Indledning

Denne vejledning beskriver de tekniske forretningsregler i forhold til at implementere Høremappen i et lokalt fagsystem eller en borgerportal. Vejledningen er tiltænkt forretningsarkitekter, systemarkitekter samt systemleverandører, således at disse kan vurdere hvordan Høremappen kan implementeres i systemerne.

Høremappen gør det muligt for fagsystemer hos sundhedsvæsenets aktører som indgår i borgerens samlede høreapparatbehandling at dele audiologiske data om patienten, således at de bliver tilgængelige for de øvrige parter i sundhedsvæsenet samt for den enkelte patient.

Høremappen realiserer deling af dokumenter via den nationale IHE XDS dokumentdelingsinfrastruktur på NSP, hvor dokumenterne baserer sig på indfoldsformater fastlagt i Noah datastandarderne fra det internationale hørebrancheorganisation HIMSA.

De aktører, der indgår i borgernes hørerehabilitering, kan gennem brug af de standardiserede IHE XDS snitflader i dokumentdelingsinfrastrukturen dele information om gennemførte audiologiske undersøgelser, målinger og udleverede høreapparater til andre aktører.

Under hele behandlingsforløbet kan aktørerne få et overblik over borgerens audiologiske data ved fremsøge og hente disse gennem standardiserede IHE XDS snitflader i dokumentdelingsinfrastrukturen, der i processen vil håndterer check af behandlingsrelation, check for eventuelle spærringer, samt loging til borgerens MinLog.

De standardiserede IHE XDS snitflader kan ligeledes anvendes til at give patienter det samlede overblik over deres Høremappe via sundhed.dk.

OBS: Vejledningen er baseret på nuværende eksisterende Høremappe version 1.0, der understøtter deling af audigrammer, refleks-/tympanometri-målinger og oplysninger og udleverede høreapparater.

Der pågår et arbejde med at videreudvikle Høremappen til en version 2.0, der kan dele yderlige data, som skal understøtte digital visitation.

Høremappe 2.0 vil dog være baseret på det samme IHE XDS dokumentdelingskoncept og de samme snitfladeroperationer, men med yderligere indholdsmæssige datatyper.

Anden dokumentation

De overordnede forretningsregler til Høremappen kan ses i dokumentet Forretningsregler.

Teknisk oversigt

Udveksling af borgerernes audiologiske data foregår via den nationale infrastruktur til dokumentdeling. Denne understøtter referencearkitekturen for deling af dokumenter og billeder. For generel introduktion til den nationale infrastruktur om IHE XDS dokumentdeling, se vejledningen ’Kom godt i gang med dokumentdeling’ til deling af dokumenter via Dokumentdelingsservice på NSP lavet af MedCom. For detaljeret teknisk dokumentation omkring dokumentdeling via NSP, se Dokumentdelingsservice.

Som illustreret i nedenstående figur er det generiske IHE XDS dokumentdelingskoncept bygget op om omkring rollerne Document Registry og Document Repository, hvor et Registry alene indeholder metadata og et Repository indeholder selve dokumenterne. Der kan være flere Repositories tilknyttet til samme Registry. Derudover kan der registreres metadata for såkaldte On Demand dokument kilder, hvor dokumenter først genereres on-the-fly, når de bliver hentet.

Høremappen er realiseret gennem et dedikeret centralt Registry og et dedikeret central Repository på NSP.

Som vist i figuren defineres i IHE-XDS en række faste roller og operationer (kaldet transaktioner og navngivet som ITI-xx), eksempelvis benytter en dokumentaftager (en Document Consumer) ITI-18 transaktionen til at søge i et Registry og ITI-43 transaktionen til efterfølgende at hente fremsøgte dokumenter fra det pågældende Repository.

Teknisk implementering

Høremappe snitfladeoperationer

Høremappen tilgås med standardiserede ITI-transaktioner som udstilles af dokumentdelingsinfrastrukturen (se også ovenstående figur), hvor skrive-operationer laves via DROS-snitfladen og søge/læse-operationer via DDS-snitfladen. Følgende operationer anvendes:

ITI-41 Provide And Register transaktionen på DROS til at lægge et nyt dokument i Høremappen (DROS kalder videre til Repository som læser metadata fra requestet, lægger disse i Registry med ITI-42 transaktionen og gemmer selv det medsendte dokument).
ITI-41 Provide And Register transaktionen på DROS med instruksen ’erstat eksisterende’ for at opdatere et eksisterende dokument.
ITI-57 Update Document Set på DROS til at slette et eksisterende dokument ved at sætte ’availabilityStatus’ i metadata til ’deprecated’ (Forventes kun at blive anvendt for at kunne slette dokumenter, som fejlagtigt er blevet lagt i Høremappen).
ITI-18 Registry Stored Query på DDS til at søge i Høremappen (DDS/Registry returnerer ID’er på matchende dokumenter).
ITI-43 Retrieve Document Set på DDS til at hente dokumenter fra Høremappen ud fra de i ITI-18 søgeresultatet returnerede ID’er.

