How to enable labels-based access control

Prerequisites

Docker and Docker Compose

You should have Docker and Docker Compose installed before go further. To get it installed follow the instructions.

Aidbox license

To get the Aidbox License:

Go the Aidbox user portal https://aidbox.app
2. Login to the portal
3. Create new self-hosted Aidbox License or use the license that you already have

Create Aidbox project

To create sample project run command below.

shell

git clone \
  --branch=without-zen \
  --depth=1 \
  https://github.com/Aidbox/aidbox-project-template.git \
  aidbox-project && \
  cd aidbox-project && \
  rm -rf .git

See more details related the running Aidbox locally

Apply the license

Populate the .env file with the Aidbox License.

.env

ini

AIDBOX_LICENSE=YOUR_AIDBOX_LICENSE_KEY
...

Enable security labels access control

Populate the .env file with the security labels ENVs.

.env

ini

# if true, security label feature is enabled
BOX_FEATURES_SECURITY__LABELS_ENABLE=true

# if true, removes security labels from the resource
BOX_FEATURES_SECURITY__LABELS_STRIP__LABELS=true

# Defines the FHIR version
AIDBOX_FHIR_VERSION="4.0.1"
...

Define the FHIR version

Populate the .env file with the AIDBOX_FHIR_VERSION ENV variable.

.env

ini

# In this guide we are going to use FHIR 4.0.1 
AIDBOX_FHIR_VERSION="4.0.1"
...

Start Aidbox with Docker Compose

To start Aidbox run the command in the aidbox-project directory.

bash

docker compose up --force-recreate

When Aidbox starts, navigate to the http://localhost:8888 and sign in to the Aidbox UI using the credentials admin / password.

Ensure the security labels access control works

Create TokenIntrospector

To make Aidbox trust JWT issued by external server token introspection is used, run the following request in the REST Console.

yaml

PUT /TokenIntrospector/security-labels-demo-client
content-type: text/yaml

resourceType: TokenIntrospector
id: security-labels-demo-client
type: jwt
jwt:
  iss: https://auth.example.com
  secret: secret

Currently we use a common secret to make the introspector works. In production installations it's better to switch to jwks_uri instead.

Create AccessPolicy

This access policy allows FhirRead and FhirSearch operations for requesters having JWT with iss claim value https://auth.example.com.

To create the access policy, run the following request in the REST Console.

yaml

PUT /AccessPolicy/as-security-labels-demo-client-do-read-search
content-type: text/yaml

resourceType: AccessPolicy
id: as-security-labels-demo-client-do-read-search
link:
- resourceType: Operation
  id: FhirRead
- resourceType: Operation
  id: FhirSearch
engine: matcho
matcho:
  jwt:
    iss: https://auth.example.com

Populate data samples

Create Patient resource

To create the Patient, run the following request in the REST Console.

yaml

PUT /fhir/Patient/pt-1
content-type: text/yaml

meta:
  security:
    - code: PROCESSINLINELABEL
      system: http://terminology.hl7.org/CodeSystem/v3-ActCode
    - code: M
      system: http://terminology.hl7.org/CodeSystem/v3-Confidentiality
name:
  - use: official
    given:
      - Peter
      - James
    family: Chalmers
    extension:
      - url: http://hl7.org/fhir/uv/security-label-ds4p/StructureDefinition/extension-inline-sec-label
        valueCoding:
          code: CTCOMPT
          system: http://terminology.hl7.org/CodeSystem/v3-ActCode
          display: care team compartment
gender: male
_gender:
  extension:
    - url: http://hl7.org/fhir/uv/security-label-ds4p/StructureDefinition/extension-inline-sec-label
      valueCoding:
        code: RESCOMPT
        system: http://terminology.hl7.org/CodeSystem/v3-ActCode
        display: research project compartment
    - url: http://hl7.org/fhir/uv/security-label-ds4p/StructureDefinition/extension-inline-sec-label
      valueCoding:
        code: CTCOMPT
        system: http://terminology.hl7.org/CodeSystem/v3-ActCode
        display: care team compartment
identifier:
  - use: usual
    type:
      coding:
        - code: MR
          system: http://terminology.hl7.org/CodeSystem/v2-0203
    value: Z12345
    system: urn:oid:1.2.36.146.595.217.0.1
    extension:
      - url: http://hl7.org/fhir/uv/security-label-ds4p/StructureDefinition/extension-inline-sec-label
        valueCoding:
          code: FMCOMPT
          system: http://terminology.hl7.org/CodeSystem/v3-ActCode
          display: financial management compartment
id: pt-1
resourceType: Patient

