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<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><span style="font-size:14.0pt;font-family:"Cambria",serif;color:#44546A">I am more concerned with what I interpret as Argonaut’s hard coding specific security roles and that they
are not representative of the OAuth and UMA approach. This is serving as a wake call to us (the HEART WG) that without any guidance from us, they are going to create a de facto security/privacy standard that will be difficult to unwind once it is adopted by
other projects in the industry.</span><o:p></o:p></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><span style="font-size:14.0pt;font-family:"Cambria",serif;color:#44546A"> Bill</span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:14.0pt;font-family:"Cambria",serif;color:#44546A"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:14.0pt;font-family:"Cambria",serif;color:#44546A"><o:p> </o:p></span></p>
<p class="MsoNormal"><b><span style="font-size:11.0pt;font-family:"Calibri",sans-serif">From:</span></b><span style="font-size:11.0pt;font-family:"Calibri",sans-serif"> agropper@gmail.com [mailto:agropper@gmail.com]
<b>On Behalf Of </b>Adrian Gropper<br>
<b>Sent:</b> Tuesday, October 06, 2015 11:19 AM<br>
<b>To:</b> Kinsley, William <BKinsley@nextgen.com><br>
<b>Cc:</b> Justin Richer <jricher@mit.edu>; openid-specs-heart@lists.openid.net<br>
<b>Subject:</b> Re: [Openid-specs-heart] Health Relationship Trust Profile for Fast Healthcare Interoperability Resources (FHIR) OAuth 2.0 Scopes<o:p></o:p></span></p>
<p class="MsoNormal"><o:p> </o:p></p>
<div>
<p class="MsoNormal">To begin the discussion, I would suggest three terms with healthcare / generic names:<o:p></o:p></p>
<ul type="disc">
<li class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;mso-list:l1 level1 lfo1">
Patient / Subject<o:p></o:p></li></ul>
<ul type="disc">
<ul type="circle">
<li class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;mso-list:l1 level2 lfo1">
The Subject of the resource when the resource refers to only one person. The Subject is also the Principal when they register their resource with the Authorization Server.<o:p></o:p></li></ul>
</ul>
<ul type="disc">
<li class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;mso-list:l1 level1 lfo1">
Custodian / Principal<o:p></o:p></li></ul>
<ul type="disc">
<ul type="circle">
<li class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;mso-list:l1 level2 lfo1">
The person that registers a resource with an Authorization Server. This is typically the Resource Owner (RO).
<o:p></o:p></li><li class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;mso-list:l1 level2 lfo1">
When a Custodian is in control of multiple Subjects, they are able to identify (name) the separate Subjects any way they choose.
<o:p></o:p></li><li class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;mso-list:l1 level2 lfo1">
A Custodian can access resources for multiple Subjects in a single transaction including, for example, a Patient List.<o:p></o:p></li></ul>
</ul>
<ul type="disc">
<li class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;mso-list:l1 level1 lfo1">
User<o:p></o:p></li></ul>
<ul type="disc">
<ul type="circle">
<li class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;mso-list:l1 level2 lfo1">
Anyone or anything that is not a Subject or a Custodian.<o:p></o:p></li><li class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;mso-list:l1 level2 lfo1">
A User can access resources for multiple Subjects in a single transaction including, for example, a Patient List.<o:p></o:p></li></ul>
</ul>
<p>I hope we can map this to FHIR:<o:p></o:p></p>
<ul type="disc">
<li class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;mso-list:l0 level1 lfo2">
Pseudonymous Subject Resource<o:p></o:p></li></ul>
<ul type="disc">
<ul type="circle">
<li class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;mso-list:l0 level2 lfo2">
A resource for a single Subject identified by an opaque pseudonym as registered with the Authorization Server.<o:p></o:p></li><li class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;mso-list:l0 level2 lfo2">
The resource may contain Subject identity information or not.<o:p></o:p></li><li class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;mso-list:l0 level2 lfo2">
When the resource does not contain Subject identity information, the Authorization Server is responsible for associating the pseudonyms with an identity.<o:p></o:p></li></ul>
</ul>
<ul type="disc">
<li class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;mso-list:l0 level1 lfo2">
Multi-Subject Resource<o:p></o:p></li></ul>
<ul type="disc">
<ul type="circle">
<li class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;mso-list:l0 level2 lfo2">
A resource for multiple Subjects registered with the Authorization Server by a Custodian or a User.<o:p></o:p></li></ul>
</ul>
<ul type="disc">
<li class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;mso-list:l0 level1 lfo2">
Identified Subject Resource<o:p></o:p></li></ul>
<ul type="disc">
<ul type="circle">
<li class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;mso-list:l0 level2 lfo2">
A resource for a single Subject that includes Subject identifying information in the resource URI as registered with the Authorization Server.