Nedenstående figur illustrerer anvendelsen af Høremappens snitflader fra henholdvis et audiologisk fagsystem og en webvisning.

Tekniske forudsætninger

Se Administrative forudsætninger for at få adgang til NSP'en.

Høremappen udstilles via services på NSP'en og kan tilgås enten via Den Gode Webservice (DGWS) eller via OIO-IDWS (kun for borger adgang).

For mere information om den gode webservice, se https://www.medcom.dk/standarder/webservice-standarder/den-gode-webservice.

Til at understøtte DGWS har Sundhedsdatastyrelsen udviklet biblioteker til Java og .NET (SEAL bibliotekerne). Disse bør benyttes så vidt det er muligt, se STS Dokumentation.

De servicesnitflader der udstilles til Høremappen er alle baseret på SOAP kald der opfylder DGWS og OIO-IDWS (kun for borger adgang).

Indholdsdelen af den enkelte servicekald (SOAP body) er den del der er specificeret af IHE XDS snitfladerne, dvs. for eksempel ITI-18 og ITI-43.

De detaljerede beskrivelser af snitfladerne findes i IHE IT Infrastructure Technical Framework dokumenterne volume 1, 2a, 2b, 2x og 3.

IHE ITI TF Vol. 1 - Integration Profiles
http://www.ihe.net/uploadedFiles/Documents/ITI/IHE_ITI_TF_Vol1.pdf
IHE ITI TF Vol. 2a - Transactions 1-28
http://www.ihe.net/uploadedFiles/Documents/ITI/IHE_ITI_TF_Vol2a.pdf
IHE ITI TF Vol. 2b - Transactions 29-64
http://www.ihe.net/uploadedFiles/Documents/ITI/IHE_ITI_TF_Vol2b.pdf
IHE ITI TF Vol. 2x - Appendices A-X
http://www.ihe.net/uploadedFiles/Documents/ITI/IHE_ITI_TF_Vol2x.pdf
IHE ITI TF Vol. 3 - Metadata
http://www.ihe.net/uploadedFiles/Documents/ITI/IHE_ITI_TF_Vol3.pdf

Beskrivelserne i de officielle dokumenter fra IHE er relativt komplicerede, og det kan være svært at opnå et godt overblik over hvordan specifikke kald sættes sammen. Der findes en række generelle og praktiske eksempler og programmer på IPF Open eHealth Integration Platform siderne. Se for eksempel:

IPF Open eHealth Integration Platform
http://oehf.github.io/ipf/ipf-platform-camel-ihe/
IPF Commons IHE XDS
https://mvnrepository.com/artifact/org.openehealth.ipf.commons/ipf-commons-ihe-xds

Der anbefales, at benytte et XDS kodebibliotek som ovenstående til at danne kaldstrukturen (særligt ved oprettelse af dokumenter hvor der også skal dannes metadata) og parse svar fra dokmentdelingsinfrastrukturen.

Indholdstyper

Noah ....

Metadata

Oprettelse af Høremappedokumenter

Oprettelse af Høremmapedokumenter foregår via dokumentregistreringsservicen (DROS), detaljeret dokumentation er beskrevet under Dokumentregistreringsservice.

WSDL til DROS'en findes under: Snitfladebeskrivelse og endpoints og på https://wsdl.nspop.dk/#dros

Deling af audiologisk data via Høremappen bør ikke involvere manuelle arbejdsgange hos de audiologiske fagpersoner, men bør realiseres som automatiske processer og system til system kommunikation. Deling af data via Høremappen kræver ikke bruger-autentifikation, men foregår som systemautentifikation med funktionscertifikat (FOCES).

Nedenstående eksempel illustrerer ITI-41 ProvideAndRegister kaldet. Bemærk at selve Noah dokumentet ikke er indlejret i kaldsstrukturen, men skal medsendes som MIME attachment.

