li><font color="#000000" face="Times New Roman" size="3"></font><li><div style="margin:0in 0in 0pt"><font color="#000000" face="Calibri" size="3">Privacy </font></div></li><font color="#000000" face="Times New Roman" size="3"></font><li><div style="margin:0in 0in 0pt"><font color="#000000" face="Calibri" size="3">Security </font></div></li><font color="#000000" face="Times New Roman" size="3"></font><li><div style="margin:0in 0in 0pt"><font color="#000000" face="Calibri" size="3">Policy </font></div></li><font color="#000000" face="Times New Roman" size="3"></font><li><div style="margin:0in 0in 0pt"><font face="Calibri"><font color="#000000" size="3">Validation (id proofing) /verification (during authentication transaction – presentation of valid credential – verification of driverlicense/bill for identity proofing)</font><span><font color="#000000" size="3"> </font></span></font></div></li></ul><font color="#000000" face="Times New Roman" size="3">
</font><p style="margin:0in 0in 0pt"><font color="#000000" face="Calibri" size="3"> </font></p><font color="#000000" face="Times New Roman" size="3">
</font><ul><li><div style="margin:0in 0in 0pt"><font color="#000000" face="Calibri" size="3"> </font></div></li><font color="#000000" face="Times New Roman" size="3"></font><font color="#000000" face="Times New Roman" size="3"></font><li><div style="margin:0in 0in 0pt"><font face="Calibri"><font color="#000000" size="3">Notes and discussion may highlight issues that are out of scope for the working group but good to acknowledge the issues are there.</font><span><font color="#000000" size="3"> </font></span><font color="#000000" size="3">Fine art between acknowledgement and deep in the weeds.</font></font></div></li><font color="#000000" face="Times New Roman" size="3"></font><li><div style="margin:0in 0in 0pt"><font color="#000000" face="Calibri" size="3">Focus on standard with mind toward what today’s policies are to inform with how to catch up to what it may enable</font></div></li><font color="#000000" face="Times New Roman" size="3"></font><li><div style="margin:0in 0in 0pt"><font face="Calibri"><font color="#000000" size="3">Keep these things in mind while we discuss.</font><span><font color="#000000" size="3"> </font></span><font color="#000000" size="3">Multiple perspectives are sometimes at odds with each other.</font></font></div></li><font color="#000000" face="Times New Roman" size="3"></font><li><div style="margin:0in 0in 0pt"><font color="#000000" face="Calibri" size="3">All have contextual definitions</font></div></li><font color="#000000" face="Times New Roman" size="3"></font><li><div style="margin:0in 0in 0pt"><font face="Calibri"><font color="#000000" size="3">Example = public key?</font><span><font color="#000000" size="3"> </font></span><font color="#000000" size="3">What is it – is it attached to something a user controls? How are we doing that?</font></font></div></li></ul><font color="#000000" face="Calibri" size="3"></font><div style="margin:0in 0in 0pt"><font color="#000000" face="Calibri" size="3"></font> </div><div style="margin:0in 0in 0pt"><font color="#000000" face="Calibri" size="3">We did not get much further in the use case today. Alice is still standing at the front desk</font></div><div><font color="#000000" face="Calibri" size="3"><font face="Times New Roman">
</font><ol style="list-style-type:upper-alpha;direction:ltr"><li style="color:rgb(0,0,0);font-size:11pt;font-style:normal;font-weight:normal"><p style="color:rgb(0,0,0);font-size:11pt;font-style:normal;font-weight:normal;margin-top:0in;margin-bottom:0pt">Alice is given and acknowledges receipt the
Practice’s HIPAA privacy statement.</p><ol style="list-style-type:lower-alpha"><li style="color:rgb(0,0,0);font-family:"Calibri","sans-serif";font-size:11pt;font-style:normal;font-weight:normal"><p style="color:rgb(0,0,0);font-family:"Calibri","sans-serif";font-size:11pt;font-style:normal;font-weight:normal;margin-top:0in;margin-bottom:0pt">Office/practice privacy statement – how I
