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<p class="MsoNormal"><span style="font-family:"Helvetica",sans-serif">I depends on the use cases. <o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Helvetica",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Helvetica",sans-serif">However, if we are depending on some sort of metadata tagging for privacy classification, more dynamic data has greater cost (no economy of scale) and less value (diseconomy of scale) per
metadata tag. At some point we reach a cross-over where the cost of privacy protection exceeds the risks it mitigates.
<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Helvetica",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Helvetica",sans-serif">Yes, the business economic environment is out of scope for HEART. But it is not out of scope for implementers. Our work-products need to acknowledge the environment, its realities, and
its limitations. <o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Helvetica",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Helvetica",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Helvetica",sans-serif">Glen F. Marshall<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Helvetica",sans-serif">Consultant<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Helvetica",sans-serif">Security Risk Solutions, Inc.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Helvetica",sans-serif">698 Fishermans Bend<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Helvetica",sans-serif">Mount Pleasant, SC 29464<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Helvetica",sans-serif">Tel: (610) 644-2452
<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Helvetica",sans-serif">Mobile: (610) 613-3084<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Helvetica",sans-serif">gfm@securityrs.com<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Helvetica",sans-serif"><a href="http://www.securityrisksolutions.com/"><span style="color:#0563C1">www.SecurityRiskSolutions.com</span></a><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Helvetica",sans-serif"><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"> Openid-specs-heart [mailto:openid-specs-heart-bounces@lists.openid.net]
<b>On Behalf Of </b>Danny van Leeuwen<br>
<b>Sent:</b> Thursday, August 18, 2016 11:11<br>
<b>Cc:</b> HEART List <openid-specs-heart@lists.openid.net><br>
<b>Subject:</b> Re: [Openid-specs-heart] Resource/Scope Proposal #2<o:p></o:p></span></p>
<p class="MsoNormal"><o:p> </o:p></p>
<div>
<p class="MsoNormal">As I read the list of resources I wonder about static, mildly dynamic, and greatly dynamic or fluid resources. Name, DOB are examples of static resources. Allergies, smoking status and procedures are mildly dynamic. Medications and plan
are quite fluid. What are the implications of this static->fluid continuum in this whole discussion?<o:p></o:p></p>
</div>
<div>
<p class="MsoNormal"><o:p> </o:p></p>
<div>
<p class="MsoNormal">On Tue, Aug 16, 2016 at 5:15 PM, Nancy Lush <<a href="mailto:nlush@lgisoftware.com" target="_blank">nlush@lgisoftware.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">HEART proposal Example 2<o:p></o:p></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto">(I apologize in advance for such a long email. Also, sorry for the delay as I was away on vacation and catching up.)<o:p></o:p></p>
<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;margin-bottom:12.0pt">Justin proposed that team members propose suggested resources, scopes and what they mean. The objective is to suggest positive solutions. None will be totally ‘correct’ but that is
OK because together these suggestions can be combined and adjusted to reach the ‘correct’ solution. Based on that, I will create another stab as an alternative.<o:p></o:p></p>
<p>1.<span style="font-size:7.0pt"> </span>First, since HEART is based on FHIR, we should not expect any changes in FHIR, at least for the 1.0 version. The resources should be the FHIR resources. I am stating this as a discrete point. I think we all
agree, but I would like to know that we do indeed concur.<o:p></o:p></p>
<p>2.<span style="font-size:7.0pt"> </span>In an attempt to simplify, my original list of resources was the list of FHIR resources that are implemented by the Argonaut group. Since this is the set that most of the current servers have implemented, we
could expect them to be supported first. (I have no objection to the list being the complete list of FHIR resources, if that is preferred by the group.) This subset list also happens to correspond to the Common Clinical Data set. (I am suggesting that we
start with this limited set in the assumption that we could implement HEART as soon as it is specified.)<o:p></o:p></p>
<p style="mso-margin-top-alt:5.0pt;margin-right:0in;margin-bottom:0in;margin-left:1.0in;margin-bottom:.0001pt">
<span style="font-family:Symbol">·</span><span style="font-size:7.0pt"> </span>
Patient demographics (Known as ‘patient’ per FHIR)<o:p></o:p></p>
<p style="mso-margin-top-alt:5.0pt;margin-right:0in;margin-bottom:0in;margin-left:1.0in;margin-bottom:.0001pt">
<span style="font-family:Symbol">·</span><span style="font-size:7.0pt"> </span>
Allergies<o:p></o:p></p>
<p style="mso-margin-top-alt:5.0pt;margin-right:0in;margin-bottom:0in;margin-left:1.0in;margin-bottom:.0001pt">
<span style="font-family:Symbol">·</span><span style="font-size:7.0pt"> </span>
Problems & Health concerns (Conditions)<o:p></o:p></p>
<p style="mso-margin-top-alt:5.0pt;margin-right:0in;margin-bottom:0in;margin-left:1.0in;margin-bottom:.0001pt">
<span style="font-family:Symbol">·</span><span style="font-size:7.0pt"> </span>
Vital Signs (Category of Observations)<o:p></o:p></p>
<p style="mso-margin-top-alt:5.0pt;margin-right:0in;margin-bottom:0in;margin-left:1.0in;margin-bottom:.0001pt">
