ehealthsuisse · oliveregger · Mar 5, 2024 · Feb 1, 2024 · Feb 5, 2024
diff --git a/input/ch.fhir.ig.ch-epr-mhealth.xml b/input/ch.fhir.ig.ch-epr-mhealth.xml
@@ -597,6 +597,11 @@ Relationship in the Swiss examples (CN=CommunityA:00000001001,OU=Relationship,DC
                     <title value="Sequence Diagrams"/>
                     <generation value="markdown"/>
                 </page>
+                <page>
+                    <nameUrl value="tracecontext.html"/>
+                    <title value="Trace Context"/>
+                    <generation value="markdown"/>
+                </page>
                 <page>
                     <nameUrl value="openissues.html"/>
                     <title value="Open Issues / Change Log"/>

diff --git a/input/examples/auditevent/ex-auditProvideBundle-source.json b/input/examples/auditevent/ex-auditProvideBundle-source.json
@@ -0,0 +1,171 @@
+{
+  "resourceType" : "AuditEvent",
+  "id" : "ex-auditProvideBundle-source",
+  "meta" : {
+    "profile" : ["https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.ProvideBundle.Audit.Source"],
+    "security" : [
+      {
+        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
+        "code" : "HTEST"
+      }
+    ]
+  },
+  "type" : {
+    "system" : "http://dicom.nema.org/resources/ontology/DCM",
+    "code" : "110106",
+    "display" : "Export"
+  },
+  "subtype" : [
+    {
+      "system" : "urn:ihe:event-type-code",
+      "code" : "ITI-65",
+      "display" : "Provide Document Bundle"
+    }
+  ],
+  "action" : "R",
+  "recorded" : "2020-06-29T12:01:30+00:00",
+  "outcome" : "0",
+  "purposeOfEvent" : [
+    {
+      "coding" : [
+        {
+          "system" : "urn:oid:2.16.756.5.30.1.127.3.10.5",
+          "code" : "NORM",
+          "display" : "Normal Access"
+        }
+      ]
+    }
+  ],
+  "agent" : [
+    {
+      "type" : {
+        "coding" : [
+          {
+            "system" : "http://dicom.nema.org/resources/ontology/DCM",
+            "code" : "110153",
+            "display" : "Source Role ID"
+          }
+        ]
+      },
+      "who" : {
+        "display" : "ihe-sourceId"
+      },
+      "requestor" : false,
+      "network" : {
+        "address" : "myDevice.example.com",
+        "type" : "1"
+      }
+    },
+    {
+      "type" : {
+        "coding" : [
+          {
+            "system" : "http://dicom.nema.org/resources/ontology/DCM",
+            "code" : "110152",
+            "display" : "Destination Role ID"
+          }
+        ]
+      },
+      "who" : {
+        "display" : "myMachine.example.org"
+      },
+      "requestor" : false,
+      "network" : {
+        "address" : "http://server.example.com/fhir",
+        "type" : "5"
+      }
+    },
+    {
+      "type" : {
+        "coding" : [
+          {
+            "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleClass",
+            "code" : "PROV",
+            "display" : "healthcare provider"
+          }
+        ]
+      },
+      "role" : [
+        {
+          "coding" : [
+            {
+              "system" : "urn:oid:2.16.756.5.30.1.127.3.10.6",
+              "code" : "HCP",
+              "display" : "Healthcare professional"
+            }
+          ]
+        }
+      ],
+      "who" : {
+        "identifier" : {
+          "system" : "urn:gs1:gln",
+          "value" : "2000000090108"
+        }
+      },
+      "name" : "Martina Musterarzt",
+      "requestor" : true,
+      "policy" : [
+        "c5436729-3f26-4dbf-abd3-2790dc7771a"
+      ]
+    }
+  ],
+  "source" : {
+    "site" : "1.3.6.1.4.1.12559.11.13.2.5",
+    "observer" : {
+      "display" : "ihe-sourceId"
+    },
+    "type" : [
+      {
+        "system" : "http://terminology.hl7.org/CodeSystem/security-source-type",
+        "code" : "1",
+        "display" : "User Device"
+      }
+    ]
+  },
+  "entity" : [
+    {
+      "what" : {
+        "reference" : "http://example.org/Patient/FranzMusterNeedsAbsoluteUrl"
+      },
+      "type" : {
+        "system" : "http://terminology.hl7.org/CodeSystem/audit-entity-type",
+        "code" : "1",
+        "display" : "Person"
+      },
+      "role" : {
+        "system" : "http://terminology.hl7.org/CodeSystem/object-role",
+        "code" : "1",
+        "display" : "Patient"
+      }
+    },
+    {
+      "what" : {
+        "identifier" : {
+          "system" : "urn:ietf:rfc:3986",
+          "value" : "urn:oid:1.3.6.1.4.1.12559.11.13.2.6.2949"
+        }
+      },
+      "type" : {
+        "system" : "http://terminology.hl7.org/CodeSystem/audit-entity-type",
+        "code" : "2",
+        "display" : "System Object"
+      },
+      "role" : {
+        "system" : "http://terminology.hl7.org/CodeSystem/object-role",
+        "code" : "20",
+        "display" : "Job"
+      }
+    },
+    {
+      "what" : {
+        "identifier" : {
+          "value" : "00-0af7651916cd43dd8448eb211c80319c-b7ad6b7169203331-01"
+        }
+      },
+      "type" : {
+        "system" : "https://profiles.ihe.net/ITI/BALP/CodeSystem/BasicAuditEntityType",
+        "code" : "Traceparent"
+      }
+    }
+  ]
+}
diff --git a/input/fsh/ex-audit-65.fsh b/input/fsh/ex-audit-65.fsh
@@ -1,3 +1,6 @@
+/* 
+This instance is temporarily defined in examples/auditevent/ex-auditProvideBundle-source.json because sushi complains about the entity[transaction] slice
+
 Instance: ex-auditProvideBundle-source
 InstanceOf: IHE.MHD.ProvideBundle.Audit.Source
 Title: "Audit Example of ITI-65 at source"
@@ -42,4 +45,6 @@ Usage: #example
 * entity[submissionSet].role = http://terminology.hl7.org/CodeSystem/object-role#20 "Job"
 * entity[submissionSet].what.identifier.system = "urn:ietf:rfc:3986"
 * entity[submissionSet].what.identifier.value = "urn:oid:1.3.6.1.4.1.12559.11.13.2.6.2949"
-
+* entity[transaction].what.identifier.value = "00-0af7651916cd43dd8448eb211c80319c-b7ad6b7169203331-01"
+* entity[transaction].type = https://profiles.ihe.net/ITI/BALP/CodeSystem/BasicAuditEntityType#Traceparent
+ */
diff --git a/input/images-source/overview.plantuml b/input/images-source/overview.plantuml
@@ -10,7 +10,7 @@ left to right direction
 component "mHealth: App" {
   [IUA Authorization Client] as IUAClient
 