ITI-41 ProvideAndRegisterDocumentSetRequest

<ProvideAndRegisterDocumentSetRequest xmlns:lcm="urn:oasis:names:tc:ebxml-regrep:xsd:lcm:3.0"
                                      xmlns:rim="urn:oasis:names:tc:ebxml-regrep:xsd:rim:3.0"
                                      xmlns="urn:ihe:iti:xds-b:2007">
    <lcm:SubmitObjectsRequest>
        <rim:RegistryObjectList>
            <rim:ExtrinsicObject id="urn:uuid:68c2bb76-a2e6-4d56-85dc-1982f4a16021"
                                 lid="urn:uuid:d70ae137-2f6b-4b0c-8679-52b11ddd6a98"
                                 objectType="urn:uuid:7edca82f-054d-47f2-a032-9b2a5b5186c1"
                                 status="urn:oasis:names:tc:ebxml-regrep:StatusType:Approved" mimeType="text/xml"
                                 home="urn:oid:1.2.208.176.43210.8.10">
                <rim:Slot name="creationTime">
                    <rim:ValueList>
                        <rim:Value>20240220124412</rim:Value>
                    </rim:ValueList>
                </rim:Slot>
                <rim:Slot name="languageCode">
                    <rim:ValueList>
                        <rim:Value>da-DK</rim:Value>
                    </rim:ValueList>
                </rim:Slot>
                <rim:Slot name="serviceStartTime">
                    <rim:ValueList>
                        <rim:Value>20240220124203</rim:Value>
                    </rim:ValueList>
                </rim:Slot>
                <rim:Slot name="serviceStopTime">
                    <rim:ValueList>
                        <rim:Value>20240220124203</rim:Value>
                    </rim:ValueList>
                </rim:Slot>
                <rim:Slot name="sourcePatientId">
                    <rim:ValueList>
                        <rim:Value>2007539315^^^&1.2.208.176.1.2&ISO</rim:Value>
                    </rim:ValueList>
                </rim:Slot>
                <rim:Slot name="sourcePatientInfo">
                    <rim:ValueList>
                        <rim:Value>PID-5|Rasmussen^Adrian^^^</rim:Value>
                        <rim:Value>PID-7|19530720</rim:Value>
                        <rim:Value>PID-8|M</rim:Value>
                    </rim:ValueList>
                </rim:Slot>
                <rim:Slot name="urn:ihe:iti:xds:2013:referenceIdList">
                    <rim:ValueList>
                        <rim:Value>2908bfd8-8eed-4745-8296-e6fcb086343b^^^^urn:ad:dk:medcom:noah:action-uuid</rim:Value>
                    </rim:ValueList>
                </rim:Slot>
                <rim:Name>
                    <rim:LocalizedString value="Ny højre immittance" charset="UTF-8" xml:lang="da-DK"/>
                </rim:Name>
                <rim:Classification classifiedObject="urn:uuid:68c2bb76-a2e6-4d56-85dc-1982f4a16021"
                                    id="urn:uuid:85222d17-b704-4eba-8a0c-94bf00ec08a3"
                                    classificationScheme="urn:uuid:93606bcf-9494-43ec-9b4e-a7748d1a838d"
                                    nodeRepresentation="">
                    <rim:Slot name="authorPerson">
                        <rim:ValueList>
                            <rim:Value>^ABC^ABC^^^</rim:Value>
                        </rim:ValueList>
                    </rim:Slot>
                    <rim:Slot name="authorInstitution">
                        <rim:ValueList>
                            <rim:Value>Dansk HøreCenter^^^^^&1.2.208.176.1.1&ISO^^^^478981000016006</rim:Value>
                        </rim:ValueList>
                    </rim:Slot>
                </rim:Classification>
                <rim:Classification classifiedObject="urn:uuid:68c2bb76-a2e6-4d56-85dc-1982f4a16021"
                                    id="urn:uuid:dff12f97-f4bb-4d8e-82bc-caffcf469a85"
                                    classificationScheme="urn:uuid:41a5887f-8865-4c09-adf7-e362475b143a"
                                    nodeRepresentation="001">
                    <rim:Slot name="codingScheme">
                        <rim:ValueList>
                            <rim:Value>1.2.208.184.100.9</rim:Value>
                        </rim:ValueList>
                    </rim:Slot>
                    <rim:Name>
                        <rim:LocalizedString value="Klinisk Rapport" charset="UTF-8" xml:lang="da-DK"/>
