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    Yes you did. Quote:<br>
    <br>
    "The system is also much more resistant to data breaches as data
    holders (UMA Resource Servers) must implement separate <b>encryption
      keys </b>for each patient."<br>
    <br>
    So if you don't mean separately encrypting the data for each user,
    what does that statement mean? The access token isn't an encryption
    key. <br>
    <br>
     -- Justin<br>
    <br>
    <div class="moz-cite-prefix">On 1/25/2016 8:57 AM, Adrian Gropper
      wrote:<br>
    </div>
    <blockquote
cite="mid:CANYRo8irh2=5A1MaqcstZGco0ts9-1LtL0QN1eQUi28=31bs+g@mail.gmail.com"
      type="cite">
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        <div>I never said anything about how the data is encrypted. I
          only talk about how access to the FHIR API is controlled.<br>
          <br>
        </div>
        Adrian<br>
      </div>
      <div class="gmail_extra"><br>
        <div class="gmail_quote">On Mon, Jan 25, 2016 at 8:55 AM, Justin
          Richer <span dir="ltr"><<a moz-do-not-send="true"
              href="mailto:jricher@mit.edu" target="_blank">jricher@mit.edu</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"> Adrian,<br>
              <br>
              I've asked this before and thought we'd settled it, but it
              keeps coming up: where are you getting the idea of
              encrypting the data to the patient using a patient's key?
              That is not in scope for HEART, nor is it part of any of
              the underlying protocols.<span class="HOEnZb"><font
                  color="#888888"><br>
                  <br>
                   -- Justin</font></span>
              <div>
                <div class="h5"><br>
                  <br>
                  <div>On 1/25/2016 8:52 AM, Adrian Gropper wrote:<br>
                  </div>
                  <blockquote type="cite">
                    <div dir="ltr">
                      <div>
                        <div>
                          <div>Establishing a separate URI for each
                            patient is likely to be the only stable
                            solution to the patient ID problem. The
                            issue, however, is how many URIs will a
                            patient be allowed to have? If the URIs are
                            coercive, in the sense of a chip or tattoo
                            issued by government or an equivalent global
                            authority (Facebook?) or the URI is derived
                            from DNA or an iris scan. (Iris scans are a
                            good positive IDs and can be read from 30
                            feet away with modern technology.)<br>
                            <br>
                          </div>
                          Let's assume, for our purposes, that an iris
                          scanner costs about as much as a credit card
                          terminal, cheap enough for every front office,
                          ambulance, and police car. Is the patient ID
                          problem solved? I don't think so.<br>
                          <br>
                        </div>
                        Patients can have one or more separate URIs in
                        order to help manage their health records.
                        Today, we typically use email address for this
                        purpose, with WebFinger <a
                          moz-do-not-send="true"
                          href="https://webfinger.net/" target="_blank"><a class="moz-txt-link-freetext" href="https://webfinger.net/">https://webfinger.net/</a></a>
                        as a standardized way to discover linked
                        attributes such as the patient's UMA
                        Authorization Server and the associated public
                        key. <br>
                        <br>
                        UMA for patient ID brings numerous benefits
                        including much greater transparency and
                        security. The patient now has a single portal
                        (their UMA AS) to view all current relationships
                        under that particular patient ID persona. The
                        system is also much more resistant to data
                        breaches as data holders (UMA Resource Servers)
                        must implement separate encryption keys for each
                        patient.<br>
                        <br>
                      </div>
                      <div>I think the HEART group is in a good position
                        to compete for the CHIME challenge on this basis
                        and I'd be happy for me and PPR to help organize
                        a submission.<br>
                        <br>
                      </div>
                      <div>Adrian<br>
                      </div>
                    </div>
                    <div class="gmail_extra"><br>
                      <div class="gmail_quote">On Sun, Jan 24, 2016 at
                        1:20 PM, Aaron Seib <span dir="ltr"><<a
                            moz-do-not-send="true"
                            href="mailto:aaron.seib@nate-trust.org"
                            target="_blank"><a class="moz-txt-link-abbreviated" href="mailto:aaron.seib@nate-trust.org">aaron.seib@nate-trust.org</a></a>></span>
                        wrote:<br>
                        <blockquote class="gmail_quote" style="margin:0
                          0 0 .8ex;border-left:1px #ccc
                          solid;padding-left:1ex">
                          <div>
                            <div>I appreciate your expertise and action.