protect your data – OCR enforced - generic agreeing to business with patient</p></li><li style="color:rgb(0,0,0);font-family:"Calibri","sans-serif";font-size:11pt;font-style:normal;font-weight:normal"><p style="color:rgb(0,0,0);font-family:"Calibri","sans-serif";font-size:11pt;font-style:normal;font-weight:normal;margin-top:0in;margin-bottom:0pt">Consent not always gathered at this point</p></li><li style="color:rgb(0,0,0);font-family:"Calibri","sans-serif";font-size:11pt;font-style:normal;font-weight:normal"><p style="color:rgb(0,0,0);font-family:"Calibri","sans-serif";font-size:11pt;font-style:normal;font-weight:normal;margin-top:0in;margin-bottom:0pt">In non-health does acknowledge = consent??</p></li><li style="color:rgb(0,0,0);font-family:"Calibri","sans-serif";font-size:11pt;font-style:normal;font-weight:normal"><p style="color:rgb(0,0,0);font-family:"Calibri","sans-serif";font-size:11pt;font-style:normal;font-weight:normal;margin-top:0in;margin-bottom:0pt">Practice handles differently – often different
doc – we are going to share your PHI with …</p></li><li style="color:rgb(0,0,0);font-family:"Calibri","sans-serif";font-size:11pt;font-style:normal;font-weight:normal"><p style="color:rgb(0,0,0);font-family:"Calibri","sans-serif";font-size:11pt;font-style:normal;font-weight:normal;margin-top:0in;margin-bottom:0pt">Do you want to opt in/opt-out to share your
information with the local exchange ACO?</p></li><li style="color:rgb(0,0,0);font-family:"Calibri","sans-serif";font-size:11pt;font-style:normal;font-weight:normal"><p style="color:rgb(0,0,0);font-family:"Calibri","sans-serif";font-size:11pt;font-style:normal;font-weight:normal;margin-top:0in;margin-bottom:0pt">Clinical/administrative/financials consents may be gather at this time</p></li></ol></li></ol><font face="Times New Roman">
</font><p style="margin:0in 0in 0pt"> </p><font face="Times New Roman">
</font><ol style="list-style-type:upper-alpha;direction:ltr"><li style="color:rgb(0,0,0);font-size:11pt;font-style:normal;font-weight:normal"><p style="color:rgb(0,0,0);font-size:11pt;font-style:normal;font-weight:normal;margin-top:0in;margin-bottom:0pt">Alice is given the initial patient web portal
information to activate her account.</p><ol style="list-style-type:lower-alpha"><li style="color:rgb(0,0,0);font-family:"Calibri","sans-serif";font-size:11pt;font-style:normal;font-weight:normal"><p style="color:rgb(0,0,0);font-family:"Calibri","sans-serif";font-size:11pt;font-style:normal;font-weight:normal;margin-top:0in;margin-bottom:0pt">Service discovery step – Alice is given info to
find service on her phone (go to this url …) Discovery stuff (UI and API
components)</p></li><li style="color:rgb(0,0,0);font-family:"Calibri","sans-serif";font-size:11pt;font-style:normal;font-weight:normal"><p style="color:rgb(0,0,0);font-family:"Calibri","sans-serif";font-size:11pt;font-style:normal;font-weight:normal;margin-top:0in;margin-bottom:0pt">Possible to introduce Alice discovery too … </p></li></ol></li></ol><font face="Times New Roman">
</font><p style="margin:0in 0in 0pt"> </p><font face="Times New Roman">
</font><p style="margin:0in 0in 0pt">2. <span> </span>While in the
waiting room, Alice (using her smart phone) completes the patient portal
account activation.<span> </span>(Is Alice setting authorizations
at this point?) </p><font face="Times New Roman">
</font><ol style="list-style-type:upper-alpha;direction:ltr"><li style="color:rgb(0,0,0);font-size:11pt;font-style:normal;font-weight:normal"><p style="color:rgb(0,0,0);font-size:11pt;font-style:normal;font-weight:normal;margin-top:0in;margin-bottom:0pt">Discovery to site</p></li><li style="color:rgb(0,0,0);font-family:"Calibri","sans-serif";font-size:11pt;font-style:normal;font-weight:normal"><p style="color:rgb(0,0,0);font-family:"Calibri","sans-serif";font-size:11pt;font-style:normal;font-weight:normal;margin-top:0in;margin-bottom:0pt">Alice logs in with account (hers
(facebook/google) or portal)</p></li><li style="color:rgb(0,0,0);font-family:"Calibri","sans-serif";font-size:11pt;font-style:normal;font-weight:normal"><p style="color:rgb(0,0,0);font-family:"Calibri","sans-serif";font-size:11pt;font-style:normal;font-weight:normal;margin-top:0in;margin-bottom:0pt">Complete registration</p></li><li style="color:rgb(0,0,0);font-family:"Calibri","sans-serif";font-size:11pt;font-style:normal;font-weight:normal"><p style="color:rgb(0,0,0);font-family:"Calibri","sans-serif";font-size:11pt;font-style:normal;font-weight:normal;margin-top:0in;margin-bottom:0pt">RFI scancode ?