Health Care Digital Identity - Revision history

Tom: /* Context */

2023-09-24T01:23:22Z

‎Context

Tom: /* 2 Secure Authentication with Open Standards */

2021-12-06T18:18:15Z

‎2 Secure Authentication with Open Standards

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2021-08-02T23:00:06Z

‎References

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2020-10-31T22:14:04Z

‎Terminology

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‎Terminology

Tom: /* 6 Self Issued Identifiers */

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‎6 Self Issued Identifiers

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‎6 Self Issued Identifiers

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‎6 Self Issued Identifiers

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‎References

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‎Self Issued Identifiers

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 # [https://www.hl7.org/ HL7 and FHIR] which is attempting to solve health information interchange internationally, but thinks high assurance identification is just too expensive.
 # IETF [https://oauth.net/2/ OAuth 2.0] which has had enormous success and is now trying to move on to [https://datatracker.ietf.org/doc/charter-ietf-gnap/ GNAP] as a strong foundation for authorizing access to people's personal information.
-# [https://openid.net/specs/openid-connect-core-1_0.html OpenID Connect] which has been adopted by most of the large social media for user identification and is moving to enable identity assurance through personal attribute disclosure.
+# [https://openid.net/specs/openid-connect-core-1_0.html OpenID Connect] which has been adopted by most of the large [[Social Media]] for user identification and is moving to enable identity assurance through personal attribute disclosure.
 # [https://kantarainitiative.org/download/uma-21st-century-health-information-interoperability-user-control/ Kantara UMA] which has tried to place control of a user's personal information in their own hands and has tried to relate that to healthcare.
 # [https://openid.net/wg/heart/ OpenID HEART] which tried to adapt UMA, OAuth and other standards to health care but has yet to address identity assurance.

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 Open standards exist today for [https://github.com/KantaraInitiative/DistributedAssurance/blob/master/OpenID%20Self%20Issued%20Identifier.md self-issued identifiers] and new standards are evolving rapidly for new technologies like W3C [[Web Authentication]] and [[Distributed Ledger Technology]] (aka Blockchain) technologies. These can and will be deployed for the bulk of the population with IAL 2 (NIST 800-63-3) as an aspirational goal. But the absolute requirement is that all patients that present themselves for emergency treatment will be treated with whatever level of assurance is possible and high assurance will be layered onto the medical records as it becomes available.
-Mutual authentication will be required so that the patient will know who is asking for the information and for what purpose (solution #4) before the patient ever needs to identify themselves. This will give the user confidence that the health care network is operating for their benefit and that all providers and all services are fully compliant with HIPAA and other appropriate regulations. The patient will also know how to access any medical record that is being created with their personal information and to maintain an access method to that record.
+[[Mutual Authentication]] will be required so that the patient will know who is asking for the information and for what purpose (solution #4) before the patient ever needs to identify themselves. This will give the user confidence that the health care network is operating for their benefit and that all providers and all services are fully compliant with HIPAA and other appropriate regulations. The patient will also know how to access any medical record that is being created with their personal information and to maintain an access method to that record.
 ===3 Cross-facility matching of individuals===

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 ==References==
 *[https://www.healthit.gov/sites/default/files/draft-trusted-exchange-framework.pdf ONC for Health IT Draft Trust Exchange Framework]
 *[https://www.carinalliance.com/our-work/consumer-id-authentication/ carin Consumer ID & Authentication] is largely based on NIST 800-63-3 IAL 2

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 * [[Health Care Digital Identity]] is the sum total of all the electronic health Records (EHR) about a real world person.
 * '''Health Care Digital Identifier''' (aka record locator) is a string that is used to locate some fraction of these EHR.
-* [[Medical Records Identifier]] Locator is a mapping from one Identifier into the (hopefully) full Identity.
+* [[Medical Records Identifier]] Locator Service is a mapping from one Identifier into the (hopefully) full Identity.
 ==Context==

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 * [[Health Care Digital Identity]] is the sum total of all the electronic health Records (EHR) about a real world person.
 * '''Health Care Digital Identifier''' (aka record locator) is a string that is used to locate some fraction of these EHR.
 ==Context==

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 Both the Open ID Foundation and the Digital Identifier Foundation are engaged in created a self-issued identifier.
 * [https://hpec.io/ HPEC] is focused on Ethereum blockchain technology.
-* [https://consensys.net/blockchain-use-cases/healthcare-and-the-life-sciences/ Consensys Health} is one of the leaders in the W3C [[Decentralized ID]] (DID) effort.
+* [https://consensys.net/blockchain-use-cases/healthcare-and-the-life-sciences/ Consensys Health] is one of the leaders in the W3C [[Decentralized ID]] (DID) effort.
 ==References==

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 ===6 Self Issued Identifiers===
 Both the Open ID Foundation and the Digital Identifier Foundation are engaged in created a self-issued identifier.
-* [https://hpec.io/ HPEC] is focused on blockchain
+* [https://hpec.io/ HPEC] is focused on Ethereum blockchain technology.
 * [https://consensys.net/blockchain-use-cases/healthcare-and-the-life-sciences/ Consensys Health} is one of the leaders in the W3C DID effort.

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 [[Category:Identity]]
 [[Category:Use Case]]
 [[Category:Health]]