feat(fapp): add security model + profile_url for verification
docs/specs/fapp-security.md: - Full threat model for patient protection - 3-level verification roadmap (transparency → endorsements → registry) - UI warning mockups - Technical implementation plan - Honest assessment of limitations SlotAnnounce changes: - Added profile_url field for therapist verification - New with_profile() constructor - profile_url included in signature docs/specs/fapp-protocol.md: - Added Security & Anti-Fraud section - Link to full security spec
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@@ -94,6 +94,12 @@ pub struct TimeSlot {
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///
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/// Propagates through the mesh like [`MeshAnnounce`](crate::announce::MeshAnnounce),
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/// cached by relay nodes with `CAP_FAPP_RELAY`.
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///
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/// # Security Note
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///
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/// Patients should verify therapists before booking. The `profile_url` field
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/// allows cross-referencing with official sources (Jameda, KBV, practice website).
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/// See `docs/specs/fapp-security.md` for the full security model.
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#[derive(Clone, Debug, Serialize, Deserialize)]
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pub struct SlotAnnounce {
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/// Unique announcement ID.
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@@ -112,6 +118,10 @@ pub struct SlotAnnounce {
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pub slots: Vec<TimeSlot>,
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/// SHA-256 of the therapist's Approbation number.
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pub approbation_hash: [u8; 32],
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/// Optional URL to therapist's public profile for verification.
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/// Examples: Jameda profile, KBV listing, practice website.
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#[serde(default, skip_serializing_if = "Option::is_none")]
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pub profile_url: Option<String>,
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/// Monotonically increasing per therapist (dedup/supersede).
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pub sequence: u64,
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/// Time-to-live in hours (default 168 = 7 days).
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@@ -148,6 +158,34 @@ impl SlotAnnounce {
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slots: Vec<TimeSlot>,
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approbation_hash: [u8; 32],
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sequence: u64,
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) -> Self {
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Self::with_profile(
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identity,
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fachrichtung,
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modalitaet,
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kostentraeger,
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location_hint,
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slots,
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approbation_hash,
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sequence,
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None,
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)
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}
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/// Create and sign a new slot announcement with optional profile URL.
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///
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/// The `profile_url` allows patients to verify the therapist's identity
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/// against official sources (Jameda, KBV, practice website).
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pub fn with_profile(
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identity: &MeshIdentity,
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fachrichtung: Vec<Fachrichtung>,
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modalitaet: Vec<Modalitaet>,
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kostentraeger: Vec<Kostentraeger>,
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location_hint: String,
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slots: Vec<TimeSlot>,
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approbation_hash: [u8; 32],
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sequence: u64,
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profile_url: Option<String>,
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) -> Self {
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let pk = identity.public_key();
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let therapist_address = compute_address(&pk);
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@@ -170,6 +208,7 @@ impl SlotAnnounce {
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location_hint,
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slots,
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approbation_hash,
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profile_url,
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sequence,
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ttl_hours: DEFAULT_TTL_HOURS,
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timestamp,
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@@ -219,6 +258,16 @@ impl SlotAnnounce {
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buf.push(0xFF);
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buf.extend_from_slice(&self.approbation_hash);
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// profile_url is signed to prevent tampering.
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if let Some(ref url) = self.profile_url {
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buf.push(0x01); // present marker
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buf.extend_from_slice(url.as_bytes());
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} else {
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buf.push(0x00); // absent marker
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}
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buf.push(0xFF);
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buf.extend_from_slice(&self.sequence.to_le_bytes());
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buf.extend_from_slice(&self.ttl_hours.to_le_bytes());
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buf.extend_from_slice(&self.timestamp.to_le_bytes());
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@@ -136,14 +136,39 @@ Therapist confirms or rejects a reservation.
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- `duration_minutes: u16` — Duration (typically 50 or 25 minutes)
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- `slot_type: SlotType` — Type of appointment
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## Anti-Spam
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## Security & Anti-Fraud
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1. **Approbation hash binding.** The `approbation_hash` field contains SHA-256 of the therapist's Approbation number. While mesh nodes cannot verify this against a registry, it creates accountability — a therapist's identity is tied to a real credential.
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> **See [fapp-security.md](fapp-security.md) for the full security model.**
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### Patient Protection
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Patients are vulnerable. FAPP must protect against fraudulent "therapists":
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| Threat | Mitigation |
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|--------|------------|
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| Fake Therapist | `profile_url` for cross-verification, UI warnings |
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| Impersonation | Ed25519 signatures, endorsement system (planned) |
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| Data Harvesting | Anonymous queries, no patient identity in protocol |
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| Financial Fraud | "Never pay upfront" warnings, reputation (planned) |
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### Verification Levels
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| Level | Mechanism | Trust |
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|-------|-----------|-------|
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| 0 | None — only mesh signature | Low |
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| 1 | Endorsement by trusted relay | Medium |
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| 2 | Registry verification (KBV) | High |
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**Current implementation:** Level 0 with `profile_url` for transparency.
