<div dir="ltr"><div>Please post your comments and questions about HIE of One and HEART to <a href="http://thehealthcareblog.com/blog/2016/10/17/re-decentralization-of-medicine-the-hie-of-one-demonstration/">http://thehealthcareblog.com/blog/2016/10/17/re-decentralization-of-medicine-the-hie-of-one-demonstration/</a> <br><br></div>Thank you!<br></div><div class="gmail_extra"><br><div class="gmail_quote">On Mon, Oct 17, 2016 at 5:00 PM, Sarah Squire <span dir="ltr"><<a href="mailto:sarah@engageidentity.com" target="_blank">sarah@engageidentity.com</a>></span> wrote:<br><blockquote class="gmail_quote" style="margin:0 0 0 .8ex;border-left:1px #ccc solid;padding-left:1ex"><div dir="ltr"><span id="m_7516339474254138202gmail-docs-internal-guid-42deb0b5-d471-b027-4f7e-6ec96faf7ff1"><p dir="ltr" style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"><span style="font-size:14.6667px;font-family:arial;color:rgb(0,0,0);background-color:transparent;vertical-align:baseline;white-space:pre-wrap">Attendees:</span></p><br><p dir="ltr" style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"><span style="font-size:14.6667px;font-family:arial;color:rgb(0,0,0);background-color:transparent;vertical-align:baseline;white-space:pre-wrap">Debbie Bucci</span></p><p dir="ltr" style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"><span style="font-size:14.6667px;font-family:arial;color:rgb(0,0,0);background-color:transparent;vertical-align:baseline;white-space:pre-wrap">Adrian Gropper</span></p><p dir="ltr" style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"><span style="font-size:14.6667px;font-family:arial;color:rgb(0,0,0);background-color:transparent;vertical-align:baseline;white-space:pre-wrap">Bruce Wilder</span></p><p dir="ltr" style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"><span style="font-size:14.6667px;font-family:arial;color:rgb(0,0,0);background-color:transparent;vertical-align:baseline;white-space:pre-wrap">Cait Ryan</span></p><p dir="ltr" style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"><span style="font-size:14.6667px;font-family:arial;color:rgb(0,0,0);background-color:transparent;vertical-align:baseline;white-space:pre-wrap">Daniel van Leeuwen</span></p><p dir="ltr" style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"><span style="font-size:14.6667px;font-family:arial;color:rgb(0,0,0);background-color:transparent;vertical-align:baseline;white-space:pre-wrap">Edmund Jay</span></p><p dir="ltr" style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"><span style="font-size:14.6667px;font-family:arial;color:rgb(0,0,0);background-color:transparent;vertical-align:baseline;white-space:pre-wrap">Glen Marshall</span></p><p dir="ltr" style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"><span style="font-size:14.6667px;font-family:arial;color:rgb(0,0,0);background-color:transparent;vertical-align:baseline;white-space:pre-wrap">John Moehrke</span></p><p dir="ltr" style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"><span style="font-size:14.6667px;font-family:arial;color:rgb(0,0,0);background-color:transparent;vertical-align:baseline;white-space:pre-wrap">Kathleen Connor</span></p><p dir="ltr" style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"><span style="font-size:14.6667px;font-family:arial;color:rgb(0,0,0);background-color:transparent;vertical-align:baseline;white-space:pre-wrap">Ken Salyards</span></p><p dir="ltr" style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"><span style="font-size:14.6667px;font-family:arial;color:rgb(0,0,0);background-color:transparent;vertical-align:baseline;white-space:pre-wrap">Luis Maas</span></p><p dir="ltr" style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"><span style="font-size:14.6667px;font-family:arial;color:rgb(0,0,0);background-color:transparent;vertical-align:baseline;white-space:pre-wrap">Michael Chen</span></p><p dir="ltr" style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"><span style="font-size:14.6667px;font-family:arial;color:rgb(0,0,0);background-color:transparent;vertical-align:baseline;white-space:pre-wrap">Nancy Lush</span></p><p dir="ltr" style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"><span style="font-size:14.6667px;font-family:arial;color:rgb(0,0,0);background-color:transparent;vertical-align:baseline;white-space:pre-wrap">Paul