Dokumentenabfrage und -zugriff
Dokumentenabfrage
Dokumente können anhand ihrer Metadaten gesucht werden. Im Rahmen der ISiK-Spezifikation müssen mindestens die im Kapitel Interaktionen
mit MUSS
gekennzeichneten Suchparameter unterstützt werden. Einzelnen Systemen steht es frei, darüber hinaus weitere FHIR-konforme Suchparameter zu implementieren.
Es gelten die allgemeinen Festlegungen zu Suchparametern gemäß ISiK Basisprofil Stufe 2
Die Ergebnisse einer Suchanfrage werden in Form eines Bundles zurückgegeben:
Bundle | I | Bundle | There are no (further) constraints on this element Element IdBundle Contains a collection of resources DefinitionA container for a collection of resources.
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identifier | Σ | 0..1 | Identifier | There are no (further) constraints on this element Element IdBundle.identifier Persistent identifier for the bundle DefinitionA persistent identifier for the bundle that won't change as a bundle is copied from server to server. Persistent identity generally only matters for batches of type Document, Message, and Collection. It would not normally be populated for search and history results and servers ignore Bundle.identifier when processing batches and transactions. For Documents the .identifier SHALL be populated such that the .identifier is globally unique.
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type | Σ | 1..1 | codeBindingFixed Value | Element IdBundle.type document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection DefinitionIndicates the purpose of this bundle - how it is intended to be used. It's possible to use a bundle for other purposes (e.g. a document can be accepted as a transaction). This is primarily defined so that there can be specific rules for some of the bundle types. Indicates the purpose of a bundle - how it is intended to be used. BundleType (required)Constraints
searchset
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timestamp | Σ | 0..1 | instant | There are no (further) constraints on this element Element IdBundle.timestamp When the bundle was assembled DefinitionThe date/time that the bundle was assembled - i.e. when the resources were placed in the bundle. For many bundles, the timestamp is equal to .meta.lastUpdated, because they are not stored (e.g. search results). When a bundle is placed in a persistent store, .meta.lastUpdated will be usually be changed by the server. When the bundle is a message, a middleware agent altering the message (even if not stored) SHOULD update .meta.lastUpdated. .timestamp is used to track the original time of the Bundle, and SHOULD be populated. Usage:
The timestamp value should be greater than the lastUpdated and other timestamps in the resources in the bundle, and it should be equal or earlier than the .meta.lastUpdated on the Bundle itself.
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total | Σ I | 1..1 | unsignedInt | There are no (further) constraints on this element Element IdBundle.total If search, the total number of matches DefinitionIf a set of search matches, this is the total number of entries of type 'match' across all pages in the search. It does not include search.mode = 'include' or 'outcome' entries and it does not provide a count of the number of entries in the Bundle. Only used if the bundle is a search result set. The total does not include resources such as OperationOutcome and included resources, only the total number of matching resources.
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link | Σ | 0..* | BackboneElement | There are no (further) constraints on this element Element IdBundle.link Links related to this Bundle DefinitionA series of links that provide context to this bundle. Both Bundle.link and Bundle.entry.link are defined to support providing additional context when Bundles are used (e.g. HATEOAS). Bundle.entry.link corresponds to links found in the HTTP header if the resource in the entry was read directly. This specification defines some specific uses of Bundle.link for searching and paging, but no specific uses for Bundle.entry.link, and no defined function in a transaction - the meaning is implementation specific.
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relation | Σ | 1..1 | string | There are no (further) constraints on this element Element IdBundle.link.relation See http://www.iana.org/assignments/link-relations/link-relations.xhtml#link-relations-1 DefinitionA name which details the functional use for this link - see http://www.iana.org/assignments/link-relations/link-relations.xhtml#link-relations-1. Note that FHIR strings SHALL NOT exceed 1MB in size
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url | Σ | 1..1 | uri | There are no (further) constraints on this element Element IdBundle.link.url Reference details for the link DefinitionThe reference details for the link. see http://en.wikipedia.org/wiki/Uniform_resource_identifier
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entry | Σ I | 0..* | BackboneElement | Element IdBundle.entry Entry in the bundle - will have a resource or information DefinitionAn entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only). Unordered, Open, by resource(Profile) Constraints
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(All Slices) | There are no (further) constraints on this element | |||
link | Σ | 0..* | see (link) | There are no (further) constraints on this element Element IdBundle.entry.link Links related to this entry DefinitionA series of links that provide context to this entry. |
fullUrl | Σ | 1..1 | uri | There are no (further) constraints on this element Element IdBundle.entry.fullUrl URI for resource (Absolute URL server address or URI for UUID/OID) DefinitionThe Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:
fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id. Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).
