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Resource "Patient-everything" Version "1" (OperationDefinition)

Tags:

XML or JSON representation . provenance for this resource

Fetch Patient Record

OPERATION: Fetch Patient Record

This operation is used to return all the information related to the patient described in the resource on which this operation is invoked. The response is a bundle of type "searchset". At a minimum, the patient resource itself is returned, along with any other resources that the server has that are related to the patient, and that are available for the given user. The server also returns whatever resources are needed to support the records - e.g. linked practitioners, medications, locations, organizations etc. The principle intended use for this operation is to provide a patient with access to their entire record (e.g. "Blue Button"). The server SHOULD return at least all resources that it has that are in the patient compartment for the identified patient, and any resource referenced from those, including binaries and attachments. In the US Realm, at a mimimum, the resources returned SHALL include all the data covered by the meaningful use common data elements as defined in DAF. Other applicable implementation guides may make additional rules about how much information that is returned

URL: [base]/Patient/$everything

URL: [base]/Patient/[id]/$everything

Parameters

Use Name Cardinality Type Binding Documentation
IN start 0..1 date

The date range relates to care dates, not record currency dates - e.g. all records relating to care provided in a certain date range. If no start date is provided, all records prior to the end date are in scope.

IN end 0..1 date

The date range relates to care dates, not record currency dates - e.g. all records relating to care provided in a certain date range. If no end date is provided, all records subsequent to the start date are in scope.

OUT return 1..1 Bundle

The bundle type is "searchset"

The key differences between this operation and simply searching the patient compartment are:

  • unless the client requests otherwise, the server returns the entire result set in a single bundle (rather than using paging)
  • the server is responsible for determining what resources to return as included resources (rather than the client specifying which ones). This frees the client from needing to determine what it could or should ask for

It is assumed that the server has identified and secured the context appropriately, and can either associate the authorization context with a single patient, or determine whether the context has the rights to the nominated patient, if there is one. If there is no nominated patient (e.g. the operation is invoked at the system level) and the context is not associated with a single patient record, then the server should return an error. Specifying the relationship between the context, a user and patient records is outside the scope of this specification.


