EU Health Data API
0.1.0 - ci-build 150

EU Health Data API, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/euridice-org/eu-health-data-api/ and changes regularly. See the Directory of published versions

: EEHRxF Document Access Provider - Document Submission Option

Active as of 2026-01-26

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:CapabilityStatement ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "EEHRxF-DocumentAccessProvider-SubmissionOption"] ; # 
  fhir:language [ fhir:v "en"] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CapabilityStatement EEHRxF-DocumentAccessProvider-SubmissionOption</b></p><a name=\"EEHRxF-DocumentAccessProvider-SubmissionOption\"> </a><a name=\"hcEEHRxF-DocumentAccessProvider-SubmissionOption\"> </a><h2 id=\"title\">EEHRxF Document Access Provider - Document Submission Option</h2><ul><li>Implementation Guide Version: 0.1.0 </li><li>FHIR Version: 4.0.1 </li><li>Supported Formats: <code>json</code>, <code>xml</code></li><li>Published on: 2026-01-26 </li><li>Published by: HL7 Europe </li></ul><blockquote class=\"impl-note\"><p><strong>Note to Implementers: FHIR Capabilities</strong></p><p>Any FHIR capability may be 'allowed' by the system unless explicitly marked as 'SHALL NOT'. A few items are marked as MAY in the Implementation Guide to highlight their potential relevance to the use case.</p></blockquote><p>This CapabilityStatement imports the CapabilityStatement <a href=\"CapabilityStatement-EEHRxF-DocumentAccessProvider.html\">EEHRxF Document Access Provider CapabilityStatement</a></p><h2 id=\"rest\">FHIR RESTful Capabilities</h2><div class=\"panel panel-default\"><div class=\"panel-heading\"><h3 id=\"mode1\" class=\"panel-title\">Mode: <code>server</code></h3></div><div class=\"panel-body\"><div><p>The Document Submission Option adds ITI-105 Simplified Publish capability.\nDocument Publishers POST a DocumentReference with embedded document content.\nThe server extracts and persists both the DocumentReference metadata and the\nembedded document, making them available via ITI-67 and ITI-68.</p>\n</div><div class=\"lead\"><em>Security</em></div><div class=\"row\"><div class=\"col-lg-6\">Enable CORS: no</div><div class=\"col-lg-6\">Security services supported: <code>SMART-on-FHIR</code></div></div><blockquote><div><p>Additional scope required for document submission:</p>\n<ul>\n<li>system/DocumentReference.create (create DocumentReference via ITI-105)</li>\n</ul>\n<p>The Document Publisher must be authorized to submit documents on behalf of the\npatient's care team.</p>\n</div></blockquote></div></div><h3 id=\"resourcesCap1\">Capabilities by Resource/Profile</h3><h4 id=\"resourcesSummary1\">Summary</h4><p>The summary table lists the resources that are part of this configuration, and for each resource it lists:</p><ul><li>The relevant profiles (if any)</li><li>The interactions supported by each resource (<b><span class=\"bg-info\">R</span></b>ead, <b><span class=\"bg-info\">S</span></b>earch, <b><span class=\"bg-info\">U</span></b>pdate, and <b><span class=\"bg-info\">C</span></b>reate, are always shown, while <b><span class=\"bg-info\">VR</span></b>ead, <b><span class=\"bg-info\">P</span></b>atch, <b><span class=\"bg-info\">D</span></b>elete, <b><span class=\"bg-info\">H</span></b>istory on <b><span class=\"bg-info\">I</span></b>nstance, or <b><span class=\"bg-info\">H</span></b>istory on <b><span class=\"bg-info\">T</span></b>ype are only present if at least one of the resources has support for them.</li><li><span>The required, recommended, and some optional search parameters (if any). </span></li><li>The linked resources enabled for <code>_include</code></li><li>The other resources enabled for <code>_revinclude</code></li><li>The operations on the resource (if any)</li></ul><div class=\"table-responsive\"><table class=\"table table-condensed table-hover\"><thead><tr><th><b>Resource Type</b></th><th><b>Profile</b></th><th class=\"text-center\"><b title=\"GET a resource (read interaction)\">R</b></th><th class=\"text-center\"><b title=\"GET all set of resources of the type (search interaction)\">S</b></th><th class=\"text-center\"><b title=\"PUT a new resource version (update interaction)\">U</b></th><th class=\"text-center\"><b title=\"POST a new resource (create interaction)\">C</b></th><th><b title=\"Required and recommended search parameters\">Searches</b></th><th><code><b>_include</b></code></th><th><code><b>_revinclude</b></code></th><th><b>Operations</b></th></tr></thead><tbody><tr><td><a