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v0.2.1

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Specifications

We recommend the following specifications for running MedCo:

  • Network Bandwidth: >100 Mbps (ideal), >10 Mbps (minimum), symmetrical

  • Ports Opening and IP Restrictions: see Network Architecture

  • Hardware

    • CPU: 8 cores (ideal), 4 cores (minimum)

    • RAM: >16 GB (ideal), >8GB (minimum)

    • Storage: dependent on data loaded, >100GB

  • Software

    • OS: Any flavor of Linux, physical or virtualized (tested with Ubuntu 16.04, 18.04, Fedora 29)

    • Softwares: OpenSSL, Docker (tested with Docker 18.09.1) & Docker-Compose (tested with Docker-Compose 1.23.2), Git and Git-LFS

System Administrator Guide

This guide explains the deployment and configuration of MedCo instances.

  • Specifications

  • Deployment

    • Local Test Deployment

      • MedCo Stack Deployment

      • Keycloak Configuration

      • Test the deployment

    • Network Test Deployment

      • Preliminaries

      • Generation of the Deployment Profile

      • MedCo Stack Deployment

      • Keycloak Configuration

      • Data Loading

      • Test the deployment

    • Local Development Deployment

      • MedCo Stack Deployment (except Glowing Bear)

      • Glowing Bear Deployment

      • Keycloak Configuration

      • Test the deployment

    • Deployment Profiles

  • Configuration

    • Keycloak Configuration

      • Accessing the web administration interface

      • Disabling HTTPS requirement for external connections

      • Import MedCo Default Settings

      • Configure the MedCo OpenID Connect client

      • User Management

    • HTTPS Configuration

      • Certificate

      • Enable HTTPS for the Test Local Deployment

      • Configure HTTPS for the Test Network Deployment

    • The PostgreSQL database

      • Administration with PgAdmin

  • Loading Data

    • v0 (Genomic Data)

      • Example

      • Data Manipulation

    • v1 (I2B2 Demodata)

      • Dummy Generation

      • Example

    • Pre-Requisites

  • Network Architecture

    • External Entities

    • Firewall Ports Opening

HTTPS Configuration

HTTPS is supported for the profiles test-local-3nodes and test-network.

Certificate

The certificates are held in the configuration profile folder (e.g, ~/medco-deployment/configuration-profiles/test-local-3nodes):

  • certificate.key: private key

  • certificate.crt: certificate of own node

  • srv0-certificate.crt, srv1-certificate.crt, …: certificates of all nodes of the network

Enable HTTPS for the Test Local Deployment

To enable HTTPS for the profile test-local-3nodes, replace the files certificate.key and certificate.crt from the configuration profile folder with your own versions. Such a certificate can be obtained for example through Let’s Encrypt.

Then edit the file .env from the compose profile, replace the http with https, and restart the deployment.

Configure HTTPS for the Test Network Deployment

For this profile, HTTPS is mandatory. The profile generation scripts generates and use default self-signed certificates for each node. Those are perfectly fine to be used, but because they are self-signed, an HTTPS warning will be displayed to users in their browser when accessing Glowing Bear. There are two ways of avoiding this warning:

  • Configuring the browsers of your users to trust this certificate. This procedure is specific to the browsers and operating systems used at your site.

  • Use a certificate obtained by an authority trusted by the browser you are using: see below.

If you wish to use a certificate from your own making, gather its key and the certificate itself. Note that using your own certificate is only needed on the central node (as it is the one hosting the web application Glowing Bear). In the configuration profile of the central node (~/medco-deployment/configuration-profiles/test-network-<network name>-node<node index>/) copy the certificate and its key in the respective files certificate.crt and certificate.key. Then duplicate the file certificate.crt in srv0-certificate.crt. Restart the deployment and the central node configuration is ready.

Now the other nodes need to get this certificate to trust it. Get and copy the srv0-certificate.crt file into each of the configuration profile directory of the other nodes, and restart all the deployments. The configuration of HTTPS is now ready.

Configuration

Configuration

  • Keycloak Configuration

    • Accessing the web administration interface

    • Disabling HTTPS requirement for external connections

    • Import MedCo Default Settings

    • Configure the MedCo OpenID Connect client

    • User Management

  • HTTPS Configuration

    • Certificate

    • Enable HTTPS for the Test Local Deployment

    • Configure HTTPS for the Test Network Deployment

  • The PostgreSQL database

    • Administration with PgAdmin

Releases

v0.2.1 - 15 Aug. 2019

  • Implementation of additional query types (patient list, locally obfuscated count, global count, shuffled count)

  • Implementation of OIDC-based authorization model

  • Implementation of CLI client

  • Timers improvements

  • Upgrade of dependencies

  • Various smaller improvements and bug fixes

v0.2.0 - 3rd May 2019

  • Architecture revisit

  • Replaced medco-i2b2-cell by medco-connector

  • Upgrades (IRCT v1.4 to PICSURE v2.0, Onet suite v3, Keycloak, Nginx, PHP)

  • Consolidation of deployment

  • Many smaller fixes and enhancements

v0.1.1 - 23rd Jan. 2019

  • Deployment for test purposes on several machines

  • Enhancements of documentation and deployment infrastructure

  • Nginx reverse proxy with HTTPS support

  • Keycloak update

v0.1.0 - 1st Dec. 2018

First public release of MedCo, running with i2b2 v1.7, PIC-SURE/IRCT v1.4 and centralized OpenID Connect authentication. Deployment for development and test purpose on a single machine.

