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    Aaron,<br>
    <br>
    Yes, a PPRN use case might be helpful, as the data-sharing paradigms
    are difference from CDRNs.  Would you like to write the use case?<br>
    <br>
    Glen<br>
    <br>
    <div class="moz-signature">
      <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 class="moz-txt-link-abbreviated" href="mailto:gfm@securityrs.com">gfm@securityrs.com</a><br>
        <a class="moz-txt-link-abbreviated" href="http://www.SecurityRiskSolutions.com">www.SecurityRiskSolutions.com</a></p>
    </div>
    <div class="moz-cite-prefix">On 12/15/15 15:11, Aaron Seib wrote:<br>
    </div>
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        <p class="MsoNormal"><span
style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">Glenn
            – this is a narrow slice of the type of research that we
            should be thinking about enabling with HEART.<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">Seriously,
            the PPRNs are executing far more agile processes and the PMI
            is going to be trying even more progressive mechanisms. 
            Don’t get me wrong, we will still be doing this kind of
            trial but the real knowledge to be harvested and one of the
            yet unrealized ROIs of all the investment in HIT is the next
            generation of research on top of technologies like HEART.<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">The
            type of research where the person is a subject that has data
            taken away from them and never hears from the researcher
            again is still going to be important but from the
            perspective of HEART I was hoping we would be looking
            forward not back.<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">We
            need to be thinking about how a consumer can use their
            authorization server to make data available for research
            purposes and to enable researchers to share learning and
            additional questions back to their partners in research –
            the consumer.<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
            want to challenge you to think about it from the perspective
            of a Person having all of their clinical information under
            their control and an authorization server that allows them
            to decide how to share bi-directionally with the researcher.<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">Honestly
            – there is nothing wrong with thinking about how we can
            support ongoing research but I don’t think we get to the big
            payoff until we are reusing clinical data outside the
            context of the care delivery system it was originally
            generated in.  <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 moz-do-not-send="true"
              href="nate-trust.org"><span
style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D;text-decoration:none"><img
                  id="Picture_x0020_1"
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                  border="0" height="48" width="205"></span></a><span
style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D"><o:p></o:p></span></p>
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        <p class="MsoNormal"><span
style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D"><o:p> </o:p></span><br>
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