Cross-Enterprise Security and Privacy Authorization (XSPA)
Profile of XACML v2.0 for Healthcare Version 1.0
Committee Specification 02
25 August 2009
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Technical Committee:
OASIS
eXtensible Access Control Markup Language (XACML) TC
Chair(s):
Hal Lockhart, Oracle
Corporation
Bill Parducci, Individual
Editor(s):
Duane DeCouteau, Department of Veterans Affairs
Mike Davis, Department of Veterans Affairs
David Staggs, Department of Veterans Affairs
Related work:
This specification is related to:
·
eXtensible
Access Control Markup Language(XACML) Version 2.0
Declared XML Namespace(s):
N/A
Abstract:
A profile of XACML used to support cross-enterprise security
and privacy authorization.
Status:
This document was last revised or approved by the OASIS
eXtensible Access Control Markup Language (XACML) TC on the above date. The
level of approval is also listed above. Check the “Latest Version” or “Latest
Approved Version” location noted above for possible later revisions of this
document.
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.
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1 Introduction. 5
1.1
Terminology. 5
1.2
Normative References. 6
1.3
Non-Normative References. 6
2 2
XSPA profile of XACML. 7
2.1
Interactions between Parties. 7
2.1.1
Service Interface. 7
2.1.2 Access
Control Service (Service Consumer) 7
2.1.3
Attribute Service. 7
2.1.4 Policy
Authority. 7
2.1.5 Access
Control Service (Service Provider) 8
2.2
Transmission Integrity. 8
2.3
Transmission Confidentiality. 8
2.4 Error
States. 8
2.5 Security
Considerations. 8
2.6
Confirmation Identifiers. 8
2.7 Metadata
Definitions. 8
2.8 Naming
Syntax, Restrictions and Acceptable Values. 8
2.9
Namespace Requirements. 9
2.10
Attribute Rules of Equality. 9
2.11 Attribute
Naming Syntax, Restrictions and Acceptable Values. 9
2.12
Standard Rules (Normative) 14
2.13
Standard Rules (Non-normative) 14
2.14
Obligations (Normative) 14
2.15
Obligations (Non-normative) 14
2.16
Examples of Use. 14
3 Conformance. 17
3.1
Introduction. 17
3.2
Conformance Tables. 17
3.2.1
Attributes. 17
A. Acknowledgements. 20
B. Revision
History. 21
Figure 1:
Interaction between Parties. 7
Enterprises, including the healthcare enterprise, need a
mechanism to exchange security and privacy policies, evaluate consent
directives and determine authorizations in an interoperable manner. This
document provides a cross-enterprise security and privacy profile that
describes how to use eXtensible Access Control Markup Language (XACML) to
provide these functions in an interoperable manner.
The Cross-Enterprise Security and Privacy Authorization
(XSPA) profile of XACML describes several mechanisms to authenticate,
administer, and enforce authorization policies controlling access to protected
information residing within or across enterprise boundaries. The policies
being administered and enforced relate to security, privacy, and consent
directives. This profile MAY be used in coordination with additional standards
including Web Services Trust Language (WS-Trust) and Security Assertion Markup
Language (SAML).
This profile specifies the use of XACML 2.0 to promote
interoperability within the healthcare community by providing common semantics
and vocabularies for interoperable policy request/response, policy lifecycle,
and policy enforcement.
The key words “MUST”, “MUST NOT”, “REQUIRED”, “SHALL”, “SHALL
NOT”, “SHOULD”, “SHOULD NOT”, “RECOMMENDED”, “MAY”, and “OPTIONAL” in this document
are to be interpreted as described in [RFC2119].
The following definitions establish additional terminology
and usage in this profile:
Access Control Service (ACS) – The enterprise
security service that supports and implements user-side and service-side access
control capabilities. The service would be utilized by the Service and/or
Service User.
Entity – A principal and/or subject, which represents
an application, a machine, or any other type of entity that may act as a requester
in a transaction.
Object – An entity that contains or receives
information. Objects can represent information containers (e.g., files or
directories in an operating system, and/or columns, rows, tables, and views
within a database management system) or represent exhaustible system resources,
such as printers, disk space, and central processing unit (CPU) cycles.
Operation - An executable image of a program, which
upon invocation executes some function for the user. Within a file system,
operations might include read, write, and execute. Within a database
management system, operations might include insert, delete, append, and
update. An operation is also known as an action or privilege.
Permission - An approval to perform an operation on
one or more protected objects.
Policy Administration Point (PAP) – Manages and makes
available policies that may be stored in and retrieved from the Policy
Repository.
Policy Decision Point (PDP) – Accepts information
from an Authorization Decision Request and returns an access control decision
based on evaluation of XACML policy. PDPs MAY be hierarchical.
Policy Enforcement Point (PEP) – Performs access
control by making decision requests and enforcing authorization decisions. It
facilitates passing XACML authorization request attributes and enforcing XACML
response decisions and obligations. This module MAY be used for obtaining
attributes required for authorization from a Policy Information Point (PIP) by
an application. Typical attributes collected at this level include ANSI RBAC
(American National Standards Institute Role Based Access Control) attributes, Health
Level Seven (HL7) provider permissions, HL7 resource permission, and HL7
patient privacy constraints.
Policy Information Point (PIP) – Repository of attribute
data that is made available to support authorization decisions.
