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Used Documentation


General Information

The ‘MetaHub’ component is introduced to support the interconnection between ‘Hubs’. This component is accessible to ‘recognized’ hubs. The word ‘hub’ denotes the kernel of a ‘recognized’ regional or sub regional health network.

The main purpose of the MetaHub is to allow a hub to know where it can find information about a patient outside of its network. More precisely, the MetaHub simply provides the list of hubs that have information about a patient. It is not the MetaHub’s role to know where, within a (sub)regional health network, the information is stored.

The MetaHub is thus more a ‘locator service’ than a ‘routing component’: there are no ‘document’ exchanges transiting throughout the component. MetaHub v2 also allows the hubs to consult and manage the registration of patient consents and exclusions1. A major feature is that the hubs themselves feed the MetaHub. See figure below.


It is not the task of the MetaHub to store or to manage any data regarding ‘therapeutic links’ nor is it the purpose of the MetaHub to register or verify the therapeutic links.
However, for some types of therapeutic links for which an authentic source is defined and available, the MetaHub will offer a ‘relay’ service to the hubs to check the existence of such a therapeutic link.
Again, the interface of the services is more ‘generic’ (in order to be aligned with the specifications defined at the hub level and to potentially support other kinds of therapeutic links if required). For more information on
the methods to use, please refer to the WS TherapeuticLink cookbook. 


PutTherapeuticLink Allows a hub to declare the therapeutic links. Its main purpose is to allow one to declare a therapeutic link.
RevokeTherapeuticLinkAllows a hub to revoke the therapeutic links. Its main purpose is to allow one to “end” the (declaration of a) therapeutic link.
GetTherapeuticLinkAllows a hub to consult therapeutic links according to basic search parameters.
Its main purpose is to allow one to check the existence of the therapeutic links when executing a consultation process.

This service is a ‘KMEHR-based’ WS. We thus strongly recommend consulting the documentation related to the KMEHR normative elements. The KMEHR site aims to offer a central point for the documentation of the KMEHR normative elements.

https://www.ehealth.fgov.be/standards/kmehr/en

The three following generic elements are, in particular, essentials to build the request and the reply of eHealth MetaHub WS.


Basic Flow

FlowSpecifications

IDAR-UC35-BF
NamePut Therapeutic Link - Hub as author of the request
Description

Hub acts as author of the Put Therapeutic Link Request. The hub does the request. Certificate used to access the MetaHub WS is the eHealth Certificate of the Hub. 

Actor(s)Hub
Requirements
  • End-user is a Hub (Hub acts as author of the request)
  • Valid eHealth certificate of the Hub
  • SSIN of the patient
TriggerThe user wants to declare a Therapeutic Link
Precondition(s)
  • The user has an account for the application
  • The user is logged out
Flow
  1. The user attempts to access to the eHealth MetaHub WS
  2. The user needs to request a SAML Token by using the eHealth Certificate of the Hub
  3. A request for a SAML Token is sent to the Secure Token Service (STS)
  4. The STS responds with a SAML Token
  5. The user has access to the eHealth WS MetaHub
  6. The user does a request for Put Therapeutic Link
  7. The Put Patient Consent Request is sent to the MetaHub WS
  8. ° The MetaHub WS responds with a Put Therapeutic Link Response

      ° The request is logged 

      ° The Informed Patient Consent is stored in the MetaHub

Post Condition(s)
  • Request is logged
  • The informed patient consent is stored in the MetaHub
Test Data
End Point(s)WS MetaHub
Additional Information
  • A link between a patient and a hub indicates that at least a transaction is declared within the hub about the patient. A patient link can be declared before the
     registration of a patient’s consent. However, if there is no active consent for the patient in the system, the patient-hub link will not be returned by the
     getPatientLinks service.
  • It is only possible to declare a patient link for the hub that sends the request. The hub is identified in the sender of the request and the coherence is checked with the technical identification and authentication system.


Alternative Flow

FlowSpecifications

IDAR-UC35-AF01
NamePut Therapeutic Link - Hub as author of the request - e-ID
Description

Hub acts as author of the Put Therapeutic Link Request. The hub does the request. Certificate used to access the MetaHub WS is the eHealth Certificate of the Hub.

INSS support card number used is the e-ID card. 

Actor(s)Hub
Requirements
  • End-user is a Hub (Hub acts as author of the request)
  • Valid eHealth certificate of the Hub
  • SSIN of the patient
  • Patient e-ID
TriggerThe user wants to declare a Therapeutic Link
Precondition(s)
  • The user has an account for the application
  • The user is logged out
Flow
  1. The user attempts to access to the eHealth MetaHub WS
  2. The user needs to request a SAML Token by using the eHealth Certificate of the Hub
  3. A request for a SAML Token is sent to the Secure Token Service (STS)
  4. The STS responds with a SAML Token
  5. The user has access to the eHealth WS MetaHub
  6. The user does a request for Put Therapeutic Link
  7. The Put Patient Consent Request is sent to the MetaHub WS
  8. ° The MetaHub WS responds with a Put Therapeutic Link Response

      ° The request is logged 

      ° The Informed Patient Consent is stored in the MetaHub

Post Condition(s)
  • Request is logged
  • The informed patient consent is stored in the MetaHub
Test Data
End point(s)WS MetaHub
Additional Information
  • A link between a patient and a hub indicates that at least a transaction is declared within the hub about the patient. A patient link can be declared before the
     registration of a patient’s consent. However, if there is no active consent for the patient in the system, the patient-hub link will not be returned by the
     getPatientLinks service.
  • It is only possible to declare a patient link for the hub that sends the request. The hub is identified in the sender of the request and the coherence is checked with the technical identification and authentication system.


Alternative Flow

FlowSpecifications

IDAR-UC35-AF02
NamePut Therapeutic Link - Hub as author of the request - ISI+
Description

Hub acts as author of the Put Therapeutic Link Request. The hub does the request. Certificate used to access the MetaHub WS is the eHealth Certificate of the Hub. 

INSS support card number used is the ISI+ card.

Actor(s)Hub
Requirements
  • End-user is a Hub (Hub acts as author of the request)
  • Valid eHealth certificate of the Hub
  • SSIN of the patient
  • Patient ISI+
TriggerThe user wants to declare a Therapeutic Link
Precondition(s)
  • The user has an account for the application
  • The user is logged out
Flow
  1. The user attempts to access to the eHealth MetaHub WS
  2. The user needs to request a SAML Token by using the eHealth Certificate of the Hub
  3. A request for a SAML Token is sent to the Secure Token Service (STS)
  4. The STS responds with a SAML Token
  5. The user has access to the eHealth WS MetaHub
  6. The user does a request for Put Therapeutic Link
  7. The Put Patient Consent Request is sent to the MetaHub WS
  8. ° The MetaHub WS responds with a Put Therapeutic Link Response

      ° The request is logged 

      ° The Informed Patient Consent is stored in the MetaHub

Post Condition(s)
  • Request is logged
  • The informed patient consent is stored in the MetaHub
Test Data
End point(s)WS MetaHub
Additional Information
  • A link between a patient and a hub indicates that at least a transaction is declared within the hub about the patient. A patient link can be declared before the
     registration of a patient’s consent. However, if there is no active consent for the patient in the system, the patient-hub link will not be returned by the
     getPatientLinks service.
  • It is only possible to declare a patient link for the hub that sends the request. The hub is identified in the sender of the request and the coherence is checked with the technical identification and authentication system.


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