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resource | Σ | 0..1 | Resource | There are no (further) constraints on this element Element IdBundle.entry.resource A resource in the bundle DefinitionThe Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.
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search | Σ I | 0..1 | BackboneElement | There are no (further) constraints on this element Element IdBundle.entry.search Search related information DefinitionInformation about the search process that lead to the creation of this entry.
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mode | Σ | 0..1 | codeBinding | There are no (further) constraints on this element Element IdBundle.entry.search.mode match | include | outcome - why this is in the result set DefinitionWhy this entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process. There is only one mode. In some corner cases, a resource may be included because it is both a match and an include. In these circumstances, 'match' takes precedence. Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process. SearchEntryMode (required)Constraints
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score | Σ | 0..1 | decimal | There are no (further) constraints on this element Element IdBundle.entry.search.score Search ranking (between 0 and 1) DefinitionWhen searching, the server's search ranking score for the entry. Servers are not required to return a ranking score. 1 is most relevant, and 0 is least relevant. Often, search results are sorted by score, but the client may specify a different sort order. See Patient Match for the EMPI search which relates to this element.
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request | Σ I | 0..1 | BackboneElement | There are no (further) constraints on this element Element IdBundle.entry.request Additional execution information (transaction/batch/history) DefinitionAdditional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.
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method | Σ | 1..1 | codeBinding | There are no (further) constraints on this element Element IdBundle.entry.request.method GET | HEAD | POST | PUT | DELETE | PATCH DefinitionIn a transaction or batch, this is the HTTP action to be executed for this entry. In a history bundle, this indicates the HTTP action that occurred. Note that FHIR strings SHALL NOT exceed 1MB in size HTTP verbs (in the HTTP command line). See [HTTP rfc](https://tools.ietf.org/html/rfc7231) for details. HTTPVerb (required)Constraints
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url | Σ | 1..1 | uri | There are no (further) constraints on this element Element IdBundle.entry.request.url URL for HTTP equivalent of this entry DefinitionThe URL for this entry, relative to the root (the address to which the request is posted). E.g. for a Patient Create, the method would be "POST" and the URL would be "Patient". For a Patient Update, the method would be PUT and the URL would be "Patient/[id]".
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ifNoneMatch | Σ | 0..1 | string | There are no (further) constraints on this element Element IdBundle.entry.request.ifNoneMatch For managing cache currency DefinitionIf the ETag values match, return a 304 Not Modified status. See the API documentation for "Conditional Read". Note that FHIR strings SHALL NOT exceed 1MB in size
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ifModifiedSince | Σ | 0..1 | instant | There are no (further) constraints on this element Element IdBundle.entry.request.ifModifiedSince For managing cache currency DefinitionOnly perform the operation if the last updated date matches. See the API documentation for "Conditional Read". Note: This is intended for where precisely observed times are required, typically system logs etc., and not human-reported times - for them, see date and dateTime (which can be as precise as instant, but is not required to be) below. Time zone is always required
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ifMatch | Σ | 0..1 | string | There are no (further) constraints on this element Element IdBundle.entry.request.ifMatch For managing update contention DefinitionOnly perform the operation if the Etag value matches. For more information, see the API section "Managing Resource Contention". Note that FHIR strings SHALL NOT exceed 1MB in size
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ifNoneExist | Σ | 0..1 | string | There are no (further) constraints on this element Element IdBundle.entry.request.ifNoneExist For conditional creates DefinitionInstruct the server not to perform the create if a specified resource already exists. For further information, see the API documentation for "Conditional Create". This is just the query portion of the URL - what follows the "?" (not including the "?"). Note that FHIR strings SHALL NOT exceed 1MB in size
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response | Σ I | 0..1 | BackboneElement | There are no (further) constraints on this element Element IdBundle.entry.response Results of execution (transaction/batch/history) DefinitionIndicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.