Structural Role - A job function within the context
of an organization whose permissions are defined by operations on workflow
objects consistent with the definition of structural role found in ASTM
(American Society for Testing and Materials) [E2595-2007]
Service Provider (SP) - The service provider
represents the system providing a protected resource and relies on the provided
security service.
Service User – The service user represents any
individual entity [such as on an Electronic Health Record (EHR)/personal health
record (PHR) system] that needs to make a service request of a Service
Provider.
[RFC2119] S.
Bradner, Key words for use in RFCs to Indicate Requirement Levels, http://www.ietf.org/rfc/rfc2119.txt,
IETF RFC 2119, March 1997.
[XACML CORE] OASIS Standard, “XACML
2.0 Core: eXtensible Access Control Markup Language (XACML) Version 2.0”,
March 2005
http://docs.oasis-open.org/xacml/2.0/access_control-xacml-2.0-core-spec-os.pdf
[SAML-XACML20] OASIS Working Draft, “SAML 2.0
profile of XACML 2.0 Errata”, November 2005,
http://www.oasis-open.org/committees/download.php/15447/xacml-2.0-saml-errata-wd.zip
[SX20-ASSN-SCH] OASIS Standard, schema (assertion), http://www.oasis-open.org/committees/download.php/11474/access_control-xacml-2.0-saml-assertion-schema-os.xsd
[SX20-PROT-SCH] OASIS Standard, schema (protocol), http://www.oasis-open.org/committees/download.php/11475/access_control-xacml-2.0-saml-protocol-schema-os.xsd
[HL7-PERM] HL7 Security Technical
Committee, HL7 Version 3 Standard: Role-based Access Control Healthcare
Permission Catalog, (Available through http://www.hl7.org/library/standards.cfm),
Release 1, Designation: ANSI/HL7 V3 RBAC, R1-2008.
[HL7-CONSENT] HL7 Consent Related Vocabulary
Confidentiality Codes Recommendation, http://lists.oasis-open.org/archives/xacml-demo-tech/200712/doc00003.doc,
from project submission: http://lists.oasis-open.org/archives/xacml-demo-tech/200712/msg00015.html
[ASTM E1986-98 (2005)] Standard
Guide for Information Access Privileges to Health Information.
[ASTM E2595 (2007)] Standard Guide for
Privilege Management Infrastructure
[XSPA-SAML] OASIS Committee Draft 04, “Cross-Enterprise
Security and Privacy Authorization (XSPA) Profile of Security Assertion Markup
Language (SAML) v2.0 for Healthcare Version 1.0” July 2009 http://docs.oasis-open.org/xspa/1.0/saml-xspa-1.0-cd04.doc
[SAML-XACML20V2] OASIS Working Draft, “SAML
2.0 profile of XACML Version 2”, July 2007 (current working draft covers all
versions of XACML).
http://www.oasis-open.org/committees/download.php/24681/xacml-profile-saml2.0-v2-spec-wd-5-en.pdf
[XACML-RBAC] OASIS Standard, “Core and
hierarchical role based access control (RBAC) profile of XACML v2.0”, February
2005
http://docs.oasis-open.org/xacml/2.0/access_control-xacml-2.0-rbac-profile1-spec-os.pdf
[HITSP] Healthcare
Information Technology Standards Panel (HITSP) at www.hitsp.org
[XSPA-XACML-EXAMPLES] Cross-Enterprise
Security and Privacy Authorization (XSPA) Profile of XACML v2.0 for Healthcare,
Implementation Examples. http://www.oasis-open.org/committees/document.php?document_id=30430
Figure 1 displays an overview of interactions between
parties in the exchange of healthcare information. Elements described in the
figure are explained in the subsections below.
Figure 1: Interaction between Parties
XACML functions of the Policy Enforcement Point (PEP) are
carried out by the Service Interface.
The PEP interacts with the Policy Information Point (PIP) of
the Attribute Service and the Policy Decision Point (PDP) functionality of the
Access Control Service (ACS), in enforcing authorization decisions.
The XSPA profile of XACML supports sending all Service User
requests through an ACS. XACML functions of the PDP are carried out by the
ACS. The Service Consumer ACS MAY serve as an enterprise gateway.
Attributes necessary to make a local access control decision
are determined and HL7 Permission [HL7-PERM] are granted to the Service
User based on their role, purpose of use (POU), the service endpoint of the
external resource, and any site specific operational attributes.
XACML functions of the Policy Information Point (PIP) are
carried out by the Attribute Service.
The Attribute Service has access to attribute information
(e.g., location, purpose of use), object preferences, consent directives and
other privacy conditions (object masking, object filtering, user, role,
purpose, etc.) that constrain enforcement.
XACML functions of the Policy Administration Point (PAP) are
carried out by the Policy Authority.
The Policy Authority has access to security policies that
include rules regarding authorizations required to access a protected resource
and additional security conditions (location, time of day, cardinality,
separation of duty purpose, etc.) that constrain enforcement.
The Service ACS is responsible for the parsing of
assertions, evaluating the assertions against the security and privacy policy,
and making and enforcing a decision on behalf of the Service Provider. The
Service ACS MAY serve as an enterprise gateway.
The XSPA profile of XACML recommends the use of reliable
transmission protocols. Where transmission integrity is required, this profile
makes no specific recommendations regarding mechanism or assurance level.
