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</o:shapelayout></xml><![endif]--></head><body bgcolor=white lang=EN-US link=blue vlink=purple><div class=WordSection1><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>There is no objecting to that reasoning. <o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>I would add that the system operator is responsible for disclosing to the potential user that these risks exist and allow the user to exercise their right not to participate if they do not feel the approach being proposed is sufficient. <o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Where I am not following is the following phrase…<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>“help us define a secure means to support arbitrary policy-based privacy objectives.”<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>I wonder if when you say ‘support arbitrary policy based privacy objectives’ is that mean the same thing as ‘support the ability of an individual to define their own privacy preferences’ as in “I am not ready to share with these people the fact that I am being treated for pancreatitis” and the authorization server prevents information related to my treatments from being shared or do you mean something else entirely? <o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><div><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Aaron Seib, CEO<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>@CaptBlueButton <o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'> (o) 301-540-2311<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>(m) 301-326-6843<o:p></o:p></span></p><p class=MsoNormal><a href="nate-trust.org"><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D;text-decoration:none'><img border=0 width=205 height=48 id="Picture_x0020_1" src="cid:image001.jpg@01D0F896.5906B8E0"></span></a><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p></o:p></span></p></div><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><div><div style='border:none;border-top:solid #B5C4DF 1.0pt;padding:3.0pt 0in 0in 0in'><p class=MsoNormal><b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";color:windowtext'>From:</span></b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";color:windowtext'> Openid-specs-heart [mailto:openid-specs-heart-bounces@lists.openid.net] <b>On Behalf Of </b>Glen Marshall [SRS]<br><b>Sent:</b> Saturday, September 26, 2015 7:37 PM<br><b>Cc:</b> Catherine Schulten; openid-specs-heart@lists.openid.net<br><b>Subject:</b> Re: [Openid-specs-heart] Bloomberg article highlights pitfalls associated with patient matching<o:p></o:p></span></p></div></div><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>Let's assume an accurate patient-matching "black box" exists. What are the use cases that would help us define a secure means to support arbitrary policy-based privacy objectives? <br> <br>Let's not seek 100% assurance of privacy, as that is an NP-complete problem. What we need is a solution that can be incrementally improved.<br><br>Glen <o:p></o:p></p><div><p><b>Glen F. Marshall</b><br>Consultant<br>Security Risk Solutions, Inc.<br>698 Fishermans Bend<br>Mount Pleasant, SC 29464<br>Tel: (610) 644-2452<br>Mobile: (610) 613-3084<br><a href="mailto:gfm@securityrs.com">gfm@securityrs.com</a><br><a href="http://www.SecurityRiskSolutions.com">www.SecurityRiskSolutions.com</a><o:p></o:p></p></div><div><p class=MsoNormal>On 9/26/15 16:32, Adrian Gropper wrote:<o:p></o:p></p></div><blockquote style='margin-top:5.0pt;margin-bottom:5.0pt'><div><div><p class=MsoNormal style='margin-bottom:12.0pt'>If it were under the cover of TPO, then why wouldn't all health information exchanges do the same thing?<o:p></o:p></p></div><p class=MsoNormal>Adrian<o:p></o:p></p></div><div><p class=MsoNormal><o:p> </o:p></p><div><p class=MsoNormal>On Sat, Sep 26, 2015 at 11:34 AM, Aaron Seib <<a href="mailto:aaron.seib@nate-trust.org" target="_blank">aaron.seib@nate-trust.org</a>> wrote:<o:p></o:p></p><div><div><p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><a name="1500a4b04c0be91d__MailEndCompose"><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>If you figure out how SureScripts does it please don’t share with anyone else. </span></a><span style='font-size:11.0pt;font-family:Wingdings;color:#1F497D'>J</span><o:p></o:p></p><p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'> </span><o:p></o:p></p><p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Isn’t it just under the cover of TPO?