<o:p></o:p></li><li class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;mso-list:l0 level2 lfo2">
An identified subject resource must be protected as personally identified information (PII).<o:p></o:p></li></ul>
</ul>
<p class="MsoNormal">Adrian<o:p></o:p></p>
</div>
<div>
<p class="MsoNormal"><o:p> </o:p></p>
<div>
<p class="MsoNormal">On Tue, Oct 6, 2015 at 10:05 AM, Kinsley, William <<a href="mailto:BKinsley@nextgen.com" target="_blank">BKinsley@nextgen.com</a>> wrote:<o:p></o:p></p>
<blockquote style="border:none;border-left:solid #CCCCCC 1.0pt;padding:0in 0in 0in 6.0pt;margin-left:4.8pt;margin-right:0in">
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<div>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><span style="font-size:14.0pt;font-family:"Cambria",serif;color:#44546A">This is very informative detail of what the Argonaut project is doing and I don’t want to deter the information
sharing process. I also think this is a reminder that these groups are proceeding without our guidance and that we need to discuss what is our timeline to produce some type of guidance to help them implement a process that is aligned with the finial product
the HEART workgroup delivers. </span><o:p></o:p></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><span style="font-size:14.0pt;font-family:"Cambria",serif;color:#44546A"> </span><o:p></o:p></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><span style="font-size:14.0pt;font-family:"Cambria",serif;color:#44546A">Bill </span><o:p></o:p></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><span style="font-size:14.0pt;font-family:"Cambria",serif;color:#44546A"> </span><o:p></o:p></p>
<div>
<div style="border:none;border-top:solid #E1E1E1 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:11.0pt;font-family:"Calibri",sans-serif">From:</span></b><span style="font-size:11.0pt;font-family:"Calibri",sans-serif"> Justin Richer [mailto:<a href="mailto:jricher@mit.edu" target="_blank">jricher@mit.edu</a>]
<br>
<b>Sent:</b> Tuesday, October 06, 2015 8:12 AM<br>
<b>To:</b> Kinsley, William <<a href="mailto:BKinsley@nextgen.com" target="_blank">BKinsley@nextgen.com</a>><br>
<b>Cc:</b> <a href="mailto:openid-specs-heart@lists.openid.net" target="_blank">openid-specs-heart@lists.openid.net</a><br>
<b>Subject:</b> Re: [Openid-specs-heart] Health Relationship Trust Profile for Fast Healthcare Interoperability Resources (FHIR) OAuth 2.0 Scopes</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">To clarify the objective, we were presenting the first draft of one of the outputs of this working group.<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">The HEART working group exists specifically to create these technical specifications. All of the discussions on use cases are intended to drive work on these specifications. <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">Also, the group should note that the terms “patient” and “user” were imported directly from the Argonauts projects. <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"> — Justin<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>
<blockquote style="margin-top:5.0pt;margin-bottom:5.0pt">
<div>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto">On Oct 5, 2015, at 11:31 PM, Kinsley, William <<a href="mailto:BKinsley@nextgen.com" target="_blank">BKinsley@nextgen.com</a>> wrote:<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>
<div>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><span style="font-size:14.0pt;font-family:"Cambria",serif">This document was presented quickly during the last few minutes of our call and I am not sure what the objective was.
