vpk:V3.1 FHIR eOverdracht Proeftuin: verschil tussen versies

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(changed the expected response from the server)
 
Regel 48: Regel 48:
 
The target XIS responds to the Send eOverdrachtbericht transaction with an HTTP Response, where:
 
The target XIS responds to the Send eOverdrachtbericht transaction with an HTTP Response, where:
 
* The status code SHALL be set appropriate to the processing outcome. When the resource syntax or data is incorrect or invalid, and cannot be used to create a new resource, the server returns a 400 Bad Request HTTP status code. When the server rejects the content of the resource because of business rules, the server returns a 422 Unprocessable Entity error HTTP status code. Additional HTTP status code may be used if more appropriate.
 
* The status code SHALL be set appropriate to the processing outcome. When the resource syntax or data is incorrect or invalid, and cannot be used to create a new resource, the server returns a 400 Bad Request HTTP status code. When the server rejects the content of the resource because of business rules, the server returns a 422 Unprocessable Entity error HTTP status code. Additional HTTP status code may be used if more appropriate.
* On success, the response body SHALL be set to a FHIR Bundle resource containing one entry for each entry in the request, in the same order, with the outcome of processing the entry.
+
* On success, The server returns a 201 Created HTTP status code, and SHALL also return a Location header which contains the new Logical Id and Version Id of the created resource version.
 
* On failure, the response body SHOULD be set to a FHIR [http://hl7.org/fhir/STU3/operationoutcome.html OperationOutcome] resource with detailed error messages describing the reason for the error, and perform a rollback of the creation of any previous entries.
 
* On failure, the response body SHOULD be set to a FHIR [http://hl7.org/fhir/STU3/operationoutcome.html OperationOutcome] resource with detailed error messages describing the reason for the error, and perform a rollback of the creation of any previous entries.
  

Huidige versie van 5 nov 2019 om 12:53

Introduction

This page details the HL7 FHIR requirements for exchanging the data in the Verpleegkundige eOverdracht Proeftuin pilot described in this functional design.

Implementation of these transactions is spread over multiple phases.

Phase one consists of the implementation of four HCIMs for both the Aanmeldbericht and the Overdrachtsbericht. The remaining information from eOverdracht may be sent unstructured in a PDF file.

Phase two consists of the complete Aanmeldbericht as well as an incomplete Overdrachtsbericht. the Overdrachtsbericht is a subset of 11 HCIM's (complete set used in Aanmeldbericht) and an unstructured PDF containing the remaining data which are not part of the HCIM's.

Phase three is the complete dataset of the aanmeldbericht, overdrachtsbericht volwassenen, overdrachtsbericht 0-1 jaar, overdrachtsbericht 1-18 jaar as PUSH messages.

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Basic FHIR(STU3) knowledge is required.

Invocations

Send eOverdrachtbericht (PUSH)

Trigger events

This transaction is invoked when the XIS needs to send the eOverdrachtbericht to the receiving XIS.

Message Semantics

The eOverdrachtbericht is sent as a FHIR Document. To create this document, a FHIR Composition resource should be created according to the relevant Composition profiles.

The Composition resources reference each of the relevant resources included in the eOverdrachtbericht. The Composition resource and the relevant resources are subsequently assembled into a FHIR Bundle resource which Bundle.type set to document. The Composition resource should be the first entry in the Bundle.

For the Bundle, the following rules apply:

  • The Bundle resource SHALL include all the resources listed as described in the different use cases, each in a separate Bundle.entry.
  • The resources in the message SHALL be a valid instances of these profiles listed in the use cases.
  • All resources SHALL include their related profile canonical URL in the meta.profile element in order to show compliance.
  • The Bundle SHOULD include the resources that are linked from the included resources

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A FHIR Document is an immutable statement which can't be updated once it's created, it can only be superseded by a new Document. Updating falls outside the scope of the current design.

The Send eOverdrachtbericht transaction is an HTTP POST method on the target XIS's base:

POST [base] {?_format=[mime-type]}

where the body of the POST request is the assembled Bundle.

Expected actions

The document Bundle should be processed as a transaction by the receiving XIS and each Bundle.entry should be treated as a create interaction for the Bundle.entry.resource.

When the resource syntax or data is incorrect or invalid and cannot be used to create a new resource, or when the server rejects the content of the resource because of business rules, it should perform a rollback of the creation of any previous entries and send the appropriate response (see below).

eOverdrachtbericht response (PUSH)

Trigger events

The target XIS completed processing of the Send eOverdrachtbericht transaction.

