1. 1.View Description 2.Primary Presentation 3.Element Catalog Elements and Their Properties Relations and Their Properties Element Interfaces Element Behavior 4.Context Diagram 5.Variability Guide 6.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 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 Discovery Locating Organizations and Services Locating Patients Locating Information Exchange Pull – Query / Response Pattern Feeds – Publish / Subscribe Pattern Push – Unsolicited Delivery Pattern Exchange Pull – Query / Response Pattern Feeds – Publish / Subscribe Pattern Push – Unsolicited Delivery Pattern Foundation Messaging Framework Web Service Standards Authorization Framework Access Consent Policies Messaging Framework Web Service Standards Authorization Framework Access Consent Policies Minimal Infrastructure Web Services Registry Public Key Infrastructure Minimal Infrastructure Web Services Registry Public Key Infrastructure

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

4. Aurion Adapter Entity Integration Software Aurion Gateway Message Proxy Components Aurion Core Components Patient Discovery Query for Documents Retrieve Documents Subscription Management Notification Processing Document Submission Patient Correlation Repository Audit Repository Document Cache Subscription Repository UDDI Update Management Others Patient Correlation Patient Discovery Query for Documents Retrieve Documents Subscription Management Notification Processing Audit Reporting Pass Through Patient Discovery Query for Documents Retrieve Documents Subscription Management Notification Processing Document Submission NWHIN Aurion Components Customizable Components Replaceable Components Entity Orchestration Components Patient Discovery Query for Documents Retrieve Documents Subscription Management Notification Processing Document Submission Connection Manager Audit Reporting SDK Services Data Transforms Terminology Services Others Document Submission Administrative Distribution Administrative Distribution

5. Internal NWHIN Message Orchestrator NWHIN Message Receiver Adapter Interface Pass-Through Choice of path based on configuration.

6. Patient DiscoveryMPI Query for Documents Retrieve DocumentsPolicy Subscription Management Notification Processing Document Submission Aurion Adapter Adapter Service Bus Document Repository SDK Services Data Transforms Terminology Services Others Document Registry MPI Policy Engine Subscription Repository Re- Identification Adapter Service Bus Audit Reporting Administrative Distribution

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

8. SDK Services Data Transforms Terminology Services Others

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

10. Aurion Adapter Aurion Gateway NWHIN Message Processing Components Internal / Utility Services Subject Discovery Query for Documents Retrieve Documents Subscription Management Notification Processing Audit Reporting Connection Manager Others Entity Integration Components Data Transforms Others EntityEntity Subscriptions Subject Discovery Query for Documents Retrieve Documents Subscription Management Notification Processing Audit Reporting NWHIN Aurion Components Customizable Components SAML Non-SAML MPI / Correlation Repository Audit Repository Subscription Management External Adapter-Facing Services Entity Subscription Entity

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

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

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

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

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

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

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

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

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