vpk:Vdraft FHIR eOverdracht Proeftuin
Introduction
This page details the HL7 FHIR requirements for exchanging the data in the eOverdracht Proeftuin pilot described in the functional design.
This FHIR implementation guide assumes the sending XIS is able to make a connection with the receiving XIS. It does not provide information on finding the right XIS nor does it provide information about security.
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Basic knowledge of FHIR(STU3) is assumed. |
TODO Implementation of these transactions is spread over multiple phases. In the first phase of the Proeftuin a simplified version of both the Aanmeldbericht en Overdrachtsbericht are being used. Both messages exist of four HCIMs listed in the table below. The Aanmeldbericht is send to the recieving organisation, which after confirmation of recieving the aanmeldberricht, gets send the Overdrachtbericht. 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 Kinderen 0-1 jaar, Overdrachtsbericht Kinderen 1-18 jaar as PUSH messages. /TODO
Package and dependencies
eOverdracht uses the FHIR Packaging mechanism to conveniently bundle all examples, profiles and other conformance resources you need into a single download. The eOverdracht package has a dependency on the Nictiz Zib2017 package .
Examples
Example instances of the FHIR messages can be found on Simplifier:
Use case 1A: Send Overdrachtsbericht volwassenen (PUSH)
Introduction
The Send Overdrachtsbericht scenario is used by the sending XIS to send the relevant data for the patient care to the receiving XIS. The structure of the eventual scenario is described in the functional design and additionally in Opbouw Overdrachtsbericht Volwassenen. For the pilot a limited subset is implemented.
Actors
| Transaction group | Transaction | Actor | Role |
|---|---|---|---|
| Send Overdrachtbericht (PUSH) | Send Overdrachtsbericht | Healthcare professional at organization A (using a XIS) | Sends Overdrachtsbericht |
| Healthcare professional at organization B (using a XIS) | Receives Overdrachtsbericht |
Invocation
The Send Overdrachtsbericht 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 a FHIR document (see #Structure of the Overdrachtsbericht (4 HCIMs + PDF)).
Trigger events
This transaction is invoked when the sending XIS needs to send the Overdrachtsbericht to the receiving XIS.
Expected response
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 receiving XIS cannot create a new resource because of incorrect data or business rules, it should perform a rollback of the creation of any previous entries.
On success, the target XIS SHALL respond:
- With the HTTP status code 201 Created.
- With the Location header containing the new logical id and version id of the created resource version.
- With a response body set to a Bundle of type "transaction-response", containing one entry for each entry in the request, in the same order, with the outcome of processing the entry. The sender may use the returned Bundle to track the outcomes of processing the entry, and the identities assigned to the resources by the server.
On failure, the target XIS SHALL respond:
- With an HTTP status code set appropriate to the processing outcome:
- When the resource syntax or data is incorrect or invalid, the status code should be 400 Bad Request.
- When the server rejects the content of the resource because of business rules, the status code should be 422 Unprocessable Entity.
- Additional HTTP status code may be used if more appropriate.
- With a response body set to a FHIR OperationOutcome resource with detailed error messages describing the reason for the error.
Structure of the Overdrachtsbericht (4 HCIMs + PDF)
The Overdrachtsbericht consists of multiple FHIR resources, which are assembled into a FHIR FHIR Document. To create this document, a FHIR Composition resource should be created that references the relevant resources. The Composition resource is then bundled together with all referenced resources in a Bundle of type "document". The Composition resource SHOULD be the first entry. During phase 1, the Overdrachtsbericht is based on the same 4 HCIMs as the Aanmeldbericht (Patient, Betaler, Contactpersoon en Zorgaanbieder).
The table below lists the FHIR profiles[1] that are applicable for the pilot implementation of the Overdrachtsbericht transaction. All resources SHALL conform to the profiles listed in this table and SHALL include the profile canonical URL in the meta.profile element.