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status | Σ | 1..1 | string | There are no (further) constraints on this element Element IdBundle.entry.response.status Status response code (text optional) DefinitionThe status code returned by processing this entry. The status SHALL start with a 3 digit HTTP code (e.g. 404) and may contain the standard HTTP description associated with the status code. Note that FHIR strings SHALL NOT exceed 1MB in size
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location | Σ | 0..1 | uri | There are no (further) constraints on this element Element IdBundle.entry.response.location The location (if the operation returns a location) DefinitionThe location header created by processing this operation, populated if the operation returns a location. see http://en.wikipedia.org/wiki/Uniform_resource_identifier
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etag | Σ | 0..1 | string | There are no (further) constraints on this element Element IdBundle.entry.response.etag The Etag for the resource (if relevant) DefinitionThe Etag for the resource, if the operation for the entry produced a versioned resource (see Resource Metadata and Versioning and Managing Resource Contention). Etags match the Resource.meta.versionId. The ETag has to match the version id in the header if a resource is included.
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lastModified | Σ | 0..1 | instant | There are no (further) constraints on this element Element IdBundle.entry.response.lastModified Server's date time modified DefinitionThe date/time that the resource was modified on the server. This has to match the same time in the meta header (meta.lastUpdated) if a resource is included.
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outcome | Σ | 0..1 | Resource | There are no (further) constraints on this element Element IdBundle.entry.response.outcome OperationOutcome with hints and warnings (for batch/transaction) DefinitionAn OperationOutcome containing hints and warnings produced as part of processing this entry in a batch or transaction. For a POST/PUT operation, this is the equivalent outcome that would be returned for prefer = operationoutcome - except that the resource is always returned whether or not the outcome is returned. This outcome is not used for error responses in batch/transaction, only for hints and warnings. In a batch operation, the error will be in Bundle.entry.response, and for transaction, there will be a single OperationOutcome instead of a bundle in the case of an error.
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DocumentReference | Σ I | 0..* | BackboneElement | Element IdBundle.entry:DocumentReference DocumentReference DefinitionAn entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).
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link | Σ | 0..* | see (link) | There are no (further) constraints on this element Element IdBundle.entry:DocumentReference.link Links related to this entry DefinitionA series of links that provide context to this entry. |
fullUrl | Σ | 0..1 | uri | There are no (further) constraints on this element Element IdBundle.entry:DocumentReference.fullUrl URI for resource (Absolute URL server address or URI for UUID/OID) DefinitionThe Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:
fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id. Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).
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resource | Σ I | 1..1 | Erforderliche Metadaten für Dokumentenaustausch in ISiK | Element IdBundle.entry:DocumentReference.resource A reference to a document DefinitionA reference to a document of any kind for any purpose. Provides metadata about the document so that the document can be discovered and managed. The scope of a document is any seralized object with a mime-type, so includes formal patient centric documents (CDA), cliical notes, scanned paper, and non-patient specific documents like policy text. Usually, this is used for documents other than those defined by FHIR. Erforderliche Metadaten für Dokumentenaustausch in ISiK Constraints
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search | Σ I | 0..1 | BackboneElement | There are no (further) constraints on this element Element IdBundle.entry:DocumentReference.search Search related information DefinitionInformation about the search process that lead to the creation of this entry.
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mode | Σ | 0..1 | codeBinding | There are no (further) constraints on this element Element IdBundle.entry:DocumentReference.search.mode match | include | outcome - why this is in the result set DefinitionWhy this entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process. There is only one mode. In some corner cases, a resource may be included because it is both a match and an include. In these circumstances, 'match' takes precedence. Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process. SearchEntryMode (required)Constraints
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score | Σ | 0..1 | decimal | There are no (further) constraints on this element Element IdBundle.entry:DocumentReference.search.score Search ranking (between 0 and 1) DefinitionWhen searching, the server's search ranking score for the entry. Servers are not required to return a ranking score. 1 is most relevant, and 0 is least relevant. Often, search results are sorted by score, but the client may specify a different sort order. See Patient Match for the EMPI search which relates to this element.