The XSPA profile of XACML recommends the use of secure
transmission protocols. Where transmission confidentiality is required, this
profile makes no specific recommendations regarding mechanisms.
This profile adheres to error states described in [XACML-CORE].
The following security considerations are established for
the XSPA profile of XACML:
·
Entities MUST be members of defined information domains under the
authorization control of a defined set of policies,
·
Entities MUST have been identified and provisioned (credentials
issued, privileges granted, etc.) in accordance with policy,
·
Privacy policies MUST have been identified and provisioned
(consents, user preferences, etc.) in accordance with policy,
·
Pre-existing security and privacy policies MUST have been
provisioned to Access Control Services,
·
The capabilities and location of requested information/document
repository services MUST be known,
·
Secure channels MUST be established as required by policy,
·
Audit services MUST be operational and initialized, and
·
Entities MUST have pre-asserted membership in an information
domain by successful and unique authentication.
The manner used by the relying party to confirm that the
requester message came from a system entity that is associated with the subject
of the assertion will depend upon the context and sensitivity of the data. For
confirmations requiring a specific level of assurance, this profile specifies
the use of National Institute of Standards and Technology (NIST) Special
Publication 800-63 Electronic Authentication Guideline. In addition, this
profile specifies the Liberty Identity Access Framework (LIAF) criteria for
evaluating and approving credential service providers.
A XACML extension is used to enable the SAML protocol
layer. This is described in the [SAML-XACML-20] specification and in
the [SX20-PROT-SCH] schema.
This profile will support the namespace requirements
described in [XACML-CORE].
This profile will support the namespace requirements
described in [XACML-CORE].
This profile will support the attribute evaluation
requirements described in [XACML-CORE].
Table 1: Standard Attributes (Normative)
|
Attribute
ID*
|
Identifier
|
Type
|
Valid
Values
|
|
subject:subject-id
|
urn:oasis:names:tc:xacml:1.0:subject:subject-id
|
String
|
Is the name of the user as required by
Health Insurance Portability and Accountability Act (HIPAA) Privacy
Disclosure Accounting. The name will be typed as a string and in plain text.
|
|
|
|
|
|
|
subject:organization
|
urn:oasis:names:tc:xspa:1.0:subject:organization
|
String
|
Organization the requesting user belongs to
as
required by Health Insurance Portability and Accountability Act (HIPAA)
Privacy Disclosure Accounting. The name will be typed as a string and in
plain text.
|
|
subject:organization-id
|
urn:oasis:names:tc:xspa:1.0:subject:organization-id
|
anyURI
|
Unique identifier of the consuming
organization and/or facility
|
|
subject:hl7:permission
|
urn:oasis:names:tc:xspa:1.0:subject:hl7:permission
|
String
|
Refer to [HL7-PERM] and its OID
representation.
|
|
subject:role
|
urn:oasis:names:tc:xacml:2.0:subject:role
|
String
|
Structural Role refer to [ASTM E1986-98
(2005)] and its OID representation.
|
|
subject:purposeofuse
|
urn:oasis:names:tc:xspa:1,0:subject:purposeofuse
|
String
|
TREATMENT, PAYMENT, OPERATIONS, EMERGENCY,
MARKETING, RESEARCH, REQUEST, PUBLICHEALTH
|
|
resource:resource-id
|
urn:oasis:names:tc:xacml:1.0:resource:resource-id
|
String
|
Unique identifier of the resource defined by
and controlled by the servicing organization. In healthcare this is the
patient unique identifier.
|
|
resource:hl7:type
|
urn:oasis:names:tc:xspa:1.0:resource:hl7:type
|
String
|
For minimum interoperability set of objects
and supporting actions refer to [HL7-PERM] and their OID representations.
|
|
resource:org:permission
|
urn:oasis:names:tc:xspa:1.0:resource:org:hl7:permissions
|
String
|
Refer to [HL7-PERM] and its OID
representation. This attribute holds permissions required by the servicing
organization to grant access to a specific resource.
|
|
resource:org:role
|
urn:oasis:names:tc:xspa:1.0:resource:org:role
|
String
|
Structural Role refer to [ASTM E1986-98
(2005)] and its OID representation. This attribute holds roles required by
the servicing organization to grant access to a specific resource.
|
|
resource:patient:confidentiality-code
|
urn:oasis:names:tc:xspa:1.0:resource:patient:hl7:confidentiality-code
|
String
|
Refer to [HL7-CONSENT] The default value
for this attribute is N (normal operations.)
|
|
resource:hl7:dissenting-subject-id
|
urn:oasis:names:tc:xspa:1.0:resource:patient:dissenting-subject-id
|
String
|
US domain specific is
National Provider issued by HHS/CMS and mandated by HIPAA.
|
|
resource:hl7:dissenting-role
|
urn:oasis:names:tc:xspa:1.0:resource:patient:dissenting-role
|
String
|
Structural Role refer to [ASTM E1986-98
(2005)] and its OID representation.
|
|
environment:locality
|
urn:oasis:names:tc:xspa:1.0:environment:locality
|
String
|
Unique identifier of the servicing
organization.
|
*Note: Attribute-ID is provided for mapping to pseudo-code
in the [XSPA-XACML-EXAMPLES] document.
*Note: The OID for the HL7 Permission Catalog [HL7-PERM] is 2.16.840.1.113883.13.27.