-  [Patient DemographicsvConsumer] as PDQmConsumer
+  [Patient Demographics Consumer] as PDQmConsumer
 
   [PIXm Patient Identifier Cross-reference Consumer] as PIXmConsumer
   [PIXm Patient Identity Source] as PIXmSource

diff --git a/input/includes/menu.xml b/input/includes/menu.xml
@@ -93,6 +93,9 @@
             <li>
                 <a href="sequencediagrams.html">Sequence diagrams</a>
             </li>
+            <li>
+                <a href="tracecontext.html">Trace Context</a>
+            </li>
             <li>
                 <a href="openissues.html">Open Issues / Change Log</a>
             </li>

diff --git a/input/pagecontent/iti-103.md b/input/pagecontent/iti-103.md
@@ -98,7 +98,7 @@ There are no CapabilityStatement resources defined for this transaction.
 
 ### Security Consideration
 
-There are no special security requirements for this transaction.
+The `traceparent` header is required, as described in [Trace Context header](tracecontext.html).
 
 #### Security Audit Considerations
 

diff --git a/input/pagecontent/iti-104.md b/input/pagecontent/iti-104.md
@@ -50,6 +50,7 @@ Add Patient [Franz Muster](Patient-PatientPIXmFeed.json.html):
 PUT http://example.org/fhir/Patient?identifier=urn:oid:2.16.756.888888.3.1|8734 HTTP/1.1
 Accept: application/fhir+json
 Content-Type: application/fhir+json
+traceparent: 00-0af7651916cd43dd8448eb211c80319c-b7ad6b7169203331-00
 
 {
   "resourceType" : "Patient",
@@ -120,6 +121,8 @@ Patient Identifier Cross-reference Manager using the IUA profile with basic acce
 the _Patient Identity Feed FHIR_ [ITI-104] request must authorize using the 
 [_Incorporate Access Token_ [ITI-72]](iti-72.html) transaction of the IUA profile.
 