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### Anti-Spam
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1. **Approbation hash binding.** The `approbation_hash` field contains SHA-256 of the therapist's Approbation number. Creates accountability — therapist identity tied to real credential.
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2. **Signature verification.** All SlotAnnounces are Ed25519-signed. Relay nodes reject unsigned or invalid announcements.
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3. **Rate limiting.** Relay nodes enforce a maximum announcement rate per therapist address (e.g., max 10 SlotAnnounces per hour per therapist_address).
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4. **Sequence-based dedup.** Each therapist maintains a monotonic sequence counter. Relay nodes only accept announces with sequence >= last seen for that therapist.
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5. **TTL enforcement.** Expired announcements are garbage collected. Default TTL is 7 days.
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6. **Hop limit.** SlotAnnounces have a max_hops field (default 8) to prevent infinite propagation.
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3. **Rate limiting.** Relay nodes enforce max 10 SlotAnnounces per hour per therapist_address.
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4. **Sequence-based dedup.** Monotonic counter; relays only accept sequence >= last seen.
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5. **TTL enforcement.** Expired announcements are garbage collected. Default 7 days.
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6. **Hop limit.** max_hops field (default 8) prevents infinite propagation.
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## Wire Format
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211
docs/specs/fapp-security.md
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211
docs/specs/fapp-security.md
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@@ -0,0 +1,211 @@
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# FAPP Security Model — Protecting Patients from Fraud
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## Threat Model
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### Who are we protecting?
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**Patients** seeking psychotherapy are in a vulnerable state. They may be:
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- Desperate after months of searching
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- Unfamiliar with the healthcare system
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- Willing to pay out-of-pocket if GKV slots are scarce
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- Trusting of anyone who appears professional
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### What are the threats?
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| Threat | Description | Severity |
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|--------|-------------|----------|
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| **Fake Therapist** | Attacker poses as licensed therapist, collects patient data | CRITICAL |
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| **Phishing** | Fake slots lead to malicious contact forms | HIGH |
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| **Financial Fraud** | "Therapist" demands upfront payment | HIGH |
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| **Data Harvesting** | Collect patient health queries for profiling | MEDIUM |
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| **Spam Flooding** | Overwhelm mesh with fake announces | MEDIUM |
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| **Impersonation** | Clone a real therapist's identity | CRITICAL |
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## Current Protections (v1)
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| Protection | Mechanism | Weakness |
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|------------|-----------|----------|
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| Approbation Hash | SHA-256 of credential number | **Cannot be verified** — attacker can invent hash |
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| Ed25519 Signature | Proves control of mesh key | Doesn't prove real-world identity |
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| Sequence Dedup | Prevents replay | Doesn't prevent new fake announces |
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| Rate Limiting | Max announces/hour | Attacker can use multiple keys |
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**Honest assessment:** Current protections prevent spam but **do not prevent fraud**.
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## Proposed Security Enhancements
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### Level 1: Transparency (Low Trust, No Verification)
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**Concept:** Make it easy for patients to verify therapists themselves.
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1. **Therapist Profile URL**
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- SlotAnnounce includes optional `profile_url: String`
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- Points to therapist's website, Jameda profile, or KV listing
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- Patient can cross-check before booking
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2. **Approbation Display**
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- Show first 4 digits of Approbation hash in UI
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- Patient can ask therapist to confirm during Erstgespräch
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- Social verification, not cryptographic
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3. **Warning Labels**
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- UI shows "Unverified Therapist" prominently
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- Patient must acknowledge risk before reserving
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**Implementation:** ~2 days, no infrastructure changes.
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### Level 2: Web-of-Trust (Medium Trust)
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**Concept:** Trusted nodes vouch for therapists.
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1. **Endorsement Messages**
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- Trusted relays (e.g., run by patient advocacy groups) sign endorsements
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- `TherapistEndorsement { therapist_address, endorser_signature, reason }`
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- Patients can filter by "endorsed by [Patientenberatung]"
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2. **Reputation Scores**
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- After appointments, patients can rate (anonymously)
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- Aggregate scores propagate through mesh
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- New therapists start with "No ratings yet"
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3. **Blocklists**
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- Community-maintained blocklists of known fraudsters
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- Relay nodes can subscribe and filter
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**Implementation:** ~2 weeks, requires gossip protocol for endorsements.
