3.0 KiB
Backoffice process for disclosure of contacts
Assumptions
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Done by a medical professional in the context of a normal consult.
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Thus allowing for a professional assessment
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Thus allowing for accurate and appropriate advice, followups and so on -- meeting general accepted standards of medical care.
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Thus ensuring that the right (medical) information is captures in the right (separate) systems.
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Thus ensuring that the patient is able to provide an informed consent. With information professionally presented by a licensed medical professional at the appropriate levels and in the context of a treatment, patient/doctor relation.
Process
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At some point, after explaining the ramifications the patient provides his or her informed consent to share the opaque infection information
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The medical professional may, or may not, log this as is required by their professional standards.
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The patient accesses a special section in the App and shows or conveys (e.g. over the phone) a sequence of (cryptographically random) 6 + 4 numbers or a sequence of words (aka as trustwords or ``car battery horse staple') in an appropriate language.
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The app posts a 32 byte hash of the opaque data that it intends to submit to a backend service with the first 6 digits as a reference.
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The health professional enters the the 6 + 4 digits into a backoffice systems; the system locates the hash an the professional then his or her UZI chipcard to digitally sign the hash+6+4 digits and posts the resulting S/MIME package back to the backend.
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The phone of the user picks this the signed package up; validates the signature of the professional using a build in root certifcate, paying attention to the 'flags' in the professional certficate (e.g. Zorgverlener waarvan het beroep valt onder artikel 3 van de Wet BIG) and if correct - posts the relevant opaque seeds to the backend along with the S/MIME package that contains the signed hash/10 digits. It then destroys any seeds and rekeys (as per the protocol).
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The backend receives this data, verifies the S/MIME signature, verifies that the hash contained in it matches that of the submitted seed and queues the seeds up to the next aggregation cycle.
Special case for a patient that excercises his right to not know the results of the test.
In (most?) countries a patient has a right to not be informed of a test result in certain contexts.
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In this case - the patient generates the hash / 6 + 4 digits -prior- to consultation and test; and shares the 10 digits with the medical professional.
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Once the patient has left the room - the professinal may or may not use these to initiate the process once the rest results are in.
In this case - the user inteface of the app MUST be careful to not disclose this sharing.
In this case - the data needs to be kept for a while. It is not sensitive (it requires to the signature of the medical professonal - and professional standars dictate that this only can be given after reviewing the result in the contect of the indivudual patient).