However, it did raise some questions that could not be addressed at the time, specifically paragraph 2.1 “Permission type” raised some questions which I broke out below:
</span><o:p></o:p></p>
</div>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><span style="font-size:14.0pt;font-family:"Cambria",serif">1.</span><span style="font-size:7.0pt">
</span><span style="font-size:14.0pt;font-family:"Cambria",serif">The term “Patient” and “User” seem misleading and the purpose is not clear.</span><o:p></o:p></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><span style="font-size:14.0pt;font-family:"Cambria",serif">a.</span><span style="font-size:7.0pt">
</span><span style="font-size:14.0pt;font-family:"Cambria",serif">A patient can have access to multiple patient records. For example, a parent who has five children at the same pediatrician would be a patient that can access multiple patient records.
</span><o:p></o:p></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><span style="font-size:14.0pt;font-family:"Cambria",serif">b.</span><span style="font-size:7.0pt">
</span><span style="font-size:14.0pt;font-family:"Cambria",serif">It also sounds like we are hardcoding two specific security roles, which would seem to contradict what we are trying to support in HEART (i.e. RBAC vs ABAC).
</span><o:p></o:p></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><span style="font-size:14.0pt;font-family:"Cambria",serif">c.</span><span style="font-size:7.0pt">
</span><span style="font-size:14.0pt;font-family:"Cambria",serif">There can be resource that are not related to specific patient or patients in general such as “Organization”, “HealthcareService”, “Practitioner”, etc.</span><o:p></o:p></p>
<div>
<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"> </span><o:p></o:p></p>
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<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"> </span><o:p></o:p></p>
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<div>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><span style="font-size:14.0pt;font-family:"Cambria",serif">Bill</span><o:p></o:p></p>
</div>
<div>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><span style="font-size:14.0pt;font-family:"Cambria",serif"> </span><o:p></o:p></p>
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<div>
<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"> </span><o:p></o:p></p>
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<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><img border="0" width="145" height="40" id="_x0000_i1025" src="http://bridge.nextgen.com/Media/3140"><o:p></o:p></p>
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<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><span style="font-size:14.0pt;font-family:"Cambria",serif"> </span><o:p></o:p></p>
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<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><span style="font-size:10.0pt;font-family:"Calibri",sans-serif">William Kinsley , CISSP<br>
Enterprise Architect, Ambulatory<br>
<b>NEXTGEN HEALTHCARE<br>
</b>Solutions for: Ambulatory, Inpatient and Community Connectivity<br>
795 Horsham Road, Horsham, PA 19044<br>
<a href="tel:%28215%29%20657-7010%20x21128" target="_blank">(215) 657-7010 x21128</a>
<br>
<a href="mailto:BKinsley@nextgen.com" target="_blank">BKinsley@nextgen.com</a></span><o:p></o:p></p>
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<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><a href="http://www.oneugm.com/" target="_blank"><span style="text-decoration:none"><img border="0" id="_x0000_i1026" src="http://bridge.nextgen.com/Media/3181"></span></a><o:p></o:p></p>
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<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><span style="font-size:10.0pt;font-family:"Calibri",sans-serif;color:#E46C0A">Be ready for MU and ICD-10 in 2015. Start your EHR version 5.8 and KBM version 8.3 upgrade today. Get
the resources you need at <a href="http://www.nextgen.com/upgradecentral" target="_blank">
<b><i><span style="color:#007CB9">www.nextgen.com/upgradecentral</span></i></b></a></span><o:p></o:p></p>
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<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto">_______________________________________________<br>
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<p class="MsoNormal">Adrian Gropper MD<br>
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<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>
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