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{
  "resourceType": "CapabilityStatement",
  "id": "EEHRxF-DocumentAccessProvider-SubmissionOption",
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "url": "http://hl7.eu/fhir/eu-health-data-api/CapabilityStatement/EEHRxF-DocumentAccessProvider-SubmissionOption",
  "version": "0.1.0",
  "name": "EEHRxFDocumentAccessProviderSubmissionOption",
  "title": "EEHRxF Document Access Provider - Document Submission Option",
  "status": "active",
  "experimental": false,
  "date": "2026-01-26",
  "publisher": "HL7 Europe",
  "contact": [
    {
      "name": "HL7 Europe",
      "telecom": [
        {
          "system": "url",
          "value": "http://hl7.eu"
        }
      ]
    }
  ],
  "description": "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.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "150",
          "display": "Europe"
        }
      ]
    }
  ],
  "copyright": "Copyright HL7 Europe. Licensed under Creative Commons public domain (CC0 1.0).",
  "kind": "requirements",
  "imports": [
    "http://hl7.eu/fhir/eu-health-data-api/CapabilityStatement/EEHRxF-DocumentAccessProvider"
  ],
  "fhirVersion": "4.0.1",
  "format": [
    "json",
    "xml"
  ],
  "rest": [
    {
      "mode": "server",
      "documentation": "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.",
      "security": {
        "service": [
          {
            "coding": [
              {
                "system": "http://hl7.org/fhir/restful-security-service",
                "code": "SMART-on-FHIR"
              }
            ]
          }
        ],
        "description": "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."
      },
      "resource": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
              "valueCode": "SHALL"
            }
          ],
          "type": "DocumentReference",
          "supportedProfile": [
            "https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.Minimal.DocumentReference|4.2.3"
          ],
          "documentation": "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",
          "interaction": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
                }
              ],
              "code": "create",
              "documentation": "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"
            }
          ],
          "operation": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "MAY"
                }
              ],
              "name": "validate",
              "definition": "http://hl7.org/fhir/OperationDefinition/Resource-validate",
              "documentation": "Pre-validation of DocumentReference before submission"
            }
          ]
        }
      ]
    }
  ]
}