href=\"#DocumentReference1-1\">DocumentReference</a></td><td>Supported Profiles<br/>  <a href=\"https://profiles.ihe.net/ITI/MHD/4.2.3/StructureDefinition-IHE.MHD.Minimal.DocumentReference.html\">MHD DocumentReference Minimalversion: 4.2.3)</a></td><td class=\"text-center\"/><td class=\"text-center\"/><td class=\"text-center\"/><td class=\"text-center\"><span title=\"SHALL\"><b>Y</b></span></td><td/><td/><td/><td><code>$validate</code></td></tr></tbody></table></div><hr/><div class=\"panel panel-default\"><div class=\"panel-heading\"><h4 id=\"DocumentReference1-1\" class=\"panel-title\"><span style=\"float: right;\">Resource Conformance: SHALL </span>DocumentReference</h4></div><div class=\"panel-body\"><div class=\"container\"><div class=\"row\"><div class=\"col-lg-4\"><span class=\"lead\">Core FHIR Resource</span><br/><a href=\"http://hl7.org/fhir/R4/documentreference.html\">DocumentReference</a></div><div class=\"col-lg-4\"><span class=\"lead\">Reference Policy</span><br/></div><div class=\"col-lg-4\"><span class=\"lead\">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <br/><code>create</code><div><p>Accept DocumentReference with embedded document (ITI-105 Simplified Publish).</p>\n<p>The DocumentReference SHALL include:</p>\n<ul>\n<li>status (required)</li>\n<li>type (required - LOINC document type)</li>\n<li>subject (required - Patient reference)</li>\n<li>content.attachment.contentType (required)</li>\n<li>content.attachment.data (required - base64-encoded document content)</li>\n</ul>\n<p>The server SHALL:</p>\n<ul>\n<li>Validate against EEHRxF DocumentReference profile</li>\n<li>Extract and persist the document</li>\n<li>Assign server-generated IDs</li>\n<li>Return 201 Created with the persisted DocumentReference</li>\n</ul>\n</div></li></ul></div></div><p/><div class=\"row\"><div class=\"col-6\"><span class=\"lead\">Supported Profiles</span><p><a href=\"https://profiles.ihe.net/ITI/MHD/4.2.3/StructureDefinition-IHE.MHD.Minimal.DocumentReference.html\">MHD DocumentReference Minimalversion: 4.2.3)</a></p></div></div><p/><div class=\"row\"><div class=\"col-12\"><span class=\"lead\">Documentation</span><blockquote><div><p>DocumentReference resources with embedded document content are accepted via\nITI-105 Simplified Publish. The server:</p>\n<ol>\n<li>Validates the DocumentReference against EEHRxF profiles</li>\n<li>Extracts the embedded document from content.attachment.data</li>\n<li>Persists both the DocumentReference and the document</li>\n<li>Returns the created DocumentReference with server-assigned IDs</li>\n</ol>\n</div></blockquote></div></div><div class=\"row\"><div class=\"col-12\"><span class=\"lead\">Extended Operations</span><table class=\"table table-condensed table-hover\"><thead><tr><th>Conformance</th><th>Operation</th><th>Documentation</th></tr></thead><tbody><tr><td><b>MAY</b></td><td>$validate</td><td><div><p>Pre-validation of DocumentReference before submission</p>\n</div></td></tr></tbody></table></div></div></div></div></div></div>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:url [
fhir:v "http://hl7.eu/fhir/eu-health-data-api/CapabilityStatement/EEHRxF-DocumentAccessProvider-SubmissionOption"^^xsd:anyURI ;
fhir:l <http://hl7.eu/fhir/eu-health-data-api/CapabilityStatement/EEHRxF-DocumentAccessProvider-SubmissionOption>
  ] ; # 
  fhir:version [ fhir:v "0.1.0"] ; # 
  fhir:name [ fhir:v "EEHRxFDocumentAccessProviderSubmissionOption"] ; # 
  fhir:title [ fhir:v "EEHRxF Document Access Provider - Document Submission Option"] ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:experimental [ fhir:v false] ; # 
  fhir:date [ fhir:v "2026-01-26"^^xsd:date] ; # 
  fhir:publisher [ fhir:v "HL7 Europe"] ; # 
  fhir:contact ( [
fhir:name [ fhir:v "HL7 Europe" ] ;
    ( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "http://hl7.eu" ]     ] )
  ] ) ; # 
  fhir:description [ fhir:v "CapabilityStatement for the Document Submission Option on the EEHRxF Document Access Provider.\n\nThis option enables the Access Provider to receive documents from external Document\nPublishers via [ITI-105 Simplified Publish](https://profiles.ihe.net/ITI/MHD/ITI-105.html).\n\nSystems implementing this option:\n- SHALL also implement the base [Document Access Provider](CapabilityStatement-EEHRxF-DocumentAccessProvider.html) capabilities\n- SHALL accept ITI-105 transactions from authorized Document Publishers\n- SHALL make received documents available via ITI-67 and ITI-68\n- SHALL validate documents against EEHRxF content profiles\n\nThis option is REQUIRED when acting as a delegated access provider for external\nDocument Publishers (e.g., integration engines, national infrastructure).