Difference between revisions of "SMART on FHIR Apps"

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== Oridashi-Hiasobi Adapters ==
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=Hiasobi SMART on FHIR R4=
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* Applications run on the clinical desktop as "Oridashi-Hiasobi adapters"
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* Implements SMART App Launch Framework as per http://www.hl7.org/fhir/smart-app-launch/
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* Adapters can be custom branded and include custom features as needed
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* Auth service is built into Oridashi Hiasobi with the following features:
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* Adapters are started on windows login and run in the users windows session
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** Logged in user clinical system identity is used for authorisation (user authentication)
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* Core adapter support includes hosing secured FHIR servers for all clinical products
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** Direct login with Oridashi customer credentials may be performed (where user is not logged into clinical system)
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* Automatic or manual selection of the clinical system is supported
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** Scopes supported are as per Oridashi Hiasobi capability statement read only for admin/health record + support for write document delivery/appointments
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* Manual switch to 'samples' supported for evaluation and testing
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* Click-once deployed into user profile (no admin)
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== SMART on FHIR ==
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=Registering Applications=
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* Oridashi-Hiasobi implements the SMART-on-FHIR Authorisation profile http://docs.smarthealthit.org/authorization/
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* Each customer has a self-managed application register
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* Hiasobi supports a local Auth server interface to enable authorisation
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* Registering application launch and redirect urls is needed to ensure secure launch of applications (Auth service confirms)
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* OAuth2 authorisation challenge is made to establish access
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* Access application manager at https://hiasobi-manager.azurewebsites.net/ login using customer credentials (see below for evaluation)
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* Authorisation can only occur when a user is logged into the clinical system
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* Specific authorisation of requested resources and context is made and recorded in the user profile
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* A unique token is supplied to the web application to use for access to the local FHIR service
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* Web applications need to be registered with the Hiasobi Apps Manager, this includes:
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** Specific launch and application urls for the app needed for launch and authorisation
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** Allocation if a unique application client id needed for authorisation
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** Display names needed for dynamic population of launch urls in adapters
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== FHIR DSTU2 Support ==
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=Evaluation Suite=
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* Draft standard for trial use 2 is the nominal supported version for Hiasobi as per http://hl7.org/fhir/DSTU2/index.html
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* Deploy evaluation adapter to desktop from http://oridashi.com.au/install/OridashiAdapterR4/OridashiAdapterR4.application
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* Check the [base]/metadata content of Hiasobi servers for details of specific resource and search parameter support.
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* Login to https://hiasobi-manager.azurewebsites.net/ to register applications using credentials '''samples2''' / '''67763F1A6A6146D9B5ADA858'''
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* NOTE: this is visible to all evaluators if you require a private space let us know
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* Each customer has their own self managed apps register
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* See the registered sample application
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** Id: 4ae955ea-3a6c-4128-8f7b-0d45ca4e4fff
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** Display: Smart App Tester (R4) - sample javascript on these pages
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** Launch Url: https://oridashi.com.au/site/apps/smart-launch2.html (launch sequence, find auth server, redirect to auth server)
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** Redirect Url: https://oridashi.com.au/site/apps/smart-index2.html (destination redirect from auth server, token exchange for access token, example FHIR service call)
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** A Javascript Library is supplied implementing launch and token exchange sequence https://oridashi.com.au/site/apps/smart2.js and used in the example app
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* Registered apps appear in the evaluation adapter (right click menu; refresh on restart of adapter)
  
