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Pass Inferno Visual Inspection and Attestation

This guide explains how to pass the Inferno Visual Inspection and Attestation sequence

9.10.01 Health IT Module demonstrated support for application registration for single patients

Provided by certification buddy Tests steps require demonstrating the process of application registration for single patients. You should switch to the Yes option.

Smartbox supports several ways to register SMART applications

9.10.02 Health IT Module demonstrated support for application registration for multiple patients

Provided by certification buddy Tests steps require demonstrating the process of application registration for multiple patients. You should switch to the Yes option.

Smartbox supports several ways to register SMART applications

9.10.03 Health IT Module demonstrated a graphical user interface for user to authorize FHIR resources

During the test sessions, Smartbox shows users the Consent screen. The Consent screen is the graphical user interface.

9.10.04 Health IT Module informed patient when "offline_access" scope is being granted during authorization

During the test sessions, Smartbox shows users the Consent screen. There is the Offline access option on the Consent screen.

9.10.05 Health IT Module attested that it is capable of issuing refresh tokens that are valid for a period of no shorter than three months

Default refresh_token lifespan is unlimited.

To reduce the refresh_token lifespan use refresh_token_expiration documentation

9.10.06 Health IT developer demonstrated the ability of the Health IT Module / authorization server to validate token it has issued

  1. Follow the guide of the 9.10.13 Health IT developer demonstrates support for issuing refresh tokens to native applications guide till the end

Smartbox allowed to fetch Patient resource with the access_token it issued.

9.10.07 Tester verifies that all information is accurate and without omission

Switch to the Yes option. If something is lost, the tester says it.

9.10.08 Information returned no greater than scopes pre-authorized for multi-patient queries

To demonstrate that behavior

  • Add a Client with narrow pre-authorized scope

  • Launch the Multi-Patient Authorization and API sequence with wide scope

Add a Client with the narrow pre-authorized scope

Mind the scope property. It holds the system/Patient.read value only. Access to the other resources is forbidden.

PUT /Client/inferno-my-clinic-bulk-client
Content-Type: text/yaml

type: bulk-api-client
active: true
auth:
  client_credentials:
    client_assertion_types: ['urn:ietf:params:oauth:client-assertion-type:jwt-bearer']
    access_token_expiration: 300
scope: [system/Patient.read]
jwks_uri: https://inferno.healthit.gov/suites/custom/g10_certification/.well-known/jwks.json
grant_types:
- client_credentials
meta:
  tenant:
    id: my-clinic
    resourceType: Tenant

Launch the Multi-Patient Authorization and API sequence with wide scope

  1. Start new Inferno session (it's important)

  2. Switch to the Multi-Patient Authorization and API sequence

  3. Press the Run tests button

  4. Set up the test:

    • Bulk Data FHIR URL: [aidbox-url]/tenant/my-clinic/bulk-api

    • Backend Services Token Endpoint: [aidbox-url]/auth/token

    • Bulk Data Client ID: inferno-my-clinic-bulk-client

    • Bulk Data Scopes: system/Patient.read

    • Encryption method: RS384

    • Group ID: test-group-1

    • Patient IDs in exported Group: test-pt-1,test-pt-2

  5. Press the Submit button

You should receive a lot of errors as Smartbox doesn't issue the access token.

9.10.09 Health IT developer demonstrated the documentation is available at a publicly accessible URL

Smartbox has a documentation page. The address of the page is https://example.com/documentation

Here https://example.com is the Smartbox domain

9.10.10 Health IT developer confirms the Health IT module does not cache the JWK Set received via a TLS-protected URL for longer than the cache-control header received by an application indicates

It is an attestation. You should state Smartbox (Aidbox) caches JWK sets it receives during the token validations. Cached JWK lives for 5 minutes then it is deleted.

9.10.11 Health IT developer demonstrates support for the Patient Demographics Suffix USCDI v1 element

To demonstrate supporting of the Suffix

  1. Open the result of the 1.7.02 Access to Patient resources granted test case

  2. Press the Details button

  3. Scroll down to the name array of the fetched Patient resource

  4. See the Suffix property inside one name element

9.10.12 Health IT developer demonstrates support for the Patient Demographics Previous Name USCDI v1 element

To demonstrate supporting of the Previous Name

  1. Open the result of the 1.7.02 Access to Patient resources granted test case

  2. Press the Details button

  3. Scroll down to the name property of the fetched Patient resource

  4. There are two items in the name array

    1. First name has period.end property. It means that name is the previous one

    2. Second name has no period.end property. That name is current one

9.10.13 Health IT developer demonstrates support for issuing refresh tokens to native applications

Native applications can register custom URL schemas. Instead of the usual http://, the prefix the URL of the native application can start with anything else. For example, my-awesome-smart-app:// is a legal custom URL schema.