                    </rim:Name>
                </rim:Classification>
                <rim:Classification classifiedObject="urn:uuid:68c2bb76-a2e6-4d56-85dc-1982f4a16021"
                                    id="urn:uuid:ccd331fd-2eee-4223-b57c-3138ff3521d1"
                                    classificationScheme="urn:uuid:a09d5840-386c-46f2-b5ad-9c3699a4309d"
                                    nodeRepresentation="urn:ad:dk:medcom:noah:impedance:format-500">
                    <rim:Slot name="codingScheme">
                        <rim:ValueList>
                            <rim:Value>1.2.208.184.100.10</rim:Value>
                        </rim:ValueList>
                    </rim:Slot>
                    <rim:Name>
                        <rim:LocalizedString value="Noah Impedance i format 500" charset="UTF-8" xml:lang="da-DK"/>
                    </rim:Name>
                </rim:Classification>
                <rim:Classification classifiedObject="urn:uuid:68c2bb76-a2e6-4d56-85dc-1982f4a16021"
                                    id="urn:uuid:d5159da7-4016-4fb0-97e6-c0eeeff0fdea"
                                    classificationScheme="urn:uuid:f33fb8ac-18af-42cc-ae0e-ed0b0bdb91e1"
                                    nodeRepresentation="702824005">
                    <rim:Slot name="codingScheme">
                        <rim:ValueList>
                            <rim:Value>2.16.840.1.113883.6.96</rim:Value>
                        </rim:ValueList>
                    </rim:Slot>
                    <rim:Name>
                        <rim:LocalizedString value="hørecenter" charset="UTF-8" xml:lang="da-DK"/>
                    </rim:Name>
                </rim:Classification>
                <rim:Classification classifiedObject="urn:uuid:68c2bb76-a2e6-4d56-85dc-1982f4a16021"
                                    id="urn:uuid:1587b409-f7e6-4c32-9e10-105d2cb00c51"
                                    classificationScheme="urn:uuid:cccf5598-8b07-4b77-a05e-ae952c785ead"
                                    nodeRepresentation="394604002">
                    <rim:Slot name="codingScheme">
                        <rim:ValueList>
                            <rim:Value>2.16.840.1.113883.6.96</rim:Value>
                        </rim:ValueList>
                    </rim:Slot>
                    <rim:Name>
                        <rim:LocalizedString value="oto-rhino-laryngologi" charset="UTF-8" xml:lang="da-DK"/>
                    </rim:Name>
                </rim:Classification>
                <rim:Classification classifiedObject="urn:uuid:68c2bb76-a2e6-4d56-85dc-1982f4a16021"
                                    id="urn:uuid:551f0b2c-9898-4634-b7ae-54562db559d9"
                                    classificationScheme="urn:uuid:f0306f51-975f-434e-a61c-c59651d33983"
                                    nodeRepresentation="28615-3">
                    <rim:Slot name="codingScheme">
                        <rim:ValueList>
                            <rim:Value>2.16.840.1.113883.6.1</rim:Value>
                        </rim:ValueList>
                    </rim:Slot>
                    <rim:Name>
                        <rim:LocalizedString value="Audiologi dokument" charset="UTF-8" xml:lang="da-DK"/>
                    </rim:Name>
                </rim:Classification>
                <rim:Classification classifiedObject="urn:uuid:68c2bb76-a2e6-4d56-85dc-1982f4a16021"
                                    id="urn:uuid:388a09df-0c96-41b8-8938-8bbf17cf330f"
                                    classificationScheme="urn:uuid:f4f85eac-e6cb-4883-b524-f2705394840f"
                                    nodeRepresentation="N">
                    <rim:Slot name="codingScheme">
                        <rim:ValueList>
                            <rim:Value>2.16.840.1.113883.5.25</rim:Value>
                        </rim:ValueList>
                    </rim:Slot>
                    <rim:Name>
                        <rim:LocalizedString value="Normal" charset="UTF-8" xml:lang="da-DK"/>
                    </rim:Name>
                </rim:Classification>
                <rim:Classification classifiedObject="urn:uuid:68c2bb76-a2e6-4d56-85dc-1982f4a16021"
                                    id="urn:uuid:388a09df-0c96-41b8-8938-8bbf17cf330f"