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== FHIR STU3 Support ==
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=Hiasobi Identity Scheme=
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* Standard for trial use 3 is the nominal supported version for Hiasobi as per http://hl7.org/fhir/DSTU3/index.html
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* Check the [base]/metadata content of Hiasobi servers for details of specific resource and search parameter support.
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Scope Request ('''fhirUser'''),
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Response: '''id_token'''
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* user claim details
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* id_token contains a JWT (JSON web token)
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* See:  https://github.com/smart-on-fhir/smart-on-fhir.github.io/blob/master/authorization/smart-on-fhir-jwt-examples.ipynb
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* Example token exchange response includes JWT in id_token
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<pre>
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{
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  "access_token":"ZTQyNzVmOTctMGQxYy00NjZmLTgxM2MtNzk4Nzg0OTI0ODIx",
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  "token_type":"Bearer",
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"expires_in":"86361",
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"scope":null,
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  "state":"28564762",
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  "patient":"36",
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  "encounter":null,
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"location":null,
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  "resource":null,
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  "id_token":"eyJ0eXAiOiJKV1QiLCJhbGciOiJSUzI1NiJ9.eyJpc3MiOiJodHRwczovL2xvY2FsaG9zdDo4MTAyIiwic3ViIjoidGVzdFxcODAwMzYxMDgzMzM0MDg1MFxcMSIsImF1ZCI6Imh0dHBzOi8vb3JpZGFzaGkuY29tLmF1L3NpdGUvYXBwcy9zbWFydC1pbmRleC5odG1sIiwiZXhwIjoiMTQ2MTIwODIyMCJ9.CJxYaBP5K0gJLVZaVhyIYhc1RSqDLrm8coWlNs0AbXOrDhCRWssd7FsBoNDZNwXg8E+uW6XtpTFKSysdqJe55Tb0GKUqlMu1a+EqiApW46tBe5b67j//JkH/qRrdhM7ywZxebVzwgtuIa7EOJ59fqT4DgA6XadRsUP1nzo7OB+tYKLZnXMXGAVwVnFM527Hu4MjWyBExBkF2kPlX5ggu42tNfS+zPM1w3tZKjvnskpCv67F08SzMK0kkjaFeuCdO8fM1gqJnQPjkN36QXA8rUn3z8HsDZ1LJevUwHfOqEKEOaL1/hjKn9rmbE7w3rJs3/S9jB43W3V4V0dacVufBbQ==",
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  "refresh_token":null
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}
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</pre>
 +
 
 +
'''Example''' - decoded JWT example; this is a signed JWT with Oridashi certificate
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 +
<pre>
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{
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  "iss":"https://localhost.oridashi.com.au:8102",
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  "sub":"verified\bp.8003628233355286\1",
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  "aud":"https://oridashi.com.au/site/apps/smart-index.html",
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  "exp":"1460979592",
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  "name":"Frederick Smith",
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  "profile":"https://localhost:8102/Practitioner/1"
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}
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</pre>
 +
 
 +
 
 +
'''Structure''' - "sub" is the subject of the claim globally unique user identifier
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<id status>\<clinical system id>.<site identifer>\<practitioner id>
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'''<id status>'''
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[verified|unverified|test]  
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a) 'test':samples/test mode; samples use always marked test to avoid production mismatch
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b) 'verified': by certificate check; only HPI-O can be verified by certificate
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c) 'unverified': asserted site id; only windows domain SID or generated instance identity
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 +
 
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'''<clinical system id>'''
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[md|bp|zedmed|genie|mt] - system type identifier
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'''<site identifier>'''
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a) HPIO as entered and validated against installed eHealth certificate e.g. 8003628233355286
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b) Windows domain SID where present e.g. S-1-5-21-7375663-6890924511-1272660413-2944159
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c) Ad-hoc uniquely generated site identifier e.g. 57401CE7C397337ABB1B1D237875CCC6
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'''<practitioner id>''' - internal site resource identifier string for the associated user Practitioner
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 +
'''Examples'''
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* verified\bp.8003628233355286\1
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* unverified\md.S-1-5-21-7375663-6890924511-1272660413-2944159\3
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* unverified\zedmed.57401CE7C397337ABB1B1D237875CCC6\ADM
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* test\bp.8003628233355311\4

Latest revision as of 19:48, 19 March 2019

Hiasobi SMART on FHIR R4

  • Implements SMART App Launch Framework as per http://www.hl7.org/fhir/smart-app-launch/
  • Auth service is built into Oridashi Hiasobi with the following features:
    • Logged in user clinical system identity is used for authorisation (user authentication)
    • Direct login with Oridashi customer credentials may be performed (where user is not logged into clinical system)
    • Scopes supported are as per Oridashi Hiasobi capability statement read only for admin/health record + support for write document delivery/appointments

