CH EPR FHIR (R4), published by eHealth Suisse. This guide is not an authorized publication; it is the continuous build for version 4.0.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/ehealthsuisse/ch-epr-mhealth/ and changes regularly. See the Directory of published versions

Mobile Access to Health Documents (MHD) with XDS on FHIR

This section specifies Swiss national extensions to the Mobile Access to Health Documents (MHD) with XDS on FHIR Profile, which is published as an IHE ITI Trial Implementation profile.

Scope

An EPR App can query, retrieve or publish data to EPR communities using the transaction of the MHD profile.

Use Cases

No extensions or restrictions to the profile use cases are specified in the Swiss in national extension.

Actors and Transactions

No extensions or restrictions to the actors and transactions are specified in the Swiss national extension.

This figure shows the actors directly involved in the Mobile Access to Health Documents Profile and the relevant transactions between them.

Actor options

For all actors the Comprehensive Metadata Option and the XDS on FHIR Option SHALL be supported. For all actors the Metadata as defined in Annex 3 SHALL be supported.

Required Actor Groupings

The Actors Document Recipient and Document Responder MUST be grouped according to the XDS on FHIR grouping condition see Table 33.3-1: MHD - Actors Required Grouping. This national extension enforces authentication and authorization for access control. Therefore actors of this profile must be grouped with actors of other profiles according to the following table:

Process Flow

For the process flow of this profile and its interplay with the other profiles see sequence diagrams.

Security Consideration

This national extension enforces authentication and authorization of access to the Patient Identity Manager using the IUA profile with extended access token as described in IUA.