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    Adrian replied to me (offlist):<br>
    <blockquote type="cite">Yes. Profiling is true of almost any OAuh
      protected personal information resource. The subject may or may
      not realize what they're consenting to.
      <div><br>
      </div>
      <div>The differed with genetic information is that the subject is
        not the only resource owner. Family members are partial,resource
        owners as well. In this case, the OAuth model for authorization
        is insufficient and something like UMA needs to be in play.</div>
      <div><br>
      </div>
      <div>I hope you will copy this conversation to the larger list
        because I think my initial post may have been misunderstood by
        others.</div>
      <div><br>
      </div>
      Adrian<br>
      <br>
      On Thursday, July 23, 2015, Identity Coach <<a
        href="mailto:coach@digitalidcoach.com"><a class="moz-txt-link-abbreviated" href="mailto:coach@digitalidcoach.com">coach@digitalidcoach.com</a></a>>
      wrote:<br>
      This developer is using 23&Me data to do
      racial/disease/arbitrary profiling, giving certain genetic
      profiles access to certain info/web sites/databases and denying
      other profiles access.<br>
      <br>
      I thought this was interesting because of the good it can do
      (anyone with these genetic characteristics may be interested in
      this research or those treatments), and the bad (health service
      redlining, etc.)<br>
      <br>
       j.<br>
    </blockquote>
    <br>
    In reply to:<br>
    <br>
    <div class="moz-cite-prefix">On 7/23/15 11:01 AM, Adrian Gropper
      wrote:<br>
    </div>
    <blockquote
cite="mid:CANYRo8j_bE0oXgUKAf3psJCwZw8Csg+5c5Q6b329woBPm453NQ@mail.gmail.com"
      type="cite">
      <div dir="ltr">
        <div>Genomic and other family-related protected resources is
          another reason FHIR must allow a patient-specified UMA
          authorization server. Without UMA, there's no hope of
          coordinating access to family-related info. Here's a good
          example.<br>
          <br>
          <a moz-do-not-send="true"
            href="https://github.com/offapi/rbac-23andme-oauth2">https://github.com/offapi/rbac-23andme-oauth2</a><br>
          <br>
          My 23andMe genetic profile is already out there ready to be
          used in all sorts of ways. My release of this information
          impacts my entire family. Unless me and my family members can
          each choose their OAuth authorization server with UMA, what
          hope do we have of coordinating the release of this kind of
          information to various third parties?<br>
          <br>
        </div>
        <div>Adrian<br>
        </div>
        <div><br>
        </div>
        <br>
      </div>
      <div class="gmail_extra"><br>
        <div class="gmail_quote">On Tue, Jul 21, 2015 at 5:09 PM, Adrian
          Gropper <span dir="ltr"><<a moz-do-not-send="true"
              href="mailto:agropper@healthurl.com" target="_blank">agropper@healthurl.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">
              <div>A post about harmonizing the Argonaut and HEART
                approaches to FHIR:<br>
                <br>
                <a moz-do-not-send="true"
href="http://thehealthcareblog.com/blog/2015/07/20/standards-alone-are-not-the-answer-for-interoperability/"
                  target="_blank">http://thehealthcareblog.com/blog/2015/07/20/standards-alone-are-not-the-answer-for-interoperability/</a><span
                  class="HOEnZb"><font color="#888888"><br>
                    <br>
                  </font></span></div>
              <span class="HOEnZb"><font color="#888888">Adrian<br>
                </font></span></div>
            <div class="HOEnZb">
              <div class="h5">
                <div class="gmail_extra"><br>
                  <div class="gmail_quote">On Fri, Jul 17, 2015 at 7:52
                    AM, Adrian Gropper <span dir="ltr"><<a
                        moz-do-not-send="true"
                        href="mailto:agropper@healthurl.com"
                        target="_blank"><a class="moz-txt-link-abbreviated" href="mailto:agropper@healthurl.com">agropper@healthurl.com</a></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"><span
style="font-size:14.6667px;font-family:Arial;color:rgb(0,0,0);background-color:transparent;font-weight:normal;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline">I
                          think all of us agree with Jocelyn Samuels
                          that health data privacy and security can
                          coexist ( <a moz-do-not-send="true"
href="http://www.fiercehealthit.com/story/jocelyn-samuels-privacy-and-data-sharing-can-coexist/2015-06-04"
                            target="_blank">http://www.fiercehealthit.com/story/jocelyn-samuels-privacy-and-data-sharing-can-coexist/2015-06-04</a>
                          ). What does this specifically mean in the
                          context of HEART and our current conversation
                          about OAuth and UMA profiles?<br>
                          <br>
                        </span>
                        <p dir="ltr"
                          style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"><span
style="font-size:14.6667px;font-family:Arial;color:rgb(0,0,0);background-color:transparent;font-weight:normal;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline">I'm
                            adopting the phrase "vectors of trust" for
                            this discussion because I think it applies
                            to authorization in the same way it does to
                            authentication. (For those that wish to dive
                            in, there's a major healthcare patient
                            authentication discussion underway in IDESG
                            that you can ask me about.)</span></p>
                        <br>
                        <p dir="ltr"
                          style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"><span