                               </div>
                            <div><br>
                            </div>
                            <div>I don't necessarily agree with some of
                              your statements here but that is the
                              beauty of open processes.  </div>
                            <div><br>
                            </div>
                            <div>Let's strive to do all we can -
                              together.</div>
                            <div><br>
                            </div>
                            <div><br>
                            </div>
                            <div><br>
                            </div>
                            <div><span style="font-size:15.4224px">Aaron
                                Seib</span>
                              <div><span style="font-size:17.489px">@CaptBlueButton<br>
                                </span>
                                <div dir="auto"><span
                                    style="font-size:15.4224px"
                                    dir="auto">(O) <a
                                      moz-do-not-send="true"
                                      href="tel:301-540-9549"
                                      value="+13015409549"
                                      target="_blank">301-540-9549</a></span></div>
                                <div dir="auto"><span
                                    style="font-size:15.4224px"
                                    dir="auto">(M) <a
                                      moz-do-not-send="true"
                                      href="tel:301-326-6843"
                                      value="+13013266843"
                                      target="_blank">301-326-6843</a></span></div>
                                <div dir="auto"><span
                                    style="font-size:15.4224px"
                                    dir="auto"><br>
                                  </span></div>
                                <div dir="auto"><span
                                    style="font-size:15.4224px"
                                    dir="auto">"The trick to earning
                                    trust is to avoid all tricks. 
                                    Including tricks on yourself."</span></div>
                                <div dir="auto"><br>
                                </div>
                              </div>
                            </div>
                            <div>
                              <div><br>
                                <br>
                                -------- Original message --------<br>
                                From: "Glen Marshall [SRS]" <<a
                                  moz-do-not-send="true"
                                  href="mailto:gfm@securityrs.com"
                                  target="_blank"><a class="moz-txt-link-abbreviated" href="mailto:gfm@securityrs.com">gfm@securityrs.com</a></a>>

                                <br>
                                Date: 2016/01/24 7:07 AM (GMT-08:00) <br>
                                To: HEART List <<a
                                  moz-do-not-send="true"
                                  href="mailto:openid-specs-heart@lists.openid.net"
                                  target="_blank"><a class="moz-txt-link-abbreviated" href="mailto:openid-specs-heart@lists.openid.net">openid-specs-heart@lists.openid.net</a></a>>

                                <br>
                                Subject: [Openid-specs-heart] CHIME
                                Launches $1M Challenge to Solve Patient
                                ID Problem <br>
                                <br>
                                This is pertinent to our data-sharing
                                use cases.  There is no current solution
                                to accurately sharing/gathering
                                patients' clinical data stored among
                                various repositories.  In turn, that
                                makes applying access controls across
                                all of a patient's data in those
                                repositories difficult.   I'm happy to
                                see Chime's challenge.<br>
                                <br>
                                However, the related problem of
                                discovering where all of one's data
                                might be is computationally
                                intractable.  It is equally intractable
                                to gather and combine all access
                                permissions and regulatory restrictions
                                on patients' data, even if there were a
                                useful means to do so.  (Both are
                                equivalent to the <a
                                  moz-do-not-send="true"
                                  href="https://en.wikipedia.org/wiki/Halting_problem"
                                  target="_blank">halting problem</a>.)<br>
                                <br>
                                Having a single "source of truth"
                                repository is one direction for a
                                solution, as is having a single access
                                permissions source.  Keeping them
                                updated with new data and permissions is
                                possible, even if difficult in the short
                                run.<br>
                                <br>
                                However, establishing unique URIs for
                                each patient's data and permissions is
                                the same as having a universal patient
                                identifier.  That might be subject to
                                current Congressional funding
                                restrictions.   <br>
                                <br>
                                <br>
                                <i>The College of Healthcare Information
                                  Management Executives on Tuesday
                                  launched a $1 million National Patient
                                  ID Challenge to develop solutions to
                                  ensure 100 percent accuracy of every
                                  patient’s identity to reduce