<span style="font-family:Symbol">·</span><span style="font-size:7.0pt"> </span>
Labs<o:p></o:p></p>
<p style="mso-margin-top-alt:5.0pt;margin-right:0in;margin-bottom:0in;margin-left:1.0in;margin-bottom:.0001pt">
<span style="font-family:Symbol">·</span><span style="font-size:7.0pt"> </span>
Smoking Status <o:p></o:p></p>
<p style="mso-margin-top-alt:5.0pt;margin-right:0in;margin-bottom:0in;margin-left:1.0in;margin-bottom:.0001pt">
<span style="font-family:Symbol">·</span><span style="font-size:7.0pt"> </span>
Care Team (Some vendors have Care Plan of which Care Team is a subset.)<o:p></o:p></p>
<p style="mso-margin-top-alt:5.0pt;margin-right:0in;margin-bottom:0in;margin-left:1.0in;margin-bottom:.0001pt">
<span style="font-family:Symbol">·</span><span style="font-size:7.0pt"> </span>
Medications<o:p></o:p></p>
<p style="mso-margin-top-alt:5.0pt;margin-right:0in;margin-bottom:0in;margin-left:1.0in;margin-bottom:.0001pt">
<span style="font-family:Symbol">·</span><span style="font-size:7.0pt"> </span>
Immunizations <o:p></o:p></p>
<p style="mso-margin-top-alt:5.0pt;margin-right:0in;margin-bottom:0in;margin-left:1.0in;margin-bottom:.0001pt">
<span style="font-family:Symbol">·</span><span style="font-size:7.0pt"> </span>
Goals<br>
---- this next subset of resources could expand on the above list and are a continuation of the Argonaut implementation list.<o:p></o:p></p>
<p style="mso-margin-top-alt:5.0pt;margin-right:0in;margin-bottom:0in;margin-left:1.0in;margin-bottom:.0001pt">
<span style="font-family:Symbol">·</span><span style="font-size:7.0pt"> </span>
UDI (Device)<o:p></o:p></p>
<p style="mso-margin-top-alt:5.0pt;margin-right:0in;margin-bottom:0in;margin-left:1.0in;margin-bottom:.0001pt">
<span style="font-family:Symbol">·</span><span style="font-size:7.0pt"> </span>
Procedures<o:p></o:p></p>
<p style="mso-margin-top-alt:5.0pt;margin-right:0in;margin-bottom:0in;margin-left:1.0in;margin-bottom:.0001pt">
<span style="font-family:Symbol">·</span><span style="font-size:7.0pt"> </span>
Plan of Treatment<o:p></o:p></p>
<p style="mso-margin-top-alt:5.0pt;margin-right:0in;margin-bottom:12.0pt;margin-left:1.0in">
<span style="font-family:Symbol">·</span><span style="font-size:7.0pt"> </span>
Assessment<o:p></o:p></p>
<p style="margin-bottom:12.0pt">3.<span style="font-size:7.0pt"> </span>The chart below is simply to demonstrate to those less familiar with FHIR how this might work. All of these results are per patient.<o:p></o:p></p>
<table class="MsoNormalTable" border="0" cellspacing="0" cellpadding="0" style="margin-left:.5in;border-collapse:collapse">
<tbody>
<tr>
<td width="121" valign="top" style="width:90.45pt;border:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt">
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto">Common Name<o:p></o:p></p>
</td>
<td width="124" valign="top" style="width:92.65pt;border:solid windowtext 1.0pt;border-left:none;padding:0in 5.4pt 0in 5.4pt">
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto">FHIR Resource<o:p></o:p></p>
</td>
<td width="116" valign="top" style="width:86.9pt;border:solid windowtext 1.0pt;border-left:none;padding:0in 5.4pt 0in 5.4pt">
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto">Category if applies<o:p></o:p></p>
</td>
<td width="108" valign="top" style="width:80.75pt;border:solid windowtext 1.0pt;border-left:none;padding:0in 5.4pt 0in 5.4pt">
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto">Other filter<o:p></o:p></p>
</td>
<td width="108" valign="top" style="width:80.75pt;border:solid windowtext 1.0pt;border-left:none;padding:0in 5.4pt 0in 5.4pt">
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"> <o:p></o:p></p>
</td>
</tr>
<tr>
<td width="121" valign="top" style="width:90.45pt;border:solid windowtext 1.0pt;border-top:none;padding:0in 5.4pt 0in 5.4pt">
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto">Patient demographics<o:p></o:p></p>
</td>
<td width="124" valign="top" style="width:92.65pt;border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt">
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto">Patient<o:p></o:p></p>
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<td width="116" valign="top" style="width:86.9pt;border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt">
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"> <o:p></o:p></p>
</td>
<td width="108" valign="top" style="width:80.75pt;border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt">
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"> <o:p></o:p></p>
</td>
<td width="108" valign="top" style="width:80.75pt;border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt">
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"> <o:p></o:p></p>
</td>
</tr>
<tr>
<td width="121" valign="top" style="width:90.45pt;border:solid windowtext 1.0pt;border-top:none;padding:0in 5.4pt 0in 5.4pt">
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto">Allergies<o:p></o:p></p>
</td>
<td width="124" valign="top" style="width:92.65pt;border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt">
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto">AllergyIntolerance<o:p></o:p></p>
</td>
<td width="116" valign="top" style="width:86.9pt;border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt">
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"> <o:p></o:p></p>
</td>
<td width="108" valign="top" style="width:80.75pt;border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt">
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"> <o:p></o:p></p>
</td>
<td width="108" valign="top" style="width:80.75pt;border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt">
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"> <o:p></o:p></p>
</td>
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<td width="121" valign="top" style="width:90.45pt;border:solid windowtext 1.0pt;border-top:none;padding:0in 5.4pt 0in 5.4pt">
