As a practicing pediatrician and chief medical information officer for a public, academic health system, as well as an appointed member of the Office of the National Coordinator for Health IT (ONC) Health IT Advisory Committee, I appreciate Dr. Kevin Baumlin’s concerns that the recent HTI-1 NPRM proposal for granular segmentation to support patient-requested restrictions under the HIPAA Privacy Rule could limit the availability of data to treating providers. After all, what have we been doing for the past 15 years if not building the pipelines of an interoperable ecosystem to allow sharing of such personal health information in order to allow the highest quality care possible? Yet ev
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