<?xml version="1.0" encoding="UTF-8"?>
<OperationDefinition xmlns="http://hl7.org/fhir">
  <id value="Patient-everything"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2018-09-06T12:32:36.875Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <h2>Fetch Patient Record</h2>
      <p>OPERATION: Fetch Patient Record</p>
      <div>
        <p>This operation is used to return all the information related to the patient described in the resource on which this operation is invoked. The response is a bundle of type "searchset". At a minimum, the patient resource itself is returned, along with any other resources that the server has that are related to the patient, and that are available for the given user. The server also returns whatever resources are needed to support the records - e.g. linked practitioners, medications, locations, organizations etc. The principle intended use for this operation is to provide a patient with access to their entire record (e.g. "Blue Button"). The server SHOULD return at least all resources that it has that are in the patient compartment for the identified patient, and any resource referenced from those, including binaries and attachments. In the US Realm, at a mimimum, the resources returned SHALL include all the data covered by the meaningful use common data elements as defined in
          <a href="daf/daf.html">DAF</a>. Other applicable implementation guides may make additional rules about how much information that is returned </p> </div>
      <p>URL: [base]/Patient/$everything</p>
      <p>URL: [base]/Patient/[id]/$everything</p>
      <p>Parameters</p>
      <table class="grid">
        <tr>
          <td>
            <b>Use</b> </td>
          <td>
            <b>Name</b> </td>
          <td>
            <b>Cardinality</b> </td>
          <td>
            <b>Type</b> </td>
          <td>
            <b>Binding</b> </td>
          <td>
            <b>Documentation</b> </td> </tr>
        <tr>
          <td>IN</td>
          <td>start</td>
          <td>0..1</td>
          <td>date</td>
          <td/>
          <td>
            <div>
              <p>The date range relates to care dates, not record currency dates - e.g. all records relating to care provided in a certain date range. If no start date is provided, all records prior to the end date are in scope.</p> </div> </td> </tr>
        <tr>
          <td>IN</td>
          <td>end</td>
          <td>0..1</td>
          <td>date</td>
          <td/>
          <td>
            <div>
              <p>The date range relates to care dates, not record currency dates - e.g. all records relating to care provided in a certain date range. If no end date is provided, all records subsequent to the start date are in scope.</p> </div> </td> </tr>
        <tr>
          <td>OUT</td>
          <td>return</td>
          <td>1..1</td>
          <td>Bundle</td>
          <td/>
          <td>
            <div>
              <p>The bundle type is "searchset"</p> </div> </td> </tr> </table>
      <div>
        <p>The key differences between this operation and simply searching the patient compartment are:
          <br/> </p>
        <ul>
          <li>unless the client requests otherwise, the server returns the entire result set in a single bundle (rather than using paging)</li>
          <li>the server is responsible for determining what resources to return as included resources (rather than the client specifying which ones). This frees the client from needing to determine what it could or should ask for</li> </ul>
        <p>It is assumed that the server has identified and secured the context appropriately, and can either associate the authorization context with a single patient, or determine whether the context has the rights to the nominated patient, if there is one. If there is no nominated patient (e.g. the operation is invoked at the system level) and the context is not associated with a single patient record, then the server should return an error. Specifying the relationship between the context, a user and patient records is outside the scope of this specification.</p> </div> </div>
  </text>
  <url value="http://hl7.org/fhir/OperationDefinition/Patient-everything"/>
  <name value="Fetch Patient Record"/>
  <status value="draft"/>
  <kind value="operation"/>
  <publisher value="HL7 (FHIR Project)"/>
  <contact>
    <telecom>
      <system value="other"/>
      <value value="http://hl7.org/fhir"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="fhir@lists.hl7.org"/>
    </telecom>
  </contact>
  <date value="2015-10-24T07:41:03+11:00"/>
  <description value="This operation is used to return all the information related to the patient described in the resource on which this operation is invoked. The response is a bundle of type &quot;searchset&quot;. At a minimum, the patient resource itself is returned, along with any other resources that the server has that are related to the patient, and that are available for the given user. The server also returns whatever resources are needed to support the records - e.g. linked practitioners, medications, locations, organizations etc. The principle intended use for this operation is to provide a patient with access to their entire record (e.g. &quot;Blue Button&quot;). The server SHOULD return at least all resources that it has that are in the patient compartment for the identified patient, and any resource referenced from those, including binaries and attachments. In the US Realm, at a mimimum, the resources returned SHALL include all the data covered by the meaningful use common data elements as defined in [DAF](daf/daf.html). Other applicable implementation guides may make additional rules about how much information that is returned"/>
  <code value="everything"/>
  <notes value="The key differences between this operation and simply searching the patient compartment are: * unless the client requests otherwise, the server returns the entire result set in a single bundle (rather than using paging) * the server is responsible for determining what resources to return as included resources (rather than the client specifying which ones). This frees the client from needing to determine what it could or should ask for It is assumed that the server has identified and secured the context appropriately, and can either associate the authorization context with a single patient, or determine whether the context has the rights to the nominated patient, if there is one. If there is no nominated patient (e.g. the operation is invoked at the system level) and the context is not associated with a single patient record, then the server should return an error. Specifying the relationship between the context, a user and patient records is outside the scope of this specification."/>
  <system value="false"/>
  <type value="Patient"/>
  <instance value="true"/>
  <parameter>
    <name value="start"/>
    <use value="in"/>
    <min value="0"/>
    <max value="1"/>
    <documentation value="The date range relates to care dates, not record currency dates - e.g. all records relating to care provided in a certain date range. If no start date is provided, all records prior to the end date are in scope."/>
    <type value="date"/>
  </parameter>
  <parameter>
    <name value="end"/>
    <use value="in"/>
    <min value="0"/>
    <max value="1"/>
    <documentation value="The date range relates to care dates, not record currency dates - e.g. all records relating to care provided in a certain date range. If no end date is provided, all records subsequent to the start date are in scope."/>
    <type value="date"/>
  </parameter>
  <parameter>
    <name value="return"/>
    <use value="out"/>
    <min value="1"/>
    <max value="1"/>
    <documentation value="The bundle type is &quot;searchset&quot;"/>
    <type value="Bundle"/>
  </parameter>
</OperationDefinition>