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</o:shapelayout></xml><![endif]--></head><body lang=EN-US link="#0563C1" vlink="#954F72"><div class=WordSection1><p class=MsoNormal><span style='font-size:12.0pt'>Hello all, <o:p></o:p></span></p><p class=MsoNormal><span style='font-size:12.0pt'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:12.0pt'>Per our last meeting, I agreed to provide more information on the need for the pou claim.<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:12.0pt'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:12.0pt'>The claim pou was recently removed from the HEART specs and needs to be restored.<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:12.0pt'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:12.0pt'>I spoke with Duane Decouteau from the VA team and provide the following details:<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:12.0pt'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:12.0pt'>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></o:p></span></p><p class=MsoNormal><span style='font-size:12.0pt'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:12.0pt'>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></o:p></span></p><p class=MsoNormal><span style='font-size:12.0pt'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:12.0pt'>The list of pou values can be found at this link: <span style='color:#044444'><a href="https://www.hl7.org/fhir/v3/PurposeOfUse/vs.html">https://www.hl7.org/fhir/v3/PurposeOfUse/vs.html</a><o:p></o:p></span></span></p><p class=MsoNormal><span style='font-size:12.0pt;color:#044444'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:12.0pt;color:#044444'>Respectively,<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:12.0pt;color:#044444'>Nancy</span><span style='font-size:12.0pt'><o:p></o:p></span></p><p class=MsoNormal><span style='font-size:12.0pt;color:#1F3864'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:12.0pt;color:#1F3864'><o:p> </o:p></span></p><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 style='border-collapse:collapse'><tr style='height:1.0pt'><td width=342 colspan=2 valign=top style='width:256.7pt;padding:0in 5.75pt 0in 5.75pt;height:1.0pt'><div style='mso-element:para-border-div;border:none;border-bottom:solid windowtext 1.5pt;padding:0in 0in 1.0pt 0in'><p class=MsoNormal style='line-height:115%;border:none;padding:0in'><span style='font-size:8.0pt;line-height:115%;color:#1F3864'><o:p> </o:p></span></p></div><p class=MsoNormal style='line-height:115%'><span style='font-size:8.0pt;line-height:115%;color:#1F3864'><o:p> </o:p></span></p></td></tr><tr style='height:1.0pt'><td width=139 valign=top style='width:1.45in;padding:0in 5.75pt 0in 5.75pt;height:1.0pt'><p class=MsoNormal style='line-height:115%'><b><span style='font-size:10.0pt;line-height:115%;color:#222A35'>Nancy Lush </span></b><b><span style='font-size:10.0pt;line-height:115%;color:#222A35'><o:p></o:p></span></b></p></td><td width=203 valign=top style='width:152.3pt;padding:0in 5.75pt 0in 5.75pt;height:1.0pt'><p class=MsoNormal style='line-height:115%'><span style='font-size:10.0pt;line-height:115%;color:#1F3864'>nancy.lush@lgisoftware.com</span><span style='font-size:10.0pt;line-height:115%;color:#1F3864'><o:p></o:p></span></p></td></tr><tr style='height:1.0pt'><td width=139 valign=top style='width:1.45in;padding:0in 5.75pt 0in 5.75pt;height:1.0pt'><p class=MsoNormal style='line-height:115%'><b><span style='font-size:10.0pt;line-height:115%;color:#222A35'>Lush Group, Inc<o:p></o:p></span></b></p></td><td width=203 valign=top style='width:152.3pt;padding:0in 5.75pt 0in 5.75pt;height:1.0pt'><p class=MsoNormal style='line-height:115%'><span style='font-size:10.0pt;line-height:115%;color:#1F3864'>Office: (401) 423-9111</span><span style='font-size:10.0pt;line-height:115%;color:#1F3864'><o:p></o:p></span></p></td></tr><tr style='height:1.0pt'><td width=139 valign=top