<html><head><meta http-equiv="Content-Type" content="text/html charset=utf-8"></head><body style="word-wrap: break-word; -webkit-nbsp-mode: space; -webkit-line-break: after-white-space;" class="">The “pou” claim as it was specified in HEART does not fit this use case, then, and it’s appropriate that we removed it. This was a claim presented by the requesting party’s identity provider, and had nothing to do with the request being made by the client itself. That’s why I argued it wasn’t a good fit where it was. If we were to add it back in, it should go elsewhere in the protocol.<div class=""><br class=""></div><div class=""> — Justin</div><div class=""><br class=""><div class=""><div><blockquote type="cite" class=""><div class="">On May 11, 2017, at 2:01 PM, Nancy Lush <<a href="mailto:nlush@lgisoftware.com" class="">nlush@lgisoftware.com</a>> wrote:</div><br class="Apple-interchange-newline"><div class=""><div class="WordSection1" style="page: WordSection1; font-family: Helvetica; font-size: 12px; font-style: normal; font-variant-caps: normal; font-weight: normal; letter-spacing: normal; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px;"><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 12pt;" class="">Hello all,<span class="Apple-converted-space"> </span><o:p class=""></o:p></span></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 12pt;" class=""><o:p class=""> </o:p></span></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 12pt;" class="">Per our last meeting, I agreed to provide more information on the need for the pou claim.<o:p class=""></o:p></span></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 12pt;" class=""><o:p class=""> </o:p></span></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 12pt;" class="">The claim pou was recently removed from the HEART specs and needs to be restored.<o:p class=""></o:p></span></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 12pt;" class=""><o:p class=""> </o:p></span></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 12pt;" class="">I spoke with Duane Decouteau from the VA team and provide the following details:<o:p class=""></o:p></span></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 12pt;" class=""><o:p class=""> </o:p></span></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 12pt;" class="">Purpose of use drives policy in many electronic exchanges today. The custodian organization uses the claimed purpose of use to interpret policy. For instance, if the pou is ‘Treatment’ a complete record might be provided, but if the pou is ‘Coverage’ the policy may limit what is sent. If the pou is ‘Research’ then the custodian organization might need to de-identify the data on the way out.<o:p class=""></o:p></span></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 12pt;" class=""><o:p class=""> </o:p></span></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 12pt;" class="">The pou is passed as a claim within the request. It is a determining factor in evaluating which policies apply to a request. Pou is implemented in ehealth exchange as an underlying principal. Duane feels that pou should be a cornerstone for patient consent. It is fully implemented now in ehealth exchange at the VA, Kaiser and others.<o:p class=""></o:p></span></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 12pt;" class=""><o:p class=""> </o:p></span></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 12pt;" class="">The list of pou values can be found at this link: <span class="Apple-converted-space"> </span><span style="color: rgb(4, 68, 68);" class=""><a href="https://www.hl7.org/fhir/v3/PurposeOfUse/vs.html" style="color: rgb(149, 79, 114); text-decoration: underline;" class="">https://www.hl7.org/fhir/v3/PurposeOfUse/vs.html</a><o:p class=""></o:p></span></span></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 12pt; color: rgb(4, 68, 68);" class=""><o:p class=""> </o:p></span></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 12pt; color: rgb(4, 68, 68);" class="">Respectively,<o:p class=""></o:p></span></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 12pt; color: rgb(4, 68, 68);" class="">Nancy</span><span style="font-size: 12pt;" class=""><o:p class=""></o:p></span></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 12pt; color: rgb(31, 56, 100);" class=""><o:p class=""> </o:p></span></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 12pt; color: rgb(31, 56, 100);" class=""><o:p class=""> </o:p></span></div><table class="MsoNormalTable" border="0" cellspacing="0" cellpadding="0" style="border-collapse: collapse;"><tbody class=""><tr style="height: 1pt;" class=""><td width="342" colspan="2" valign="top" style="width: 256.7pt; padding: 0in 5.75pt; height: 1pt;" class=""><div style="border-style: none none solid; border-bottom-width: 