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### Level 3: Registry Integration (High Trust)
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**Concept:** Verify against official sources.
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1. **KV-Registry Lookup**
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- Germany: KBV Arztsuche API (https://www.kbv.de/html/arztsuche.php)
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- Therapist provides Lebenslange Arztnummer (LANR) or BSNR
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- Gateway node queries registry, signs attestation
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2. **eHBA Integration** (long-term)
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- Electronic Health Professional Card
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- Therapist proves identity via qualified electronic signature
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- Strongest guarantee, but requires card reader
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3. **Chamber Verification**
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- Psychotherapeutenkammer publishes member lists
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- Automated scraping + attestation (legally gray)
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**Implementation:** 1-2 months, requires trusted gateway infrastructure.
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## Recommended Roadmap
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### Phase 1: Ship with Warnings (Now)
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```
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┌─────────────────────────────────────────────────┐
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│ ⚠️ UNVERIFIED THERAPIST │
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│ │
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│ This therapist has not been verified. │
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│ Before booking: │
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│ • Check their website or Jameda profile │
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│ • Verify Approbation during first contact │
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│ • Never pay upfront without meeting │
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│ │
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│ [I understand the risks] [Cancel] │
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└─────────────────────────────────────────────────┘
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```
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- Add `profile_url` field to SlotAnnounce
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- Prominent warnings in UI
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- Educational content about verification
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### Phase 2: Endorsements (Q2 2026)
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- Partner with 2-3 patient advocacy groups
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- They run relay nodes with endorsement capability
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- "Endorsed by Unabhängige Patientenberatung" badge
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### Phase 3: Registry (Q4 2026)
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- Build KBV gateway (if API access granted)
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- Or: manual verification service (humans check credentials)
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- Verified badge with expiry
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## Technical Implementation
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### SlotAnnounce v2
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```rust
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pub struct SlotAnnounce {
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// ... existing fields ...
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/// Optional URL to therapist's public profile (Jameda, website, KV listing).
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pub profile_url: Option<String>,
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/// Optional LANR (Lebenslange Arztnummer) for registry lookup.
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pub lanr: Option<String>,
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/// Verification level (0 = none, 1 = endorsed, 2 = registry-verified).
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pub verification_level: u8,
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/// Endorsement signatures from trusted nodes.
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pub endorsements: Vec<Endorsement>,
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}
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pub struct Endorsement {
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/// Address of the endorsing node.
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pub endorser_address: [u8; 16],
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/// Ed25519 signature over (therapist_address, timestamp).
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pub signature: [u8; 64],
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/// Unix timestamp of endorsement.
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pub timestamp: u64,
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/// Human-readable reason.
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pub reason: String,
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}
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```
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### Patient-Side Verification Flow
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```
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1. Patient receives SlotAnnounce
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2. UI shows verification_level:
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- 0: "⚠️ Unverified" (red)
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- 1: "✓ Endorsed by [name]" (yellow)
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- 2: "✓✓ Registry Verified" (green)
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3. Patient can click to see:
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- Profile URL
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- Endorsement details
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- Verification expiry
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4. Before SlotReserve, patient confirms risk acknowledgment
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```
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## What We Cannot Prevent
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Even with Level 3 verification:
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1. **Licensed but Unethical Therapist** — Credential is real, behavior is not
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2. **Session Quality** — Verification proves license, not competence
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3. **Availability Lies** — Therapist might not actually have slots
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4. **Price Gouging** — "Selbstzahler" with inflated rates
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**These require reputation systems and patient reviews** — can't be solved cryptographically.
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## Comparison to Existing Systems
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| System | Verification | Privacy | Decentralized |
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|--------|--------------|---------|---------------|
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| **Doctolib** | KV registry | Low (tracks searches) | No |
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| **Jameda** | None (self-reported) | Low | No |
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| **KBV Arztsuche** | Official | Medium | No |
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| **FAPP v1** | None | High | Yes |
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| **FAPP + Level 2** | Endorsements | High | Yes |
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| **FAPP + Level 3** | Registry | High | Mostly |
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## Conclusion
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FAPP's strength is **patient privacy**. We should not sacrifice that for centralized verification.
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**Recommended approach:**
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1. Ship with strong warnings and profile URLs (transparency)
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2. Build endorsement network (web-of-trust)
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3. Add optional registry verification for therapists who want it
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4. Let patients choose their trust level
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The mesh provides the infrastructure. Trust is a social problem that requires social solutions.
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