Nichol</span></p><p dir="ltr" style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"><span style="font-size:14.6667px;font-family:arial;color:rgb(0,0,0);background-color:transparent;vertical-align:baseline;white-space:pre-wrap">Sarah Squire</span></p><p dir="ltr" style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"><span style="font-size:14.6667px;font-family:arial;color:rgb(0,0,0);background-color:transparent;vertical-align:baseline;white-space:pre-wrap">Scott Shorter</span></p><p dir="ltr" style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"><span style="font-size:14.6667px;font-family:arial;color:rgb(0,0,0);background-color:transparent;vertical-align:baseline;white-space:pre-wrap">Thompson Boyd</span></p><p dir="ltr" style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"><span style="font-size:14.6667px;font-family:arial;color:rgb(0,0,0);background-color:transparent;vertical-align:baseline;white-space:pre-wrap">Walter Kirk</span></p><br><p dir="ltr" style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"><span style="font-size:14.6667px;font-family:arial;color:rgb(0,0,0);background-color:transparent;vertical-align:baseline;white-space:pre-wrap">Adrian:</span></p><p dir="ltr" style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"><span style="font-size:14.6667px;font-family:arial;color:rgb(0,0,0);background-color:transparent;vertical-align:baseline;white-space:pre-wrap">The goal of this demo is to show what we think is the first patient-centered health record based on open standards. It’s patient-centered in that it’s peer-to-peer, completely independent of any vendors or hospitals. </span></p><br><p dir="ltr" style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"><span style="font-size:14.6667px;font-family:arial;color:rgb(0,0,0);background-color:transparent;vertical-align:baseline;white-space:pre-wrap">*demo of HIE of One AS for Patient*</span></p><br><p dir="ltr" style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"><span style="font-size:14.6667px;font-family:arial;color:rgb(0,0,0);background-color:transparent;vertical-align:baseline;white-space:pre-wrap">*demo of NOSH ChartingSystem Personal Health Record*</span></p><br><p dir="ltr" style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"><span style="font-size:14.6667px;font-family:arial;color:rgb(0,0,0);background-color:transparent;vertical-align:baseline;white-space:pre-wrap">*demo of Dr. Second’s Practice EHR*</span></p><br><p dir="ltr" style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"><span style="font-size:14.6667px;font-family:arial;color:rgb(0,0,0);background-color:transparent;vertical-align:baseline;white-space:pre-wrap">Please add comments and questions to the healthcare blog post.</span></p><br><p dir="ltr" style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"><span style="font-size:14.6667px;font-family:arial;color:rgb(0,0,0);background-color:transparent;vertical-align:baseline;white-space:pre-wrap">John:</span></p><p dir="ltr" style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"><span style="font-size:14.6667px;font-family:arial;color:rgb(0,0,0);background-color:transparent;vertical-align:baseline;white-space:pre-wrap">Do you have a way to deal with identity assurance?</span></p><br><p dir="ltr" style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"><span style="font-size:14.6667px;font-family:arial;color:rgb(0,0,0);background-color:transparent;vertical-align:baseline;white-space:pre-wrap">Adrian:</span></p><p dir="ltr" style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"><span style="font-size:14.6667px;font-family:arial;color:rgb(0,0,0);background-color:transparent;vertical-align:baseline;white-space:pre-wrap">Yes, but it’s complicated. It’s work that’s going on with the UN and W3C. People are figuring out how to have very strong identities. There is a good global definition. We’re going to be using an Etherium Blockchain product that links your identity to a fingerprint on your phone. We are also dealing with verifiable credentials like admitting privileges to be linked in a triple-blind verifiable privacy-preserving way. You don’t want the credential provider to know when and where that credential is being used.