> I am pleased that NEHTA have finally given us something to go on, and I
> am relieved that they are pushing us to adopt what I think is a great
> technology.

Agreed, this is a really useful, concrete plan for how things
should work, using some excellent technology.

> I have only two questions about their strategy:
> 1. Not using SSL...?

As I understand it, SSL has a very subtle problem
which is that the PKI certificates
are consumed at lower layers in the establishment of
the HTTPS connection ,and are hence not available for
non-repudiation of the actual payload. So whilst we
can connect and mutually authenticate to each
other, once the connection is finished, the only proof
we had of each others identity, or proof of the content
of the message is whatever we have logged in our
systems. And that may be fine, and is certainly as
much as most systems are doing today. But the
WS Security standard actually allows the payload
to be signed and encrypted, allowing both ends
to mutually authenticate, but also keep a signed
record of the message payload.
I think this is generally considered the way to go
(especially in health where non-repudiation of
messages may be important)

Andrew
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