                                  preventable medical errors.</i><i><br>
                                </i><i><br>
                                </i><i><a moz-do-not-send="true"
href="http://www.healthdatamanagement.com/news/chime-launches-1m-challenge-to-solve-patient-id-problem"
                                    target="_blank">http://www.healthdatamanagement.com/news/chime-launches-1m-challenge-to-solve-patient-id-problem</a></i><br>
                                <div>-- <br>
                                  <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 moz-do-not-send="true"
                                      href="tel:%28610%29%20644-2452"
                                      value="+16106442452"
                                      target="_blank">(610) 644-2452</a><br>
                                    Mobile: <a moz-do-not-send="true"
                                      href="tel:%28610%29%20613-3084"
                                      value="+16106133084"
                                      target="_blank">(610) 613-3084</a><br>
                                    <a moz-do-not-send="true"
                                      href="mailto:gfm@securityrs.com"
                                      target="_blank">gfm@securityrs.com</a><br>
                                    <a moz-do-not-send="true"
                                      href="http://www.SecurityRiskSolutions.com"
                                      target="_blank">www.SecurityRiskSolutions.com</a></p>
                                </div>
                              </div>
                            </div>
                          </div>
                          <br>
_______________________________________________<br>
                          Openid-specs-heart mailing list<br>
                          <a moz-do-not-send="true"
                            href="mailto:Openid-specs-heart@lists.openid.net"
                            target="_blank">Openid-specs-heart@lists.openid.net</a><br>
                          <a moz-do-not-send="true"
                            href="http://lists.openid.net/mailman/listinfo/openid-specs-heart"
                            rel="noreferrer" target="_blank">http://lists.openid.net/mailman/listinfo/openid-specs-heart</a><br>
                          <br>
                        </blockquote>
                      </div>
                      <br>
                      <br clear="all">
                      <br>
                      -- <br>
                      <div>
                        <div dir="ltr">
                          <div>
                            <div dir="ltr">
                              <div>
                                <div dir="ltr">
                                  <div><br>
                                    <div dir="ltr">Adrian Gropper MD<span
                                        style="font-size:11pt"></span><br>
                                      <br>
                                      <span
                                        style="font-family:"Arial",sans-serif;color:#1f497d">PROTECT

                                        YOUR FUTURE - RESTORE Health
                                        Privacy!</span><span
                                        style="font-family:"Arial",sans-serif;color:#1f497d"><br>
                                        HELP us fight for the right to
                                        control personal health data.</span><span
style="font-family:"Arial",sans-serif;color:#1f497d"></span><span
style="font-family:"Arial",sans-serif;color:#1f497d"><br>
                                        DONATE: <a
                                          moz-do-not-send="true"
                                          href="http://patientprivacyrights.org/donate-2/"
                                          target="_blank"><span
                                            style="color:#0563c1"><a class="moz-txt-link-freetext" href="http://patientprivacyrights.org/donate-2/">http://patientprivacyrights.org/donate-2/</a></span></a></span><span
                                        style="color:#1f497d"></span> </div>
                                  </div>
                                </div>
                              </div>
                            </div>
                          </div>
                        </div>
                      </div>
                    </div>
                    <br>
                    <fieldset></fieldset>
                    <br>
                    <pre>_______________________________________________
Openid-specs-heart mailing list
<a moz-do-not-send="true" href="mailto:Openid-specs-heart@lists.openid.net" target="_blank">Openid-specs-heart@lists.openid.net</a>
<a moz-do-not-send="true" href="http://lists.openid.net/mailman/listinfo/openid-specs-heart" target="_blank">http://lists.openid.net/mailman/listinfo/openid-specs-heart</a>
</pre>
                  </blockquote>
                  <br>
                </div>
              </div>
            </div>
          </blockquote>
        </div>
        <br>
        <br clear="all">
        <br>
        -- <br>
        <div class="gmail_signature">
          <div dir="ltr">
            <div>
              <div dir="ltr">
                <div>
                  <div dir="ltr">
                    <div><br>
                      <div dir="ltr">Adrian Gropper MD<span
                          style="font-size:11pt"></span><br>
                        <br>
                        <span
                          style="font-family:"Arial",sans-serif;color:#1f497d">PROTECT
                          YOUR FUTURE - RESTORE Health Privacy!</span><span
style="font-family:"Arial",sans-serif;color:#1f497d"><br>
                          HELP us fight for the right to control
                          personal health data.</span><span
                          style="font-family:"Arial",sans-serif;color:#1f497d"></span><span
style="font-family:"Arial",sans-serif;color:#1f497d"><br>
                          DONATE:
                          <a moz-do-not-send="true"
                            href="http://patientprivacyrights.org/donate-2/"
                            target="_blank"><span style="color:#0563c1">http://patientprivacyrights.org/donate-2/</span></a></span><span
                          style="color:#1f497d"></span>
                      </div>
                    </div>
                  </div>
                </div>
              </div>
            </div>
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