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto">Problems and Health Concerns<o:p></o:p></p>
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<td width="124" valign="top" style="width:92.65pt;border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt">
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto">Condition<o:p></o:p></p>
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<td width="116" valign="top" style="width:86.9pt;border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt">
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"> <o:p></o:p></p>
</td>
<td width="108" valign="top" style="width:80.75pt;border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt">
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"> <o:p></o:p></p>
</td>
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<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"> <o:p></o:p></p>
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<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto">Vital Signs<o:p></o:p></p>
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<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto">Observation<o:p></o:p></p>
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<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto">Vital-signs<o:p></o:p></p>
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<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"> <o:p></o:p></p>
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<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"> <o:p></o:p></p>
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<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto">Lab Results<o:p></o:p></p>
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<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto">DiagnosticReport<o:p></o:p></p>
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<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto">Lab<o:p></o:p></p>
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<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"> <o:p></o:p></p>
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<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto">Smoking Status<o:p></o:p></p>
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<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto">Observation<o:p></o:p></p>
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<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"> <o:p></o:p></p>
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<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto">Code=72166-2<o:p></o:p></p>
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<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"> <o:p></o:p></p>
</td>
</tr>
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<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto">Care Team<o:p></o:p></p>
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<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto">CarePlan<o:p></o:p></p>
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<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto">CareTeam<o:p></o:p></p>
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<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"> <o:p></o:p></p>
</td>
<td width="108" valign="top" style="width:80.75pt;border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt">
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"> <o:p></o:p></p>
</td>
</tr>
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<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto">Medications<o:p></o:p></p>
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<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto">MedicationStatement<o:p></o:p></p>
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<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"> <o:p></o:p></p>
</td>
<td width="108" valign="top" style="width:80.75pt;border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt">
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"> <o:p></o:p></p>
</td>
<td width="108" valign="top" style="width:80.75pt;border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt">
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"> <o:p></o:p></p>
</td>
</tr>
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<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto">Medications<o:p></o:p></p>
</td>
<td width="124" valign="top" style="width:92.65pt;border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt">
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto">MedicationOrder<o:p></o:p></p>
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<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"> <o:p></o:p></p>
</td>
<td width="108" valign="top" style="width:80.75pt;border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt">
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"> <o:p></o:p></p>
</td>
<td width="108" valign="top" style="width:80.75pt;border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt">
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"> <o:p></o:p></p>
</td>
</tr>
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<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto">Immunizations<o:p></o:p></p>
</td>
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<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto">Immunization<o:p></o:p></p>
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<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"> <o:p></o:p></p>
</td>
<td width="108" valign="top" style="width:80.75pt;border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt">
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"> <o:p></o:p></p>
</td>