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request | Σ I | 0..1 | BackboneElement | There are no (further) constraints on this element Element IdBundle.entry:DocumentReference.request Additional execution information (transaction/batch/history) DefinitionAdditional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.
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method | Σ | 1..1 | codeBinding | There are no (further) constraints on this element Element IdBundle.entry:DocumentReference.request.method GET | HEAD | POST | PUT | DELETE | PATCH DefinitionIn a transaction or batch, this is the HTTP action to be executed for this entry. In a history bundle, this indicates the HTTP action that occurred. Note that FHIR strings SHALL NOT exceed 1MB in size HTTP verbs (in the HTTP command line). See [HTTP rfc](https://tools.ietf.org/html/rfc7231) for details. HTTPVerb (required)Constraints
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url | Σ | 1..1 | uri | There are no (further) constraints on this element Element IdBundle.entry:DocumentReference.request.url URL for HTTP equivalent of this entry DefinitionThe URL for this entry, relative to the root (the address to which the request is posted). E.g. for a Patient Create, the method would be "POST" and the URL would be "Patient". For a Patient Update, the method would be PUT and the URL would be "Patient/[id]".
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ifNoneMatch | Σ | 0..1 | string | There are no (further) constraints on this element Element IdBundle.entry:DocumentReference.request.ifNoneMatch For managing cache currency DefinitionIf the ETag values match, return a 304 Not Modified status. See the API documentation for "Conditional Read". Note that FHIR strings SHALL NOT exceed 1MB in size
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ifModifiedSince | Σ | 0..1 | instant | There are no (further) constraints on this element Element IdBundle.entry:DocumentReference.request.ifModifiedSince For managing cache currency DefinitionOnly perform the operation if the last updated date matches. See the API documentation for "Conditional Read". Note: This is intended for where precisely observed times are required, typically system logs etc., and not human-reported times - for them, see date and dateTime (which can be as precise as instant, but is not required to be) below. Time zone is always required
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ifMatch | Σ | 0..1 | string | There are no (further) constraints on this element Element IdBundle.entry:DocumentReference.request.ifMatch For managing update contention DefinitionOnly perform the operation if the Etag value matches. For more information, see the API section "Managing Resource Contention". Note that FHIR strings SHALL NOT exceed 1MB in size
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ifNoneExist | Σ | 0..1 | string | There are no (further) constraints on this element Element IdBundle.entry:DocumentReference.request.ifNoneExist For conditional creates DefinitionInstruct the server not to perform the create if a specified resource already exists. For further information, see the API documentation for "Conditional Create". This is just the query portion of the URL - what follows the "?" (not including the "?"). Note that FHIR strings SHALL NOT exceed 1MB in size
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response | Σ I | 0..1 | BackboneElement | There are no (further) constraints on this element Element IdBundle.entry:DocumentReference.response Results of execution (transaction/batch/history) DefinitionIndicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.
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status | Σ | 1..1 | string | There are no (further) constraints on this element Element IdBundle.entry:DocumentReference.response.status Status response code (text optional) DefinitionThe status code returned by processing this entry. The status SHALL start with a 3 digit HTTP code (e.g. 404) and may contain the standard HTTP description associated with the status code. Note that FHIR strings SHALL NOT exceed 1MB in size
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location | Σ | 0..1 | uri | There are no (further) constraints on this element Element IdBundle.entry:DocumentReference.response.location The location (if the operation returns a location) DefinitionThe location header created by processing this operation, populated if the operation returns a location. see http://en.wikipedia.org/wiki/Uniform_resource_identifier
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etag | Σ | 0..1 | string | There are no (further) constraints on this element Element IdBundle.entry:DocumentReference.response.etag The Etag for the resource (if relevant) DefinitionThe Etag for the resource, if the operation for the entry produced a versioned resource (see Resource Metadata and Versioning and Managing Resource Contention). Etags match the Resource.meta.versionId. The ETag has to match the version id in the header if a resource is included.
