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</o:shapelayout></xml><![endif]--></head><body lang=EN-US link=blue vlink=purple><div class=WordSection1><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>I know that the only opinion that matters is the one that shouts the loudest so I humbly accept that my input is not desired.<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 href="nate-trust.org"><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D;text-decoration:none'><img border=0 width=205 height=48 id="Picture_x0020_1" src="cid:image001.jpg@01D2554F.91245360"></span></a><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'><o:p> </o:p></span></p><div><div style='border:none;border-top:solid #B5C4DF 1.0pt;padding:3.0pt 0in 0in 0in'><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:openid-specs-heart-bounces@lists.openid.net] <b>On Behalf Of </b>Glen Marshall [SRS]<br><b>Sent:</b> Tuesday, December 13, 2016 1:56 PM<br><b>To:</b> Adrian Gropper<br><b>Cc:</b> openid-specs-heart@lists.openid.net<br><b>Subject:</b> Re: [Openid-specs-heart] FHIR Client Registration is the existential issue for HEART<o:p></o:p></span></p></div></div><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal><span style='color:black'>Adrian,<o:p></o:p></span></p><p class=MsoNormal><span style='color:black'><o:p> </o:p></span></p><p class=MsoNormal><span style='color:black'>My suggestion is to put this issue in the parking lot. <o:p></o:p></span></p><p class=MsoNormal><span style='color:black'><o:p> </o:p></span></p><p class=MsoNormal><span style='color:black'>To keep burdening what should be a simple profile with matters that are not regulatory or market requirements is a good way to kill the project. I’m sure you want to avoid that. We instead need to have a sense of “good enough” and a candidate list of incremental improvements over time.<o:p></o:p></span></p><p class=MsoNormal><span style='color:black'><o:p> </o:p></span></p><p class=MsoNormal><span style='color:black'>I hope that we would concern ourselves more with the business case. In particular, I worry about funding AS operation, the apparent co-requisite need for a patient registry (out of scope for HEART core), the need for trusted unique identifiers and their provisioning and management, and the market drivers for adoption by providers and commercial products. As a patient who may benefit from this, I expect to pay for it, but how much will patients be willing to pay? I do not expect a government-run or -sponsored operation to make it work. <o:p></o:p></span></p><p class=MsoNormal><span style='color:black'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Helvetica","sans-serif";color:black'>Glen F. Marshall<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Helvetica","sans-serif";color:black'>Consultant<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Helvetica","sans-serif";color:black'>Security Risk Solutions, Inc.<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Helvetica","sans-serif";color:black'>698 Fishermans Bend<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Helvetica","sans-serif";color:black'>Mount Pleasant, SC 29464<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Helvetica","sans-serif";color:black'>Tel: (610) 644-2452 <o:p></o:p></span></p><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Helvetica","sans-serif";color:black'>Mobile: (610) 613-3084<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Helvetica","sans-serif";color:black'><a href="mailto:gfm@securityrs.com">gfm@securityrs.com</a><o:p></o:p></span></p><p class=MsoNormal><span style='color:black'><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"'> <a href="mailto:agropper@gmail.com">agropper@gmail.com</a> [<a href="mailto:agropper@gmail.com">mailto:agropper@gmail.com</a>] <b>On Behalf Of </b>Adrian Gropper<br><b>Sent:</b> Tuesday, December 13, 2016 13:36<br><b>To:</b> Aaron Seib <<a href="mailto:aaron.seib@nate-trust.org">aaron.seib@nate-trust.org</a>><br><b>Cc:</b> Glen Marshall [SRS] <<a href="mailto:gfm@securityrs.com">gfm@securityrs.com</a>>; Josh Mandel <<a href="mailto:jmandel@gmail.com">jmandel@gmail.com</a>>; Grahame Grieve <<a href="mailto:grahame@healthintersections.com.au">grahame@healthintersections.com.au</a>>; <a href="mailto:openid-specs-heart@lists.openid.net">openid-specs-heart@lists.openid.net</a><br><b>Subject:</b> Re: [Openid-specs-heart] FHIR Client Registration is the existential issue for HEART<o:p></o:p></span></p><p class=MsoNormal><o:p> </o:p></p><div><div><div><div><div><div><div><p class=MsoNormal>The HEART charter is about patient-directed exchange across FHIR APIs. There's no reason to introduce trust federations into HEART, especially since practical trust mechanisms don't yet exist. We can imagine that Sequoia, or DirectTrust, or the FDA will start issuing software statements for apps someday but that's what makes trust federations a parking lot issue today. <o:p></o:p></p></div><p class=MsoNormal><o:p> </o:p></p></div><p class=MsoNormal style='margin-bottom:12.0pt'>What we do know today is HIPAA and the API Task Force output. <o:p></o:p></p></div><p class=MsoNormal style='margin-bottom:12.0pt'>If we don't provide a mechanism for resource servers to issue a warning and receive a click-through as part of HEART, then we will force patients to register clients manually through a patient portal the same way that you register a client to the Google OAuth API. The usability of that process is likely to doom HEART.<o:p></o:p></p></div><p class=MsoNormal style='margin-bottom:12.0pt'>What is the alternate proposal from Glen, Aaron, or anyone else:<br><br>(1) Is HEART to assume software statements are going to be issued by someone and federated by all RSs so that HIPAA / API Task Force warnings are irrelevant?<o:p></o:p></p></div><p class=MsoNormal style='margin-bottom:12.0pt'>(2) Is HEART to assume that dynamic client registration occurs without a software statement?<br><br>(3) ?<o:p></o:p></p></div><p class=MsoNormal>Adrian<o:p></o:p></p></div><div><p class=MsoNormal><o:p> </o:p></p></div></div></body></html>