Page Comparison

CommunicationRequest Create/Read/Update/Delete

Practitioner

required

must match CommunicationRequest.episodeOfCare

required

must match CommunicationRequest.recipientsubject

required

must match CommunicationRequest.recipient if recipient contains a careteam

Patient

optional but when present:

must match CommunicationRequest.episodeOfCare

required

must match CommunicationRequest.recipientsubject

-

Update: Only status

System

-

-

Draft of FUTURE change as a consequence of CCR154: CommunicationRequest Create/Read/Update/Delete

Practitioner

required if CommunicationRequest has an episodeOfCare. CommunicationRequest.episodeOfCare and EpisodeOfCare Context security token context must matchTODO: require no context if CR doesn’t have EoC?.

If CommunicationRequest.episodeOfCare is null then the security token must not have an episodeOfCare context

required

must match CommunicationRequest.recipientsubject

required

must match CommunicationRequest.recipient if recipient contains a careteam

Patient

optional but when present :it must match CommunicationRequest.episodeOfCareTODO: require no context if CR doesn’t have EoC?

If CommunicationRequest.episodeOfCare is null then the security token must not have an episodeOfCare context

required

must match CommunicationRequest.recipientsubject

-

Update: Only status

System

-

-

Draft of FUTURE change as a consequence of CCR154: CommunicationRequest Search

Practitioner

Required if searchparam episodeOfCare is specified. In this case searchparam and context must match

If EpisodeOfCare context is not present, then searchparam “episodeOfCare:missing=true” must be used.the search parameter must include at least one of:

1. episodeOfCare:missing=true

2. recipient=<careteam> matching CareTeam context

optional but when present:

must match searchparam CommunicationRequest.subject

required if searchparam if search param recipient is a careteam. The search param and careteam context must match.

Patient

optional but when present

must match CommunicationRequest.match searchparam: episodeOfCare

Always present and must match searchparam CommunicationRequest.recipient

-

System

-

-

-

Patient.read

R*

R*

REGULAR SEARCH:

In order to perform regular Patient Search, the user MUST have the Patient Context.

LIMITED SEARCH (Dashboard Search):

It is also possible to perform a patient search witha CareTeam Context instead of a Patient Context. In that case, the patients are then retrieved from EpisodesOfCare and CarePlan objects that the CareTeam is involved in.

NOTE: The patient resources that are returned from this search are limited and as such only the following information is returned:

• Identifier

• Date of Birth

• Gender

• Cpr

• Deceased status

• Home address

• Official name

*R - THE CONTEXTS ARE MUTUALLY EXCLUSIVE, AS SUCH IF BOTH CONTEXTS ARE PROVIDED IN THE TOKEN, ONLY THE PATIENT CONTEXT IS USED.

Patient.write

R

1: FHIR operations "create" and "update" are not available on the Patient resource. 
(use $createPatient and "patch")

2: Only certain attributes are allowed to be patched using HTTP PATCH

Patient$updatePatientWithSKRSData

Patient$createPatient

Appointment.read

U

U

For non-group appointments:

1: If an appointment involves a patient, then that patient must be in context

2: The appointment can be read if

• the user has a Care Team in context that is participating in the appointment

• the user is participating in the appointment (as a Practitioner or Patient)

3: Searching

• PATIENT users can search all Appointments that involves the user itself

• PRACTITIONER/SSL users can search all Appointments that involves the user itself, or the Organization/CareTeam/Patient in context

Appointment.write

U

U

For non-group appointments:

1: If an appointment involves a patient, then that patient must be in context

2: The appointment can be written if

• the user has a Care Team in context that is participating in the appointment

• the user is participating in the appointment (as a Practitioner or Patient)

Appointment$exportAsiCal

U

U

Same rules apply as for reading appointments

Note: Only PRACTITIONER/SSL users can see the names of Practitioner participants in the exported iCal object

RelatedPerson.read

R

Only related persons to the patient in context can be read

RelatedPerson.write

R

Only related persons to the patient in context can be written

Communication.read

U

If the message has a restriction category X, the corrosponding RestrictionCategory.X role must be present in the realm_access list.

1: PATIENT users can read

• communication where they themselves are either the sender or recipient

2: PRACTITIONER and SSL users can read 

• communication where they themselves are either the sender or recipient

• communication where the CareTeam in context is the sender or recipient

3: Only SYSTEM users can read communication from DEVICE senders

Communication.write

U

1: Communication must have exactly one sender and one recipient

2: Communication with category "note" can only be created/patched/deleted if user = sender and (recipient = sender or recipient = a CareTeam). 
(notes can be shared with any CareTeam)

3: PATIENT users 

• can only create/delete "message" communication where they are sender and recipient is of type CareTeam

• can only patch "message" communication where they are sender or recipient (recipient can patch "received" property)

4: PRACTITIONER and SSL users 

• can only create/delete "message" communication where the sender is the CareTeam in context and recipient is of type PATIENT or type CareTeam

• can only patch "message" communication where the CareTeam in context is the sender or recipient

Person$match

Only requires the role “Person$match”

Used to lookup person data by CPR, including name and a patient reference, if one exists.

This is only a read operation and will not create any resources.

The operations is audit logged.