1. Security, Privacy Access openPASS Open Privacy, Access and Security Services Project Status Report July 1, 2008

2. openPASS Boca Chart 3Q2008 -Successful recruitment -HL7 SOA PASS Service Functional and Platform Independent Models -Consensus Reference Architecture -Healthcare document/message standards -Jurisdictional standards -Jurisdictional laws and regulations Dependencies Packaging Editions -Recruit project/subproject leadership -Prioritized Use Cases -Service inventory prioritization -Alignment with Reference Architecture -Initial implementation priorities --Audit (basic) --Secure transport --Security context --Policy-driven access control (basic) -Migration of Eclipse OHF code base -IHE ATNA -Work out service orchestration strategy Content -Resource constraints -Several services required to be useful -Composition required to be useful -Requires domain expert engagement -Divergence of related standards efforts -Delays in emerging standards -Jurisdictional standards differences -Jurisdictional regulatory differences Pressures/Exposures -Identity Resolution (in support of basic user/patient context coordination) Added None—new project Deleted & Changed July 08 -2008/09 Plan published -OHF ATNA code migrated Q4 08 -Initial PASS-Audit code release complying with ATNA profile Milestones

3. openPASS Roadmap 4Q 2008 Guiding Principles: Align with HL7-SOA PASS Service Functional Models Build service inventory of composable components Support OHT Reference Architecture requirements Developer recruiting Project Site Live July 2008 3Q2008 1H 2009 1 st Milestone Release PASS-Audit,Messaging Initial ATNA client component releases PASS-Identity, Access Initial component releases PASS Service Candidate Prioritization Aug 2008 Sept 2008 2008-09 Plan Published Development begins

4. openPASS Service Candidates Consent Group Consent Directive Provisioning Consent Directive Query Credentials Group Credential Validation Credential Assertion Identity Group Audit Record Generator Authentication Identity Assertion Patient Registry Query Patient Resolution Identity Provisioning Context Management Identity Registry Directory PKI Management Provider Resolution De-Identification Utility Services Digital Signature Encryption Access Group Authorization Resource Proxy Decision Factor Processing Access Policy Processing Access Enforcement Message Services Channel Transport Message Transport Packaging Audit Group Audit Record Generator Audit Monitor Audit Record Generator Audit Audit Alert Audit Archive Audit Event Catalog Audit Repository Audit Analysis Audit Report Audit Logger Audit Policy Tooling Access Policy Editor/Translator Consent Form Editor Entity Registry Editor

5. openPASS Services in Architectural Context Health Service Bus PASS Common Service Patient Identifier Service Protected ResourceWorkstation UI Services Terminology Services HL7 V3 Services Admin Support Services Clinical Support Services Process EHR Registry EHR Repository Runtime Platform Messages PASS Services Infrastructure Service Terminology Service openPASS Services

6.  Phase 1 openPASS Services are intended to provide the basic capabilities that allow a patient or provider to request access to patient health information from a protected resource and, based upon the security and privacy policies applied by the resource, have that access either be granted or denied.  To accomplish this objective, Phase 1 openPASS Services must provide at least basic functionality for  Patient Identity Resolution  Provider Identity Authentication, Assertion and Validation  Provider Credential Assertion  Point-to-Point and Message-based Document/Message Transport  Policy-driven Access Control Decisions and Enforcement  Audit Event Record Generation and Submission to Audit Logging Services openPASS Phase 1 Proposed Scope

7. openPASS Service Candidates Consent Group Consent Directive Provisioning Consent Directive Query Credentials Group Credential Validation Credential Assertion Identity Group Audit Record Generator Authentication Identity Assertion Patient Registry Query Patient Resolution Identity Provisioning Context Management Identity Registry Directory PKI Management Provider Resolution De-Identification Utility Services Digital Signature Encryption Access Group Authorization Resource Proxy Decision Factor Processing Access Policy Processing Access Enforcement Message Services Channel Transport Message Transport Packaging Audit Group Audit Record Generator Audit Monitor Audit Record Generator Audit Audit Alert Audit Archive Audit Event Catalog Audit Repository Audit Analysis Audit Report Audit Logger Audit Policy Tooling Access Policy Editor/Translator Consent Form Editor Entity Registry Editor - Phase 1 Dependency Identity Group Audit Record Generator Authentication Identity Assertion Patient Registry Query Patient Resolution Identity Provisioning Context Management Identity Registry Directory PKI Management Provider Resolution De-Identification