style='width:1.45in;padding:0in 5.75pt 0in 5.75pt;height:1.0pt'><p class=MsoNormal style='line-height:115%'><span style='font-size:10.0pt;line-height:115%;color:#1F3864'>28 Narragansett Ave<o:p></o:p></span></p><p class=MsoNormal style='line-height:115%'><span style='font-size:10.0pt;line-height:115%;color:#1F3864'>PO Box 651</span><span style='font-size:10.0pt;line-height:115%;color:#1F3864'><o:p></o:p></span></p></td><td width=203 valign=top style='width:152.3pt;padding:0in 5.75pt 0in 5.75pt;height:1.0pt'><p class=MsoNormal style='line-height:115%'><span style='font-size:10.0pt;line-height:115%;color:#1F3864'>www.lgisoftware.com</span><span style='font-size:10.0pt;line-height:115%;color:#1F3864'> <o:p></o:p></span></p><p class=MsoNormal style='line-height:115%'><span style='font-size:10.0pt;line-height:115%;color:#1F3864'>Cell:(401) 965-9347<o:p></o:p></span></p></td></tr><tr style='height:1.0pt'><td width=139 valign=top style='width:1.45in;padding:0in 5.75pt 0in 5.75pt;height:1.0pt'><p class=MsoNormal style='line-height:115%'><span style='font-size:10.0pt;line-height:115%;color:#1F3864'>Jamestown, RI 02835<o:p></o:p></span></p></td><td width=203 valign=top style='width:152.3pt;padding:0in 5.75pt 0in 5.75pt;height:1.0pt'></td></tr><tr><td width=139 valign=top style='width:1.45in;padding:0in 5.75pt 0in 5.75pt'></td><td width=203 valign=top style='width:152.3pt;padding:0in 5.75pt 0in 5.75pt'><p class=MsoNormal style='line-height:115%'><span style='font-size:10.0pt;line-height:115%;color:#1F3864'><o:p> </o:p></span></p></td></tr><tr><td width=342 colspan=2 valign=top style='width:256.7pt;padding:0in 5.75pt 0in 5.75pt'><p class=MsoNormal style='line-height:115%'><span style='font-size:10.0pt;line-height:115%;color:#1F3864'><img border=0 width=153 height=50 style='width:1.5937in;height:.5208in' id="Picture_x0020_1" src="cid:image001.gif@01D2CA5E.B0BE16F0" alt="LGI_logo_small"></span><span style='font-size:10.0pt;line-height:115%;color:#1F3864'><o:p></o:p></span></p></td></tr><tr><td width=139 valign=top style='width:1.45in;padding:0in 5.75pt 0in 5.75pt'></td><td width=203 valign=top style='width:152.3pt;padding:0in 5.75pt 0in 5.75pt'></td></tr><tr><td width=139 valign=top style='width:1.45in;padding:0in 5.75pt 0in 5.75pt'></td><td width=203 valign=top style='width:152.3pt;padding:0in 5.75pt 0in 5.75pt'></td></tr><tr><td width=139 valign=top style='width:1.45in;padding:0in 5.75pt 0in 5.75pt'></td><td width=203 valign=top style='width:152.3pt;padding:0in 5.75pt 0in 5.75pt'></td></tr><tr><td width=139 valign=top style='width:1.45in;padding:0in 5.75pt 0in 5.75pt'></td><td width=203 valign=top style='width:152.3pt;padding:0in 5.75pt 0in 5.75pt'></td></tr><tr><td width=139 valign=top style='width:1.45in;padding:0in 5.75pt 0in 5.75pt'></td><td width=203 valign=top style='width:152.3pt;padding:0in 5.75pt 0in 5.75pt'></td></tr><tr><td width=139 valign=top style='width:1.45in;padding:0in 5.75pt 0in 5.75pt'></td><td width=203 valign=top style='width:152.3pt;padding:0in 5.75pt 0in 5.75pt'></td></tr><tr><td width=139 valign=top style='width:1.45in;padding:0in 5.75pt 0in 5.75pt'></td><td width=203 valign=top style='width:152.3pt;padding:0in 5.75pt 0in 5.75pt'></td></tr><tr><td width=139 valign=top style='width:1.45in;padding:0in 5.75pt 0in 5.75pt'></td><td width=203 valign=top style='width:152.3pt;padding:0in 5.75pt 0in 5.75pt'></td></tr><tr><td width=139 valign=top style='width:1.45in;padding:0in 5.75pt 0in 5.75pt'></td><td width=203 valign=top style='width:152.3pt;padding:0in 5.75pt 0in 5.75pt'></td></tr><tr><td width=139 valign=top style='width:1.45in;padding:0in 5.75pt 0in 5.75pt'></td><td width=203 valign=top style='width:152.3pt;padding:0in 5.75pt 0in 5.75pt'></td></tr><tr><td width=342 colspan=2 valign=bottom style='width:256.7pt;padding:0in 5.75pt 0in 5.75pt'></td></tr></table><p class=MsoNormal><span style='color:#1F3864'><o:p> </o:p></span></p><p class=MsoNormal><o:p> </o:p></p></div></body></html>