CH EPR FHIR (R4)
4.0.1 - trial-use
CH EPR FHIR (R4)
4.0.1 - trial-use
This page is part of the CH EPR FHIR (R4) (v4.0.1: DSTU 4) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
This section describes the additional requirements for the Swiss EPR of the Provide Document Bundle [ITI-65] transaction defined in the MHD Profile published in the IHE ITI Trial Implementation “Mobile Access to Health Documents”.
In the Swiss EPR the transaction is used by the MHD Document Source to store documents in the EPR.
Actor: Document Source
Role: Sends documents and metadata to the Document Recipient.
Actor: Document Recipient
Role: Accepts the document and metadata sent from the Document Source.
The FHIR Bundle.meta.profile shall have the following value:
https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.Comprehensive.ProvideBundle
The additional Swiss EPR metadata is defined with:
The request Bundle SHALL follow the CH MHD Provide Document Bundle Comprehensive Profile (example: Bundle: 2-7-BundleProvideDocument).
The optional metadata about the DeletionStatus of the document is represented in the DocumentReference using the extension with the URL http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/ch-ext-deletionstatus. The values are defined in the ValueSet DocumentEntry.Ext.EprDeletionStatus.
The SubmissionSet.Author element MAY be used to track the user who made the latest changes to the document metadata.
If present, the value of the AuthorRole attribute SHALL be taken from the SubmissionSet.Author.AuthorRole value set
with the OID 2.16.756.5.30.1.127.3.10.1.41. The required metadata about the AuthorRole of the Author is represented
in the List for the SubmissionSet using the extension with the URL http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/ch-ext-author-authorrole.
The values are defined in the ValueSet SubmissionSet.Author.AuthorRole.
An extra metadata attribute SHALL be used to distinguish document originally provided by patients or their representatives from documents originally provided by healthcare professionals, assistants, technical users or document administrators. The extra metadata attribute SHALL be set by the Document Source actor to the role value of the current user and SHALL NOT be updated by Update Initiator or Document Administrator actors. The required metadata about the originalProviderRole of the Author is represented in the DocumentReference using the extension with the URL http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/ch-ext-author-authorrole. The values are defined in the ValueSet DocumentEntry.originalProviderRole.
The response Bundle SHALL follow the CH MHD Provide Document Bundle Comprehensive Response Profile (example: Bundle: 2-7-BundleProvideDocument-Response).
The CapabilityStatement resource for the Document Source is MHD Document Source.
The CapabilityStatement resource for the Document Recipient is MHD Document Recipient.
The transaction SHALL be secured by Transport Layer Security (TLS) encryption and server authentication with server certificates.
The transaction SHALL use client authentication and authorization using extended authorization token as defined in the IUA profile. The extended authorization token SHALL be conveyed as defined in the Incorporate Access Token [ITI-72] transaction.
The Document Recipient actor SHALL be grouped with the Authorization Decision Consumer actor of the CH:ADR profile defined in Extension 2.1 to Annex 5 of the ordinances and perform an Authorization Decision Request [CH:ADR] for every Provide Document Bundle [ITI-65] request.
The actors SHALL support the traceparent header handling, as defined in Appendix: Trace Context.
The Document Source shall record an CH Audit Event for [ITI-65] Document Source (example).
The Document Recipient shall record an CH Audit Event for [ITI-65] Document Recipient (example).