Deployment

  • Local Test Deployment

    • MedCo Stack Deployment

    • Keycloak Configuration

    • Test the deployment

  • Network Test Deployment

    • Preliminaries

    • Generation of the Deployment Profile

    • MedCo Stack Deployment

    • Keycloak Configuration

    • Data Loading

    • Test the deployment

  • Local Development Deployment

    • MedCo Stack Deployment (except Glowing Bear)

    • Glowing Bear Deployment

    • Keycloak Configuration

    • Test the deployment

These pages explain how to deploy MedCo in different scenarios. Each deployment scenario corresponds to a deployment profile, as described below. All these instructions use the deployment scripts from the medco-deployment repository.

If you are new to MedCo…

… and want to try to deploy the system on a single machine to test it, you should should follow the Local Test Deployment guide.

… and want to create or join a MedCo network, you should follow the Network Test Deployment guide.

… and want to develop around MedCo, you should follow the Local Development Deployment guide.

Deployment Profiles

A deployment profile is composed of two things:

  • a compose profile in ~/medco-deployment/compose-profiles/<profile name>/: docker-compose file and parameters like ports to expose, log level, etc.

  • a configuration profile in ~/medco-deployment/configuration-profiles/<profile name>/: files mounted in the docker containers, containing the cryptographic keys, the certificates, etc.

Some profiles are provided by default, for development or testing purposes. Those should not be used in a production scenario with real data, as the private keys are set by default, thus not private. Other types of profiles must generated using the scripts in ~/medco-deployment/resources/profile-generation-scripts/<profile name>/.

The different profiles are the following:

  • test-local-3nodes (Local Test Deployment)

    • for test on a single machine (used by the MedCo live demo)

    • 3 nodes on any host

    • using the latest release of the source codes

    • no debug logging

    • profile pre-generated

  • test-network (Network Test Deployment)

    • for test on several different hosts

    • a single node on a host part of a MedCo network

    • using the latest release of the source codes

    • no debug logging

    • profile must be generated prior to use with the provided scripts

  • dev-local-3nodes (Local Development Deployment)

    • for software development

    • 3 nodes on the local host

    • using development version of source codes

    • debug logging enabled

    • profile pre-generated

The database is pre-loaded with some encrypted test data using a key that is pre-generated from the combination of all the participating nodes’ public keys. For the test-network deployment profile this data will not be correctly encrypted, since the public key of each node is generated independently, and, as such, the data must be re-loaded.

Home

Disclaimer: MedCo is still an experimental software under development and should not, at this point, use real sensitive data.

Resources

  • MedCo software repositories

    • MedCo Connector

    • Unlynx Wrapper

    • Data Loader

    • Glowing Bear MedCo (forked from The Hyve)

    • Deployment

    • Documentation

  • Other resources

    • Docker Hub organization

    • NPM.js organization

  • Deprecated repositories

    • IRCT (forked from HMS-DBMI)

    • I2B2 Cell

    • Unlynx Javascript Crypto Library

Contact

For assistance with deploying MedCo or any other technical questions, send an email at medco@epfl.ch or any of the contributors.

  • Mickaël Misbach (Privacy and Security Software Engineer, EPFL) - mickael.misbach@epfl.ch

  • Francesco Marino (Privacy and Security Software Engineer, EPFL) - francesco.marino@epfl.ch

  • Joao Andre Sa (Privacy and Security Software Engineer, EPFL) - joao.gomesdesaesousa@epfl.ch

  • Jean Louis Raisaro (Data Protection Specialist, CHUV) - jean.raisaro@chuv.ch

  • Juan Troncoso-Pastoriza (Post-Doctoral Researcher, EPFL) - juan.troncoso-pastoriza@epfl.ch

  • Jean-Pierre Hubaux (Professor, EPFL) - jean-pierre.hubaux@epfl.ch

License

MedCo is licensed under a End User Software License Agreement (‘EULA’) for non-commercial use. If you need more information, please contact us.

Local Development Deployment

Profile dev-local-3nodes

This deployment profile deploys 3 MedCo nodes on a single machine for development purposes. It is meant to be used only on your local machine, i.e. localhost. The tags of the docker images used are all dev, i.e. the ones built from the development version of the different source codes. They are available either through Docker Hub, or built locally.

MedCo Stack Deployment (except Glowing Bear)

First step is to clone the medco-deployment repository with the correct branch. This example gets the data in the home directory of the current user, but that can be changed.

$ cd ~
$ git clone -b dev https://github.com/ldsec/medco-deployment.git

Next step is to build the docker images:

$ cd ~/medco-deployment/compose-profiles/dev-local-3nodes
$ docker-compose build

Note that instead of building the dev docker images locally, it is possible to download them from Docker Hub by using docker-compose pull, but there is no guarantee on the current status of those images are they are automatically built.

Next step is to run the nodes. They will run simultaneously, and the logs of the running containers will maintain the console captive. No configuration changes are needed in this scenario before running the nodes. To run them:

$ docker-compose up

Wait some time for the initialization of the containers to be done (up to the message: “i2b2-medco-srv… - Started x of y services (z services are lazy, passive or on-demand)”), this can take up to 10 minutes. For the subsequent runs, the startup will be faster.