Message semantics

The target XIS responds to the Send eOverdrachtbericht transaction with an HTTP Response, where:

  • The status code SHALL be set appropriate to the processing outcome. When the resource syntax or data is incorrect or invalid, and cannot be used to create a new resource, the server returns a 400 Bad Request HTTP status code. When the server rejects the content of the resource because of business rules, the server returns a 422 Unprocessable Entity error HTTP status code. Additional HTTP status code may be used if more appropriate.
  • On success, The server returns a 201 Created HTTP status code, and SHALL also return a Location header which contains the new Logical Id and Version Id of the created resource version.
  • On failure, the response body SHOULD be set to a FHIR OperationOutcome resource with detailed error messages describing the reason for the error, and perform a rollback of the creation of any previous entries.

A client may use the returned Bundle to track the outcomes of processing the entry, and the identities assigned to the resources by the server. Each entry element SHALL contain a response element which details the outcome of processing the entry - the HTTP status code, and the location and ETag header values, which are used for identifying and versioning the resources. In addition, a resource may be included in the entry, as specified by the Prefer header.

Packages

eOverdracht uses the FHIR Packaging mechanism. This conveniently bundles all examples, profiles and other conformance resources you need into a single download. This version of the information standard depends on Nictiz package 1.3.0 . Please note that the direct links to the various conformance resources below will take you to the latest version, which might not match the package version. At time of writing, there is no way to render the conformance resource as found in the package. This is on the roadmap for Simplifier.

Use case: Aanmeldbericht

Introduction

The Send Aanmeldbericht scenario is used by the sending XIS to send the relevant data for the patient intake to the receiving XIS, and constitutes a subset of the Overdrachtsbericht. The structure of the eventual scenario is described in the functional design and additionally in Opbouw eOverdracht aanmelding. For the pilot a limited subset is implemented.

Actors and transactions

Actor Role Transaction
Sending XIS Sends signup message to the receiving XIS Send Aanmeldbericht
Receiving XIS Acknowledges the signup message with sending XIS Aanmeldbericht response

Structure of the Aanmeldbericht phase 1

The Aanmeldbericht consists of multiple FHIR resources, which are assembled into a FHIR Bundle. The table below lists the FHIR StructureDefinitions that are applicable for the pilot implementation of the 'Aanmeldbericht' transactions.

Section FHIR profile FHIR resource HCIM name HCIM version Remarks
- eOverdrachtAanmeldbericht-phase-one Composition - - Declaration of the Send Aanmeldbericht transaction.
Datum overplaatsing eOverdracht-TransferDate - - - DateTime extension used in eOverdracht composition profiles
Persoonsgegevens nl-core-patient Patient Patient v3.1(2017NL) -
zib-Payer Coverage Betaler v3.1(2017NL) -
Sturende organisatie nl-core-organization Organization Zorgaanbieder v3.1.1(2017NL) -
Ontvangende organisatie nl-core-organization
PDF Binary Binary - - Should be used to send unstructured PDF data.

Structure of the Aanmeldbericht phase 2 (complete)

The Aanmeldbericht consists of multiple FHIR resources, which are assembled into a FHIR Bundle. The table below lists the FHIR StructureDefinitions that are applicable for the pilot implementation of the 'Aanmeldbericht' transactions. The Phase Two aanmeldbericht implements the complete aanmeldbericht as described in the functional design.

Section FHIR profile FHIR resource HCIM name HCIM version Remarks
- eOverdrachtAanmeldbericht Composition - - Declaration of the Send Aanmeldbericht transaction.
Datum overplaatsing eOverdracht-TransferDate - - - DateTime extension used in eOverdracht composition profiles
Persoonsgegevens nl-core-patient Patient Patient v3.1(2017NL) -
zib-Payer Coverage Betaler v3.1(2017NL) -
nl-core-relatedperson RelatedPerson Contactpersoon v3.1(2017NL) -
Sturende organisatie nl-core-organization Organization Zorgaanbieder v3.1.1(2017NL) -
Ontvangende organisatie nl-core-organization
Medische diagnose zib-Problem Condition Probleem v4.1(2017NL -
Voorgeschiedenis zib-Problem Condition Probleem v4.1(2017NL -
Let op zib-Alert Flag Alert v3.2(2017NL) -
Vrijheidsbeperking zib-FreedomRestrictingMeasures Procedure VrijheidsBeperkendeMaatregelen v3.1(2017NL) -
Actuele patiëntenproblemen zib-Problem Condition Probleem v4.1(2017NL) -
Afspraken patiënt zib-ProcedureRequest ProcedureRequest OverdrachtGeplandeZorgActiviteit v3.1(2017NL) -
Wensen en behoeften patiënt en/of naasten - - - - Declared as a text section. See composition profile.
Voeding/vocht zib-FeedingTubeSystem DeviceUseStatement SondeSysteem v3.2(2017NL) -
zib-Infusion DeviceUseStatement Infuus v3.2(2017NL) -
Uitscheiding zib-Stoma Observation Stoma v3.2(2017NL) -


Examples

Use case: Overdrachtsbericht Volwassenen

Introduction

During the pilot, the transfer information is based on a subset of the Overdrachtsbericht Volwassenen (transfer message for adults). Phase one consists of the implementation of four HCIMs. The remaining information from eOverdracht may be sent unstructured in a PDF file.