<td width="108" valign="top" style="width:80.75pt;border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt">
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"> <o:p></o:p></p>
</td>
</tr>
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<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto">Goals<o:p></o:p></p>
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<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto">Goal<o:p></o:p></p>
</td>
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<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"> <o:p></o:p></p>
</td>
<td width="108" valign="top" style="width:80.75pt;border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt">
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"> <o:p></o:p></p>
</td>
<td width="108" valign="top" style="width:80.75pt;border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt">
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"> <o:p></o:p></p>
</td>
</tr>
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<td width="121" valign="top" style="width:90.45pt;border:solid windowtext 1.0pt;border-top:none;padding:0in 5.4pt 0in 5.4pt">
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto">UDI<o:p></o:p></p>
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<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto">Device<o:p></o:p></p>
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<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"> <o:p></o:p></p>
</td>
<td width="108" valign="top" style="width:80.75pt;border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt">
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"> <o:p></o:p></p>
</td>
<td width="108" valign="top" style="width:80.75pt;border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt">
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"> <o:p></o:p></p>
</td>
</tr>
<tr>
<td width="121" valign="top" style="width:90.45pt;border:solid windowtext 1.0pt;border-top:none;padding:0in 5.4pt 0in 5.4pt">
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto">Procedures<o:p></o:p></p>
</td>
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<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto">Procedure<o:p></o:p></p>
</td>
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<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"> <o:p></o:p></p>
</td>
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<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"> <o:p></o:p></p>
</td>
<td width="108" valign="top" style="width:80.75pt;border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt">
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"> <o:p></o:p></p>
</td>
</tr>
<tr>
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<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto">Plan of Treatment<o:p></o:p></p>
</td>
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<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto">(Still being defined in re-sprint)<o:p></o:p></p>
</td>
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<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"> <o:p></o:p></p>
</td>
<td width="108" valign="top" style="width:80.75pt;border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt">
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"> <o:p></o:p></p>
</td>
<td width="108" valign="top" style="width:80.75pt;border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt">
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"> <o:p></o:p></p>
</td>
</tr>
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<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto">Assessment<o:p></o:p></p>
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<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto">(Still being defined in re-sprint)<o:p></o:p></p>
</td>
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<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"> <o:p></o:p></p>
</td>
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<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"> <o:p></o:p></p>
</td>
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<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"> <o:p></o:p></p>
</td>
</tr>
</tbody>
</table>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;margin-left:.25in;text-indent:17.25pt">
There are different filters for each resource type. These should not be addressed by HEART in terms of having our patient, Alice, provide varying permissions at that level.<br>
<br>
The reasons for limiting the resources to a list like this is because they are already implemented and tested for many servers and because they are a great first step. If we can do this in HEART for starters we will have achieved a lot!<o:p></o:p></p>
<p>4.<span style="font-size:7.0pt"> </span>Terminology: This group often uses different terminology which causes confusion. Eve has suggested several times that we focus on clarifying terminology and has begun that effort in her use case document.
One term that has bothered me in the past is the term ‘Resource Set’. At the HL7 conference, Josh clarified this for me. My current understanding is that UMA uses ‘Resource Set’ for the same purpose as FHIR uses ‘Resource Type’, or as is often shortened
in FHIR as ‘Resource’. So in FHIR, if we request medications for the patient Alice, we refer to the resource ‘Medications’, while UMA refers to this as a ‘Resource Set’ for the patient Alice. (The result would be a list of medications for Alice.) If this
understanding is currently incorrect, can someone please correct it?<o:p></o:p></p>
<p>5.<span style="font-size:7.0pt"> </span>Grouping of resources: Let’s assume that we have agreed on the list of FHIR resources. I propose that we allow Alice to select which of the list she desires to share, with the addition of choices ‘all’ or ‘none’.
