View Description Primary Presentation Element Catalog Elements and Their Properties

1. View Description • Primary Presentation • Element Catalog • Elements and Their Properties • Relations and Their Properties • Element Interfaces • Element Behavior • Context Diagram • Variability Guide • Architecture Background • Design Rationale • Assumptions

2. Applications Static Documents – e.g. Continuity of Care Interactive Applications – e-Prescribing, CPOE Continuous Feeds – e.g., Surveillance, Quality Reporting Capabilities Discovery Locating Organizations and Services Locating Patients Locating Information Exchange Pull – Query / Response Pattern Feeds – Publish / Subscribe Pattern Push – Unsolicited Delivery Pattern Foundation Messaging Framework Web Service Standards Authorization Framework Access Consent Policies Minimal Infrastructure Web Services Registry Public Key Infrastructure

3. NWHIN Aurion Components Customizable Components Replaceable Components PatientDiscovery AdministrativeDistribution AuditReporting Query forDocuments RetrieveDocuments SubscriptionManagement NotificationProcessing DocumentSubmission UDDI UpdateManagement Aurion Gateway NWHIN Orchestration Components Retrieve Documents Subscription Management UDDI Update Management Subject Discovery Query for Documents Notification Processing Document Submission AuditReporting Aurion Core Components Others Patient Correlation Repository Audit Repository Document Cache Connection Manager Subscription Repository Others Administrative Distribution PatientDiscovery MPI Query forDocuments RetrieveDocuments Policy SubscriptionManagement NotificationProcessing DocumentSubmission AuditReporting Aurion Adapter Adapter Service Bus Adapter Service Bus SDK Services Document Repository Document Registry MPI Policy Engine Subscription Repository Re-Identification Others Data Transforms Terminology Services Others

4. NWHIN Aurion Components Customizable Components Replaceable Components AuditReporting PatientDiscovery Query forDocuments RetrieveDocuments SubscriptionManagement NotificationProcessing DocumentSubmission Administrative Distribution Aurion Gateway Message Proxy Components Patient Discovery Query for Documents Retrieve Documents Subscription Management Notification Processing AuditReporting DocumentSubmission Aurion Core Components Others Patient Correlation Repository Audit Repository Document Cache Subscription Repository UDDI Update Management Others Connection Manager Entity Orchestration Components Query for Documents AuditReporting Patient Discovery Retrieve Documents Subscription Management Notification Processing DocumentSubmission PatientCorrelation PatientDiscovery Query forDocuments RetrieveDocuments SubscriptionManagement NotificationProcessing AuditReporting PassThrough Document Submission Administrative Distribution Aurion Adapter Entity Integration Software SDK Services Others Data Transforms Terminology Services Others

5. Internal NWHIN Message Orchestrator NWHIN Message Receiver Adapter InterfacePass-Through Choice of pathbased on configuration.

6. Administrative Distribution PatientDiscovery MPI Query forDocuments RetrieveDocuments Policy SubscriptionManagement NotificationProcessing DocumentSubmission AuditReporting Aurion Adapter Adapter Service Bus Adapter Service Bus SDK Services Document Repository Document Registry MPI Policy Engine Subscription Repository Re-Identification Others Data Transforms Terminology Services Others

7. Aurion Adapter Adapter Service Bus Adapter Service Bus Document Repository Document Registry MPI Policy Engine Subscription Repository Re-Identification

8. SDK Services Others Data Transforms Terminology Services Others

9. NWHIN Aurion Components Customizable Components SAML SubjectDiscovery Query forDocuments RetrieveDocuments SubscriptionManagement NotificationProcessing AuditReporting Aurion Gateway External-Facing Services Subject Discovery Query for Documents Retrieve Documents Subscription Management Notification Processing AuditReporting Internal / Utility Services Others MPI / Correlation Repository Connection Manager Data Transforms Audit Repository Others Subscription Management Non-SAML Adapter AdapterSubscriptions Aurion Adapter External-Facing Services Internal / Utility Services Others Adapter Adapter Subscription Document Repository Document Registry Others