Glowing Bear Deployment

First step is to clone the glowing-bear repository with the correct branch.

$ cd ~
$ git clone -b dev https://github.com/ldsec/glowing-bear-medco.git

Glowing Bear is deployed separately for development, as we use its convenient live development server:

$ cd ~/glowing-bear-medco/deployment
$ docker-compose up dev-server

Note that the first run will take a significant time in order to build everything.

In order to stop the containers, simply hit Ctrl+C in all the active windows.

Keycloak Configuration

Follow the instructions from Keycloak Configuration to be able to use Glowing Bear.

Test the deployment

In order to test that the development deployment of MedCo is working, access Glowing Bear in your web browser at http://localhost:4200 and use the credentials previously configured during the Keycloak Configuration. If you are new to Glowing Bear you can watch the Glowing Bear user interface walkthrough video.

By default MedCo loads a specific test data, refer to Description of the default test data for expected results to queries. To load a dataset, follow the guide Loading Data. For reference, the database address (host) to use during loading is localhost:5432 and the databases i2b2medcosrv0, i2b2medcosrv1 and i2b2medcosrv2.

Keycloak Configuration

Here follows some MedCo-specific instructions for the administration of Keycloak. For anything else, please refer to the Keycloak Server Administration Guide.

Accessing the web administration interface

In the case of the development profile dev-local-3nodes (i.e. without reverse proxy), the address is http://localhost:8081/auth/admin. In the other cases (with the reverse proxy), the address is http://<node domain name>/auth/admin. The credentials are :

  • User keycloak

  • Password keycloak by default, or whatever else was configured at the initial deployment.

Disabling HTTPS requirement for external connections

When deploying the test-local-3nodes profile without HTTPS on a machine other than localhost, the administration interface will refuse to load. To solve this, access pgAdmin (see The PostgreSQL database) and execute the following SQL on the keycloak database:

update REALM set ssl_required = 'NONE' where id = 'master';

You need to restart the Keycloak docker container to enable the changes.

Import MedCo Default Settings

Import the provided realm configuration into Keycloak. This will create the MedCo client with the appropriate roles.

  • Go to the Import menu

  • Click on Select file and select the file keycloak-medco-realm.json that you will find in ~/medco-deployment/resources/configuration.

  • Select to import everything, and to Skip if resources already exist

Configure the MedCo OpenID Connect client

In the Settings tab, fill Valid Redirect URIs according to the following table:

Deployment Profile

Valid Redirect URIs

test-local-3nodes

http(s)://<node domain name>/glowing-bear

test-network

https://<node domain name>/glowing-bear

dev-local-3nodes

http://localhost:4200

In the same tab, fill Web Origins with + and save.

User Management

Add a user

  • Go to the configuration panel Users, click on Add user.

  • Fill the Username field, toggle to ON the Email Verified button and click Save.

  • In the next window, click on Credentials, enter twice the user’s password, toggle to OFF the Temporary button if desired and click Reset Password.

Give query permissions to a user

  • Go to the configuration panel Users, search for the user you want to give authorization to and click on Edit.

  • Go to the Role Mappings tab, and select medco (or another client ID set up for the MedCo OIDC client) in the Client Roles.

  • Add the roles you wish to give the user, each of the roles maps to a query type.

Network Test Deployment

Profile test-network

This test profile deploys an arbitrary set of MedCo nodes independently in different machines that together form a MedCo network. This deployment assumes each node is deployed in a single dedicated machine. All the machines have to be reachable between each other. Nodes should agree on a network name and individual indexes beforehand (to be assigned a unique ID). The node with index 0 is the central node, which is the only one running Glowing Bear, PICSURE and Keycloak.

The next set of steps must be executed individually by each node of the network.

Preliminaries

First step is to get the MedCo Deployment latest release at each node.

$ cd ~
$ wget https://github.com/ldsec/medco-deployment/archive/v0.2.1-1.tar.gz
$ tar xvzf v0.2.1-1.tar.gz
$ mv medco-deployment-0.2.1-1 medco-deployment

Generation of the Deployment Profile

Next the compose and configuration profiles must be generated using a script, executed in two steps.

  • Step 1: each node generates its keys and certificates, and shares its public information with the other nodes

  • Step 2: each node collects the public keys and certificates of the all the other nodes

For step 1, the network name should be common to all the nodes. <node DNS name> corresponds to the machine domain name where the node is being deployed. As mentioned before the different parties should have agreed beforehand on the members of the network, and assigned an index to each different node to construct its UID (starting from 0, to n-1, n being the total number of nodes). Remember that node 0 is the central node.

$ cd ~/medco-deployment/resources/profile-generation-scripts/test-network
$ bash step1.sh <network name> <node index> <node DNS name>

This script will generate the compose profile and part of the configuration profile, including a file srv<node index>-public.tar.gz. This file should be shared with the other nodes, and all of them need to place it in their configuration profile folder (~/medco-deployment/configuration-profiles/test-network-<network name>-node<node index>).