In terms of SMART App launch supporting native applications stands for allowing custom schemas in the redirect_uri property.

To demonstrate native applications support

It is a good idea to perform this flow in the Incognito mode (Chrome) or Private Window (Firefox)

  1. Register an application with a custom URL schema

  2. Build the authorization request URL

  3. Open the URL in the browser

  4. Authenticate in the Smartbox (enter login and password)

  5. Authorize the launch (allow on the Consent screen)

  6. Receive the code from Smartbox

  7. Get Postman collection installed

  8. Exchange the code to the access_token and refresh_token

  9. Use access_token to fetch resources from Smartbox

  10. Use refresh_token to get a new access_token

  11. Use updated access_token to fetch resources from Smartbox

1. Register an application with a custom URL schema

PUT /Client/for-refresh-token
content-type: text/yaml

id: for-refresh-token
type: patient-facing-smart-app
grant_types:
  - authorization_code
  - basic
resourceType: Client
auth:
  authorization_code:
    pkce: false
    redirect_uri: custom://redirect     # custom schema is defined
    refresh_token: true
    secret_required: true
    access_token_expiration: 300
secret: secret
active: true
smart:
  launch_uri: https://inferno.healthit.gov/suites/custom/smart/launch

2. Build the authorization request URL

The link should look like this https://example.com/tenant/my-clinic/patient/auth/authorize?client_id=for-refresh-token&scope=launch/patient%20patient/Patient.read%20patient/Condition.read%20offline_access&state=my-state&response_type=code&redirect_uri=custom://redirect&aud=https://example.com/tenant/my-clinic/patient/smart-api

Instead of https://example.com use your Smartbox base url.

3. Open the URL in the browser

In your web browser:

  1. Open a new private tab in the browser

  2. Open developer console to be able to see all the http requests the browser does

  3. Put the link to the URL bar and press enter

4. Authenticate in the Smartbox (enter login and password)

Still on the browser enter your pateint login and password credentials

5. Authorize the launch (allow on the Consent screen)

Still on the browser press the Allow button

6. Receive the `code` from Smartbox

After press the Allow button Smartbox redirects user back to the Consent screen.

In the list of the https requests find the latest one GET request with the code 302. The location header should start with the custom://redirect? string. Fetch the code parameter from the location. Mind there are other parameters in that link. You do not need them.

7. Get the Postman collection installed

  1. Open Postman

  2. Import the collection

  3. Update the host variable with your Smartbox base url

8. Exchange the `code` to the `access_token` & `refresh_token`

In the Postman

  1. Open Exchange code for access_token request

  2. Put the code to the code parameter

  3. Press the Send button

The result of the request is a JSON-object containing access_token and refresh_token properties.

Smartbox allows to exchange code to token in no more than 5 minutes after the code was issued

9. Use `access_token` to fetch resources from Smartbox

Still in postman:

  1. Open the Get Patient Resource request

  2. Copy the access_token to the token input

  3. Press the Send button

The result of the request is a JSON-object of the Patient resource. Access token works.

10. Use `refresh_token` to get a new `access_token`

Still in postman:

  1. Open the Refresh access token request

  2. Copy the refresh_token to the refresh_token parameter

  3. Press the Send button

The result of the request is a JSON-object containing the access_token.

11. Use updated `access_token` to fetch resources from Smartbox

Still in postman:

  1. Open the Get Patient Resource request

  2. Copy the freshly issued access_token to the token input

  3. Press the Send button

The result of the request is the JSON-object of the Patient resource. Updated access_token works

9.10.14 Health IT developer demonstrates the public location of its base URLs

Smartbox generates the list of the base URLs. The address of the list is https://example.com/service-base-urls

Here https://example.com is the Smartbox domain

9.10.15 TLS version 1.2 or above must be enforced

That behavior is not related to the Smartbox settings. Setting the TLS versions and enforcement to the wanted versions is out of the Smartbox setup scope

9.10.16 Health IT developer attested that the Health IT Module is capable of issuing refresh tokens valid for a new period of no shorter than three months without requiring re-authentication and re-authorization when a valid refresh token is supplied by the application

It is an attestation. You should state Smartbox is capable of issuing refresh tokens valid for a new period of no shorter than three months.

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