EU Health Data API
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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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<CapabilityStatement xmlns="http://hl7.org/fhir">
  <id value="EEHRxF-DocumentAccessProvider-SubmissionOption"/>
  <language value="en"/>
  <text>
    <status value="extensions"/>
    <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.
Document Publishers POST a DocumentReference with embedded document content.
The server extracts and persists both the DocumentReference metadata and the
embedded document, making them available via ITI-67 and ITI-68.</p>
</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>
<ul>
<li>system/DocumentReference.create (create DocumentReference via ITI-105)</li>
</ul>
<p>The Document Publisher must be authorized to submit documents on behalf of the
patient's care team.</p>
</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>
<p>The DocumentReference SHALL include:</p>
<ul>
<li>status (required)</li>
<li>type (required - LOINC document type)</li>
<li>subject (required - Patient reference)</li>
<li>content.attachment.contentType (required)</li>
<li>content.attachment.data (required - base64-encoded document content)</li>
</ul>
<p>The server SHALL:</p>
<ul>
<li>Validate against EEHRxF DocumentReference profile</li>
<li>Extract and persist the document</li>
<li>Assign server-generated IDs</li>
<li>Return 201 Created with the persisted DocumentReference</li>
</ul>
</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
ITI-105 Simplified Publish. The server:</p>
<ol>
<li>Validates the DocumentReference against EEHRxF profiles</li>
<li>Extracts the embedded document from content.attachment.data</li>
<li>Persists both the DocumentReference and the document</li>
<li>Returns the created DocumentReference with server-assigned IDs</li>
</ol>
</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>
</div></td></tr></tbody></table></div></div></div></div></div></div>
  </text>
  <url
       value="http://hl7.eu/fhir/eu-health-data-api/CapabilityStatement/EEHRxF-DocumentAccessProvider-SubmissionOption"/>
  <version value="0.1.0"/>
  <name value="EEHRxFDocumentAccessProviderSubmissionOption"/>
  <title
         value="EEHRxF Document Access Provider - Document Submission Option"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2026-01-26"/>
  <publisher value="HL7 Europe"/>
  <contact>
    <name value="HL7 Europe"/>
    <telecom>
      <system value="url"/>
      <value value="http://hl7.eu"/>
    </telecom>
  </contact>
  <description
               value="CapabilityStatement for the Document Submission Option on the EEHRxF Document Access Provider.

This option enables the Access Provider to receive documents from external Document
Publishers via [ITI-105 Simplified Publish](https://profiles.ihe.net/ITI/MHD/ITI-105.html).

Systems implementing this option:
- SHALL also implement the base [Document Access Provider](CapabilityStatement-EEHRxF-DocumentAccessProvider.html) capabilities
- SHALL accept ITI-105 transactions from authorized Document Publishers
- SHALL make received documents available via ITI-67 and ITI-68
- SHALL validate documents against EEHRxF content profiles

This option is REQUIRED when acting as a delegated access provider for external
Document Publishers (e.g., integration engines, national infrastructure).

### Actor Grouping

Adds to base Document Access Provider:
- [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))

### Transaction

| Transaction | Description | Optionality |
|-------------|-------------|-------------|
| ITI-105 Simplified Publish | Accept document publication from Document Publishers | R |

### Security
Systems SHALL support SMART Backend Services authorization for document submission."/>
  <jurisdiction>
    <coding>
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="150"/>
      <display value="Europe"/>
    </coding>
  </jurisdiction>
  <copyright
             value="Copyright HL7 Europe. Licensed under Creative Commons public domain (CC0 1.0)."/>
  <kind value="requirements"/>
  <imports
           value="http://hl7.eu/fhir/eu-health-data-api/CapabilityStatement/EEHRxF-DocumentAccessProvider"/>
  <fhirVersion value="4.0.1"/>
  <format value="json"/>
  <format value="xml"/>
  <rest>
    <mode value="server"/>
    <documentation
                   value="The Document Submission Option adds ITI-105 Simplified Publish capability.
Document Publishers POST a DocumentReference with embedded document content.
The server extracts and persists both the DocumentReference metadata and the
embedded document, making them available via ITI-67 and ITI-68."/>
    <security>
      <service>
        <coding>
          <system value="http://hl7.org/fhir/restful-security-service"/>
          <code value="SMART-on-FHIR"/>
        </coding>
      </service>
      <description
                   value="Additional scope required for document submission:
- system/DocumentReference.create (create DocumentReference via ITI-105)

The Document Publisher must be authorized to submit documents on behalf of the
patient's care team."/>
    </security>
    <resource>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
        <valueCode value="SHALL"/>
      </extension>
      <type value="DocumentReference"/>
      <supportedProfile
                        value="https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.Minimal.DocumentReference|4.2.3"/>
      <documentation
                     value="DocumentReference resources with embedded document content are accepted via
ITI-105 Simplified Publish. The server:
1. Validates the DocumentReference against EEHRxF profiles
2. Extracts the embedded document from content.attachment.data
3. Persists both the DocumentReference and the document
4. Returns the created DocumentReference with server-assigned IDs"/>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="create"/>
        <documentation
                       value="Accept DocumentReference with embedded document (ITI-105 Simplified Publish).

The DocumentReference SHALL include:
- status (required)
- type (required - LOINC document type)
- subject (required - Patient reference)
- content.attachment.contentType (required)
- content.attachment.data (required - base64-encoded document content)

The server SHALL:
- Validate against EEHRxF DocumentReference profile
- Extract and persist the document
- Assign server-generated IDs
- Return 201 Created with the persisted DocumentReference"/>
      </interaction>
      <operation>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="validate"/>
        <definition
                    value="http://hl7.org/fhir/OperationDefinition/Resource-validate"/>
        <documentation
                       value="Pre-validation of DocumentReference before submission"/>
      </operation>
    </resource>
  </rest>
</CapabilityStatement>