The OID for structural roles referenced in [ASTM E1986-98 (2005)] is 1.2.840.10065.1986.7
The confidentiality-code may be used to identify sensitive
information, such as records relating to drug abuse, alcoholism, or alcohol
abuse, infection with the human immunodeficiency virus (HIV) or sickle cell
anemia.
The mechanism used to identify the patent in a standardized
way, e.g. resource:resource-id, is outside the scope of the profile.
The dissenting-subject-id identifies those denied access to
a protected resource based on a patient’s consent directive. The format of
dissenting-subject-id MUST be consistent with the format of the subject-id.
HL7 RBAC Permission Catalog [HL7-PERM] represents a
conformant minimum interoperability set for object/action pairings.
Table 2: Standard Attributes (Non-Normative)
|
Attribute
ID*
|
Identifier
|
Type
|
Valid
Values
|
|
subject:npi
|
urn:oasis:names:tc:xspa:1.0:subject:npi
|
String
|
National Provider ID provided by U.S.
Government for all active providers.
|
|
subject:functional-role
|
urn:oasis:names:tc:xspa:1.0:subject:functional-role
|
String
|
Functional roles provide a placeholder to
group permissions required for fine grain access control. There MUST be
mutual agreement of there use and definition between participating
organizations.
|
|
resource:org:allowed-organizations
|
urn:oasis:names:tc:xspa:1.0:resource:org:allowed-organizations
|
String
|
Holds identification of allowed trading
partners.
|
|
resource:org:hoursofoperations:start
|
urn:oasis:names:tc:xspa:1.0:resource:org:hoursofoperation:start
|
Time
|
Time plus locale
|
|
resource:org:hoursofoperation:end
|
urn:oasis:names:tc:xspa:1.0:resource:org:hoursofoperation:end
|
Time
|
Time plus locale
|
|
resource:patient:opt-in
|
urn:gov:hhs:fha:nhinc:patient-opt-in
|
String
|
Yes or No. US realm specific and required
for v2.1 of NHIN connect.
|
|
resource:patient:allowed-organizations
|
urn:oasis:names:tc:xspa:1.0:resource:patient:allowed-organizations
|
String
|
Holds identification of organizations
allowed to access patients medical record as defined by patient's consent
directive.
|
|
obligation:patient:mask:advancedirectives:dissenting-role
|
urn:oasis:names:tc:xspa:1.0:resource:patient:masked:advancedirectives:dissenting-role
|
String
|
Structural Role refer to [ASTM E1986-98
(2005)] and its OID representation.
|
|
obligation:patient:mask:alerts:dissenting-role
|
urn:oasis:names:tc:xspa:1.0:resource:patient:masked:alerts:dissenting-role
|
String
|
Structural Role refer to [ASTM E1986-98
(2005)] and its OID representation.
|
|
obligation:patient:mask:encounters:dissenting-role
|
urn:oasis:names:tc:xspa:1.0:resource:patient:masked:encounters:dissenting-role
|
String
|
Structural Role refer to [ASTM E1986-98
(2005)] and its OID representation.
|
|
obligation:patient:mask:familyhistory:dissenting-role
|
urn:oasis:names:tc:xspa:1.0:resource:patient:masked:familyhistory:dissenting-role
|
String
|
Structural Role refer to [ASTM E1986-98
(2005)] and its OID representation.
|
|
obligation:patient:mask:functionalstatus:dissenting-role
|
urn:oasis:names:tc:xspa:1.0:resource:patient:masked:functionalstatus:dissenting-role
|
String
|
Structural Role refer to [ASTM E1986-98
(2005)] and its OID representation.
|
|
obligation:patient:mask:immunizations:dissenting-role
|
urn:oasis:names:tc:xspa:1.0:resource:patient:masked:immunizations:dissenting-role
|
String
|
Structural Role refer to [ASTM E1986-98
(2005)] and its OID representation.
|
|
obligation:patient:mask:medicalequipment:dissenting-role
|
urn:oasis:names:tc:xspa:1.0:resource:patient:masked:medicalequipment:dissenting-role
|
String
|
Structural Role refer to [ASTM E1986-98
(2005)] and its OID representation.
|
|
obligation:patient:mask:medications:dissenting-role
|
urn:oasis:names:tc:xspa:1.0:resource:patient:masked:medications:dissenting-role
|
String
|
Structural Role refer to [ASTM E1986-98
(2005)] and its OID representation.
|
|
obligation:patient:mask:payers:dissenting-role
|
urn:oasis:names:tc:xspa:1.0:resource:patient:masked:payers:dissenting-role
|
String
|
Structural Role refer to [ASTM E1986-98
(2005)] and its OID representation.
|
|
obligation:patient:mask:planofcare:dissenting-role
|
urn:oasis:names:tc:xspa:1.0:resource:patient:masked:planofcare:dissenting-role
|
String
|
Structural Role refer to [ASTM E1986-98
(2005)] and its OID representation.
|
|
obligation:patient:mask:problems:dissenting-role
|
urn:oasis:names:tc:xspa:1.0:resource:patient:masked:problems:dissenting-role
|
String
|
Structural Role refer to [ASTM E1986-98
(2005)] and its OID representation.
|
|
obligation:patient:mask:procedures:dissenting-role
|
urn:oasis:names:tc:xspa:1.0:resource:patient:masked:procedures:dissenting-role
|
String
|
Structural Role refer to [ASTM E1986-98
(2005)] and its OID representation.
