CH EPR mHealth (R4)
1.1.0 - DSTU 2 Informative Ballot
CH EPR mHealth (R4)
1.1.0 - DSTU 2 Informative Ballot
This page is part of the CH EPR mHealth (R4) (v1.1.0: DSTU 2) based on FHIR R4. . 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.
Mobile access to Health Documents (MHD), Rev. 4.0.2 – Trial-Implementation, November 8, 2021
This MHD Profile is based on Release 4 of the HL7® FHIR® standard.
This method is invoked when the Document Source needs to submit one or more documents to a Document Recipient.
The same message semantics as for 2:3.65.4.1.2 Message Semantics applies. The FHIR Bundle.meta.profile shall have the following value:
http://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.Comprehensive.ProvideBundle
The additional Swiss EPR metadata is defined with:
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-mhealth/StructureDefinition/ch-ext-deletionstatus. The values are defined in the ValueSet ch-ehealth-valueset-deletionstatus.
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-mhealth/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-mhealth/StructureDefinition/ch-ext-author-authorrole. The values are defined in the ValueSet DocumentEntry.originalProviderRole.
See Bundle example (and the corresponding profile) for the Provide Document Bundle request.
See Bundle example (and the corresponding profile) for the Provide Document Bundle response.
TLS SHALL be used. This national extension enforces authentication and authorization of access to the Document Recipient using the IUA profile with extended access token. Consequently the Provide Document Bundle [ITI-65] request must authorize using the Incorporate Access Token [ITI- 72] transaction of the IUA profile.