The SOAP request with SAML Header in SenderVouches Format:

<?xml version="1.0"? encoding="UTF-8"?>
<SOAP-ENV:Envelope xmlns:xsd="http://www.w3.org/2001/XMLSchema" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:SOAP-ENV="http://schemas.xmlsoap.org/soap/envelope/" SOAP-ENV:encodingStyle="http://schemas.xmlsoap.org/soap/encoding/">
  <SOAP-ENV:Header xmlns:saml="some-URI" xmlns:ds="some-URI">
    <saml:Assertion mustUnderstand="1" MajorVersion="1" MinorVersion="0" 
AssertionID="186CB370-5C81-4716-8F65-F0B4FC4B4A0B" Issuer="Some-other-URI" 
IssueInstant="2001-05-31T13:20:00-05:00">
      <saml:SubjectConfirmation>
        <saml:ConfirmationMethod>SenderVouches</saml:ConfirmationMethod>
      </saml:SubjectConfirmation>
      <saml:Conditions NotBefore="2001-05-31T13:20:00-05:00" 
NotAfter="2001-05-31T13:25:00-05:00"/>
      <saml:AuthenticationStatement AuthenticationMethod="password" 
AuthenticationInstant="2001-05-31T13:21:00-05:00">
        <saml:Subject>
          <saml:NameIdentifier>
            <SecurityDomain>"Some-other-URI"</SecurityDomain>
            <Name>"cn=Alice,co=example,ou=sales"</Name>
          </saml:NameIdentifier>
        </saml:Subject>
      </saml:AuthenticationStatement>  
    </saml:Assertion>
    <ds:Signature>
      <ds:SignedInfo>
        <ds:CanonicalizationMethod Algorithm="http://www.w3.org/TR/2000/09/WD-xml-c14n-20000119"/>
        <ds:SignatureMethod Algorithm="http://www.w3.org/2000/09/xmldsig#dsa-sha1"/>
        <ds:Reference URI="">
	  <ds:Transforms>
 	    <ds:Transform Algorithm="http://www.w3.org/2000/09/xmldsig#enveloped-signature"/>
 	  </ds:Transforms>
          <ds:DigestMethod Algorithm="http://www.w3.org/2000/09/xmldsig#dsa-sha1"/>
          <ds:DigestValue>UYRsLhRffJagF7d+RfNt8CPKhbM=</ds:DigestValue>
        </ds:Reference>
      </ds:SignedInfo>      
      <ds:SignatureValue>HJJWbvqW9E84vJVQkjjLLA6nNvBX7mY00TZhwBdFNDElgscSXZ5Ekw==
      </ds:SignatureValue>
    </ds:Signature>  
</SOAP-ENV:Header>
  <SOAP-ENV:Body>
    <getNameOfPatient>
      <PatientId>12345</PatientId>
    </getNameOfPatient>
  </SOAP-ENV:Body>
</SOAP-ENV:Envelope>

A SOAP response:

HTTP/1.1 200 OK
Content-Type: application/soap; charset=utf-8
Content-Length: nnn

<?xml version="1.0" encoding="UTF-8"?>
<SOAP-ENV:Envelope xmlns:xsd="http://www.w3.org/2001/XMLSchema" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:SOAP-ENV="http://schemas.xmlsoap.org/soap/envelope/" SOAP-ENV:encodingStyle="http://schemas.xmlsoap.org/soap/encoding/">
  <SOAP-ENV:Body>
    <getNameOfPatientResponse>
      <getNameOfPatientResult xsi:type="xsd1:Name">
        <firstName>ABC</firstName>
        <secondName>XYZ</secondName>
      </getNameOfPatientResult>
    </getNameOfPatientResponse>
  </SOAP-ENV:Body>
</SOAP-ENV:Envelope>