|
|
obligation:patient:mask:purpose:dissenting-role
|
urn:oasis:names:tc:xspa:1.0:resource:patient:masked:purpose:dissenting-role
|
String
|
Structural Role refer to [ASTM E1986-98
(2005)] and it's OID representation.
|
|
obligation:patient:mask:results:dissenting-role
|
urn:oasis:names:tc:xspa:1.0:resource:patient:masked:results:dissenting-role
|
String
|
Structural Role refer to [ASTM E1986-98
(2005)] and it's OID representation.
|
|
obligation:patient:mask:socialhistory:dissenting-role
|
urn:oasis:names:tc:xspa:1.0:resource:patient:masked:socialhistory:dissenting-role
|
String
|
Structural Role refer to [ASTM E1986-98
(2005)] and it's OID representation.
|
|
obligation:patient:mask:vitals:dissenting-role
|
urn:oasis:names:tc:xspa:1.0:resource:patient:masked:vitals:dissenting-role
|
String
|
Structural Role refer to [ASTM E1986-98
(2005)] and it's OID representation.
|
|
obligation:patient:mask:advancedirectives:dissenting-subject-id
|
urn:oasis:names:tc:xspa:1.0:resource:patient:masked:advancedirectives:dissenting-subject-id
|
String
|
Provider unique identifier. US Domain this
is National Provider Identifier NPI.
|
|
obligation:patient:mask:alerts:dissenting-subject-id
|
urn:oasis:names:tc:xspa:1.0:resource:patient:masked:alerts:dissenting-subject-id
|
String
|
Provider unique identifier. US Domain this
is National Provider Identifier NPI.
|
|
obligation:patient:mask:encounters:dissenting-subject-id
|
urn:oasis:names:tc:xspa:1.0:resource:patient:masked:encounters:dissenting-subject-id
|
String
|
Provider unique identifier. US Domain this
is National Provider Identifier NPI.
|
|
obligation:patient:mask:familyhistory:dissenting-subject-id
|
urn:oasis:names:tc:xspa:1.0:resource:patient:masked:familyhistory:dissenting-subject-id
|
String
|
Provider unique identifier. US Domain this
is National Provider Identifier NPI.
|
|
obligation:patient:mask:functionalstatus:dissenting-subject-id
|
urn:oasis:names:tc:xspa:1.0:resource:patient:masked:functionalstatus:dissenting-subject-id
|
String
|
Provider unique identifier. US Domain this
is National Provider Identifier NPI.
|
|
obligation:patient:mask:immunizations:dissenting-subject-id
|
urn:oasis:names:tc:xspa:1.0:resource:patient:masked:immunizations:dissenting-subject-id
|
String
|
Provider unique identifier. US Domain this
is National Provider Identifier NPI.
|
|
obligation:patient:mask:medicalequipment:dissenting-subject-id
|
urn:oasis:names:tc:xspa:1.0:resource:patient:masked:medicalequipment:dissenting-subject-id
|
String
|
Provider unique identifier. US Domain this
is National Provider Identifier NPI.
|
|
obligation:patient:mask:medications:dissenting-subject-id
|
urn:oasis:names:tc:xspa:1.0:resource:patient:masked:medications:dissenting-subject-id
|
String
|
Provider unique identifier. US Domain this
is National Provider Identifier NPI.
|
|
obligation:patient:mask:payers:dissenting-subject-id
|
urn:oasis:names:tc:xspa:1.0:resource:patient:masked:payers:dissenting-subject-id
|
String
|
Provider unique identifier. US Domain this
is National Provider Identifier NPI.
|
|
obligation:patient:mask:planofcare:dissenting-subject-id
|
urn:oasis:names:tc:xspa:1.0:resource:patient:masked:planofcare:dissenting-subject-id
|
String
|
Provider unique identifier. US Domain this
is National Provider Identifier NPI.
|
|
obligation:patient:mask:problems:dissenting-subject-id
|
urn:oasis:names:tc:xspa:1.0:resource:patient:masked:problems:dissenting-subject-id
|
String
|
Provider unique identifier. US Domain this
is National Provider Identifier NPI.
|
|
obligation:patient:mask:procedures:dissenting-subject-id
|
urn:oasis:names:tc:xspa:1.0:resource:patient:masked:procedures:dissenting-subject-id
|
String
|
Provider unique identifier. US Domain this
is National Provider Identifier NPI.
|
|
obligation:patient:mask:purpose:dissenting-subject-id
|
urn:oasis:names:tc:xspa:1.0:resource:patient:masked:purpose:dissenting-subject-id
|
String
|
Provider unique identifier. US Domain this
is National Provider Identifier NPI.
|
|
obligation:patient:mask:results:dissenting-subject-id
|
urn:oasis:names:tc:xspa:1.0:resource:patient:masked:results:dissenting-subject-id
|
String
|
Provider unique identifier. US Domain this
is National Provider Identifier NPI.
|
|
obligation:patient:mask:socialhistory:dissenting-subject-id
|
urn:oasis:names:tc:xspa:1.0:resource:patient:masked:socialhistory:dissenting-subject-id
|
String
|
Provider unique identifier. US Domain this
is National Provider Identifier NPI.
|
|
obligation:patient:mask:vitals:dissenting-subject-id
|
urn:oasis:names:tc:xspa:1.0:resource:patient:masked:vitals:dissenting-subject-id
|
String
|
Provider unique identifier. US Domain this
is National Provider Identifier NPI.
|
*Note: Attribute-ID is provided for
mapping to pseudo-code in the [XSPA-XACML Example] document.