Actors and transactions

Actor Role Transaction
Sending XIS Sends transfer message to the receiving XIS Send Overdrachtsbericht
Receiving XIS Acknowledges transfer message to sending XIS Overdrachtsbericht response

Structure of the Overdrachtsbericht phase 1: 4 HCIMs + PDF

The Overdrachtsbericht consists of multiple FHIR resources, which are assembled into a FHIR Bundle. The table below lists the FHIR StructureDefinitions that are applicable for the pilot implementation of the 'Overdrachtsbericht' transactions. During phase 1, the Overdrachtsbericht is based on the same 4 HCIMs as the aanmeldbericht (Patient, Betaler, Contactpersoon en Zorgaanbieder).


Section FHIR profile FHIR resource HCIM name HCIM version Remarks
eOverdracht-Overdrachtsbericht-volwassenen-phase-one Composition - - Declaration of the Send Overdrachtsbericht volwassenen phase one transaction.
Datum overplaatsing eOverdracht-TransferDate - - - DateTime extension used in eOverdracht composition profiles
Persoonsgegevens nl-core-patient Patient Patient v3.1(2017NL) -
zib-Payer Coverage Betaler v3.1(2017NL) -
Sturende organisatie nl-core-organization Organization Zorgaanbieder v3.1.1(2017NL) -
nl-core-practitioner Practitioner Zorgverlener v3.2(2017NL) -
nl-core-practitionerrole PractitionerRole
Ontvangende organisatie nl-core-organization Organization Zorgaanbieder v3.1.1(2017NL) -
nl-core-practitioner Practitioner Zorgverlener v3.2(2017NL) -
nl-core-practitionerrole PractitionerRole
PDF Binary Binary - - Should be used to send unstructured PDF data.

Structure of the Overdrachtsbericht phase 2: 11 HCIMs + PDF

The Overdrachtsbericht consists of multiple FHIR resources, which are assembled into a FHIR Bundle. The table below lists the FHIR StructureDefinitions that are applicable for the pilot implementation of the 'Overdrachtsbericht' transactions. During phase 2, the Overdrachtsbericht is based on the same 11 HCIMs as the aanmeldbericht. The remaining information is made available via an unstructured PDF.

Section FHIR profile FHIR resource HCIM name HCIM version Remarks
eOverdrachtOverdrachtsbericht-volwassenen-phase-two Composition - - Declaration of the Send Overdrachtsbericht volwassenen phase two transaction.
Datum overplaatsing eOverdracht-TransferDate - - - DateTime extension used in eOverdracht composition profiles
Persoonsgegevens nl-core-patient Patient Patient v3.1(2017NL) -
zib-Payer Coverage Betaler v3.1(2017NL) -
nl-core-relatedperson RelatedPerson Contactpersoon v3.1(2017NL) -
Sturende organisatie nl-core-organization Organization Zorgaanbieder v3.1.1(2017NL) -
nl-core-practitioner Practitioner Zorgverlener v3.2(2017NL) -
nl-core-practitionerrole PractitionerRole
Ontvangende organisatie nl-core-organization Organization Zorgaanbieder v3.1.1(2017NL) -
nl-core-practitioner Practitioner Zorgverlener v3.2(2017NL) -
nl-core-practitionerrole PractitionerRole
Medische diagnose zib-Problem Condition Probleem v4.1(2017NL -
Voorgeschiedenis zib-Problem Condition Probleem v4.1(2017NL -
Let op zib-Alert Flag Alert v3.2(2017NL) -
Vrijheidsbeperking zib-FreedomRestrictingMeasures Procedure VrijheidsBeperkendeMaatregelen v3.1(2017NL) -
Actuele patiëntenproblemen zib-Problem Condition Probleem v4.1(2017NL) -
Afspraken patiënt zib-ProcedureRequest ProcedureRequest OverdrachtGeplandeZorgActiviteit v3.1(2017NL) -
Wensen en behoeften patiënt en/of naasten - - - - Declared as a text section. See composition profile.
Voeding/vocht zib-FeedingTubeSystem DeviceUseStatement SondeSysteem v3.2(2017NL) -
zib-Infusion DeviceUseStatement Infuus v3.2(2017NL) -
Uitscheiding zib-Stoma Observation Stoma v3.2(2017NL) -
PDF Binary Binary - - Should be used to send unstructured PDF data.

Examples


FHIR CapabilityStatements

Phase one

  • Link to Server CapabilityStatement
  • Link to Client CapabilityStatement

Phase two

  • Link to Server CapabilityStatement
  • Link to Client CapabilityStatement