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XUA – Circle of Trust (e.g. XDS Affinity Domain). St. Johns. XDS PIX. Auth Prov. ID Prov. XDS Registry. 2. 1. North Clinic. Rad Reporting. 5. Auth Prov. ID Prov. 6. 3. 1. 4. Rad Reporting. 7. PACS. XDS Repository. XUA – Circle of Trust
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XUA – Circle of Trust (e.g. XDS Affinity Domain) St. Johns XDS PIX Auth Prov ID Prov XDS Registry 2 1 North Clinic Rad Reporting 5 Auth Prov ID Prov 6 3 1 4 Rad Reporting 7 PACS XDS Repository
XUA – Circle of Trust (e.g. XDS Affinity Domain) St. Johns XDS PIX Auth Prov ID Prov XDS Registry 2 1 North Clinic Radiologist Reporting 5 Auth Prov ID Prov 6 3 1 4 Family Doctor 7 PACS XDS Repository
XUA – Circle of Trust (e.g. XDS Affinity Domain) St. Johns XDS PIX Auth Prov ID Prov XDS Registry 2a HL7 2b 1a HL7 North Clinic Radiologist Reporting 5 Auth Prov ID Prov 6 SOAP/HTTP SOAP/HTTP 3 1b 4 DICOM SOAP w/ Attach HTTP | SMIME Family Doctor 7 PACS XDS Repository HTTP GET
XUA – Circle of Trust (e.g. XDS Affinity Domain) XDS Patient ID Source St. Johns Auth Prov ID Prov XDS Registry 1a HL7 1b 0a HL7 North Clinic Radiologist Reporting 4 Auth Prov ID Prov 5 SOAP/HTTP SOAP/HTTP 2 0b 3 DICOM SOAP w/ Attach HTTP | SMIME 6 Family Doctor HTTP GET XDS Repository PACS LAB HTTP GET (Browser) 7
XUA – Circle of Trust (e.g. XDS Affinity Domain) XDS Patient ID Source Key: Original Transaction XUA modification Section HH.1.3.n St. Johns Auth Prov ID Prov n XDS Registry 1a HL7 1b 0a HL7 North Clinic Internal Exported Radiologist Reporting 4 SOAP HTTP Auth Prov ID Prov 5 SOAP/HTTP 3 2a SOAP w/ Attach HTTP | SMIME 0b XDS Repository 6 DICOM HTTP GET Family Doctor PACS 2b DICOM LAB HTTP GET (Browser) 7
XUA – Circle of Trust (e.g. XDS Affinity Domain) XDS Patient ID Source Key: Original Transaction XUA modification Use-Case number ‘n’ St. Johns Auth Prov ID Prov n 1a Any HL7 XDS Registry 0a 1b User auth Any HL7 North Clinic Internal Exported Radiologist Reporting 4 XDS Query Auth Prov ID Prov 5 XDS Register 3 2a XDS Provide & Register 0b XDS Repository 6 Any DICOM XDS Retrieve Family Doctor PACS 2b Any DICOM LAB RID (Browser) 7
SAML Assertion Original Transaction Message (e.g. HL7, URI, DICOM, SOAP) When needed TLS or XMLenc/sig Original Transaction Transport (e.g. TCP, HTTP, SMTP)
XUA – Authentication Domains Auth Prov ID Prov General Workstation North Clinic General Workstation General Workstation ID Prov Auth Prov ID Prov Auth Prov General Workstation General Workstation South Clinic
XUA – Authentication Domains Auth Prov ID Prov General Workstation General Workstation
XUA – Authentication Domains Auth Prov ID Prov General Workstation North Clinic General Workstation General Workstation ID Prov Auth Prov ID Prov Auth Prov General Workstation General Workstation South Clinic
XUA – Authentication Domains Auth Prov ID Prov General Workstation North Clinic General Workstation General Workstation ID Prov Auth Prov ID Prov Auth Prov General Workstation General Workstation South Clinic
XUA – Authentication Domains Auth Prov ID Prov General Workstation North Clinic General Workstation General Workstation ID Prov Auth Prov ID Prov Auth Prov General Workstation General Workstation South Clinic
EHR (ATNA Secure Node) XDS Consumer XDS Registry (ATNA Secure Node) X-Service User user auth provider X-Identity Provider Key: Original Transaction XUA Assertion TLS Protections Patient Data User ID