<html><head><meta http-equiv="Content-Type" content="text/html; charset=UTF-8"></head><body ><div>I have been involved at HL7 but not on this specific topic.  I am sure we could talk to Jaffe and find out how best to proceed if that is a shared sentiment.</div><div><br></div><div><br></div><div><div style="font-size:10px;color:#575757">Sent from my Verizon Wireless 4G LTE smartphone</div></div><br><br><div>-------- Original message --------</div><div>From: Josh Mandel <Joshua.Mandel@childrens.harvard.edu> </div><div>Date:10/06/2015  2:24 PM  (GMT-05:00) </div><div>To: "Glen Marshall [SRS]" <gfm@securityrs.com> </div><div>Cc: openid-specs-heart@lists.openid.net </div><div>Subject: Re: [Openid-specs-heart] Health Relationship Trust Profile for Fast Healthcare Interoperability Resources (FHIR) OAuth 2.0 Scopes </div><div><br></div><div dir="ltr">I know at least John Moehrke and I are both actively involved in HL7.</div><div class="gmail_extra"><br><div class="gmail_quote">On Tue, Oct 6, 2015 at 2:16 PM, Glen Marshall [SRS] <span dir="ltr"><<a href="mailto:gfm@securityrs.com" target="_blank">gfm@securityrs.com</a>></span> wrote:<br><blockquote class="gmail_quote" style="margin:0 0 0 .8ex;border-left:1px #ccc solid;padding-left:1ex">

  
  <div bgcolor="#FFFFFF" text="#000000">
    Who on this listserve is active in HL7?  I used to be, but am not
    now.  But I am fairly certain that if we want to be influential on
    HL7 and Argonaut's work, HEART must initiate and become actively
    engaged with HL7.<br>
    <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: <a href="tel:%28610%29%20644-2452" value="+16106442452" target="_blank">(610) 644-2452</a><br>
        Mobile: <a href="tel:%28610%29%20613-3084" value="+16106133084" target="_blank">(610) 613-3084</a><br>
        <a href="mailto:gfm@securityrs.com" target="_blank">gfm@securityrs.com</a><br>
        <a href="https://urldefense.proofpoint.com/v2/url?u=http-3A__www.SecurityRiskSolutions.com&d=BQMDaQ&c=qS4goWBT7poplM69zy_3xhKwEW14JZMSdioCoppxeFU&r=c7b1QeR755-dBx2b0xnlepDTylromoEzcLl-6ixmBL3TpXSxSvtAvT553fzSgLpm&m=FsQgoq46bRmOqCySw198Y0iOVMnu5TiUxBEmCJRgfZ8&s=TRfcsXlWu0ZZaAB5L0f7zfb6fSUG5VwWtYr9ynPqSBs&e=" target="_blank">www.SecurityRiskSolutions.com</a></p>
    </div><div><div class="h5">
    <div>On 10/6/15 11:26, Kinsley, William
      wrote:<br>
    </div>
    <blockquote type="cite">
      
      
      
      
      <div>
        <p class="MsoNormal"><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><u></u><u></u></p>
        <p class="MsoNormal"><span style="font-size:14.0pt;font-family:"Cambria",serif;color:#44546a"> Bill</span><u></u><u></u></p>
        <p class="MsoNormal"><span style="font-size:14.0pt;font-family:"Cambria",serif;color:#44546a"><u></u> <u></u></span></p>
        <p class="MsoNormal"><span style="font-size:14.0pt;font-family:"Cambria",serif;color:#44546a"><u></u> <u></u></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">
            <a href="mailto:agropper@gmail.com" target="_blank">agropper@gmail.com</a> [<a href="mailto:agropper@gmail.com" target="_blank">mailto:agropper@gmail.com</a>]
            <b>On Behalf Of </b>Adrian Gropper<br>
            <b>Sent:</b> Tuesday, October 06, 2015 11:19 AM<br>
            <b>To:</b> Kinsley, William <a href="mailto:BKinsley@nextgen.com" target="_blank"><BKinsley@nextgen.com></a><br>
            <b>Cc:</b> Justin Richer <a href="mailto:jricher@mit.edu" target="_blank"><jricher@mit.edu></a>;
            <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<u></u><u></u></span></p>
        <p class="MsoNormal"><u></u> <u></u></p>
        <div>
          <p class="MsoNormal">To begin the discussion, I would suggest
            three terms with healthcare / generic names:<u></u><u></u></p>
          <ul type="disc">
            <li class="MsoNormal">
              Patient / Subject<u></u><u></u></li>
          </ul>
          <ul type="disc">
            <ul type="circle">
              <li class="MsoNormal">
                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.<u></u><u></u></li>
            </ul>
          </ul>
          <ul type="disc">
            <li class="MsoNormal">
              Custodian / Principal<u></u><u></u></li>
          </ul>
          <ul type="disc">
            <ul type="circle">
              <li class="MsoNormal">
                The person that registers a resource with an
                Authorization Server. This is typically the Resource
                Owner (RO).
