This profile defines a framework able to enforce a centralized Access Control system, conveying between actors involved in a XDS sharing environment the evidence of the reliable decisions already made by an Access Decision Manager. 

The main objective of this profile is to create a system of trust between the actor that performs access decisions (Authorization Decisions Manager), and actors that store clinical data (XDS Document Repositories). This split of responsibilities is needed in many environments where systems that expose clinical data are not able to replicate and repeat access decisions. 