Once all nodes have shared their srv<node index>-public.tar.gz file with all other nodes, step 2 can be executed:

$ bash step2.sh <network name> <node index>

At this point, it is possible to edit the default configuration generated in ~/medco-deployment/configuration-profiles/test-network-<network name>-node<node index>/.env. This is needed if you want to modify the default passwords. When editing this file, be careful to change only the passwords and not the other values. Note that setting the passwords that way works only on the first deployment. If the passwords need to be updated later, you should use the specific component way of modifying password.

The deployment profile is now ready to be used.

MedCo Stack Deployment

Next step is to download the docker images and run the node. The process is different for the central node and for the other nodes. If you manage the central node run the following:

$ cd ~/medco-deployment/compose-profiles/test-network-<network name>-node0
$ docker-compose -f docker-compose.common.yml -f docker-compose.node.yml -f docker-compose.central.yml pull
$ docker-compose -f docker-compose.common.yml -f docker-compose.node.yml -f docker-compose.central.yml up -d

If you manage a node other than the central one (index > 0), run the following:

$ cd ~/medco-deployment/compose-profiles/test-network-<network name>-node<node index>
$ docker-compose -f docker-compose.common.yml -f docker-compose.node.yml pull
$ docker-compose -f docker-compose.common.yml -f docker-compose.node.yml up -d

Wait some time for the initialization of the containers to be done, this can take up to 10 minutes. For the subsequent runs, the startup will be faster. You can use docker-compose -f docker-compose... stop to stop the containers.

Keycloak Configuration

Follow the instructions from Keycloak Configuration and then you should be able to login in Glowing Bear.

Data Loading

Contrary to the other deployment profiles the default test data will not be working (the queries made will fail) since the data is not encrypted with the collective key that was generated (encryption key derived from all the nodes’ public keys). Run the MedCo loader (see Loading Data) to be able to test this deployment. For reference, the database address (host) to use during loading is <domain name>:5432 and the database i2b2medco.

Test the deployment

In order to test that the network deployment of MedCo is working, access Glowing Bear in your web browser at http://<node domain name> and use the credentials previously configured during the Keycloak Configuration. If you are new to Glowing Bear you can watch the Glowing Bear user interface walkthrough video.

Note that by default the certificates generated by the script are self-signed and thus, when using Glowing Bear, the browser will issue a security warning. To use your own valid certificates, see HTTPS Configuration.

The PostgreSQL database

Administration with PgAdmin

PgAdmin can be accessed through http://<node domain name>/pgadmin with username admin and password admin (by default). To access the test database just create a server with the name MedCo, the address postgresql, username postgres and password postgres (by default).

../../_images/pgadmin.png

v0 (Genomic Data)

The v0 loader expects an ontology, with mutation and clinical data in the MAF format. As the ontology data you must use ~/medco-deployment/resources/data/genomic/tcga_cbio/clinical_data.csv and ~/medco-deployment/resources/data/genomic/tcga_cbio/mutation_data.csv. For clinical data you can keep using the same two files or a subset of the data (e.g. 8_clinical_data.csv). More information about how to generate sample datafiles can be found below. After the following script is executed all the data is encrypted and ‘deterministically tagged’ in compliance with the MedCo data model.

Example

The following example allows to load data into a running MedCo development deployment (dev-local-3nodes), on the node 0. Adapt accordingly the docker-compose service being ran to load the two other nodes of this profile.

Explanation of the arguments:

Data Manipulation

Inside ~/medco-loader/data/scripts/ you can find a small python application to extract (or replicate) data out of the original tcga_cbio dataset. You can decide which patients you want to consider for you ‘new’ dataset or simply randomly pick a sample.

To check that it is working you can query for:

-> MedCo Gemomic Ontology -> Gene Name -> BRPF3

For the small dataset 8_xxxx you should obtain 3 matching subjects (one at each site).

Loading Data

The current version offers two different loading alternatives: (v0) loading of clinical and genomic data based on MAF datasets; and (v1) loading of generic i2b2 data. Currently these two loaders support each one dataset:

  • v0: a genomic dataset (tcga_cbio publicly available in )

  • v1: the .

Future releases of this software will allow for other arbitrary data sources, given that they follow a specific structure (e.g. BAM format).

Pre-Requisites

Download test data

From the medco-deployment folder, execute the resources/data/download.sh script to download the test datasets.

$ cd ~/medco-deployment/compose-profiles/dev-local-3nodes
$ docker-compose -f docker-compose.tools.yml run medco-loader-srv0 v0 \
    --ont_clinical /data/genomic/tcga_cbio/8_clinical_data.csv \
    --sen /data/genomic/sensitive.txt \
    --ont_genomic /data/genomic/tcga_cbio/8_mutation_data.csv \
    --clinical /data/genomic/tcga_cbio/8_clinical_data.csv \
    --genomic /data/genomic/tcga_cbio/8_mutation_data.csv \
    --output /data/
NAME:
    medco-loader v0 - Load genomic data (e.g. tcga_bio dataset)

USAGE:
    medco-loader v0 [command options] [arguments...]

