FHIR Release 3 (STU)

This page is part of the FHIR Specification (v3.0.2: STU 3). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

Operation-patient-everything.xml

Patient Administration Work GroupMaturity Level: N/ABallot Status: InformativeCompartments: Patient, Practitioner, RelatedPerson

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Operation Definition

<OperationDefinition xmlns="http://hl7.org/fhir">
  <id value="Patient-everything"/> 
  <text> 
    <status value="generated"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">
      <h2> Fetch Patient Record</h2> 
      <p> OPERATION: Fetch Patient Record</p> 
      <p> The official URL for this operation definition is: </p> 
      <pre> http://hl7.org/fhir/OperationDefinition/Patient-everything</pre> 
      <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 &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 
          <a href="http://hl7.org/fhir/us/daf">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 &quot;searchset&quot;</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"/> 
  <date value="2019-10-24T11:53:00+11:00"/> 
  <publisher value="HL7 (FHIR Project)"/> 
  <contact> 
    <telecom> 
      <system value="url"/> 
      <value value="http://hl7.org/fhir"/> 
    </telecom> 
    <telecom> 
      <system value="email"/> 
      <value value="fhir@lists.hl7.org"/> 
    </telecom> 
  </contact> 
  <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](http://hl7.org/fhir/us/daf). Other applicable implementation guides
   may make additional rules about how much information that is returned"/> 
  <code value="everything"/> 
  <comment 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."/> 
  <resource value="Patient"/> 
  <system value="false"/> 
  <type value="true"/> 
  <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> 

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.