Create Encounter resource

To create the Encounter, run the following request in the REST Console.

yaml

PUT /fhir/Encounter/enc-1
content-type: text/yaml

resourceType: Encounter
id: enc-1
meta:
  security:
    - code: PROCESSINLINELABEL
      system: http://terminology.hl7.org/CodeSystem/v3-ActCode
    - code: L
      system: http://terminology.hl7.org/CodeSystem/v3-Confidentiality
status: finished
class:
  system: http://terminology.hl7.org/CodeSystem/v3-ActCode
  code: IMP
subject:
  reference: "Patient/pt-1"
  extension:
    - url: http://hl7.org/fhir/uv/security-label-ds4p/StructureDefinition/extension-inline-sec-label
      valueCoding:
        code: CTCOMPT
        system: http://terminology.hl7.org/CodeSystem/v3-ActCode
        display: care team compartment

Create Observation resource

To create the Observation, run the following request in the REST Console.

yaml

PUT /fhir/Observation/obs-1
content-type: text/yaml

resourceType: Observation
id: obs-1
meta:
  security:
    - code: PROCESSINLINELABEL
      system: http://terminology.hl7.org/CodeSystem/v3-ActCode
    - code: PSY
      system: http://terminology.hl7.org/CodeSystem/v3-ActCode
status: final
code:
  coding:
  - system: http://loinc.org
    code: 15074-8
subject:
  reference: "Patient/pt-1"

JWT for requests

There are two users and two JWTs that we will use:

Provider

eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpc3MiOiJodHRwczovL2F1dGguZXhhbXBsZS5jb20iLCJzY29wZSI6Imh0dHA6Ly90ZXJtaW5vbG9neS5obDcub3JnL0NvZGVTeXN0ZW0vdjMtQ29uZmlkZW50aWFsaXR5fFIgaHR0cDovL3Rlcm1pbm9sb2d5LmhsNy5vcmcvQ29kZVN5c3RlbS92My1BY3RDb2RlfFBTWSBodHRwOi8vdGVybWlub2xvZ3kuaGw3Lm9yZy9Db2RlU3lzdGVtL3YzLUFjdENvZGV8Q1RDT01QVCJ9.7QZ65gtJPjiWVYjtvtuatvhq6262Sth3z4un_8rDdQg

Finance

eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpc3MiOiJodHRwczovL2F1dGguZXhhbXBsZS5jb20iLCJzY29wZSI6Imh0dHA6Ly90ZXJtaW5vbG9neS5obDcub3JnL0NvZGVTeXN0ZW0vdjMtQ29uZmlkZW50aWFsaXR5fE0gaHR0cDovL3Rlcm1pbm9sb2d5LmhsNy5vcmcvQ29kZVN5c3RlbS92My1BY3RDb2RlfFJFU0NPTVBUIn0.j7WY0I0s2rl6T2Bje1gadRKquuSf-_K9JH1T3T0vvcE

To view the content of a JWT, copy and paste it to jwt.io

Check resource-level access control works

Provider's access to the Patient

status: 200 OK

http

GET /fhir/Patient/pt-1
Authorization: Bearer eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpc3MiOiJodHRwczovL2F1dGguZXhhbXBsZS5jb20iLCJzY29wZSI6Imh0dHA6Ly90ZXJtaW5vbG9neS5obDcub3JnL0NvZGVTeXN0ZW0vdjMtQ29uZmlkZW50aWFsaXR5fFIgaHR0cDovL3Rlcm1pbm9sb2d5LmhsNy5vcmcvQ29kZVN5c3RlbS92My1BY3RDb2RlfFBTWSBodHRwOi8vdGVybWlub2xvZ3kuaGw3Lm9yZy9Db2RlU3lzdGVtL3YzLUFjdENvZGV8Q1RDT01QVCJ9.7QZ65gtJPjiWVYjtvtuatvhq6262Sth3z4un_8rDdQg

Provider has access to the Patient because there is overlap between the Patient labels and the Provider labels.

