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Introduction
This implementation guide is published by the Swedish eHealth Agency and constitutes the integration specification for restricting data sharing and permitting proxy actions using the HL7® FHIR® standard. The APIs described in this guide ensure that all participating systems exchange restriction and permission information in a predictable and interoperable way.
Status
This guide is a beta version but contains some draft material. Sections marked with "⚠ draft" are not considered mature enough for implementation and shall be viewed as potential content for upcoming versions. Everything else shall be considered beta material.
This guide uses ActorDefinitions and CapabilityStatements to further declare what structured content is beta material as opposed to draft material. All artifacts that are referenced in the CapabilityStatements are beta material while the artifacts which are not referenced in a CapabilityStatement are draft material.
Within a profile, only elements with obligations that reference an ActorDefinition shall be considered beta content. There may be elements with profiling done on them which do not yet have any obligations set - these shall be considered draft material. Within an OperationDefinition, some parameters may be declared as draft.
See the General guidance page for more information on ActorDefinitions, CapabilityStatements and obligations.
Scope and Usage
The artifacts and transactions in this guide has been designed to meet two use cases - making it possible for patients to restrict data sharing on a local and central level as well as permit proxies to perform certain actions using powers of attorney. Furthermore this guide defines the possibility of querying what proxies are permitted to do on behalf of a patient, which can be based on a power of attorney among other legal grounds.
These use cases are categorized in interoperability domains that are made up of system actors and the transactions between them. The interoperability domains are introduced in the sub sections below.
Restrictions (RE)
See restrictions actor descriptions.
Power of attorney (POA)
See power of attorney actor descriptions.
Proxy permission service (PS)
See proxy permission actor descriptions.
Background and Context
This guide is a part of the Swedish national digital infrastructure. The Swedish eHealth Agency develop the national restriction service and the national proxy service which implement parts of this guide. Read more about the services here.
Contact
interoperabilitet@ehalsomyndigheten.se