10. NWHIN Aurion Components Customizable Components SAML SubjectDiscovery Query forDocuments RetrieveDocuments SubscriptionManagement NotificationProcessing AuditReporting Aurion Gateway NWHIN Message Processing Components Subject Discovery Query for Documents Retrieve Documents Subscription Management Notification Processing AuditReporting Internal / Utility Services External Adapter-Facing Services Others MPI / Correlation Repository Connection Manager Data Transforms Audit Repository Others Entity Subscription Subscription Management Entity Entity EntitySubscriptions Non-SAML Aurion Adapter Entity Integration Components Others Others

11. ID request ProviderSystem (eg, EHR or NHIE) NWHIN patient matches data request clinical documents data request clinical documents authentication authorization clinical documents data request clinical documents clinical data subscription request notification provider Organization’s Existing Systems clinical document MPI Clinical Data subscription request notification clinical document matches Aurion data request Personal Health Record authentication clinical documents clinical data data request clinical data clinical documents log request log request audit log data request consumer audit log clinical data Public Sector System authentication authorization data request End UserSystem authentication clinical documents data request authorization clinical data data request auth user clinical data authentication Remote Gateway Public Health System authorization ID request user re-identification data request analysis subscription request Ware-house notification ID request clinical document (pseudonymized) re-identification PH official clinical data pseudonymized data

12. Patient Discovery Context Diagram Organization’s Existing Systems NWHIN MPI Clinical Data ID request matches Aurion ProviderSystem (eg, EHR or NHIE) patient matches authentication authorization End UserSystem provider user

13. Query for Documents Context Diagram ProviderSystem (eg, EHR or NHIE) NWHIN data request data request authentication authorization MPI Clinical Data data request provider Organization’s Existing Systems Aurion data request Personal Health Record authentication clinical documents clinical data data request clinical data data request consumer Public Sector System authentication authorization data request End UserSystem authentication data request authorization data request auth user user

14. Retrieve Documents Context Diagram ProviderSystem (eg, EHR or NHIE) NWHIN data request clinical documents data request clinical documents MPI Clinical Data authentication authorization data request clinical data provider Organization’s Existing Systems matches Aurion data request Personal Health Record authentication clinical documents clinical data data request clinical data clinical documents data request consumer clinical data Public Sector System authentication authorization data request End UserSystem authentication clinical documents data request authorization clinical data data request auth user clinical data user

15. Health Information Event Messaging (HIEM) Context Diagram Organization’s Existing Systems NWHIN MPI Clinical Data Aurion ProviderSystem (eg, EHR or NHIE) data request clinical data subscription request notification provider clinical document End UserSystem End UserSystem subscription request notification clinical document Remote Gateway Public Health System user subscription request Ware-house notification clinical document (pseudonymized) PH official clinical data pseudonymized data

16. Document Submission Context Diagram Organization’s Existing Systems NWHIN Clinical Data MPI match requests Aurion ProviderSystem (eg, EHR or NHIE) patient matches authentication clinical data authorization clinical documents response End UserSystem authentication provider authorization user

17. discover patients ProviderSystem (eg, EHR or NHIE) NWHIN discover patients Query Audit Log Context Diagram data request clinical documents data request clinical documents clinical documents clinical documents subscription request notification provider Organization’s Existing Systems clinical document Clinical Data MPI subscription request notification clinical document matches Aurion data request Personal Health Record authentication clinical documents data request clinical documents log request log request audit log data request consumer audit log clinical data Public Sector System data request End UserSystem clinical documents auth user Remote Gateway Public Health System ID request user re-identification subscription request Ware-house notification clinical document (pseudonymized) PH official

18. Authorized Case Follow Up Context Diagram Organization’s Existing Systems NWHIN MPI Clinical Data authentication Public Health System authorization matches Aurion ID request re-identification PH official Remote Gateway ID request re-identification End UserSystem End UserSystem user Ware-house

19. Administrative Distribution Context Diagram Organization’s Existing Systems NWHIN Clinical Data Aurion ProviderSystem (eg, EHR or NHIE) authentication clinical data authorization clinical documents End UserSystem authentication provider authorization user