At this time no Standard Rule requirements have been defined
for this profile.
At this time no optional Rules have been defined for this
profile.
This profile describes the use of <Obligation> element
as optional.
The <Obligation> element will be used in the XACML
response to notify requestor that additional processing requirements are
needed. This profile focuses on the use of obligations to enforce patient
privacy election. The XACML response may contains one or more obligations.
Processing of an obligation is application specific. An <Obligation> may
contain the object (resource) action pairing information. If multiple
vocabularies are used for resource definitions the origin of the vocabulary MUST
be identified.
The obligation should conform to following structure:
urn:oasis:names:tc:xspa:1.0:patient:<action>:<healthcareobject>:<constraint-identifier>
The following is an example response obligation segment.
<xacml:Obligations
xmlns:xacml="urn:oasis:names:tc:xacml:2.0:policy:schema:os"
>
<xacml:Obligation
ObligationId="urn:oasis:names:tc:xspa:1.0:patient:masked:vitals:dissenting-subject-id"
FulfillOn="Permit">
</xacml:Obligation>
</xacml:Obligations>
The following section of this profile provides examples of
XACML request and response messages. The examples are intended to provide
additional guidance to implementers of this profile.
All XACML request and response attributes are identified by
a Uniform Resource Name (URN) from the vocabulary. This enables seamless
mapping of data values between the client interface and policy services.
It is recommended that the SAML 2.0 profile of XACML v2.0 [SAML-XACML20]
be used for PEP-PDP communications. (Note: use [SX20-ASSN-SCH] and [SX20-PROT-SCH]
schema files and specification in 17-Nov-05 Errata version.)
Following are the expected SOAP-wrapped request and response
messages. Note that request MUST have a unique ID which is used to map to a
unique response as specified in [XACML-CORE]. The request MAY be returned with
the response.
Sample SOAP SAML XACML Request wrapper:
<?xml version="1.0"
encoding="UTF-8"?>
<soapenv:Envelope
xmlns:soapenv
="http://schemas.xmlsoap.org/soap/envelope/"
xmlns:xsd="http://www.w3.org/2001/XMLSchema"
xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<soapenv:Body>
<xacml-samlp:XACMLAuthzDecisionQuery
xmlns:xacml-samlp="urn:oasis:xacml:2.0:saml:protocol:schema:os"
ID="_e064bd912f83c1544fea110307000acf"
IssueInstant="2007-05-21T22:00:36Z"
Version="2.0">
<xacml-context:Request
xmlns:xacml-context="urn:oasis:names:tc:xacml:2.0:context:schema:os">
<!-- See [XACML-Request-01] for sample content of
this element -->
</xacml-context:Request>
</xacml-samlp:XACMLAuthzDecisionQuery>
</soapenv:Body>
</soapenv:Envelope>
The request message above contains three protocol layers:
·
soapenv: is the SOAP layer. A SOAP Envelope contains a
SOAP Body.
·
xacml-samlp: is the SAML protocol layer, which is enabled
by the XACML extension to the SAML protocol, which is described in [SAML-XACML-20]
specification and in the [SX20-PROT-SCH] schema. Note that the usual
samlp: is not declared here because xacml-samlp: extends samlp: and will
transparently include the samlp: base declarations.
·
xacml-context: is the XACML request/response layer which
is described in [XACML-CORE].
Sample SOAP SAML XACML response wrapper:
<soapenv:Envelope
xmlns:soapenv="http://schemas.xmlsoap.org/soap/envelope/"
xmlns:xsd="http://www.w3.org/2001/XMLSchema"
xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<soapenv:Body>
<samlp:Response
xmlns:samlp="urn:oasis:names:tc:SAML:2.0:protocol"
ID="A12345602"
Version="2.0"
IssueInstant="2007-05-09T00:00:01Z">
<samlp:Status>
<samlp:StatusCode
Value="urn:oasis:names:tc:SAML:2.0:status:Success"/>
</samlp:Status>
<saml:Assertion
xmlns:saml="urn:oasis:names:tc:SAML:2.0:assertion"
Version="2.0"
ID="A12345603"
IssueInstant="2007-05-09T00:00:01Z">
<saml:Issuer>xacml.interop.com</saml:Issuer>
<saml:Statement
xmlns:xacml-saml="urn:oasis:xacml:2.0:saml:assertion:schema:os"
xsi:type="xacml-saml:XACMLAuthzDecisionStatementType">
<xacml-context:Response
xmlns:xacml-context="urn:oasis:names:tc:xacml:2.0:context:schema:os">
<!-- See [XACML-Response-01] for sample content
of this element -->
</xacml-context:Response>
</saml:Statement>
</saml:Assertion>
</samlp:Response>
</soapenv:Body>
</soapenv:Envelope>
The response message above contains three protocol layers:
·
soapenv: is the SOAP layer. A SOAP Envelope contains a
SOAP Body.