                <u></u><u></u></li>
              <li class="MsoNormal">
                When a Custodian is in control of multiple Subjects,
                they are able to identify (name) the separate Subjects
                any way they choose.
                <u></u><u></u></li>
              <li class="MsoNormal">
                A Custodian can access resources for multiple Subjects
                in a single transaction including, for example, a
                Patient List.<u></u><u></u></li>
            </ul>
          </ul>
          <ul type="disc">
            <li class="MsoNormal">
              User<u></u><u></u></li>
          </ul>
          <ul type="disc">
            <ul type="circle">
              <li class="MsoNormal">
                Anyone or anything that is not a Subject or a Custodian.<u></u><u></u></li>
              <li class="MsoNormal">
                A User can access resources for multiple Subjects in a
                single transaction including, for example, a Patient
                List.<u></u><u></u></li>
            </ul>
          </ul>
          <p>I hope we can map this to FHIR:<u></u><u></u></p>
          <ul type="disc">
            <li class="MsoNormal">
              Pseudonymous Subject Resource<u></u><u></u></li>
          </ul>
          <ul type="disc">
            <ul type="circle">
              <li class="MsoNormal">
                A resource for a single Subject identified by an opaque
                pseudonym as registered with the Authorization Server.<u></u><u></u></li>
              <li class="MsoNormal">
                The resource may contain Subject identity information or
                not.<u></u><u></u></li>
              <li class="MsoNormal">
                When the resource does not contain Subject identity
                information, the Authorization Server is responsible for
                associating the pseudonyms with an identity.<u></u><u></u></li>
            </ul>
          </ul>
          <ul type="disc">
            <li class="MsoNormal">
              Multi-Subject Resource<u></u><u></u></li>
          </ul>
          <ul type="disc">
            <ul type="circle">
              <li class="MsoNormal">
                A resource for multiple Subjects registered with the
                Authorization Server by a Custodian or a User.<u></u><u></u></li>
            </ul>
          </ul>
          <ul type="disc">
            <li class="MsoNormal">
              Identified Subject Resource<u></u><u></u></li>
          </ul>
          <ul type="disc">
            <ul type="circle">
              <li class="MsoNormal">
                A resource for a single Subject that includes Subject
                identifying information in the resource URI as
                registered with the Authorization Server.