Use case 3A: Send Aanmeldbericht (PUSH)
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 Aanmeldbericht. For the pilot a limited subset is implemented.
Actors
| Transaction group | Transaction | Actor | Role |
|---|---|---|---|
| Send Aanmeldbericht(PUSH) | Send Aanmeldbericht | Healthcare professional at organization A (using a XIS) | Sends Aanmeldbericht |
| Healthcare professional at organization B (using a XIS) | Receives Aanmeldbericht |
Invocation
The Send Aanmeldbericht 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 a FHIR document (see #Structure of the Aanmeldbericht (4 HCIMs + PDF)).
Trigger events
This transaction is invoked when the sending XIS needs to send the Overdrachtsbericht to the receiving XIS.
Expected response
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 receiving XIS cannot create a new resource because of incorrect data or business rules, it should perform a rollback of the creation of any previous entries.
On success, the target XIS SHALL respond:
- With the HTTP status code 201 Created.
- With the Location header containing the new logical id and version id of the created resource version.
- With a response body set to a Bundle of type "transaction-response", containing one entry for each entry in the request, in the same order, with the outcome of processing the entry. The sender may use the returned Bundle to track the outcomes of processing the entry, and the identities assigned to the resources by the server.
On failure, the target XIS SHALL respond:
- With an HTTP status code set appropriate to the processing outcome:
- When the resource syntax or data is incorrect or invalid, the status code should be 400 Bad Request.
- When the server rejects the content of the resource because of business rules, the status code should be 422 Unprocessable Entity.
- Additional HTTP status code may be used if more appropriate.
- With a response body set to a FHIR OperationOutcome resource with detailed error messages describing the reason for the error.
Structure of the Aanmeldbericht (4 HCIMs + PDF)
The Aanmeldbericht consists of multiple FHIR resources, which are assembled into a FHIR FHIR Document. To create this document, a FHIR Composition resource should be created that references the relevant resources. The Composition resource is then bundled together with all referenced resources in a Bundle of type "document". The Composition resource SHOULD be the first entry. During phase 1, the Overdrachtsbericht is based on the same 4 HCIMs as the Aanmeldbericht (Patient, Betaler, Contactpersoon en Zorgaanbieder).
The table below lists the FHIR profiles[1] that are applicable for the pilot implementation of the Overdrachtsbericht transaction. All resources SHALL conform to the profiles listed in this table and SHALL include the profile canonical URL in the meta.profile element.
| Section | FHIR profile | FHIR resource | HCIM name | HCIM version | Remarks |
|---|---|---|---|---|---|
| - | phase 1@ http://nictiz.nl/fhir/StructureDefinition/eOverdracht-aanmeldbericht-phase-one | Composition | - | - | The Composition resource used to assemble the document |
| Datum overplaatsing | http://nictiz.nl/fhir/StructureDefinition/eOverdracht-TransferDate | extension | - | - | extension in the Composition resource |
| Persoonsgegevens | http://fhir.nl/fhir/StructureDefinition/nl-core-patient | Patient | Patient | v3.1(2017NL) | - |
| http://nictiz.nl/fhir/StructureDefinition/zib-Payer | Coverage | Betaler | v3.1(2017NL) | - | |
| Sturende organisatie | http://fhir.nl/fhir/StructureDefinition/nl-core-organization | Organization | Zorgaanbieder | v3.1.1(2017NL) | - |
| Ontvangende organisatie | http://fhir.nl/fhir/StructureDefinition/nl-core-organization | Organization | Zorgaanbieder | v3.1.1(2017NL) | - |
| Binary | Binary | - | - | Used to send unstructured PDF data |
FHIR CapabilityStatements
- server@ http://nictiz.nl/fhir/CapabilityStatement/eOverdracht-servercapabilities-phase-one
- server@ http://nictiz.nl/fhir/CapabilityStatement/eOverdracht-clientcapabilities-phase-one
- ↑ 1,0 1,1 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.