1.5pt; border-bottom-color: windowtext; padding: 0in 0in 1pt;" class=""><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif; line-height: 16.866666793823242px; border: none; padding: 0in;" class=""><span style="font-size: 8pt; line-height: 12.266667366027832px; color: rgb(31, 56, 100);" class=""><o:p class=""> </o:p></span></div></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif; line-height: 16.866666793823242px;" class=""><span style="font-size: 8pt; line-height: 12.266667366027832px; color: rgb(31, 56, 100);" class=""><o:p class=""> </o:p></span></div></td></tr><tr style="height: 1pt;" class=""><td width="139" valign="top" style="width: 1.45in; padding: 0in 5.75pt; height: 1pt;" class=""><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif; line-height: 16.866666793823242px;" class=""><b class=""><span style="font-size: 10pt; line-height: 15.333332061767578px; color: rgb(34, 42, 53);" class="">Nancy Lush </span></b><b class=""><span style="font-size: 10pt; line-height: 15.333332061767578px; color: rgb(34, 42, 53);" class=""><o:p class=""></o:p></span></b></div></td><td width="203" valign="top" style="width: 152.3pt; padding: 0in 5.75pt; height: 1pt;" class=""><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif; line-height: 16.866666793823242px;" class=""><span style="font-size: 10pt; line-height: 15.333332061767578px; color: rgb(31, 56, 100);" class=""><a href="mailto:nancy.lush@lgisoftware.com" style="color: rgb(149, 79, 114); text-decoration: underline;" class="">nancy.lush@lgisoftware.com</a></span><span style="font-size: 10pt; line-height: 15.333332061767578px; color: rgb(31, 56, 100);" class=""><o:p class=""></o:p></span></div></td></tr><tr style="height: 1pt;" class=""><td width="139" valign="top" style="width: 1.45in; padding: 0in 5.75pt; height: 1pt;" class=""><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif; line-height: 16.866666793823242px;" class=""><b class=""><span style="font-size: 10pt; line-height: 15.333332061767578px; color: rgb(34, 42, 53);" class="">Lush Group, Inc<o:p class=""></o:p></span></b></div></td><td width="203" valign="top" style="width: 152.3pt; padding: 0in 5.75pt; height: 1pt;" class=""><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif; line-height: 16.866666793823242px;" class=""><span style="font-size: 10pt; line-height: 15.333332061767578px; color: rgb(31, 56, 100);" class="">Office: (401) 423-9111</span><span style="font-size: 10pt; line-height: 15.333332061767578px; color: rgb(31, 56, 100);" class=""><o:p class=""></o:p></span></div></td></tr><tr style="height: 1pt;" class=""><td width="139" valign="top" style="width: 1.45in; padding: 0in 5.75pt; height: 1pt;" class=""><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif; line-height: 16.866666793823242px;" class=""><span style="font-size: 10pt; line-height: 15.333332061767578px; color: rgb(31, 56, 100);" class="">28 Narragansett Ave<o:p class=""></o:p></span></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif; line-height: 16.866666793823242px;" class=""><span style="font-size: 10pt; line-height: 15.333332061767578px; color: rgb(31, 56, 100);" class="">PO Box 651</span><span style="font-size: 10pt; line-height: 15.333332061767578px; color: rgb(31, 56, 100);" class=""><o:p class=""></o:p></span></div></td><td width="203" valign="top" style="width: 152.3pt; padding: 0in 5.75pt; height: 1pt;" class=""><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif; line-height: 16.866666793823242px;" class=""><span style="font-size: 10pt; line-height: 15.333332061767578px; color: rgb(31, 56, 100);" class=""><a href="http://www.lgisoftware.com/" style="color: rgb(149, 79, 114); text-decoration: underline;" class="">www.lgisoftware.com</a></span><span style="font-size: 10pt; line-height: 15.333332061767578px; color: rgb(31, 56, 100);" class=""><o:p class=""></o:p></span></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif; line-height: 16.866666793823242px;" class=""><span style="font-size: 10pt; line-height: 15.333332061767578px; color: rgb(31, 56, 100);" class="">Cell:(401) 965-9347<o:p class=""></o:p></span></div></td></tr><tr style="height: 1pt;" class=""><td width="139" valign="top" style="width: 1.45in; padding: 0in 5.75pt; height: 1pt;" class=""><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif; line-height: 16.866666793823242px;" class=""><span style="font-size: 10pt; line-height: 15.333332061767578px; color: rgb(31, 56, 100);" class="">Jamestown, RI 02835<o:p class=""></o:p></span></div></td><td width="203" valign="top" style="width: 152.3pt; padding: 0in 5.75pt; height: 1pt;" class=""></td></tr><tr class=""><td width="139" valign="top" style="width: 1.45in; padding: 0in 5.75pt;" class=""></td><td width="203" valign="top" style="width: 152.3pt; 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