                                    classificationScheme="urn:uuid:2c6b8cb7-8b2a-4051-b291-b1ae6a575ef4"
                                    nodeRepresentation="16">
                    <rim:Slot name="codingScheme">
                        <rim:ValueList>
                            <rim:Value>urn:ad:dk:medcom:noah:action-categories</rim:Value>
                        </rim:ValueList>
                    </rim:Slot>
                    <rim:Name>
                        <rim:LocalizedString value="Impedance" charset="UTF-8" xml:lang="da-DK"/>
                    </rim:Name>
                </rim:Classification>
                <rim:Classification classifiedObject="urn:uuid:68c2bb76-a2e6-4d56-85dc-1982f4a16021"
                                    id="urn:uuid:388a09df-0c96-41b8-8938-8bbf17cf330f"
                                    classificationScheme="urn:uuid:2c6b8cb7-8b2a-4051-b291-b1ae6a575ef4"
                                    nodeRepresentation="T001147">
                    <rim:Slot name="codingScheme">
                        <rim:ValueList>
                            <rim:Value>urn:ad:dk:medcom:noah:action-categories</rim:Value>
                        </rim:ValueList>
                    </rim:Slot>
                    <rim:Name>
                        <rim:LocalizedString value="Højre" charset="UTF-8" xml:lang="da-DK"/>
                    </rim:Name>
                </rim:Classification>
                <rim:ExternalIdentifier value="2007539315^^^&1.2.208.176.1.2&ISO"
                                        id="urn:uuid:5229529e-8886-4d91-adfb-cdb1c39cbc50"
                                        identificationScheme="urn:uuid:58a6f841-87b3-4a3e-92fd-a8ffeff98427"
                                        registryObject="urn:uuid:68c2bb76-a2e6-4d56-85dc-1982f4a16021"
                                        objectType="urn:oasis:names:tc:ebxml-regrep:ObjectType:RegistryObject:ExternalIdentifier">
                    <rim:Name>
                        <rim:LocalizedString value="XDSDocumentEntry.patientId"/>
                    </rim:Name>
                </rim:ExternalIdentifier>
                <rim:ExternalIdentifier value="1.2.208.184^68c2bb76-a2e6-4d56-85dc-1982f4a16021"
                                        id="urn:uuid:e8d08e20-20c3-4056-afe7-d638482be144"
                                        identificationScheme="urn:uuid:2e82c1f6-a085-4c72-9da3-8640a32e42ab"
                                        registryObject="urn:uuid:68c2bb76-a2e6-4d56-85dc-1982f4a16021"
                                        objectType="urn:oasis:names:tc:ebxml-regrep:ObjectType:RegistryObject:ExternalIdentifier">
                    <rim:Name>
                        <rim:LocalizedString value="XDSDocumentEntry.uniqueId"/>
                    </rim:Name>
                </rim:ExternalIdentifier>
            </rim:ExtrinsicObject>
            <rim:RegistryPackage id="urn:uuid:e63099d9-6715-4755-b468-5ecfbadd35f9"
                                 lid="urn:uuid:6a60a48d-28d5-40a7-9ba6-7cec1a3a3720"
                                 status="urn:oasis:names:tc:ebxml-regrep:StatusType:Approved">
                <rim:Slot name="submissionTime">
                    <rim:ValueList>
                        <rim:Value>20240220124412</rim:Value>
                    </rim:ValueList>
                </rim:Slot>
                <rim:Name>
                    <rim:LocalizedString value="Høremappe dokumenter" charset="UTF-8" xml:lang="da-DK"/>
                </rim:Name>
                <rim:Classification classifiedObject="urn:uuid:e63099d9-6715-4755-b468-5ecfbadd35f9"
                                    id="urn:uuid:faf8afce-487f-45d7-8bb5-f2c19b64fb69"
                                    classificationScheme="urn:uuid:aa543740-bdda-424e-8c96-df4873be8500"
                                    nodeRepresentation="28615-3">
                    <rim:Slot name="codingScheme">
                        <rim:ValueList>
                            <rim:Value>2.16.840.1.113883.6.1</rim:Value>
                        </rim:ValueList>
                    </rim:Slot>
                    <rim:Name>
                        <rim:LocalizedString value="Audiologi dokument" charset="UTF-8" xml:lang="da-DK"/>
                    </rim:Name>
                </rim:Classification>