+The `traceparent` header is required, as described in [Trace Context header](tracecontext.html).
+
 #### Security Audit Considerations
 
 ##### Patient Identity Source Audit

diff --git a/input/pagecontent/iti-20.md b/input/pagecontent/iti-20.md
@@ -51,3 +51,5 @@ The CapabilityStatement resource for the **Audit Record Repository** is
 ### Security Consideration
 
 TLS SHALL be used.
+
+The `traceparent` header is required, as described in [Trace Context header](tracecontext.html).
diff --git a/input/pagecontent/iti-65.md b/input/pagecontent/iti-65.md
@@ -79,6 +79,8 @@ Document Recipient using the IUA profile with extended access token. Consequentl
 the _Provide Document Bundle_ [ITI-65] request must authorize using the [_Incorporate Access Token_ [ITI-72]](iti-72.html)
 transaction of the IUA profile.
 
+The `traceparent` header is required, as described in [Trace Context header](tracecontext.html).
+
 #### Security Audit Considerations
 
 ##### Document Source Audit

diff --git a/input/pagecontent/iti-66.md b/input/pagecontent/iti-66.md
@@ -32,6 +32,7 @@ _Find Document List_ example **request**:
 ```
 GET [base]/List?patient.identifier=urn:oid:2.999|11111111 HTTP/1.1
 Accept: application/fhir+json
+traceparent: 00-0af7651916cd43dd8448eb211c80319c-b7ad6b7169203331-00
 ```
 
 #### Find Document Lists Response Message
@@ -53,6 +54,8 @@ TLS SHALL be used. This national extension enforces authentication and authoriza
 Responder using the IUA profile with extended access token. Consequently the _Find Document Lists_ [ITI-66] request 
 must authorize using the [_Incorporate Access Token_ [ITI-72]](iti-72.html) transaction of the IUA profile.
 
+The `traceparent` header is required, as described in [Trace Context header](tracecontext.html).
+
 #### Security Audit Considerations
 
 ##### Document Consumer Audit

diff --git a/input/pagecontent/iti-67.md b/input/pagecontent/iti-67.md
@@ -32,6 +32,7 @@ _Find Document Reference_ example **request**:
 ```
 GET [base]/DocumentReference?patient.identifier=urn:oid:2.999|11111111 HTTP/1.1
 Accept: application/fhir+json
+traceparent: 00-0af7651916cd43dd8448eb211c80319c-b7ad6b7169203331-00
 ```
 
 #### Find Document References Response Message

diff --git a/input/pagecontent/iti-68.md b/input/pagecontent/iti-68.md
@@ -40,6 +40,8 @@ Document Responder using the IUA profile with extended access token. Consequentl
 the _Retrieve Document_ [ITI-68] request must authorize using the [_Incorporate Access Token_ [ITI-72]](iti-72.html)
 transaction of the IUA profile.
 
+The `traceparent` header is required, as described in [Trace Context header](tracecontext.html).
+
 #### Security Audit Considerations
 
 ##### Document Consumer Audit

diff --git a/input/pagecontent/iti-71.md b/input/pagecontent/iti-71.md
@@ -575,6 +575,8 @@ There are no CapabilityStatement resources defined for this transaction.
 IUA Authorization Clients, Authorization Servers and Resource Server actors SHALL use the JWS (signed) alternative 
 of the JWT token as specified in the IUA Trial Implementation. The JWE alternative SHALL not be used.
 
+The `traceparent` header is required, as described in [Trace Context header](tracecontext.html).
+
 #### Security Audit Considerations
 
 There is no audit event required for this transaction.
diff --git a/input/pagecontent/iti-78.md b/input/pagecontent/iti-78.md
@@ -49,6 +49,7 @@ Query for a patient with name Muster and birthdate 1995-01-27.
 ```
 GET [base]/Patient?name=Muster&birthdate=1995-01-27
 Accept: application/fhir+json
+traceparent: 00-0af7651916cd43dd8448eb211c80319c-b7ad6b7169203331-00
 ```
 [Example response to above query](Bundle-PDQm-QueryResponse.json.html)
 
@@ -57,6 +58,7 @@ Query for a patient with name M returning too many results:
 ```
 GET [base]/Patient?name=M
 Accept: application/fhir+json
+traceparent: 00-0af7651916cd43dd8448eb211c80319c-b7ad6b7169203331-00
 ```
 [Example response to above query](Bundle-PDQm-QueryResponseTooManyResults.json.html)
 
@@ -88,6 +90,8 @@ Patient Identifier Cross-reference Manager using the IUA profile with basic acce
 the _Mobile Patient Identifier Cross-reference Query_ [ITI-83] request must authorize using the
 [_Incorporate Access Token_ [ITI-72]](iti-72.html) transaction of the IUA profile.
 