OPTIONS:
    --group value, -g value               UnLynx group definition file
    --entryPointIdx value, --entry value  Index (relative to the group definition file) of the collective authority server to load the data
    --sensitive value, --sen value        File containing a list of sensitive concepts
    --dbHost value, --dbH value           Database hostname
    --dbPort value, --dbP value           Database port (default: 0)
    --dbName value, --dbN value           Database name
    --dbUser value, --dbU value           Database user
    --dbPassword value, --dbPw value      Database password
    --ont_clinical value, --oc value      Clinical ontology to load
    --ont_genomic value, --og value       Genomic ontology to load
    --clinical value, --cl value          Clinical file to load
    --genomic value, --gen value          Genomic file to load
    --output value, -o value              Output path to the .csv files
$ cd ~/medco-deployment/resources/data
$ bash download.sh
v0 (Genomic Data)
Example
Data Manipulation
v1 (I2B2 Demodata)
Dummy Generation
Example
cBioPortal
i2b2 demodata

Developer Guide

  • System Architecture

    • Containers

      • medco-connector

      • medco-unlynx

      • i2b2

      • picsure

      • glowing-bear-medco

      • medco-loader

      • keycloak

      • postgresql

      • pg-admin

      • nginx

      • php-fpm

  • Description of the default test data

If you are interested in developing around MedCo, the first thing you might want to do is to follow the Local Development Deployment guide to set up the development version of MedCo.

Command-Line Interface (CLI)

MedCo provides a client command-line interface (CLI) to interact with the medco-connector APIs.

Prerequisites

To use the CLI, you must first follow one of the deployment guides. However, the version of the CLI documented here is the one shipped with the Local Development Deployment.

How to use it

To show the CLI manual, run:

cd medco-deployment/compose-profiles/dev-local-3nodes/
docker-compose -f docker-compose.tools.yml run medco-cli-client --user [USERNAME] --password [PASSWORD] --help

NAME:
   medco-cli-client - Command-line query tool for MedCo.

USAGE:
   medco-cli-client [global options] command [command options] [arguments...]

VERSION:
   1.0.0

COMMANDS:
   query, q                                Query the MedCo network
   genomic-annotations-get-values, gval    Get genomic annotations values
   genomic-annotations-get-variants, gvar  Get genomic annotations variants
   help, h                                 Shows a list of commands or help for one command

GLOBAL OPTIONS:
   --user value, -u value      OIDC user login
   --password value, -p value  OIDC password login
   --token value, -t value     OIDC token
   --disableTLSCheck           Disable check of TLS certificates
   --help, -h                  show help
   --version, -v               print the version

For a start, you can use the credentials of the default user: username:test password:test

You will also need to specify the URL of the medco connector node you want to interact with by properly setting the MEDCO_CONNECTOR_URL variable in compose-profiles/docker-compose-definitions.yml

query

You can use this command to query the MedCo network.

docker-compose -f docker-compose.tools.yml run medco-cli-client --user test --password test query --help

NAME:
   medco-cli-client query - Query the MedCo network

USAGE:
   medco-cli-client query [command options] [patient_list|count_per_site|count_per_site_obfuscated|count_per_site_shuffled|count_per_site_shuffled_obfuscated|count_global|count_global_obfuscated] [query string]

OPTIONS:
   --resultFile value, -r value  Output file for the result CSV. Printed to stdout if omitted.

This is the syntax of an example query using the pre-loaded default testa data.

docker-compose -f docker-compose.tools.yml run medco-cli-client --user test --password test query patient_list 1 AND 2 OR 3

You will get something like that:

node_name,count,patient_list,DDTRequestTime,KSRequestTime,KSTimeCommunication,KSTimeExec,TaggingTimeCommunication,TaggingTimeExec,medco-connector-DDT,medco-connector-i2b2-PDO,medco-connector-i2b2-PSM,medco-connector-local-agg,medco-connector-local-patient-list-masking,medco-connector-overall,medco-connector-unlynx-key-switch-count,medco-connector-unlynx-key-switch-patient-list
0,8,[1 2 3 4 5 6 7 8],268,162,154,0,218,23,275,2561,16507,0,32,19619,50,179
1,0,[],212,61,43,0,179,12,232,2078,17993,0,1,20433,38,87
2,0,[],196,38,30,0,172,7,216,1574,18889,1,2,20779,30,53

Not that, in the queries, the OR operator has the highest priority, so 1 AND 2 OR 3 AND 2 is factorised as (1) AND (2 OR 3) AND (2).

genomic-annotations-get-values

You can use this command to get the values of the genomic annotations that MedCo nodes make available for queries.

docker-compose -f docker-compose.tools.yml run medco-cli-client --user test --password test genomic-annotations-get-values --help

NAME:
   medco-cli-client genomic-annotations-get-values - Get genomic annotations values
USAGE:
   medco-cli-client genomic-annotations-get-values [command options] [-l limit] [annotation] [value]
OPTIONS:
   --limit value, -l value  Maximum number of returned values (default: 0)

To do some tests, you may want to load some data first.