                <rim:Classification classifiedObject="urn:uuid:e63099d9-6715-4755-b468-5ecfbadd35f9"
                                    id="urn:uuid:4e8626b7-81b5-49d0-a962-f15dd782f689"
                                    classificationScheme="urn:uuid:a7058bb9-b4e4-4307-ba5b-e3f0ab85e12d"
                                    nodeRepresentation="">
                    <rim:Slot name="authorPerson">
                        <rim:ValueList>
                            <rim:Value>^ABC^ABC^^^</rim:Value>
                        </rim:ValueList>
                    </rim:Slot>
                    <rim:Slot name="authorInstitution">
                        <rim:ValueList>
                            <rim:Value>Dansk HøreCenter^^^^^&1.2.208.176.1.1&ISO^^^^478981000016006</rim:Value>
                        </rim:ValueList>
                    </rim:Slot>
                </rim:Classification>
                <rim:ExternalIdentifier value="2007539315^^^&1.2.208.176.1.2&ISO"
                                        id="urn:uuid:41a9bcd5-f309-4e09-8420-68c40cd41882"
                                        identificationScheme="urn:uuid:6b5aea1a-874d-4603-a4bc-96a0a7b38446"
                                        registryObject="urn:uuid:e63099d9-6715-4755-b468-5ecfbadd35f9"
                                        objectType="urn:oasis:names:tc:ebxml-regrep:ObjectType:RegistryObject:ExternalIdentifier">
                    <rim:Name>
                        <rim:LocalizedString value="XDSSubmissionSet.patientId"/>
                    </rim:Name>
                </rim:ExternalIdentifier>
                <rim:ExternalIdentifier value="urn:uuid:e63099d9-6715-4755-b468-5ecfbadd35f9"
                                        id="urn:uuid:f3ce5194-c10a-436a-9f16-8df6908b20b7"
                                        identificationScheme="urn:uuid:96fdda7c-d067-4183-912e-bf5ee74998a8"
                                        registryObject="urn:uuid:e63099d9-6715-4755-b468-5ecfbadd35f9"
                                        objectType="urn:oasis:names:tc:ebxml-regrep:ObjectType:RegistryObject:ExternalIdentifier">
                    <rim:Name>
                        <rim:LocalizedString value="XDSSubmissionSet.uniqueId"/>
                    </rim:Name>
                </rim:ExternalIdentifier>
                <rim:ExternalIdentifier value="1.2.208.176" id="urn:uuid:bc5c4f07-c597-4e91-bfe2-0fa83c1fdd9d"
                                        identificationScheme="urn:uuid:554ac39e-e3fe-47fe-b233-965d2a147832"
                                        registryObject="urn:uuid:e63099d9-6715-4755-b468-5ecfbadd35f9"
                                        objectType="urn:oasis:names:tc:ebxml-regrep:ObjectType:RegistryObject:ExternalIdentifier">
                    <rim:Name>
                        <rim:LocalizedString value="XDSSubmissionSet.sourceId"/>
                    </rim:Name>
                </rim:ExternalIdentifier>
            </rim:RegistryPackage>
            <rim:Classification classifiedObject="urn:uuid:e63099d9-6715-4755-b468-5ecfbadd35f9"
                                id="urn:uuid:b25e1e7a-8ab8-4b9a-b919-f346d66f5609"
                                classificationNode="urn:uuid:a54d6aa5-d40d-43f9-88c5-b4633d873bdd"/>
            <rim:Association id="urn:uuid:fa764b79-7630-4572-b48b-8207692c1b39"
                             associationType="urn:oasis:names:tc:ebxml-regrep:AssociationType:HasMember"
                             sourceObject="urn:uuid:e63099d9-6715-4755-b468-5ecfbadd35f9"
                             targetObject="urn:uuid:68c2bb76-a2e6-4d56-85dc-1982f4a16021"
                             status="urn:oasis:names:tc:ebxml-regrep:StatusType:Approved">
                <rim:Slot name="SubmissionSetStatus">
                    <rim:ValueList>
                        <rim:Value>Original</rim:Value>
                    </rim:ValueList>
                </rim:Slot>
            </rim:Association>
        </rim:RegistryObjectList>
    </lcm:SubmitObjectsRequest>
    <Document id="urn:uuid:68c2bb76-a2e6-4d56-85dc-1982f4a16021">
        <Include href="cid:f1f3a1219fce460ba90175fc73f48b4e@urn%3Aihe%3Aiti%3Axds-b%3A2007"
                 xmlns="http://www.w3.org/2004/08/xop/include"/>
    </Document>
</ProvideAndRegisterDocumentSetRequest>

