Messaging Protocol for Secure Clinical Data Federation
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Solution Overview
Problem
Existing messaging systems face challenges in securely and scalably communicating clinically relevant data across disparate domains, particularly when the target endpoint address is unknown.
Innovation Solution
A messaging protocol that detects requests to transmit messages to unknown destinations within separate domains, determines if the destination is associated with a role, identifies the intended target, and electronically communicates the message, ensuring secure and scalable communication across disparate messaging domains.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Reliability
If traditional messaging systems are used to communicate clinical data across disparate domains, then basic messaging functionality is provided, but security requirements are not met and scalability is limited
Solution Approach 1:
The messaging system is segmented into distinct domains with domain-specific security policies and messaging protocols. Each domain can be independently configured and scaled, allowing the overall system to grow while maintaining security boundaries. The segmentation enables different security levels and messaging approaches for different clinical environments.
Solution Approach 2:
An intermediary messaging layer is introduced that sits between disparate clinical systems and domains. This intermediary handles security transformations, protocol conversions, and routing decisions, enabling secure communication across domains without requiring each system to implement comprehensive security and scalability features natively.
2Adaptability or versatility
If message transmission is attempted to unknown target endpoint addresses, then messaging flexibility is improved, but delivery reliability cannot be guaranteed
Solution Approach 1:
The system performs preliminary actions by pre-registering endpoint addresses and maintaining a registry of known targets within each domain. Before message transmission, the system checks the registry to validate target addresses and establish routing paths. This preliminary validation ensures that messages are only sent to known, reachable endpoints while still allowing flexible addressing within the constraints of the registry.
3Adaptability or versatility
If role-based destination identification is implemented, then messaging to unknown endpoints becomes possible, but system complexity increases
Solution Approach 1:
The role-based identification system uses universal role definitions that can represent multiple specific endpoints or groups of endpoints. A single role definition can serve as a target for messages intended for any endpoint fulfilling that role, eliminating the need for separate messaging logic for each individual endpoint or group. This multi-functionality reduces the number of routing rules and destination definitions required.
Data Source
AI summary
Systems and methods provide for implementation of a messaging protocol that provides security necessary for clinical messaging while also providing scalability needed to properly function within a clinical setting. The messaging protocol provides for federation of messages across messaging domains with a direct target address or via a role or group endpoint address that resolves to one or more target addresses. The messaging protocol also provides the ability to include content other than text in messages.