+The `traceparent` header is required, as described in [Trace Context header](tracecontext.html).
+
 #### Security Audit Considerations
 
 ##### Patient Demographics Consumer Audit

diff --git a/input/pagecontent/iti-83.md b/input/pagecontent/iti-83.md
@@ -55,7 +55,10 @@ Query for a patient with a local id of 123 by AssigningAuthority oid 1.2.3 which
 community where the Assigning Authority is oid 5.6.7 and the MPI-PID and EPR-SPID are requested:
 
 ```
-GET [base]/Patient/$ihe-pix?sourceIdentifier=urn:oid:2.999.1.2.3|123&targetSystem=urn:oid:2.999.5.6.7&targetSystem=urn:oid:2.16.756.5.30.1.127.3.10.3
+GET [base]/Patient/$ihe-pix?sourceIdentifier=urn:oid:2.999.1.2.3|123&targetSystem=urn:oid:2.999.5.6.7&targetSystem=urn:oid:2.16.756.5.30.1.127.3.10.3 HTTP/1.1
+Accept: application/fhir+json
+traceparent: 00-0af7651916cd43dd8448eb211c80319c-b7ad6b7169203331-00
+
 ```
 
 #### Response message
@@ -109,6 +112,8 @@ Patient Identifier Cross-reference Manager using the IUA profile with basic acce
 the _Mobile Patient Identifier Cross-reference Query_ [ITI-83] request must authorize using the 
 [_Incorporate Access Token_ [ITI-72]](iti-72.html) transaction of the IUA profile.
 
+The `traceparent` header is required, as described in [Trace Context header](tracecontext.html).
+
 #### Security Audit Considerations
 
 ##### Patient Identifier Cross-reference Consumer Audit

diff --git a/input/pagecontent/iti-90.md b/input/pagecontent/iti-90.md
@@ -33,13 +33,17 @@ The _Find Matching Care Services_ message is a FHIR search operation on the mCSD
 A _Care Services Selective Consumer_ initiates a search request using HTTP GET or POST:
 
 ```
-GET [base]/[resource]?[parameters]
+GET [base]/[resource]?[parameters] HTTP/1.1
+Accept: application/fhir+json
+traceparent: 00-0af7651916cd43dd8448eb211c80319c-b7ad6b7169203331-00
 ```
 
 or
 
 ```
-POST [base]/[resource]/_search
+POST [base]/[resource]/_search HTTP/1.1
+Accept: application/fhir+json
+traceparent: 00-0af7651916cd43dd8448eb211c80319c-b7ad6b7169203331-00
 Content-Type: application/x-www-form-urlencoded
 
 param1=value&param2=value
@@ -158,6 +162,8 @@ TLS SHALL be used. This national extension enforces authentication and authoriza
 Selective Supplier_ using the IUA profile with basic access token. Consequently, the _Find Matching Care Services_
 [ITI-90] request must authorize using the [_Incorporate Access Token_ [ITI-72]](iti-72.html) transaction of the IUA profile.
 
+The `traceparent` header is required, as described in [Trace Context header](tracecontext.html).
+
 #### Security Audit Considerations
 
 Note that the same audit message is recorded by both **Care Services Selective Supplier** and **Care Services 

diff --git a/input/pagecontent/openissues.md b/input/pagecontent/openissues.md
@@ -57,7 +57,8 @@ See open issues on [GitHub](https://github.com/ehealthsuisse/ch-epr-mhealth/issu
 * [IUA Refresh token handling](https://github.com/ehealthsuisse/ch-epr-mhealth/issues/20)
 * [IUA ihe_saml token option supported for the generic mHealth Option](https://github.com/ehealthsuisse/ch-epr-mhealth/issues/21)
 * [IUA ihe-jwt token option handling in XDS environment](https://github.com/ehealthsuisse/ch-epr-mhealth/issues/22)
-* [MHD extension for RMU](https://github.com/ehealthsuisse/ch-epr-mhealth/issues/25) 
+* [MHD extension for RMU](https://github.com/ehealthsuisse/ch-epr-mhealth/issues/25)
+* [Adapt IHE profiles for the Trace Context support](https://github.com/ehealthsuisse/ch-epr-mhealth/issues/153)
 
 ### DSTU2 Informative Ballot 2022 - Resolved Issues
 * Changes due to the adjustments in the new version of the derived [IHE ITI MHD](https://profiles.ihe.net/ITI/MHD/) IG [#47](https://github.com/ehealthsuisse/ch-epr-mhealth/issues/47)/[#50](https://github.com/ehealthsuisse/ch-epr-mhealth/issues/50):