Patient is labeled with:

[x] http://terminology.hl7.org/CodeSystem/v3Confidentiality|M

Provider is allowed:

[ ] http://terminology.hl7.org/CodeSystem/v3Confidentiality|R expands to:
[ ] http://terminology.hl7.org/CodeSystem/v3Confidentiality|R
[ ] http://terminology.hl7.org/CodeSystem/v3Confidentiality|N
[x] http://terminology.hl7.org/CodeSystem/v3Confidentiality|M
[ ] http://terminology.hl7.org/CodeSystem/v3Confidentiality|L
[ ] http://terminology.hl7.org/CodeSystem/v3Confidentiality|U
[ ] http://terminology.hl7.org/CodeSystem/v3ActCode|PSY
[ ] http://terminology.hl7.org/CodeSystem/v3ActCode|CTCOMPT

Provider's access to the Encounter

status: 200 OK

http

GET /fhir/Encounter/enc-1
Authorization: Bearer eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpc3MiOiJodHRwczovL2F1dGguZXhhbXBsZS5jb20iLCJzY29wZSI6Imh0dHA6Ly90ZXJtaW5vbG9neS5obDcub3JnL0NvZGVTeXN0ZW0vdjMtQ29uZmlkZW50aWFsaXR5fFIgaHR0cDovL3Rlcm1pbm9sb2d5LmhsNy5vcmcvQ29kZVN5c3RlbS92My1BY3RDb2RlfFBTWSBodHRwOi8vdGVybWlub2xvZ3kuaGw3Lm9yZy9Db2RlU3lzdGVtL3YzLUFjdENvZGV8Q1RDT01QVCJ9.7QZ65gtJPjiWVYjtvtuatvhq6262Sth3z4un_8rDdQg

Provider has access to the Encounter because there is overlap between the Encounter labels and the Provider labels.

Encounter is labeled with:

[x] http://terminology.hl7.org/CodeSystem/v3Confidentiality|L

Provider is allowed:

[ ] http://terminology.hl7.org/CodeSystem/v3Confidentiality|R expands to:
[ ] http://terminology.hl7.org/CodeSystem/v3Confidentiality|R
[ ] http://terminology.hl7.org/CodeSystem/v3Confidentiality|N
[ ] http://terminology.hl7.org/CodeSystem/v3Confidentiality|M
[x] http://terminology.hl7.org/CodeSystem/v3Confidentiality|L
[ ] http://terminology.hl7.org/CodeSystem/v3Confidentiality|U
[ ] http://terminology.hl7.org/CodeSystem/v3ActCode|PSY
[ ] http://terminology.hl7.org/CodeSystem/v3ActCode|CTCOMPT

Provider's access to the Observation

status: 200 OK

http

GET /fhir/Observation/obs-1
Authorization: Bearer eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpc3MiOiJodHRwczovL2F1dGguZXhhbXBsZS5jb20iLCJzY29wZSI6Imh0dHA6Ly90ZXJtaW5vbG9neS5obDcub3JnL0NvZGVTeXN0ZW0vdjMtQ29uZmlkZW50aWFsaXR5fFIgaHR0cDovL3Rlcm1pbm9sb2d5LmhsNy5vcmcvQ29kZVN5c3RlbS92My1BY3RDb2RlfFBTWSBodHRwOi8vdGVybWlub2xvZ3kuaGw3Lm9yZy9Db2RlU3lzdGVtL3YzLUFjdENvZGV8Q1RDT01QVCJ9.7QZ65gtJPjiWVYjtvtuatvhq6262Sth3z4un_8rDdQg

Provider has access to the Observation because there is overlap between the Observation labels and the Provider labels.

Observation is labeled with:

[x] http://terminology.hl7.org/CodeSystem/v3ActCode|PSY

Provider is allowed:

[ ] http://terminology.hl7.org/CodeSystem/v3Confidentiality|R expands to:
[ ] http://terminology.hl7.org/CodeSystem/v3Confidentiality|R
[ ] http://terminology.hl7.org/CodeSystem/v3Confidentiality|N
[ ] http://terminology.hl7.org/CodeSystem/v3Confidentiality|M
[ ] http://terminology.hl7.org/CodeSystem/v3Confidentiality|L
[ ] http://terminology.hl7.org/CodeSystem/v3Confidentiality|U
[x] http://terminology.hl7.org/CodeSystem/v3ActCode|PSY
[ ] http://terminology.hl7.org/CodeSystem/v3ActCode|CTCOMPT

Finance's access to the Patient

status: 200 OK

http

GET /fhir/Patient/pt-1
Authorization: Bearer eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpc3MiOiJodHRwczovL2F1dGguZXhhbXBsZS5jb20iLCJzY29wZSI6Imh0dHA6Ly90ZXJtaW5vbG9neS5obDcub3JnL0NvZGVTeXN0ZW0vdjMtQ29uZmlkZW50aWFsaXR5fE0gaHR0cDovL3Rlcm1pbm9sb2d5LmhsNy5vcmcvQ29kZVN5c3RlbS92My1BY3RDb2RlfFJFU0NPTVBUIn0.j7WY0I0s2rl6T2Bje1gadRKquuSf-_K9JH1T3T0vvcE

Finance has access to the Patient because there is overlap between the Patient labels and the Finance labels.