Then, for example, if you want to know which genomic annotations of type "protein_change" containing the string "g32" are available, you can run:

docker-compose -f docker-compose.tools.yml run medco-cli-client --user test --password test genomic-annotations-get-values protein_change g32

You will get:

G325R
G32E

The matching is case-insensitive and it is not possible to use wildcards. At the moment only three types of genomic annotations are available: variant_name, protein_change and hugo_gene_symbol.

genomic-annotations-get-variants

You can use this command to get the variant ID of a certain genomic annotation.

docker-compose -f docker-compose.tools.yml run medco-cli-client --user test --password test genomic-annotations-get-variants --help

NAME:
   medco-cli-client genomic-annotations-get-variants - Get genomic annotations variants

USAGE:
   medco-cli-client genomic-annotations-get-variants [command options] [-z zygosity] [-e] [annotation] [value]

DESCRIPTION:
   zygosity can be either heterozygous, homozygous, unknown or a combination of the three separated by |
If omitted, the command will execute as if zygosity was equal to "heterozygous|homozygous|unknown|"

OPTIONS:
   --zygosity value, -z value  Variant zygosysty
   --encrypted, -e             Return encrypted variant id

To do some tests, you may want to load some data first.

Then, for example, if you want to know the variant ID of the genomic annotation "HTR5A" of type "hugo_gene_symbol" with zygosity "heterozygous" or "homozygous", you can run:

docker-compose -f docker-compose.tools.yml run medco-cli-client --user test --password test genomic-annotations-get-variants -z "heterozygous|homozygous" hugo_gene_symbol HTR5A

You will get:

-7039476204566471680
-7039476580443220992

The matching is case-insensitive and it is not possible to use wildcards. If you request the ID of an annotation which is not available (e.g, in the previous, example, "HTR5") you will get an error message. At the moment only three types of genomic annotations are available: variant_name, protein_change and hugo_gene_symbol.

Description of the default test data

The default data loaded in MedCo is a small artificially generated dataset, appropriate to test a fresh deployment. The same data is replicated on all the nodes. Note that as of now it is encrypted using the test keys, i.e. the ones used for deployment profiles dev-local-3nodes and test-local-3nodes.

It contains 4 patients: 1 (real), 2 (real), 3 (real), 4 (dummy).

And 3 concepts: 1, 2, and 3.

The observation fact contains the following entries:

  • patient 1, concept 1

  • patient 2, concept 1

  • patient 2, concept 2

  • patient 3, concept 2

  • patient 3, concept 3

  • patient 4, concept 1

  • patient 4, concept 2

  • patient 4, concept 3

Example queries and expected results:

  • 1 AND 2: 1 (patient 2)

  • 2 AND 3: 1 (patient 3)

  • 1 AND 2 AND 3: 0

  • (1 OR 2): 3 (patients 1, 2 and 3)

  • (1 OR 3) AND 2: 1 (patients 2 and 3)

Local Test Deployment

Profile test-local-3nodes

This test profile deploys 3 MedCo nodes on a single machine for test purposes. It can be used either on your local machine, or any other machine to which you have access. The version of the docker images used are the latest released versions. This profile is for example used for the MedCo public demo.

MedCo Stack Deployment

First step is to get the MedCo Deployment latest release.

$ cd ~
$ wget https://github.com/ldsec/medco-deployment/archive/v0.2.1-1.tar.gz
$ tar xvzf v0.2.1-1.tar.gz
$ mv medco-deployment-0.2.1-1 medco-deployment

Next step is to download the docker images:

$ cd ~/medco-deployment/compose-profiles/test-local-3nodes
$ docker-compose pull

The default configuration of the deployment is suitable if the stack is deployed on your local host, and if you do not need to modify the default passwords. If so, edit the file ~/medco-deployment/compose-profiles/test-local-3nodes/.env to reflect your configuration. For example:

MEDCO_NODE_HOST=medco-demo.epfl.ch
HTTP_SCHEME=https
POSTGRES_PASSWORD=postgres1
PGADMIN_PASSWORD=admin
KEYCLOAK_PASSWORD=keycloak
I2B2_WILDFLY_PASSWORD=admin
I2B2_SERVICE_PASSWORD=pFjy3EjDVwLfT2rB9xkK
I2B2_USER_PASSWORD=demouser

MEDCO_NODE_URL should be the fully qualified domain name of the host, HTTP_SCHEME should be http or https. The other fields control the default passwords for the various services running. Note that setting the passwords that way works only on the first deployment. If the passwords need to be updated later, you should use the specific component way of modifying password.

Follow HTTPS Configuration to set up the certificates needed for HTTPS. If you are deploying on another host than the local host without HTTPS take note of the following: Disabling HTTPS requirement for external connections.

Final step is to run the nodes, all three will run simultaneously:

$ docker-compose up

Wait some time for the initialization of the containers to be done (up to the message: “i2b2-medco-srv… - Started x of y services (z services are lazy, passive or on-demand)”), this can take up to 10 minutes. For the subsequent runs, the startup will be faster. In order to stop the containers, hit Ctrl+C in the active window.

You can use the command docker-compose up -d instead to run MedCo in the background and thus not keeping the console captive. In that case use docker-compose stop to stop the containers.

Keycloak Configuration

Follow the instructions from Keycloak Configuration to be able to use Glowing Bear.

Test the deployment

In order to test that the local test deployment of MedCo is working, access Glowing Bear in your web browser at http(s)://<domain name> and use the credentials previously configured during the Keycloak Configuration. If you are new to Glowing Bear you can watch the Glowing Bear user interface walkthrough video.

By default MedCo loads a specific test data, refer to Description of the default test data for expected results to queries. To load a dataset, follow the guide Loading Data. For reference, the database address (host) to use during loading is <domain name>:5432 and the databases i2b2medcosrv0, i2b2medcosrv1 and i2b2medcosrv2.