Ændring/opdatering af Høremappedokumenter

<TODO>

Sletning af Høremappedokumenter

<TODO>

Søgning på Høremappedokumenter

For at søge på en borgers Høremappedokumenter, skal der laves en ITI-18 forespørgsel via NSP'ens dokumentdelingsservice.

WSDL til DDS Registry findes her: https://wsdl.nspop.dk/ddsregistry?wsdl

Når der søges påHøremappedokumenter, kan der søges på de værdier der er angivet i dokument metadata.Høremappen benytter MedCom's metadata profil version 1.0.0, der kan hentes på https://svn.medcom.dk/svn/releases/Standarder/IHE/DK_profil_metadata/

Typisk angives borgerens CPR nummer, samt en typecode - for Høremappedokumenter er typecode 28615-3.

ITI-18 AdhocQueryRequest

<AdhocQueryRequest xmlns="urn:oasis:names:tc:ebxml-regrep:xsd:query:3.0">
    <ResponseOption returnType="LeafClass" returnComposedObjects="true"/>
    <AdhocQuery xmlns="urn:oasis:names:tc:ebxml-regrep:xsd:rim:3.0" id="urn:uuid:14d4debf-8f97-4251-9a74-a90016b0af0d">
        <Slot name="$XDSDocumentEntryPatientId">
            <ValueList>
                <Value>'2007539315^^^&1.2.208.176.1.2&ISO'</Value>
            </ValueList>
        </Slot>
        <Slot name="$XDSDocumentEntryStatus">
            <ValueList>
                <Value>('urn:oasis:names:tc:ebxml-regrep:StatusType:Approved')</Value>
            </ValueList>
        </Slot>
        <Slot name="$XDSDocumentEntryTypeCode">
            <ValueList>
                <Value>('28615-3^^2.16.840.1.113883.6.1')</Value>
            </ValueList>
        </Slot>
        <Slot name="$XDSDocumentEntryServiceStartTimeFrom">
            <ValueList>
                <Value>20240101000000</Value>
            </ValueList>
        </Slot>
        <Slot name="$XDSDocumentEntryServiceStartTimeTo">
            <ValueList>
                <Value>20241001000000</Value>
            </ValueList>
        </Slot>
        <Slot name="$XDSDocumentEntryType">
            <ValueList>
                <Value>('urn:uuid:7edca82f-054d-47f2-a032-9b2a5b5186c1')</Value>
            </ValueList>
        </Slot>
    </AdhocQuery>
</AdhocQueryRequest>

Svaret indeholder referencerne til Aftale dokumenterne, der skal benyttes efterfølgende til at udtrække Aftaleoversigten

