: In talking with some of the people involved with Blue Button one of the things that struck me is the lack of a top-down structure or rules. You guys have kept it very open for developers and entrepreneurs to create their own vision. Was that by design or did you evolve during the process to realize that you could get it to advance a lot faster by making fewer rules?
A: It’s been a quite explicit strategy to reuse to the extent possible on the standards side. So Blue Button+ helps to drive the structured data forward that the developers really need for the ecosystem. But what’s amazingly simplifying about Blue Button is on the policy side where the patient getting their own data and being the medium of that just removes so much complexity — you don’t need a Master Patient Index, the patient tells you who they are. You don't need a Record Locator Service, the patient is the Record Locator Service. You don’t have to worry about ‘how do I deal with consent issues,’ the patient’s saying ‘give it to me.’ You don’t have to worry about HIPAA because HIPAA actually says you have to give it to the patient. I mean, issue after issue after issue, it’s just a drastically simplifying framework for moving information.