The requests for the resources by the client would still be made individually for each resource. (To me the notion of ‘resource set’ implied that we would define a set of individual resources – say by some category. I would advise against using such a notion
as it only complicates and does not add any benefits.)<o:p></o:p></p>
<p>6.<span style="font-size:7.0pt"> </span>Scopes<o:p></o:p></p>
<p style="margin-left:1.0in">a.<span style="font-size:7.0pt"> </span>Read/Write<o:p></o:p></p>
<p style="margin-left:1.5in"><span style="font-size:7.0pt">
</span>i.<span style="font-size:7.0pt"> </span>In last week’s meeting, Justin referenced the current scope stream: individual, bulk, read, write. Since we are specifying HEART, I would assume this is always what the patient is specifying. So for
HEART, the scope of ‘bulk’ is not relevant. Further we have scopes of Read, Write, or *. I suggest that we allow Alice to specify Read, Write, and have the ability to specify both. These settings can be set either per resource or for all resources.<br>
<br>
Two points should be noted:<o:p></o:p></p>
<p style="margin-left:1.5in"><span style="font-size:7.0pt">
</span>ii.<span style="font-size:7.0pt"> </span>Current implementations are supporting ‘Read’ and do not yet support ‘Write’. We may be fine with starting with just ‘Read’ for version 1.0.<o:p></o:p></p>
<p style="margin-left:1.5in"><span style="font-size:7.0pt">
</span>iii.<span style="font-size:7.0pt"> </span>Since Alice is defining what she is willing to share – wouldn’t that be the ‘Read’ case? I can imagine that we will see implementations where Alice controls her RS and in that case could specify ‘Write’
permissions. For the immediate future, I would be surprised if the EMR would allow Alice to give permissions to Dr. Bob to write to an EMR. There may be a case where Alice can give Dr. Bob permission to write to her PHR.<o:p></o:p></p>
<p style="margin-left:1.0in">b.<span style="font-size:7.0pt"> </span>Dates<o:p></o:p></p>
<p style="margin-left:1.5in"><span style="font-size:7.0pt">
</span>i.<span style="font-size:7.0pt"> </span>My understanding from yesterday’s conversation was that we do not want to include dates in the scopes on resources, per HEART. There are date filters available for some resources, but that is within the FHIR
query specification, an outside of the HEART spec.<o:p></o:p></p>
<p style="margin-left:1.5in"><span style="font-size:7.0pt">
</span>ii.<span style="font-size:7.0pt"> </span>Eve raised the objective of having expiration dates associated with the permissions granted, but that functionality does not apply to resource date scopes<o:p></o:p></p>
<p style="margin-left:1.5in"><span style="font-size:7.0pt">
</span>iii.<span style="font-size:7.0pt"> </span>So ‘dates’ are not considered as a scope per this discussion.<o:p></o:p></p>
<p style="margin-left:1.0in">c.<span style="font-size:7.0pt"> </span>Confidentiality codes: I was the culprit that initially raised the case of Alice not wanting to share her HIV condition, but only sharing her non-HIV condition. I believe most of us
would like to provide such a feature in HEART, but since that original discussion I am now of the opinion that we should NOT include this feature in version 1.0.