</span><o:p></o:p></p><p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'> </span><o:p></o:p></p><p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Aaron Seib</span><o:p></o:p></p><p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><a href="http://www.nate-trust.org/" target="_blank"><span style='font-size:11.0pt;font-family:"Calibri","sans-serif"'>NATE</span></a><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>, CEO</span><o:p></o:p></p><p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>@CaptBlueButton</span><o:p></o:p></p><p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>(o) <a href="tel:301-540-2311" target="_blank">301-540-2311</a></span><o:p></o:p></p><p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>(m) <a href="tel:301-326-6843" target="_blank">301-326-6843</a></span><o:p></o:p></p><p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'> </span><o:p></o:p></p><p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'> </span><o:p></o:p></p><p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif"'>From:</span></b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif"'> Openid-specs-heart [mailto:<a href="mailto:openid-specs-heart-bounces@lists.openid.net" target="_blank">openid-specs-heart-bounces@lists.openid.net</a>] <b>On Behalf Of </b>Adrian Gropper<br><b>Sent:</b> Saturday, September 26, 2015 10:14 AM<br><b>To:</b> Maxwell, Jeremy (OS/OCPO)<br><b>Cc:</b> Catherine Schulten; <a href="mailto:openid-specs-heart@lists.openid.net">openid-specs-heart@lists.openid.net</a><br><b>Subject:</b> Re: [Openid-specs-heart] Bloomberg article highlights pitfalls associated with patient matching</span><o:p></o:p></p><div><div><p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'> <o:p></o:p></p><p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'>I agree with Jeremy about transparency as the solution but I also think that what Catherine calls "anonymization" would have solved the problem. <o:p></o:p></p><div><p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'> <o:p></o:p></p></div><div><p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'>Anonymization or pairwise pseudonumity forces the patient to be an explicit actor to the matching process. It replaces an error-prone probabilistic and hidden process with a clear informed consent by the patient being matched. <o:p></o:p></p></div><div><p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'> <o:p></o:p></p></div><div><p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'>Although not mentioned in this Bloomberg article, Surescripts is the de-facto national patient surveillance system. Pretty much every prescription we have ever had from any Meaningful Use EHR and beyond is identity matched, tracked, and stored forever by Surescripts. I am currently trying to figure out how Surescripts is able to do this without any visible consent or transparency.<o:p></o:p></p></div><div><p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'> <o:p></o:p></p></div><div><p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'>Adrian<br><br>On Friday, September 25, 2015, Maxwell, Jeremy (OS/OCPO) <<a href="mailto:Jeremy.Maxwell@hhs.gov" target="_blank">Jeremy.Maxwell@hhs.gov</a>> wrote:<o:p></o:p></p><div><div><p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span style='color:#1F497D'>Probably not. It sounds like it was either human error (e.g., someone entered information into a wrong chart) or a software error (e.g., the EHR software mixed up its database indices). Or it could be simple fraud (e.g., doctor shopping). In any event, I think the best defense against erroneous records is greater, easier, and quicker patient access. Just like paper charts before them, electronic records will always have inaccuracies. This isn’t really news. It’s how quickly they can be identified and remedied—that’s the key.</span><o:p></o:p></p><p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span style='color:#1F497D'> </span><o:p></o:p></p><p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span style='color:#1F497D'> </span><o:p></o:p></p><p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span style='color:#1F497D'> </span><o:p></o:p></p><div><div style='border:none;border-top:solid #B5C4DF 1.0pt;padding:3.0pt 0in 0in 0in'><p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif"'>From:</span></b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif"'> Openid-specs-heart [mailto:<a href="mailto:openid-specs-heart-bounces@lists.openid.net">openid-specs-heart-bounces@lists.openid.net</a>] <b>On Behalf Of </b>Catherine Schulten<br><b>Sent:</b> Friday, September 25, 2015 11:07 AM<br><b>To:</b> <a href="mailto:openid-specs-heart@lists.openid.net">openid-specs-heart@lists.openid.net</a><br><b>Subject:</b> [Openid-specs-heart] Bloomberg article highlights pitfalls associated with patient matching</span><o:p></o:p></p></div></div><p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'> <o:p></o:p></p><p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><a href="http://www.bloomberg.com/news/articles/2015-09-23/the-pitfalls-of-health-care-companies-addiction-to-big-data" target="_blank">http://www.bloomberg.com/news/articles/2015-09-23/the-pitfalls-of-health-care-companies-addiction-to-big-data</a><o:p></o:p></p><p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'> <o:p></o:p></p><p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'>Mother’s prescription information is linked to daughter’s record – would anonomyziation have solved this problem?