</span></p><br><p dir="ltr" style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"><span style="font-size:14.6667px;font-family:arial;color:rgb(0,0,0);background-color:transparent;vertical-align:baseline;white-space:pre-wrap">This covers much of what we’re trying to do in HEART because it goes directly to the clipboard use case and the desire to have a set-it-and-forget-it model. If we combine this with linking policy to FHIR resources… We’re now at the point in HEART where we have to get connected to the FHIR people.</span></p><br><p dir="ltr" style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"><span style="font-size:14.6667px;font-family:arial;color:rgb(0,0,0);background-color:transparent;vertical-align:baseline;white-space:pre-wrap">Ken:</span></p><p dir="ltr" style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"><span style="font-size:14.6667px;font-family:arial;color:rgb(0,0,0);background-color:transparent;vertical-align:baseline;white-space:pre-wrap">Is your HIE a FHIR server?</span></p><br><p dir="ltr" style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"><span style="font-size:14.6667px;font-family:arial;color:rgb(0,0,0);background-color:transparent;vertical-align:baseline;white-space:pre-wrap">Adrian:</span></p><p dir="ltr" style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"><span style="font-size:14.6667px;font-family:arial;color:rgb(0,0,0);background-color:transparent;vertical-align:baseline;white-space:pre-wrap">No, HIE is just an UMA authorization server. pNOSH is the FHIR resource server. In reality, they would probably be running on the same box, so there would be no reason for them to be two separate servers, but they are separate code bases.</span></p><br><p dir="ltr" style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"><span style="font-size:14.6667px;font-family:arial;color:rgb(0,0,0);background-color:transparent;vertical-align:baseline;white-space:pre-wrap">Ken:</span></p><p dir="ltr" style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"><span style="font-size:14.6667px;font-family:arial;color:rgb(0,0,0);background-color:transparent;vertical-align:baseline;white-space:pre-wrap">What about individuals who don’t have access to a cell phone or computer? How would they get a public and private key? </span></p><br><p dir="ltr" style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"><span style="font-size:14.6667px;font-family:arial;color:rgb(0,0,0);background-color:transparent;vertical-align:baseline;white-space:pre-wrap">Adrian:</span></p><p dir="ltr" style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"><span style="font-size:14.6667px;font-family:arial;color:rgb(0,0,0);background-color:transparent;vertical-align:baseline;white-space:pre-wrap">The whole basis of non-repudiation is problematic if you let someone else hold your private key. I haven’t heard of a solution to that problem. Maybe you could issue them a FIDO authenticator?</span></p><br><p dir="ltr" style="line-height:1.38;margin-top:0pt;margin-bottom:0pt"><span style="font-size:14.6667px;font-family:arial;color:rgb(0,0,0);background-color:transparent;vertical-align:baseline;white-space:pre-wrap">Debbie:</span></p><span style="font-size:14.6667px;font-family:arial;color:rgb(0,0,0);background-color:transparent;vertical-align:baseline;white-space:pre-wrap">We’re cancelling Monday’s meeting and picking things up on the 31st. Also we’re looking for HEART implementations to test with our test tool. I’ll send something out to the HEART list.</span></span><span class="HOEnZb"><font color="#888888"><div><font face="arial" color="#000000"><span style="font-size:14.6667px;white-space:pre-wrap"><br clear="all"></span></font><div><div class="m_7516339474254138202gmail_signature"><div dir="ltr"><div style="color:rgb(136,136,136)">Sarah Squire</div><div style="color:rgb(136,136,136)">Engage Identity</div><div style="color:rgb(136,136,136)"><a href="http://engageidentity.com/" style="color:rgb(17,85,204)" target="_blank">http://engageidentity.com</a></div></div></div></div>
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<br></blockquote></div><br><br clear="all"><br>-- <br><div class="gmail_signature" data-smartmail="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 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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