Configuring SwitchAAI Authentication

This guide walks you through the process of configuring Keycloak as a Service Provider to one or more SwitchAAI identity provider(s), in order for MedCo to rely on SwitchAAI for user authentication.

Prerequisites

  • A MedCo network is up and running, with one or more functional Keycloak within the network.

  • One or several identity provider(s) part of the SwitchAAI federation is/are chosen to be used as user source.

  • The institution at which the Keycloak of MedCo is deployed is ready to accept being registered as the home organization.

  • You have access to the SwitchAAI Resource Registry.

Note that right now the SwitchAAI WAYF (Where Are You From) mechanism is not supported (i.e. the web UI used to select with institution the user wishes to login). This means that you will need to register in Keycloak each identity provider you wish to support.

Note also that the process described in this guide will need to be repeated for each instance of Keycloak deployed, if there are more than one in the MedCo network.

Configure the identity provider(s) in Keycloak

The following instructions are to be executed on the administration UI of Keycloak, e.g. https://medco-demo.epfl.ch/auth/admin.

Configure the first login flow

The behavior of Keycloak during the very login of users through the identity provider is highly customisable. We propose below an example of a working flow but this can be changed to fit your need.

  • Navigate to Authentication > Flows, select First Broker Login and make a Copy of it. Name it for example SwitchAAI-Test Demo IdP First Broker Login.

  • Change the list of executions to make it look like the following image.

Resulting configuration for the authentication flow.

Add the identity provider

  • In the Identity Providers menu, choose Add provider... > SAML v2.0

  • Specify an Alias. Note this will not be changeable later without redoing the whole process. Example: SwitchAAI-Test.

  • Specify a Display Name, which will be displayed to the user in the login page. Example: SwitchAAI-Test Demo IdP.

  • Specify the Single Sign-On Service URL of the identity provider you are linking with. Example: https://aai-demo-idp.switch.ch/idp/profile/SAML2/POST/SSO.

  • Specify the First Login Flow previously configured to use. Example: SwitchAAI-Test Demo IdP First Broker Login.

  • Toggle to ON the following buttons:

    • Enabled

    • Trust Email

    • HTTP-POST Binding Response

    • HTTP-POST Binding for AuthnRequest

    • Validate Signature

  • Specify the NameID Policy Format as Persistent.

  • Add the certificate(s) (PEM format, separated by commas if there are several of them) of the identity provider you are linking with in Validating X509 Certificates.

  • Save the changes.

Resulting configuration for the identity provider.

Add the username mapper

We need to import a unique but intelligible username in Keycloak from the identity provider. For this we use the SwitchAAI mandatory attribute swissEduPersonUniqueID.

  • Open the Mappers tab and click Create.

  • Fill the field as:

    • Name: SwitchAAI Unique ID.

    • Mapper Type: Username Template Importer.

    • Template: ${ATTRIBUTE.swissEduPersonUniqueID}

  • Save the changes.

Resulting configuration for the username mapper.

Setup a certificate

A certificate compliant with the SwitchAAI federation needs to be generated and configured. First follow this SwitchAAI guide to generate a self-signed certificate that meets their requirements. You will need from the Keycloak instance:

  • Its FQDN (fully-qualified domain name). Example: medco-demo.epfl.ch.

  • Its SAML entityID, that you can find out in the XML descriptor from the Export tab of the previously configured Keycloak identity provider. Example: https://medco-demo.epfl.ch/auth/realms/master.

Once you have generated the certificate, set it up in Keycloak:

  • Navigate to the settings page Realm Settings > Keys > Providers and select Add Keystore... > rsa.

  • Specify a name in Console Display Name. Example: rsa-switchaaitest.

  • Specify a Priority higher than any other RSA key. Example: 150.

  • In Private RSA Key and X509 Certificate fields, copy/paste the respective PEM parts of both the private key and the certificate that were previously generated.

Resulting configuration.

Register Keycloak instance as a Service Provider in SwitchAAI

The following instructions are to be executed in the AAI Resource Registry. As a result, a Keycloak instance will be registered as a service provider linked to a home organization in the SwitchAAI federation.

Register new resource

Click Add a Resource Description and fill the 7 categories of information according to the following instructions. Note that if some fields are not listed in this documentation, their value are not important for the registration of the Keycloak instance and can be set according to the explanations provided by the resource registry.

1. Basic Resource Information

  • Entity ID: the same SAML entityID you used to generate the certificate. Example: https://medco-demo.epfl.ch/auth/realms/master.

  • Home Organization: the organization that hosts the Keycloak instance currently being registered. The responsible persons of the organization specified here will need to approve the registration. This will typically be the the institution where the MedCo node is deployed. For the purpose of our test we are using AAI Demo Home Organization (aai-demo-idp.switch.ch, AAI Test).

  • Home URL: the address of the MedCo node, at which the UI Glowing Bear can be accessed. Example: https://medco-demo.epfl.ch/.

Example configuration for the basic resource information.

2. Descriptive Information

Example configuration for the descriptive information.

3. Contacts

Example configuration for the contacts.