style="font-size:14.6667px;font-family:Arial;color:rgb(0,0,0);background-color:transparent;font-weight:normal;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline">Do
                            scopes have anything to do with vectors of
                            trust in the HEART authorization model? I'm
                            having a hard time following the current
                            discussion about scopes and how they relate
                            to SMART on FHIR and Argonaut. To avoid the
                            compromise of privacy vs. security we need
                            to deal with the vectors of trust _before_
                            we profile scopes. This may be more true of
                            UMA than it is for OAuth but I think it
                            applies to both.</span></p>
                        <br>
                        <p dir="ltr"
                          style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"><span
style="font-size:14.6667px;font-family:Arial;color:rgb(0,0,0);background-color:transparent;font-weight:bold;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline">To
                            avoid a compromise between security and
                            privacy, the RS must be granted a safe
                            harbor for API access by the authenticated
                            and autonomous resource owner.</span><span
style="font-size:14.6667px;font-family:Arial;color:rgb(0,0,0);background-color:transparent;font-weight:normal;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline">
                            This protects the security interest of the
                            RS and the privacy interest of the RO. </span></p>
                        <br>
                        <p dir="ltr"
                          style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"><span
style="font-size:14.6667px;font-family:Arial;color:rgb(0,0,0);background-color:transparent;font-weight:normal;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline">The
                            trust relationship between RS, AS, and
                            Client must be designed to meet our Charter
                            which includes a requirement of an
                            "independent AS" that could be built by the
                            RO. This is absolutely key to the
                            scalability and generativity of HEART. </span></p>
                        <br>
                        <p dir="ltr"
                          style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"><span
style="font-size:14.6667px;font-family:Arial;color:rgb(0,0,0);background-color:transparent;font-weight:normal;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline">It's
                            less clear about how HEART will deal with a
                            "built" Client or a client that is trusted
                            only by the AS but not the RS. Who decides
                            if the Client can participate in the "safe
                            harbor by the authenticated and autonomous
                            resource owner" contract? The profiling we
                            do around OAuth and UMA should be able to
                            solve this problem and it should probably be
                            done ahead of the scopes discussion.</span></p>
                        <br>
                        <p dir="ltr"
                          style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"><span
style="font-size:14.6667px;font-family:Arial;color:rgb(0,0,0);background-color:transparent;font-weight:normal;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline">I
                            believe that once we understand the issues
                            of an independent AS and of Client trust the
                            difference between UMA vs. OAuth profiles,
                            including scopes, in any particular
                            use-case, will be easy to resolve.</span></p>
                        <span><font color="#888888"><br>
                            <span
style="font-size:14.6667px;font-family:Arial;color:rgb(0,0,0);background-color:transparent;font-weight:normal;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline">Adrian</span><br
                              clear="all">
                            <br>
                            -- <br>
                            <div>
                              <div dir="ltr">Adrian Gropper MD<span
                                  style="font-size:11pt"></span><font
                                  size="1"><br>
                                  <font size="2">Ensure Health
                                    Information Privacy. Support Patient
                                    Privacy Rights.<br>
                                  </font></font><span
                                  style="font-size:11pt"></span><font
                                  size="2"><a moz-do-not-send="true"
                                    href="http://patientprivacyrights.org/donate-2/"
                                    target="_blank"><font color="blue"><u>http://patientprivacyrights.org/donate-2/</u></font></a><font
                                    color="blue"><u>  </u></font></font><span
                                  style="font-size:11pt"></span><span
                                  style="font-size:11pt"></span><span
                                  style="font-size:11pt"><font size="1">
                                    <br>
                                  </font></span><br>
                              </div>
                            </div>
                          </font></span></div>
                    </blockquote>
                  </div>
                  <br>
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              </div>
            </div>
          </blockquote>
        </div>
      </div>
    </blockquote>
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