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</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">
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</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">
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</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">
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</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">
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</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">
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</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">
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