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Deprecate document metadata in the national document sharing infrastructure

Deprecate document metadata in the national document sharing infrastructure

A citizen or Telemedicine Solution project may discover a clinical document that should not appear in the national document sharing infrastructure. For the citizen, this may be found through the national patient portal sundhed.dk.

In this case, this standard service request can be requested.

Invalidation and retraction of invalidation of measurements described below is available with release FUT-I 2025.1.

Precedence over document sharing reactions to invalidating and retracting invalidation of measurements.

It is possible for citizens and employees to invalidate and retract invalidation of measurements (FHIR Media, FHIR Observation and FHIR QuestionnaireResponse). Invalidating a measurement will results in change of document metadata status to Deprecated in case the measurement has been registered as a document. Retracting an invalidation results in a document for the measurement being registered, if eligible for document registration.

The manual deprecation provided through the standard service request described here takes precedence (overrides) over the document sharing reactions to invalidating and retracting invalidation of measurements. That is, if a measurement has been registered as a document and then manually deprecated:

  • invalidation does not cause deprecation (the document is already deprecated)

  • retraction of invalidation does not cause registration of a document

Required Input from Requester

  • Person Identifier (Danish: CPR) for the citizen

  • Document Id for clinical document. This is the identifier of the document, technically registered as attribute uniqueId in the document metadata.

For further information on the uniqueId, see the Danish national XDS Metadata profile described in the folder https://svn.medcom.dk/svn/releases/Standarder/IHE/DK_profil_metadata/ .

Request Outcome

Technically, making the clinical document “disappear” happens through deprecation of the document metadata. The document metadata and document are not deleted. Instead, the document metadata status changes from active to deprecated, thereby not appearing in queries for active document metadata.

For the eHealth Infrastructure to deprecate document metadata, it is required that the document and document metadata originate and is registered by the eHealth Infrastructure in the national document sharing infrastructure. This is verified by the eHealth Infrastructure, and if not the case, the outcome is an error.

When change of document metadata to deprecated status is successful, this is reflected in the outcome.

 

 

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