·
samlp: is the SAML Protocol layer, which is explicitly
declared this time because in the response case the xacml extension is lower in
the samlp: protocol. In particular, samlp: requires a saml:Assertion, which in
turn includes a saml:Statement. It is within the saml:Statement that the xacml
extension occurs and is referred to as xacml-saml: because it extends the
saml:Assertion/saml:Statement with the XACMLAuthzDecisionStatementType. The
details are described in the [SAML-XACML-20] specification and the [SX20-ASSN-SCH]
schema.
·
xacml-context: is the XACML request/response layer which
is described in [XACML-CORE]
The XSPA profile of XACML addresses the following aspects of
conformance:
This profile describes a minimum vocabulary that must be
supported in order to claim conformance.
An Implementation of a PDP MUST conform to XACML v2.0
specification.
The following section identifies portions of the profile
that MUST be adhered to in order to claim conformance.
Note: “M” is mandatory “O” is optional.
The implementation MUST use the attributes associated with
the following identifiers in the way this profile has defined.
Table 3: Conformance Attributes
|
Identifiers
|
|
|
urn:oasis:names:tc:xacml:1.0:subject:subject-id
|
M
|
|
|
urn:oasis:names:tc:xspa:1.0:subject:organization
|
M
|
|
|
urn:oasis:names:tc:xspa:1.0:subject:organization-id
|
M
|
|
|
urn:oasis:names:tc:xspa:1.0:subject:hl7:permission
|
M
|
|
|
urn:oasis:names:tc:xacml:2.0:subject:role
|
M
|
|
|
urn:oasis:names:tc:xspa:1.0:subject:purposeofuse
|
M
|
|
|
urn:oasis:names:tc:xacml:1.0:resource:resource-id
|
M
|
|
|
urn:oasis:names:tc:xspa:1.0:resource:hl7:type
|
M
|
|
|
urn:oasis:names:tc:xspa:1.0:resource:org:hl7:permissions
|
M
|
|
|
urn:oasis:names:tc:xspa:1.0:resource:org:role
|
M
|
|
|
urn:oasis:names:tc:xspa:1.0:resource:patient:hl7:confidentiality-code
|
M
|
|
|
urn:oasis:names:tc:xspa:1.0:resource:patient:dissenting-subject-id
|
M
|
|
|
urn:oasis:names:tc:xspa:1.0:resource:patient:dissenting-role
|
M
|
|
|
urn:oasis:names:tc:xspa:1.0:environment:locality
|
M
|
|
|
urn:oasis:names:tc:xspa:1.0:subject:npi
|
O
|
|
|
urn:oasis:names:tc:xspa:1.0:subject:functional-role
|
O
|
|
urn:oasis:names:tc:xspa:1.0:resource:org:allowed-organizations
|
O
|
|
urn:oasis:names:tc:xspa:1.0:resource:org:hoursofoperation:start
|
O
|
|
urn:oasis:names:tc:xspa:1.0:resource:org:hoursofoperation:end
|
O
|
|
urn:gov:hhs:fha:nhinc:patient-opt-in
|
O
|
|
urn:oasis:names:tc:xspa:1.0:resource:patient:allowed-organizations
|
O
|
|
urn:oasis:names:tc:xspa:1.0:resource:patient:masked:advancedirectives:dissenting-role
|
O
|
|
urn:oasis:names:tc:xspa:1.0:resource:patient:masked:alerts:dissenting-role
|
O
|
|
urn:oasis:names:tc:xspa:1.0:resource:patient:masked:encounters:dissenting-role
|
O
|
|
urn:oasis:names:tc:xspa:1.0:resource:patient:masked:familyhistory:dissenting-role
|
O
|
|
urn:oasis:names:tc:xspa:1.0:resource:patient:masked:functionalstatus:dissenting-role
|
O
|
|
urn:oasis:names:tc:xspa:1.0:resource:patient:masked:immunizations:dissenting-role
|
O
|
|
urn:oasis:names:tc:xspa:1.0:resource:patient:masked:medicalequipment:dissenting-role
|
O
|
|
urn:oasis:names:tc:xspa:1.0:resource:patient:masked:medications:dissenting-role
|
O
|
|
urn:oasis:names:tc:xspa:1.0:resource:patient:masked:payers:dissenting-role
|
O
|
|
urn:oasis:names:tc:xspa:1.0:resource:patient:masked:planofcare:dissenting-role
|
O
|
|
urn:oasis:names:tc:xspa:1.0:resource:patient:masked:problems:dissenting-role
|
O
|
|
urn:oasis:names:tc:xspa:1.0:resource:patient:masked:procedures:dissenting-role
|
O
|
|
urn:oasis:names:tc:xspa:1.0:resource:patient:masked:purpose:dissenting-role
|
O
|
|
urn:oasis:names:tc:xspa:1.0:resource:patient:masked:results:dissenting-role
|
O
|
|
urn:oasis:names:tc:xspa:1.0:resource:patient:masked:socialhistory:dissenting-role
|
O
|
|
urn:oasis:names:tc:xspa:1.0:resource:patient:masked:vitals:dissenting-role
|
O
|
|
urn:oasis:names:tc:xspa:1.0:resource:patient:masked:advancedirectives:dissenting-subject-id
|
O
|
|
urn:oasis:names:tc:xspa:1.0:resource:patient:masked:alerts:dissenting-subject-id
|
O
|
|
