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Handling at LoginWhen a user performs login at the eHealth Infrastructure, various checks are performed and security artifacts (such as the security token) are produced. In addition, certain resources are read, created, or possibly updated. The following applies to users of the Practitioner type. The external security token contains one to many organizational scopes in which the user can have:
For the recognized user roles bound to a recognized and pre-existing CareTeam, it is ensured that:
For all the organizational scopes where the organization identification can be resolved to an Organization in the eHealth Infrastructure, it is ensured that:
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Sharing through Registering Documents in National Document Sharing Infrastructure
Some FHIR resources in the eHealth Infrastructure are assembled to volatile FHIR Compositions (as described in https://ehealth-dk.atlassian.net/wiki/spaces/EDTW/pages/2242281473/Performing+Document+Query+and+Retrieve+and+Using+Transformations#Preparing-Transformations-by-Assembling-Required-FHIR-Resources), transformed to Danish profiles of Clinical Document Architecture (CDA) documents (as described in https://ehealth-dk.atlassian.net/wiki/spaces/EDTW/pages/2242281473/Performing+Document+Query+and+Retrieve+and+Using+Transformations#Transformation-Details), and registered in the national health document sharing archives. This way, the patient and other healthcare professionals can access the health data registered through other health systems while subjected to various access controls and audit logging.
This description focuses on the criteria for this registration to take place.
Document Registering of Measurements
Submitted measurements, whether in the form of Observation, QuestionnaireResponse, or Media, are each associated with a ServiceRequest. As part of being evaluated by a Practitioner, each measurement can be approved for sharing in the form of a ClinicalImpression with the element ehealth-clinicalimpression-decision set to a Coding for approved-for-sharing.
The criteria for registering a measurement as a document are:
The
ServiceRequest.ehealth-sharingPolicymust specify sharing is allowed and, currently, that this is sharing with a national health archive as the destinationThere must exist a ClinicalImpression referring to the measurement with
ClinicalImpression.ehealth-clinicalimpression-decisionset to a Coding forapproved-for-sharingThe measurement must be an Observation or QuestionnaireResponse
For a QuestionnaireResponse it must be a response to a Questionnaire:
for which a representation as the Danish profile of the CDA Questionnaire Form Definition Document (QFDD) exists
for which the location of the QFDD is known in the infrastructure.
For an Observation, it must not specify an absent data reason (
.dataAbsentReason). Observations without a value can't be shared with CDA Personal Health Monitoring Report (PHMR).
An Observation is registered as a Danish profile of the CDA Personal Health Monitoring Report (PHMR) document and a QuestionnaireResponse as a Danish profile of the CDA Questionnaire Response Document (QRD) document.
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How must the location of externally accessible QFDD be known to the infrastructure? There shall be a:
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Document Registering of Appointments
A created or updated Appointment (whether of profile ehealth-appointment or ehealth-videoappointment) is registered as the Danish profile of the CDA Appointment Document (APD), provided that criteria are met.
The criteria for registering an Appointment resource are:
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The Appointment.ehealth-legalBasis must be present and designate a legal basis for which national document-sharing infrastructure has been established - currently, this is the case for Healthcare Act only.
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The Appointment.ehealth-releasebleResource must, if present, be set to true.
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