Patient is labeled with:

[x] http://terminology.hl7.org/CodeSystem/v3Confidentiality|M

Finance is allowed:

[ ] http://terminology.hl7.org/CodeSystem/v3Confidentiality|M expands to:
[x] http://terminology.hl7.org/CodeSystem/v3Confidentiality|M
[ ] http://terminology.hl7.org/CodeSystem/v3Confidentiality|L
[ ] http://terminology.hl7.org/CodeSystem/v3Confidentiality|U
[ ] http://terminology.hl7.org/CodeSystem/v3ActCode|RESCOMPT

Finance's access to the Encounter

status: 200 OK

http

GET /fhir/Encounter/enc-1
Authorization: Bearer eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpc3MiOiJodHRwczovL2F1dGguZXhhbXBsZS5jb20iLCJzY29wZSI6Imh0dHA6Ly90ZXJtaW5vbG9neS5obDcub3JnL0NvZGVTeXN0ZW0vdjMtQ29uZmlkZW50aWFsaXR5fE0gaHR0cDovL3Rlcm1pbm9sb2d5LmhsNy5vcmcvQ29kZVN5c3RlbS92My1BY3RDb2RlfFJFU0NPTVBUIn0.j7WY0I0s2rl6T2Bje1gadRKquuSf-_K9JH1T3T0vvcE

Finance has access to the Encounter because there is overlap between the Encounter labels and the Finance labels.

Encounter is labeled with:

[x] http://terminology.hl7.org/CodeSystem/v3Confidentiality|L

Finance is allowed:

[ ] http://terminology.hl7.org/CodeSystem/v3Confidentiality|M expands to:
[ ] http://terminology.hl7.org/CodeSystem/v3Confidentiality|M
[x] http://terminology.hl7.org/CodeSystem/v3Confidentiality|L
[ ] http://terminology.hl7.org/CodeSystem/v3Confidentiality|U
[ ] http://terminology.hl7.org/CodeSystem/v3ActCode|RESCOMPT

status: 403 Forbidden

http

GET /fhir/Observation/obs-1
Authorization: Bearer eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpc3MiOiJodHRwczovL2F1dGguZXhhbXBsZS5jb20iLCJzY29wZSI6Imh0dHA6Ly90ZXJtaW5vbG9neS5obDcub3JnL0NvZGVTeXN0ZW0vdjMtQ29uZmlkZW50aWFsaXR5fE0gaHR0cDovL3Rlcm1pbm9sb2d5LmhsNy5vcmcvQ29kZVN5c3RlbS92My1BY3RDb2RlfFJFU0NPTVBUIn0.j7WY0I0s2rl6T2Bje1gadRKquuSf-_K9JH1T3T0vvcE

Finance does not have access to the Observation because there is no overlap between the Observation labels and the Finance labels.

Observation is labeled with:

[ ] http://terminology.hl7.org/CodeSystem/v3ActCode|PSY

Finance is only allowed:

[ ] http://terminology.hl7.org/CodeSystem/v3Confidentiality|M
[ ] http://terminology.hl7.org/CodeSystem/v3ActCode|RESCOMPT

Check resource-element access control works

Provider

Provider has access to all the fields within the Encounter resource.

Encounter.subject is labeled:

[x] http://terminology.hl7.org/CodeSystem/v3ActCode|CTCOMPT

Provider is allowed:

[ ] http://terminology.hl7.org/CodeSystem/v3Confidentiality|R expands to:
[ ] http://terminology.hl7.org/CodeSystem/v3Confidentiality|R
[ ] http://terminology.hl7.org/CodeSystem/v3Confidentiality|N
[ ] http://terminology.hl7.org/CodeSystem/v3Confidentiality|M
[ ] http://terminology.hl7.org/CodeSystem/v3Confidentiality|L
[ ] http://terminology.hl7.org/CodeSystem/v3Confidentiality|U
[ ] http://terminology.hl7.org/CodeSystem/v3ActCode|PSY
[x] http://terminology.hl7.org/CodeSystem/v3ActCode|CTCOMPT

yaml

class:
  code: IMP
  system: 'http://terminology.hl7.org/CodeSystem/v3-ActCode'
id: enc-1
meta:
  extension:
    - url: 'ex:createdAt'
      valueInstant: '2024-02-27T15:06:00.455006Z'
  lastUpdated: '2024-02-27T15:06:00.455006Z'
  versionId: '107'
resourceType: Encounter
status: finished
subject:
  reference: Patient/pt-1

Provider has no access the identifier of the Patient.

