Custodian access control decision differences between Clinical and Individual

There is a fundamental difference between access requests for Personally Identifiable Health Data when a PHR requests access vs when a Clinical application or other EHR asks for access.  The difference is keyed off of the Purpose Of Use (PurposeOfUse) in the request. Let me explain.Too often networks today are single purpose. That is that the HIE is designed for ONE purpose. For example a Health Information Exchange (HIE) that is designed for supporting Treatment. When a network is single...