urn:oasis:names:tc:xspa:1.0:resource:patient:masked:encounters:dissenting-subject-id
|
O
|
|
urn:oasis:names:tc:xspa:1.0:resource:patient:masked:familyhistory:dissenting-subject-id
|
O
|
|
urn:oasis:names:tc:xspa:1.0:resource:patient:masked:functionalstatus:dissenting-subject-id
|
O
|
|
urn:oasis:names:tc:xspa:1.0:resource:patient:masked:immunizations:dissenting-subject-id
|
O
|
|
urn:oasis:names:tc:xspa:1.0:resource:patient:masked:medicalequipment:dissenting-subject-id
|
O
|
|
urn:oasis:names:tc:xspa:1.0:resource:patient:masked:medications:dissenting-subject-id
|
O
|
|
urn:oasis:names:tc:xspa:1.0:resource:patient:masked:payers:dissenting-subject-id
|
O
|
|
urn:oasis:names:tc:xspa:1.0:resource:patient:masked:planofcare:dissenting-subject-id
|
O
|
|
urn:oasis:names:tc:xspa:1.0:resource:patient:masked:problems:dissenting-subject-id
|
O
|
|
urn:oasis:names:tc:xspa:1.0:resource:patient:masked:procedures:dissenting-subject-id
|
O
|
|
urn:oasis:names:tc:xspa:1.0:resource:patient:masked:purpose:dissenting-subject-id
|
O
|
|
urn:oasis:names:tc:xspa:1.0:resource:patient:masked:results:dissenting-subject-id
|
O
|
|
urn:oasis:names:tc:xspa:1.0:resource:patient:masked:socialhistory:dissenting-subject-id
|
O
|
|
urn:oasis:names:tc:xspa:1.0:resource:patient:masked:vitals:dissenting-subject-id
|
O
|
|
|
|
|
The following individuals have participated in the creation
of this specification and are gratefully acknowledged:
Participants in the 2009 HIMSS Interoperability Demonstration
of the XSPA profile:
Steve Steffensen, Department of Defense
Daniel Dority, Jericho Systems Corporation
Brian McClung, Jericho Systems Corporation
Brendon Unland, Jericho Systems Corporation
Emory Fry, Naval Health Research Center
Anil Saldhana, Red Hat
Dilli Doral, Sun Microsystems
Steven Jarosz, Sun Microsystems
Mike Davis, Veterans Health Administration
Duane DeCouteau, Veterans Health Administration
David Staggs, Veterans Health Administration
XACML TC Members during the development of this
specification:
Erik Rissanen, Axiomatics AB
Steve Anderson, BMC Software
Ronald Jacobson, CA
Masum Hasan, Cisco Systems, Inc.
Anil Tappetla, Cisco Systems, Inc.
Tim Moses, Entrust
Michiharu Kudo, IBM
Michael McIntosh, IBM
Ron Williams, IBM
Guy Denton, IBM
Craig Forster, IBM
Richard Franck, IBM
Vernon Murdoch, IBM
Anthony Nadalin, IBM
Bill Parducci, Individual
David Chadwick, Individual
Abbie Barbir, Nortel
Harry Haury, NuParadigm Government Systems, Inc.
Hal Lockhart, Oracle Corporation
Willem de Pater, Oracle Corporation
Prateek Mishra, Oracle Corporation
Kamalendu Biswas, Oracle Corporation
Rich Levinson, Oracle Corporation
Anil Saldhana, Red Hat
Darran Rolls, SailPoint Technologies
Daniel Engovatov, Stream Dynamics, Inc.
Aravindan Ranganathan, Sun Microsystems
Dilli Arumugam, Sun Microsystems
Seth Proctor, Sun Microsystems
John Tolbert, The Boeing Company
Martin Smith, US Department of Homeland Security
Duane DeCouteau, Veterans Health Administration
David Staggs, Veterans Health Administration
|
Document
ID
|
Date
|
Committer
|
Comment
|
|
xspa-xacml-profile-01
|
09/29/2008
|
Brett Burley
|
Initial draft v1.0
|
|
xspa-xacml-profile-01
|
09/29/2008
|
Craig Winter
|
QA review / revision v1.1
|
|
xspa-xacml-profile-01
|
10/03/2008
|
Duane DeCouteau
|
Obligation, rules, and Snomed CT. v,1,2
|
|
xspa-xacml-profile-cd01
|
10/10/2008
|
Brett Burley
|
Formatting as Committee Draft
|
|
xspa-xacml-profile-cd-02
|
10/23/2008
|
Duane DeCouteau
|
Action Items, structural roles, HL7 OID, conformance section
|
|
xspa-xacml-profile-cd-02
|
11/05/2008
|
Craig Winter
|
QA review / revision v1.3
|
|
xspa-xacml-profile-pr-01
|
11/05/2008
|
David Staggs
|
Approved Public Review Draft v1.0
|
|
xspa-xacml-profile-pr-02
|
4/20/2008
|
David Staggs
|
Post-Public Review Draft
|
|
xspa-xacml-profile-cd-02
|
6/7/2009
|
David Staggs
|
CD prior to Public Review Draft v2.0
|
|
xspa-xacml-profile-cd-02
|
7/2/2009
|
David Staggs
|
CD prior to Public Review Draft v3.0
|
|
xspa-xacml-profile-cd-03
|
7/10/2009
|
David Staggs
|
Harmonized with XSPA profile of SAML
|
|
xspa-xacml-profile-cd-04
|
7/15/2009
|
Duane DeCouteau
|
Final comments TC review
|