Patient.identifier is labeled:

[ ] http://terminology.hl7.org/CodeSystem/v3ActCode|FMCOMPT

Provider is allowed:

[ ] http://terminology.hl7.org/CodeSystem/v3Confidentiality|R expands to:
[ ] http://terminology.hl7.org/CodeSystem/v3Confidentiality|R
[ ] http://terminology.hl7.org/CodeSystem/v3Confidentiality|N
[ ] http://terminology.hl7.org/CodeSystem/v3Confidentiality|M
[ ] http://terminology.hl7.org/CodeSystem/v3Confidentiality|L
[ ] http://terminology.hl7.org/CodeSystem/v3Confidentiality|U
[ ] http://terminology.hl7.org/CodeSystem/v3ActCode|PSY
[ ] http://terminology.hl7.org/CodeSystem/v3ActCode|CTCOMPT

yaml

gender: male
id: pt-1
identifier:
  - extension:
      - url: 'http://terminology.hl7.org/CodeSystem/data-absent-reason'
        valueCode: masked
meta:
  extension:
    - url: 'ex:createdAt'
      valueInstant: '2024-02-26T16:51:38.264449Z'
  lastUpdated: '2024-02-27T13:51:59.700672Z'
  versionId: '100'
name:
  - family: Chalmers
    given:
      - Peter
      - James
    use: official
resourceType: Patient

Finance

Finance has access to all the fields within the Encounter resource but to the subject.

Encounter.subject is labeled:

[ ] http://terminology.hl7.org/CodeSystem/v3ActCode|CTCOMPT

Finance is allowed:

[ ] http://terminology.hl7.org/CodeSystem/v3Confidentiality|M expands to:
[ ] http://terminology.hl7.org/CodeSystem/v3Confidentiality|M
[ ] http://terminology.hl7.org/CodeSystem/v3Confidentiality|L
[ ] http://terminology.hl7.org/CodeSystem/v3Confidentiality|U
[ ] http://terminology.hl7.org/CodeSystem/v3ActCode|RESCOMPT

yaml

class:
  code: IMP
  system: 'http://terminology.hl7.org/CodeSystem/v3-ActCode'
id: enc-1
meta:
  extension:
    - url: 'ex:createdAt'
      valueInstant: '2024-02-27T15:06:00.455006Z'
  lastUpdated: '2024-02-27T15:06:00.455006Z'
  versionId: '107'
resourceType: Encounter
status: finished
subject:
  extension:
    - url: 'http://terminology.hl7.org/CodeSystem/data-absent-reason'
      valueCode: masked

Finance has no access the identifier and name of the Patient.

Patient.identifier is labeled:

[ ] http://terminology.hl7.org/CodeSystem/v3ActCode|FMCOMPT

Patient.name is labeled:

[ ] http://terminology.hl7.org/CodeSystem/v3ActCode|CTCOMPT

Finance is allowed:

[ ] http://terminology.hl7.org/CodeSystem/v3Confidentiality|M expands to:
[ ] http://terminology.hl7.org/CodeSystem/v3Confidentiality|M
[ ] http://terminology.hl7.org/CodeSystem/v3Confidentiality|L
[ ] http://terminology.hl7.org/CodeSystem/v3Confidentiality|U
[ ] http://terminology.hl7.org/CodeSystem/v3ActCode|RESCOMPT

yaml

gender: male
id: pt-1
identifier:
  - extension:
      - url: 'http://terminology.hl7.org/CodeSystem/data-absent-reason'
        valueCode: masked
meta:
  extension:
    - url: 'ex:createdAt'
      valueInstant: '2024-02-26T16:51:38.264449Z'
  lastUpdated: '2024-02-27T13:51:59.700672Z'
  versionId: '100'
name:
  - extension:
      - url: 'http://terminology.hl7.org/CodeSystem/data-absent-reason'
        valueCode: masked
resourceType: Patient