{
  "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.",
  "_filename": "CapabilityStatement-EEHRxF-DocumentAccessProvider-SubmissionOption.json",
  "package_name": "hl7.fhir.eu.health-data-api",
  "format": [ "json", "xml" ],
  "date": "2026-01-26",
  "publisher": "HL7 Europe",
  "fhirVersion": "4.0.1",
  "jurisdiction": [ {
    "coding": [ {
      "code": "150",
      "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
      "display": "Europe"
    } ]
  } ],
  "name": "EEHRxFDocumentAccessProviderSubmissionOption",
  "copyright": "Copyright HL7 Europe. Licensed under Creative Commons public domain (CC0 1.0).",
  "type": null,
  "experimental": "false",
  "resourceType": "CapabilityStatement",
  "imports": [ "http://hl7.eu/fhir/health-data-api/CapabilityStatement/EEHRxF-DocumentAccessProvider" ],
  "title": "EEHRxF Document Access Provider - Document Submission Option",
  "package_version": "1.0.0-ballot",
  "status": "active",
  "id": "ae236a82-6f29-4ad2-990e-edf55dd37ade",
  "kind": "requirements",
  "url": "http://hl7.eu/fhir/health-data-api/CapabilityStatement/EEHRxF-DocumentAccessProvider-SubmissionOption",
  "version": "1.0.0-ballot",
  "contact": [ {
    "name": "HL7 Europe",
    "telecom": [ {
      "value": "http://hl7.eu",
      "system": "url"
    } ]
  } ],
  "rest": [ {
    "mode": "server",
    "resource": [ {
      "type": "DocumentReference",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
        "valueCode": "SHALL"
      } ],
      "operation": [ {
        "name": "validate",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "MAY"
        } ],
        "definition": "http://hl7.org/fhir/OperationDefinition/Resource-validate",
        "documentation": "Pre-validation of DocumentReference before submission"
      } ],
      "interaction": [ {
        "code": "create",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "SHALL"
        } ],
        "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- For FHIR Documents, ensure the content is retrievable as a native FHIR Document Bundle (not wrapped in Binary)\n- Assign server-generated IDs\n- Return 201 Created with the persisted DocumentReference"
      } ],
      "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",
      "supportedProfile": [ "http://hl7.eu/fhir/health-data-api/StructureDefinition/EehrxfMhdDocumentReference", "https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.SimplifiedPublish.DocumentReference", "https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.Minimal.DocumentReference" ]
    } ],
    "security": {
      "service": [ {
        "coding": [ {
          "code": "SMART-on-FHIR",
          "system": "http://hl7.org/fhir/restful-security-service"
        } ]
      } ],
      "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."
    },
    "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."
  } ]
}