\n\n### Actor Grouping\n\nAdds to base Document Access Provider:\n- [MHD Document Recipient](https://profiles.ihe.net/ITI/MHD/1331_actors_and_transactions.html) - Simplified Publish Option ([CapabilityStatement](https://profiles.ihe.net/ITI/MHD/CapabilityStatement-IHE.MHD.DocumentRecipient.html))\n\n### Transaction\n\n| Transaction | Description | Optionality |\n|-------------|-------------|-------------|\n| ITI-105 Simplified Publish | Accept document publication from Document Publishers | R |\n\n### Security\nSystems SHALL support SMART Backend Services authorization for document submission."] ; # 
  fhir:jurisdiction ( [
    ( fhir:coding [
fhir:system [
fhir:v "http://unstats.un.org/unsd/methods/m49/m49.htm"^^xsd:anyURI ;
fhir:l <http://unstats.un.org/unsd/methods/m49/m49.htm>       ] ;
fhir:code [ fhir:v "150" ] ;
fhir:display [ fhir:v "Europe" ]     ] )
  ] ) ; # 
  fhir:copyright [ fhir:v "Copyright HL7 Europe. Licensed under Creative Commons public domain (CC0 1.0)."] ; # 
  fhir:kind [ fhir:v "requirements"] ; # 
  fhir:imports ( [
fhir:v "http://hl7.eu/fhir/eu-health-data-api/CapabilityStatement/EEHRxF-DocumentAccessProvider"^^xsd:anyURI ;
fhir:l <http://hl7.eu/fhir/eu-health-data-api/CapabilityStatement/EEHRxF-DocumentAccessProvider>
  ] ) ; # 
  fhir:fhirVersion [ fhir:v "4.0.1"] ; # 
  fhir:format ( [ fhir:v "json"] [ fhir:v "xml"] ) ; # 
  fhir:rest ( [
fhir:mode [ fhir:v "server" ] ;
fhir:documentation [ fhir:v "The Document Submission Option adds ITI-105 Simplified Publish capability.\nDocument Publishers POST a DocumentReference with embedded document content.\nThe server extracts and persists both the DocumentReference metadata and the\nembedded document, making them available via ITI-67 and ITI-68." ] ;
fhir:security [
      ( fhir:service [
        ( fhir:coding [
fhir:system [
fhir:v "http://hl7.org/fhir/restful-security-service"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/restful-security-service>           ] ;
fhir:code [ fhir:v "SMART-on-FHIR" ]         ] )       ] ) ;
fhir:description [ fhir:v "Additional scope required for document submission:\n- system/DocumentReference.create (create DocumentReference via ITI-105)\n\nThe Document Publisher must be authorized to submit documents on behalf of the\npatient's care team." ]     ] ;
    ( fhir:resource [
      ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation>         ] ;
fhir:value [
a fhir:Code ;
fhir:v "SHALL"         ]       ] ) ;
fhir:type [ fhir:v "DocumentReference" ] ;
      ( fhir:supportedProfile [
fhir:v "https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.Minimal.DocumentReference|4.2.3"^^xsd:anyURI ;
fhir:l <https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.Minimal.DocumentReference?version=4.2.3>       ] ) ;
fhir:documentation [ fhir:v "DocumentReference resources with embedded document content are accepted via\nITI-105 Simplified Publish. The server:\n1. Validates the DocumentReference against EEHRxF profiles\n2. Extracts the embedded document from content.attachment.data\n3. Persists both the DocumentReference and the document\n4. Returns the created DocumentReference with server-assigned IDs" ] ;
      ( fhir:interaction [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation>           ] ;
fhir:value [
a fhir:Code ;
fhir:v "SHALL"           ]         ] ) ;
fhir:code [ fhir:v "create" ] ;
fhir:documentation [ fhir:v "Accept DocumentReference with embedded document (ITI-105 Simplified Publish).\n\nThe DocumentReference SHALL include:\n- status (required)\n- type (required - LOINC document type)\n- subject (required - Patient reference)\n- content.attachment.contentType (required)\n- content.attachment.data (required - base64-encoded document content)\n\nThe server SHALL:\n- Validate against EEHRxF DocumentReference profile\n- Extract and persist the document\n- Assign server-generated IDs\n- Return 201 Created with the persisted DocumentReference" ]       ] ) ;
      ( fhir:operation [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation>           ] ;
fhir:value [
a fhir:Code ;
fhir:v "MAY"           ]         ] ) ;
fhir:name [ fhir:v "validate" ] ;
fhir:definition [
fhir:v "http://hl7.org/fhir/OperationDefinition/Resource-validate"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/OperationDefinition/Resource-validate>         ] ;
fhir:documentation [ fhir:v "Pre-validation of DocumentReference before submission" ]       ] )     ] )
  ] ) . #