4. Service Locations

  • SAML2 HTTP POST binding (x2): the URL at witch the SwitchAAI infrastructure will communicate with the Keycloak instance. You will find it in the configuration page of the configured identity provider in Keycloak under Redirect URI. Example: https://medco-demo.epfl.ch/auth/realms/master/broker/SwitchAAI-Test/endpoint

Example configuration for the service locations.

5. Certificates

Copy/paste in this field the PEM part of the certificate that was previously generated. Note that in the example showed below the certificate has already been validated through a separate channel.

Example configuration for the certificates.

6. Requested Attributes

Put on Required at least the following attributes. Note that the release of attributes needs to have a justification.

  • E-mail (email). Example reason: Identify user for being able to assign them specific authorizations.

  • Unique ID (swissEduPersonUniqueID). Example reason: Get a unique ID of user.

Example configuration for the requested attributes.

7. Intended Audience and Interfederation

Example configuration for the intended audience.

Get the new resource approved

Once submitted, the responsible persons from the home organization will need to approve the new resource and validate the fingerprint of the certificate submitted. This is a manual process that will most likely be done through email.

Once this is done, the setup should be functional, and the users will be able to select the configured identity provider to login. Don't forget that this covers only users' authentication, their authorization needs to be handled manually through Keycloak after they login at least once.

v1 (I2B2 Demodata)

The v1 loader expects an already existing i2b2 database (in .csv format) that will be converted in a way that is compliant with the MedCo data model. This involves encrypting and ‘deterministically tagging’ some of the data.

List of input (‘original’) files:

  • all i2b2metadata files (e.g. i2b2.csv)

  • dummy_to_patient.csv

  • patient_dimension.csv

  • visit_dimension.csv

  • concept_dimension.csv

  • modifier_dimension.csv

  • observation_fact.csv

  • table_access.csv

Dummy Generation

The provided example data set files come with dummy data pre-generated. Those data are random dummy entries whose purpose is to prevent frequency attacks. For more information on how this dummy generation is done please refer to ~/medco-loader/data/scripts/import-tool/report/report.pdf. In a future release, the generation will be done dynamically by the loader.

Example

The following example allows to load data into a running MedCo development deployment (dev-local-3nodes), on the node 0. Adapt accordingly the docker-compose service being ran to load the two other nodes of this profile.

$ cd ~/medco-deployment/compose-profiles/dev-local-3nodes
$ docker-compose -f docker-compose.tools.yml run medco-loader-srv0 v1 \
    --sen /data/i2b2/sensitive.txt \
    --files /data/i2b2/files.toml

Explanation of the arguments:

NAME:
    medco-loader v1 - Convert existing i2b2 data model

USAGE:
    medco-loader v1 [command options] [arguments...]

OPTIONS:
    --group value, -g value               UnLynx group definition file
    --entryPointIdx value, --entry value  Index (relative to the group definition file) of the collective authority server to load the data
    --sensitive value, --sen value        File containing a list of sensitive concepts
    --dbHost value, --dbH value           Database hostname
    --dbPort value, --dbP value           Database port (default: 0)
    --dbName value, --dbN value           Database name
    --dbUser value, --dbU value           Database user
    --dbPassword value, --dbPw value      Database password
    --files value, -f value               Configuration toml with the path of the all the necessary i2b2 files
    --empty, -e                           Empty patient and visit dimension tables (y/n)

To check that it is working you can query for:

-> Diagnoses -> Neoplasm -> Benign neoplasm -> Benign neoplasm of breast

You should obtain 2 matching subjects.

Network Architecture

../_images/network_architecture.png

External Entities

Entities that need to connect to a machine running MedCo can be categorized as follow:

  • System administrators: Persons administrating the MedCo node. Likely to remain inside the clinical site internal network.

  • End-users: Researchers using MedCo to access the shared. Likely to remain inside the clinical site internal network.

  • Other MedCo nodes: MedCo nodes belonging to other clinical sites of the network.

Firewall Ports Opening

The following ports should be accessible by the listed entities, which makes IP address white-listing possible:

  • Port 22, 5432 (TCP): System Administrators

  • Port 80 (TCP): End-Users (HTTP automatic redirect to HTTPS (443))

  • Port 443 (TCP): System Administrators, End-Users, Other MedCo Nodes

  • Ports 2000-2001 (TCP): Other MedCo Nodes

System Architecture

../_images/system_architecture_v0.2.png

Containers

medco-connector

Component orchestrating the MedCo query at the clinical site. Implements the resource-side of the PIC-SURE API. It communicates with medco-unlynx to execute the distributed cryptographic protocols.

medco-unlynx

The software executing the distributed cryptographic protocols, based on Unlynx.

i2b2

The i2b2 stack (all the cells).

picsure

The query translation and broadcasting layer.

glowing-bear-medco

Nginx web server serving Glowing Bear and the javascript crypto module.

medco-loader

ETL tool to encrypt and load data into MedCo.

keycloak

OpenID Connect identity provider, providing user management and their authentication to MedCo.

postgresql

The SQL database used by all other services, contains all the data.

pg-admin

A web-based administration tool for the PostgreSQL database.

nginx

Web server and (HTTPS-enabled) reverse proxy.

php-fpm

PHP processor running with FPM (FastCGI Process Manager), used by Nginx. Executes the PHP code needed to serve the genomic annotations.