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lastModified | Σ | 0..1 | instant | There are no (further) constraints on this element Element IdBundle.entry:DocumentReference.response.lastModified Server's date time modified DefinitionThe date/time that the resource was modified on the server. This has to match the same time in the meta header (meta.lastUpdated) if a resource is included.
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outcome | Σ | 0..1 | Resource | There are no (further) constraints on this element Element IdBundle.entry:DocumentReference.response.outcome OperationOutcome with hints and warnings (for batch/transaction) DefinitionAn OperationOutcome containing hints and warnings produced as part of processing this entry in a batch or transaction. For a POST/PUT operation, this is the equivalent outcome that would be returned for prefer = operationoutcome - except that the resource is always returned whether or not the outcome is returned. This outcome is not used for error responses in batch/transaction, only for hints and warnings. In a batch operation, the error will be in Bundle.entry.response, and for transaction, there will be a single OperationOutcome instead of a bundle in the case of an error.
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signature | Σ | 0..1 | Signature | There are no (further) constraints on this element Element IdBundle.signature Digital Signature DefinitionDigital Signature - base64 encoded. XML-DSig or a JWT. A Signature holds an electronic representation of a signature and its supporting context in a FHIR accessible form. The signature may either be a cryptographic type (XML DigSig or a JWS), which is able to provide non-repudiation proof, or it may be a graphical image that represents a signature or a signature process. This element allows capturing signatures on documents, messages, transactions or even search responses, to support content-authentication, non-repudiation or other business cases. This is primarily relevant where the bundle may travel through multiple hops or via other mechanisms where HTTPS non-repudiation is insufficient. The signature could be created by the "author" of the bundle or by the originating device. Requirements around inclusion of a signature, verification of signatures and treatment of signed/non-signed bundles is implementation-environment specific.
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Suchergebnisse können zahlreich sein. Server MÜSSEN daher FHIR-konformes Paging unterstützen. Server KÖNNEN im SearchSet-Bundle auch Ressourcen vom Typ OperationOutcome mit Informationen über die Suchergebnisse zurückgeben. Diese müssen in Bundle.entry.search.mode
mit dem Wert outcome
gekennzeichnet sein. Die Issues im OperationOutcome dürfen nur dem Schweregrad information
oder warning
entsprechen.
Issues vom Schweregrad error
oder fatal
sind unzulässig.
Beispiele:
- Suche anhand von Patientenkontext (PID) und Dokumentendatum:
[base]/DocumentReference?patient.identifier=1234&creation=gt2021-10-06
- Suche nach vorläufigen Endoskopiebefunden (anhand KDL-Dokumenttyp und
docStatus
):[base]/DocumentReference?type=http://dvmd.de/fhir/CodeSystem/kdl|DG02010&doc-status=preliminary
- Suche von Dokumenten anhand der Nummer des Abrechnungsfalles:
[base]/DocumentReference?encounter.account:identifier=56789
Dokumentenzugriff
Das den Metadaten zugeordnete Dokument kann jeweils unter DocumentReference.content.attachment.url
vom Server abgerufen werden.
Es gelten die Festlegungen gem. IHE ITI-68: Retrieve Document
Der einzige MIME-Type, den alle Dokumentenserver verpflichtend zurückgeben können MÜSSEN ist der MIME Type, der dem DocumentReference.content.attachment.contentType
entspricht.
Dokumentenserver SOLLEN das Dokument präferiert über einen Binary-Endpunkt bereitstellen. Dieser verfügt über folgende Besonderheit:
- Wenn der Zugriff mit dem Accept-Header
application/fhir+xml
oderapplication/fhir+json
erfolgt, müssen die Daten als Binary-Ressource im angeforderten Format zurückgegeben werden. - Wenn der Zugriff mit einem anderen Accept-Header als
application/fhir+xml
oderapplication/fhir+json
erfolgt, so soll das Dokument im angeforderten Format zurückgegeben werden, z.B. MUSS bei Zugriffen mit Accept-Headerapplication/pdf
das Dokument unmittelbar als PDF zurückgegeben werden, sofern dies dem Content-Type der Binary-Ressource entspricht.