Registering Applications

  • Each customer has a self-managed application register
  • Registering application launch and redirect urls is needed to ensure secure launch of applications (Auth service confirms)
  • Access application manager at https://hiasobi-manager.azurewebsites.net/ login using customer credentials (see below for evaluation)

Evaluation Suite

Hiasobi Identity Scheme

Scope Request (fhirUser), Response: id_token 

 
{
  "access_token":"ZTQyNzVmOTctMGQxYy00NjZmLTgxM2MtNzk4Nzg0OTI0ODIx",
  "token_type":"Bearer",
 "expires_in":"86361",
 "scope":null,
  "state":"28564762",
  "patient":"36",
  "encounter":null,
 "location":null,
  "resource":null,
  "id_token":"eyJ0eXAiOiJKV1QiLCJhbGciOiJSUzI1NiJ9.eyJpc3MiOiJodHRwczovL2xvY2FsaG9zdDo4MTAyIiwic3ViIjoidGVzdFxcODAwMzYxMDgzMzM0MDg1MFxcMSIsImF1ZCI6Imh0dHBzOi8vb3JpZGFzaGkuY29tLmF1L3NpdGUvYXBwcy9zbWFydC1pbmRleC5odG1sIiwiZXhwIjoiMTQ2MTIwODIyMCJ9.CJxYaBP5K0gJLVZaVhyIYhc1RSqDLrm8coWlNs0AbXOrDhCRWssd7FsBoNDZNwXg8E+uW6XtpTFKSysdqJe55Tb0GKUqlMu1a+EqiApW46tBe5b67j//JkH/qRrdhM7ywZxebVzwgtuIa7EOJ59fqT4DgA6XadRsUP1nzo7OB+tYKLZnXMXGAVwVnFM527Hu4MjWyBExBkF2kPlX5ggu42tNfS+zPM1w3tZKjvnskpCv67F08SzMK0kkjaFeuCdO8fM1gqJnQPjkN36QXA8rUn3z8HsDZ1LJevUwHfOqEKEOaL1/hjKn9rmbE7w3rJs3/S9jB43W3V4V0dacVufBbQ==",
  "refresh_token":null
}

Example - decoded JWT example; this is a signed JWT with Oridashi certificate 

{
  "iss":"https://localhost.oridashi.com.au:8102",
  "sub":"verified\bp.8003628233355286\1",
  "aud":"https://oridashi.com.au/site/apps/smart-index.html",
  "exp":"1460979592",
  "name":"Frederick Smith",
  "profile":"https://localhost:8102/Practitioner/1"
}


Structure - "sub" is the subject of the claim globally unique user identifier 

<id status>\<clinical system id>.<site identifer>\<practitioner id>

<id status> 

[verified|unverified|test] 
a) 'test':samples/test mode; samples use always marked test to avoid production mismatch
b) 'verified': by certificate check; only HPI-O can be verified by certificate
c) 'unverified': asserted site id; only windows domain SID or generated instance identity


<clinical system id> 

[md|bp|zedmed|genie|mt] - system type identifier

<site identifier> 

a) HPIO as entered and validated against installed eHealth certificate e.g. 8003628233355286
b) Windows domain SID where present e.g. S-1-5-21-7375663-6890924511-1272660413-2944159
c) Ad-hoc uniquely generated site identifier e.g. 57401CE7C397337ABB1B1D237875CCC6

<practitioner id> - internal site resource identifier string for the associated user Practitioner

Examples

  • verified\bp.8003628233355286\1
  • unverified\md.S-1-5-21-7375663-6890924511-1272660413-2944159\3
  • unverified\zedmed.57401CE7C397337ABB1B1D237875CCC6\ADM
  • test\bp.8003628233355311\4
Retrieved from "http://fhir.oridashi.com.au/wiki/index.php?title=SMART_on_FHIR_Apps&oldid=763"