                <u></u><u></u></li>
              <li class="MsoNormal">
                An identified subject resource must be protected as
                personally identified information (PII).<u></u><u></u></li>
            </ul>
          </ul>
          <p class="MsoNormal">Adrian<u></u><u></u></p>
        </div>
        <div>
          <p class="MsoNormal"><u></u> <u></u></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:<u></u><u></u></p>
            <blockquote style="border:none;border-left:solid #cccccc 1.0pt;padding:0in 0in 0in 6.0pt;margin-left:4.8pt;margin-right:0in">
              <div>
                <div>
                  <p class="MsoNormal"><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><u></u><u></u></p>
                  <p class="MsoNormal"><span style="font-size:14.0pt;font-family:"Cambria",serif;color:#44546a"> </span><u></u><u></u></p>
                  <p class="MsoNormal"><span style="font-size:14.0pt;font-family:"Cambria",serif;color:#44546a">Bill
                        </span><u></u><u></u></p>
                  <p class="MsoNormal"><span style="font-size:14.0pt;font-family:"Cambria",serif;color:#44546a"> </span><u></u><u></u></p>
                  <div>
                    <div style="border:none;border-top:solid #e1e1e1 1.0pt;padding:3.0pt 0in 0in 0in">
                      <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">
                          Justin Richer [mailto:<a href="mailto:jricher@mit.edu" target="_blank"></a><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"></a><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><u></u><u></u></p>
                    </div>
                  </div>
                  <p class="MsoNormal"> <u></u><u></u></p>
                  <p class="MsoNormal">To
                    clarify the objective, we were presenting the first
                    draft of one of the outputs of this working group.<u></u><u></u></p>
                  <div>
                    <p class="MsoNormal"> <u></u><u></u></p>
                  </div>
                  <div>
                    <p class="MsoNormal">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. <u></u><u></u></p>
                  </div>
                  <div>
                    <p class="MsoNormal"> <u></u><u></u></p>
                  </div>
                  <div>
                    <p class="MsoNormal">Also,
                      the group should note that the terms “patient” and
                      “user” were imported directly from the Argonauts
                      projects. <u></u><u></u></p>
                  </div>
                  <div>
                    <p class="MsoNormal"> <u></u><u></u></p>
                  </div>
                  <div>
                    <p class="MsoNormal"> —
                      Justin<u></u><u></u></p>
                  </div>
                  <div>
                    <p class="MsoNormal"> <u></u><u></u></p>
                    <div>
                      <blockquote style="margin-top:5.0pt;margin-bottom:5.0pt">
                        <div>
                          <p class="MsoNormal">On
                            Oct 5, 2015, at 11:31 PM, Kinsley, William
                            <<a href="mailto:BKinsley@nextgen.com" target="_blank">BKinsley@nextgen.com</a>>
                            wrote:<u></u><u></u></p>
                        </div>
                        <p class="MsoNormal"> <u></u><u></u></p>
                        <div>
                          <div>
                            <div>
                              <p class="MsoNormal"><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><u></u><u></u></p>
                            </div>
                            <p class="MsoNormal"><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><u></u><u></u></p>
                            <p class="MsoNormal"><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><u></u><u></u></p>
                            <p class="MsoNormal"><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><u></u><u></u></p>
                            <p class="MsoNormal"><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><u></u><u></u></p>
                            <div>
                              <p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri",sans-serif"> </span><u></u><u></u></p>
                            </div>
                            <div>
                              <p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri",sans-serif"> </span><u></u><u></u></p>
                            </div>
                            <div>
                              <p class="MsoNormal"><span style="font-size:14.0pt;font-family:"Cambria",serif">Bill</span><u></u><u></u></p>
                            </div>
                            <div>
                              <p class="MsoNormal"><span style="font-size:14.0pt;font-family:"Cambria",serif"> </span><u></u><u></u></p>
                            </div>
                            <div>
                              <p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri",sans-serif"> </span><u></u><u></u></p>
                            </div>
                            <table style="width:448.2pt" border="0" cellpadding="0" width="598">
                              <tbody>
                                <tr>
                                  <td style="padding:.75pt .75pt .75pt .75pt"><br>
                                  </td>
                                  <td style="padding:.75pt .75pt .75pt .75pt">
                                    <p class="MsoNormal"><img border="0" height="40" width="145"><u></u><u></u></p>
                                  </td>
                                </tr>
                              </tbody>
                            </table>
                            <p class="MsoNormal"><span style="font-size:14.0pt;font-family:"Cambria",serif"> </span><u></u><u></u></p>
                            <table style="width:448.2pt" border="0" cellpadding="0" width="598">
                              <tbody>
                                <tr>
                                  <td style="padding:.75pt .75pt .75pt .75pt">
                                    <p class="MsoNormal"><u> 
                                        ________________________________
                                         </u>
                                      <u></u><u></u></p>
                                    <div>
                                      <p class="MsoNormal"> <u></u><u></u></p>
                                    </div>
                                  </td>
                                </tr>
                              </tbody>
                            </table>
                            <p class="MsoNormal"><span style="font-size:14.0pt;font-family:"Cambria",serif"> </span><u><</u></p></div></div></blockquote></div></div></div></div></blockquote></div></div></div></blockquote></div></div></div></blockquote></div></div></body>