Plurality is about politics. What I'm talking about is relatively simple technology that Google and Amazon have running at much larger scale than a Blue Button pilot demonstration this summer. <div><br></div><div>Turning technology into a political debate is not helpful. There's absolutely no reason that CMS should not create a "moon shot" branch of Blue Button on FHIR. The cost, of a few developer-months, relative to the scale of Medicare and the PMI is infinitesimal. Doing a "moon-shot" fork doesn't force large-scale deployment of the outcome. It simply informs the next set of technology and policy decisions.</div><div><br></div><div>Let's all cut the drama and do the work.</div><div><br></div><div>Adrian<br><br>On Friday, March 18, 2016, Aaron Seib <<a href="mailto:aaron.seib@nate-trust.org">aaron.seib@nate-trust.org</a>> wrote:<br><blockquote class="gmail_quote" style="margin:0 0 0 .8ex;border-left:1px #ccc solid;padding-left:1ex"><div lang="EN-US" link="blue" vlink="purple"><div><p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">Adrian,<u></u><u></u></span></p><p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d"><u></u> <u></u></span></p><p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">For those who don’t subscribe to the THCB I wanted to share my following comment.<u></u><u></u></span></p><p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d"><u></u> <u></u></span></p><p class="MsoNormal"><img width="710" height="405" src="cid:image001.png@01D1811C.6D735F40"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d"><u></u><u></u></span></p><p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d"><u></u> <u></u></span></p><p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">I love you like a big brother but I fear your position is very different than mine and what I believe is at least a plurality of the rest of the nation.<u></u><u></u></span></p><p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d"><u></u> <u></u></span></p><p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d"><u></u> <u></u></span></p><p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d"><u></u> <u></u></span></p><p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">Aaron Seib, CEO<u></u><u></u></span></p><p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">@CaptBlueButton <u></u><u></u></span></p><p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d"> (o) 301-540-2311<u></u><u></u></span></p><p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">(m) 301-326-6843<u></u><u></u></span></p><p class="MsoNormal"><a href="http://nate-trust.org" target="_blank"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d;text-decoration:none"><img border="0" width="205" height="48" src="cid:image002.jpg@01D1811C.6D735F40"></span></a><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d"><u></u><u></u></span></p><p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d"><u></u> <u></u></span></p><p class="MsoNormal"><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="javascript:_e(%7B%7D,'cvml','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> Thursday, March 17, 2016 8:30 PM<br><b>To:</b> Members Only List; <a href="javascript:_e(%7B%7D,'cvml','openid-specs-heart@lists.openid.net');" target="_blank">openid-specs-heart@lists.openid.net</a><br><b>Cc:</b> Sanches, Linda (HHS/OCR); Aneesh Chopra; Josh Mandel; <a href="javascript:_e(%7B%7D,'cvml','kathleen_connor@comcast.net');" target="_blank">kathleen_connor@comcast.net</a>; Samuels, Jocelyn (OS/OCR); Mark Scrimshire<br><b>Subject:</b> [Openid-specs-heart] Precision Medicine’s First Test is Blue Button on FHIR<u></u><u></u></span></p><p class="MsoNormal"><u></u> <u></u></p><div><div><div><p class="MsoNormal" style="margin-bottom:12.0pt">It seems reasonable to expect that policy for patient-directed FHIR access will be consistent across the Federal Health Architecture. <u></u><u></u></p></div><p class="MsoNormal" style="margin-bottom:12.0pt">That puts a spotlight on Blue Button on FHIR <a href="http://thehealthcareblog.com/blog/2016/03/17/precision-medicines-first-test-is-blue-button-on-fhir/" target="_blank">http://thehealthcareblog.com/blog/2016/03/17/precision-medicines-first-test-is-blue-button-on-fhir/</a><br><br>Still looking for the first HEART pilot in the FHA universe...<u></u><u></u></p></div><div><p class="MsoNormal">Adrian<br clear="all"><u></u><u></u></p></div><div><div><div><div><div><div><div><p class="MsoNormal"><br>-- <u></u><u></u></p><div><div><div><div><div><div><div><p class="MsoNormal"><u></u> <u></u></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> <u></u><u></u></p></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></blockquote></div><br><br>-- <br><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 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>
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