<o:p></o:p></p>
<p style="mso-margin-top-alt:5.0pt;margin-right:0in;margin-bottom:0in;margin-left:1.5in;margin-bottom:.0001pt">
<span style="font-size:7.0pt">
</span>i.<span style="font-size:7.0pt"> </span>Confidentiality codes were suggested as a potential solution to this issue. It has been stated that some additional ‘magic’ needs to occur to make this viable. Since it is not currently supported in
current FHIR implementation, adding this to HEART in version 1.0 could derail the effort.<o:p></o:p></p>
<p style="mso-margin-top-alt:5.0pt;margin-right:0in;margin-bottom:0in;margin-left:1.5in;margin-bottom:.0001pt">
<span style="font-size:7.0pt">
</span>ii.<span style="font-size:7.0pt"> </span>Confidentiality codes are defined in FHIR as tags.<o:p></o:p></p>
<p style="mso-margin-top-alt:5.0pt;margin-right:0in;margin-bottom:0in;margin-left:1.5in;margin-bottom:.0001pt">
<span style="font-size:7.0pt">
</span>iii.<span style="font-size:7.0pt"> </span>Confidentiality codes are not implemented in most of the current servers. Even if they were, there is not a consistent method to consistently code values across servers. This could lead to inconsistent
results and be worse that not providing the feature at all.<o:p></o:p></p>
<p style="mso-margin-top-alt:5.0pt;margin-right:0in;margin-bottom:0in;margin-left:1.5in;margin-bottom:.0001pt">
<span style="font-size:7.0pt">
</span>iv.<span style="font-size:7.0pt"> </span>If Alice desired to not share her ‘HIV’ condition, we would need to add a scope to the resource request asking the server to withhold data that matches the requested confidentiality settings. This
scope is not currently defined in FHIR and we should not be attempting to change FHIR as part of our HEART 1.0 specification.
<o:p></o:p></p>
<p style="mso-margin-top-alt:5.0pt;margin-right:0in;margin-bottom:0in;margin-left:1.5in;margin-bottom:.0001pt">
<span style="font-size:7.0pt">
</span>v.<span style="font-size:7.0pt"> </span>If I were running a RS, I certainly would not be willing to send Alice’s HIV condition to the client tagged as confidential and expect the client to not share it – instead I would want to not send the
data at all – thus the requirement to add a new scope – which we should definitely avoid.
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<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><span style="color:#1F4E79">This document is also added as an attachment.</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="color:#1F4E79">-Nancy</span><o:p></o:p></p>
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<b><span style="font-size:10.0pt;line-height:115%;color:#222A35">Nancy Lush </span></b><o:p></o:p></p>
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<span style="font-size:10.0pt;line-height:115%;color:#1F4E79"><a href="mailto:nancy.lush@lgisoftware.com" target="_blank">nancy.lush@lgisoftware.com</a></span><o:p></o:p></p>
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<b><span style="font-size:10.0pt;line-height:115%;color:#222A35">Lush Group, Inc</span></b><o:p></o:p></p>
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<span style="font-size:10.0pt;line-height:115%;color:#1F4E79">Office: <a href="tel:%28401%29%20423-9111" target="_blank">
(401) 423-9111</a></span><o:p></o:p></p>
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<span style="font-size:10.0pt;line-height:115%;color:#1F4E79">28 Narragansett Ave</span><o:p></o:p></p>
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<span style="font-size:10.0pt;line-height:115%;color:#1F4E79">PO Box 651</span><o:p></o:p></p>
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<span style="font-size:10.0pt;line-height:115%;color:#1F4E79"><a href="http://www.lgisoftware.com" target="_blank">www.lgisoftware.com</a>
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<span style="font-size:10.0pt;line-height:115%;color:#1F4E79">Cell:<a href="tel:%28401%29%20965-9347" target="_blank">(401) 965-9347</a></span><o:p></o:p></p>
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<p class="MsoNormal" style="margin-bottom:12.0pt"><br>
_______________________________________________<br>
Openid-specs-heart mailing list<br>
<a href="mailto:Openid-specs-heart@lists.openid.net">Openid-specs-heart@lists.openid.net</a><br>
<a href="http://lists.openid.net/mailman/listinfo/openid-specs-heart" target="_blank">http://lists.openid.net/mailman/listinfo/openid-specs-heart</a><o:p></o:p></p>
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<p class="MsoNormal"><o:p> </o:p></p>
</div>
<p class="MsoNormal">-- <o:p></o:p></p>
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<p class="MsoNormal"><span style="color:#330099">Danny van Leeuwen<br>
617-304-4681</span><o:p></o:p></p>
<div>
<p class="MsoNormal"><o:p> </o:p></p>
<div>
<p class="MsoNormal"><b><span style="color:#330099">Blog <a href="http://www.health-hats.com/" target="_blank">
www.health-hats.com</a> </span></b><b><i><span style="font-size:8.0pt;font-family:"Arial Black",sans-serif;color:#330099">discovering the magic levers of best health</span></i></b><o:p></o:p></p>
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