<o:p></o:p></p><p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'> <o:p></o:p></p><p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'> <o:p></o:p></p><p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span style='font-family:"Arial","sans-serif";color:#2F5496'>Catherine Schulten</span><o:p></o:p></p><p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><b><span style='font-family:"Arial","sans-serif";color:#2F5496'>Director, Product Management</span></b><o:p></o:p></p><p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span style='font-family:"Arial","sans-serif";color:#2F5496'>LifeMed ID, Inc. </span><o:p></o:p></p><p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span style='font-family:"Arial","sans-serif";color:#2F5496'>6349 Auburn Blvd., Citrus Heights, CA 95621</span><o:p></o:p></p><p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span style='font-family:"Arial","sans-serif";color:#2F5496'> </span><o:p></o:p></p><p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span style='font-family:"Arial","sans-serif";color:#2F5496'>Office: <a href="tel:888.550.6550%20x135" target="_blank">888.550.6550 x135</a> </span><span style='font-family:"Arial","sans-serif";color:#70AD47'>|</span><span style='font-family:"Arial","sans-serif";color:#2F5496'> Cell: <a href="tel:954.290.1991" target="_blank">954.290.1991</a> </span><o:p></o:p></p><p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span style='font-family:"Arial","sans-serif";color:#2F5496'><a href="http://www.lifemedid.com/" target="_blank"><span style='color:#2F5496;text-decoration:none'>Website</span></a> </span><span style='font-family:"Arial","sans-serif";color:#70AD47'>|</span><span style='font-family:"Arial","sans-serif";color:#2F5496'> <a href="https://www.facebook.com/pages/LifeMed-ID/168424683331516?ref=bookmarks" target="_blank"><span style='color:#2F5496;text-decoration:none'>Facebook</span></a> </span><span style='font-family:"Arial","sans-serif";color:#70AD47'>|</span><span style='font-family:"Arial","sans-serif";color:#2F5496'> <a href="https://www.linkedin.com/company/1893899?trk=tyah&trkInfo=clickedVertical%3Acompany%2Cidx%3A1-1-1%2CtarId%3A1436221486696%2Ctas%3ALifeMed%20Id" target="_blank"><span style='color:#2F5496;text-decoration:none'>LinkedIn</span></a> </span><span style='font-family:"Arial","sans-serif";color:#70AD47'>|</span><span style='font-family:"Arial","sans-serif";color:#2F5496'> <a href="https://twitter.com/LifemedID" target="_blank"><span style='color:#2F5496;text-decoration:none'>Twitter</span></a> </span><span style='font-family:"Arial","sans-serif";color:#70AD47'>|</span><span style='font-family:"Arial","sans-serif";color:#2F5496'> <a href="https://plus.google.com/106315953419857947247/posts" target="_blank"><span style='color:#2F5496;text-decoration:none'>Google+</span></a></span><o:p></o:p></p><p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span style='font-family:"Arial","sans-serif";color:#2F5496'> </span><o:p></o:p></p><p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span style='color:#0F243E'><img border=0 width=185 height=25 id="_x0000_i1025" src="cid:image002.png@01D0F896.5906B8E0" alt="lifemedid_logo"></span><o:p></o:p></p><p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'> <o:p></o:p></p><p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'> <o:p></o:p></p></div></div></div><p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><br><br>-- <o:p></o:p></p><div><div><div><div><div><div><p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'> <o:p></o:p></p><div><p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'>Adrian Gropper MD<br><br><span style='font-family:"Arial","sans-serif";color:#1F497D'>PROTECT YOUR FUTURE - RESTORE Health Privacy!<br>HELP us fight for the right to control personal health data.<br>DONATE: <a href="http://patientprivacyrights.org/donate-2/" target="_blank"><span style='color:#0563C1'>http://patientprivacyrights.org/donate-2/</span></a></span> <o:p></o:p></p></div></div></div></div></div></div></div><p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'> <o:p></o:p></p></div></div></div></div></div><p class=MsoNormal><br><br clear=all><br>-- <o:p></o:p></p><div><div><div><div><div><div><div><p class=MsoNormal><o:p> </o:p></p><div><p class=MsoNormal>Adrian Gropper MD<br><br><span style='font-family:"Arial","sans-serif";color:#1F497D'>PROTECT YOUR FUTURE - RESTORE Health Privacy!<br>HELP us fight for the right to control personal health data.<br>DONATE: <a href="http://patientprivacyrights.org/donate-2/" target="_blank"><span style='color:#0563C1'>http://patientprivacyrights.org/donate-2/</span></a></span> <o:p></o:p></p></div></div></div></div></div></div></div></div></div><p class=MsoNormal><br><br><br><o:p></o:p></p><pre>_______________________________________________<o:p></o:p></pre><pre>Openid-specs-heart mailing list<o:p></o:p></pre><pre><a href="mailto:Openid-specs-heart@lists.openid.net">Openid-specs-heart@lists.openid.net</a><o:p></o:p></pre><pre><a href="http://lists.openid.net/mailman/listinfo/openid-specs-heart">http://lists.openid.net/mailman/listinfo/openid-specs-heart</a><o:p></o:p></pre></blockquote><p class=MsoNormal><o:p> </o:p></p></div></body></html>