</p></li><li style="color:rgb(0,0,0);font-family:"Calibri","sans-serif";font-size:11pt;font-style:normal;font-weight:normal"><p style="color:rgb(0,0,0);font-family:"Calibri","sans-serif";font-size:11pt;font-style:normal;font-weight:normal;margin-top:0in;margin-bottom:0pt">Personal authorization service?</p></li><li style="color:rgb(0,0,0);font-family:"Calibri","sans-serif";font-size:11pt;font-style:normal;font-weight:normal"><p style="color:rgb(0,0,0);font-family:"Calibri","sans-serif";font-size:11pt;font-style:normal;font-weight:normal;margin-top:0in;margin-bottom:0pt">Delegation (person to person)?</p><ol style="list-style-type:lower-alpha"><li style="color:rgb(0,0,0);font-family:"Calibri","sans-serif";font-size:11pt;font-style:normal;font-weight:normal"><p style="color:rgb(0,0,0);font-family:"Calibri","sans-serif";font-size:11pt;font-style:normal;font-weight:normal;margin-top:0in;margin-bottom:0pt">Parent to child (under 13)</p></li><li style="color:rgb(0,0,0);font-family:"Calibri","sans-serif";font-size:11pt;font-style:normal;font-weight:normal"><p style="color:rgb(0,0,0);font-family:"Calibri","sans-serif";font-size:11pt;font-style:normal;font-weight:normal;margin-top:0in;margin-bottom:0pt">Child to parent (89 yr old)</p></li><li style="color:rgb(0,0,0);font-family:"Calibri","sans-serif";font-size:11pt;font-style:normal;font-weight:normal"><p style="color:rgb(0,0,0);font-family:"Calibri","sans-serif";font-size:11pt;font-style:normal;font-weight:normal;margin-top:0in;margin-bottom:0pt">Heathcare<span>
</span>proxy </p></li><li style="color:rgb(0,0,0);font-family:"Calibri","sans-serif";font-size:11pt;font-style:normal;font-weight:normal"><p style="color:rgb(0,0,0);font-family:"Calibri","sans-serif";font-size:11pt;font-style:normal;font-weight:normal;margin-top:0in;margin-bottom:0pt">Would delegate have to be digitally bound to
account?</p></li></ol></li><li style="color:rgb(0,0,0);font-family:"Calibri","sans-serif";font-size:11pt;font-style:normal;font-weight:normal"><p style="color:rgb(0,0,0);font-family:"Calibri","sans-serif";font-size:11pt;font-style:normal;font-weight:normal;margin-top:0in;margin-bottom:0pt">Who is the owner</p><ol style="list-style-type:lower-alpha"><li style="color:rgb(0,0,0);font-family:"Calibri","sans-serif";font-size:11pt;font-style:normal;font-weight:normal"><p style="color:rgb(0,0,0);font-family:"Calibri","sans-serif";font-size:11pt;font-style:normal;font-weight:normal;margin-top:0in;margin-bottom:0pt">The owner is the physician’s office – so these
authorization are used to help the practice </p></li><li style="color:rgb(0,0,0);font-family:"Calibri","sans-serif";font-size:11pt;font-style:normal;font-weight:normal"><p style="color:rgb(0,0,0);font-family:"Calibri","sans-serif";font-size:11pt;font-style:normal;font-weight:normal;margin-top:0in;margin-bottom:0pt">Owner is the person that has the right to delete
the account (right to be forgotten)</p></li><li style="color:rgb(0,0,0);font-family:"Calibri","sans-serif";font-size:11pt;font-style:normal;font-weight:normal"><p style="color:rgb(0,0,0);font-family:"Calibri","sans-serif";font-size:11pt;font-style:normal;font-weight:normal;margin-top:0in;margin-bottom:0pt">Perhaps shared ownership</p></li><li style="color:rgb(0,0,0);font-family:"Calibri","sans-serif";font-size:11pt;font-style:normal;font-weight:normal"><p style="color:rgb(0,0,0);font-family:"Calibri","sans-serif";font-size:11pt;font-style:normal;font-weight:normal;margin-top:0in;margin-bottom:0pt">JASON report perspective evolved from patient
owned to patient controlled/mediated (?) changed from legal perspective</p></li><li style="color:rgb(0,0,0);font-family:"Calibri","sans-serif";font-size:11pt;font-style:normal;font-weight:normal"><p style="color:rgb(0,0,0);font-family:"Calibri","sans-serif";font-size:11pt;font-style:normal;font-weight:normal;margin-top:0in;margin-bottom:0pt">Based on office Data retention requirement</p></li></ol></li></ol><font face="Times New Roman">
</font></font></div><font color="#000000" face="Calibri" size="3"><p></p><div> </div><div style="margin:0in 0in 0pt"><div> </div></div><p></p></font><font color="#000000" face="Times New Roman" size="3">
</font><p style="margin:0in 0in 0pt"><font color="#000000" face="Calibri" size="3"> </font></p><font color="#000000" face="Times New Roman" size="3">
</font></div>
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