ITI-18 AdhocQueryResponse

<ns3:AdhocQueryResponse xmlns="urn:oasis:names:tc:ebxml-regrep:xsd:rim:3.0"
                        xmlns:ns10="http://www.medcom.dk/dgws/2006/04/dgws-1.0.xsd"
                        xmlns:ns11="http://www.nsi.dk/hsuid/2016/08/hsuid-1.1.xsd"
                        xmlns:ns2="urn:oasis:names:tc:ebxml-regrep:xsd:rs:3.0"
                        xmlns:ns3="urn:oasis:names:tc:ebxml-regrep:xsd:query:3.0"
                        xmlns:ns4="urn:oasis:names:tc:ebxml-regrep:xsd:cms:3.0"
                        xmlns:ns5="urn:oasis:names:tc:ebxml-regrep:xsd:lcm:3.0"
                        xmlns:ns6="http://docs.oasis-open.org/wss/2004/01/oasis-200401-wss-wssecurity-utility-1.0.xsd"
                        xmlns:ns7="urn:oasis:names:tc:SAML:2.0:assertion" xmlns:ns8="http://www.w3.org/2000/09/xmldsig#"
                        xmlns:ns9="http://docs.oasis-open.org/wss/2004/01/oasis-200401-wss-wssecurity-secext-1.0.xsd"
                        status="urn:oasis:names:tc:ebxml-regrep:ResponseStatusType:Success" totalResultCount="4">
    <RegistryObjectList>
        <ExtrinsicObject home="urn:oid:1.2.208.176.43210.8.10" id="urn:uuid:4df52b04-6ab9-410f-91a6-867992db22d6"
                         lid="urn:uuid:4df52b04-6ab9-410f-91a6-867992db22d6" mimeType="application/pdf"
                         objectType="urn:uuid:7edca82f-054d-47f2-a032-9b2a5b5186c1"
                         status="urn:oasis:names:tc:ebxml-regrep:StatusType:Approved">
            <Slot name="creationTime">
                <ValueList>
                    <Value>20240220124412</Value>
                </ValueList>
            </Slot>
            <Slot name="hash">
                <ValueList>
                    <Value>e94b8d30e74f35dae6074657b7fec97797016460</Value>
                </ValueList>
            </Slot>
            <Slot name="languageCode">
                <ValueList>
                    <Value>da-DK</Value>
                </ValueList>
            </Slot>
            <Slot name="serviceStartTime">
                <ValueList>
                    <Value>20240220124203</Value>
                </ValueList>
            </Slot>
            <Slot name="serviceStopTime">
                <ValueList>
                    <Value>20240220124203</Value>
                </ValueList>
            </Slot>
            <Slot name="repositoryUniqueId">
                <ValueList>
                    <Value>1.2.208.176.43210.8.20.11</Value>
                </ValueList>
            </Slot>
            <Slot name="size">
                <ValueList>
                    <Value>449752</Value>
                </ValueList>
            </Slot>
            <Slot name="sourcePatientId">
                <ValueList>
                    <Value>2007539315^^^&1.2.208.176.1.2&ISO</Value>
                </ValueList>
            </Slot>
            <Slot name="sourcePatientInfo">
                <ValueList>
                    <Value>PID-5|Rasmussen^Adrian</Value>
                    <Value>PID-7|19530720</Value>
                    <Value>PID-8|M</Value>
                </ValueList>
            </Slot>
            <Slot name="urn:ihe:iti:xds:2013:referenceIdList">
                <ValueList>
                    <Value>2908bfd8-8eed-4745-8296-e6fcb086343b^^^^urn:ad:dk:medcom:noah:action-uuid</Value>
                </ValueList>
            </Slot>
            <Name>
                <LocalizedString charset="UTF-8" value="Ny højre immittance" xml:lang="da-DK"/>
            </Name>
            <VersionInfo versionName="1"/>
            <Classification classificationScheme="urn:uuid:93606bcf-9494-43ec-9b4e-a7748d1a838d"
                            classifiedObject="urn:uuid:4df52b04-6ab9-410f-91a6-867992db22d6"
                            id="urn:uuid:2770eabc-2048-476c-8495-94a4b08a29e9" nodeRepresentation="">
                <Slot name="authorPerson">
                    <ValueList>
                        <Value>^ABC^ABC</Value>
                    </ValueList>
                </Slot>
                <Slot name="authorInstitution">
                    <ValueList>
                        <Value>Dansk HøreCenter^^^^^&1.2.208.176.1.1&ISO^^^^478981000016006</Value>
                    </ValueList>
                </Slot>
            </Classification>
            <Classification classificationScheme="urn:uuid:41a5887f-8865-4c09-adf7-e362475b143a"
                            classifiedObject="urn:uuid:4df52b04-6ab9-410f-91a6-867992db22d6"
                            id="urn:uuid:ee5e04a0-009f-4612-b95a-7df0027d40e4" nodeRepresentation="001">
                <Slot name="codingScheme">
                    <ValueList>
                        <Value>1.2.208.184.100.9</Value>
                    </ValueList>
                </Slot>
                <Name>
                    <LocalizedString charset="UTF-8" value="Klinisk Rapport" xml:lang="da-DK"/>
                </Name>
            </Classification>
            <Classification classificationScheme="urn:uuid:a09d5840-386c-46f2-b5ad-9c3699a4309d"
                            classifiedObject="urn:uuid:4df52b04-6ab9-410f-91a6-867992db22d6"
                            id="urn:uuid:ba764328-2400-4b54-b203-e55de51ca680"
                            nodeRepresentation="urn:ad:dk:medcom:noah:impedance:fast-view">
                <Slot name="codingScheme">
                    <ValueList>
                        <Value>1.2.208.184.100.10</Value>
                    </ValueList>
                </Slot>
                <Name>
                    <LocalizedString charset="UTF-8" value="Noah Impedance i format fast-view" xml:lang="da-DK"/>
                </Name>
            </Classification>
            <Classification classificationScheme="urn:uuid:f33fb8ac-18af-42cc-ae0e-ed0b0bdb91e1"
                            classifiedObject="urn:uuid:4df52b04-6ab9-410f-91a6-867992db22d6"
                            id="urn:uuid:f17b5e87-053f-4501-be9e-02fdc87bf9e9" nodeRepresentation="702824005">
                <Slot name="codingScheme">
                    <ValueList>
                        <Value>2.16.840.1.113883.6.96</Value>
                    </ValueList>
                </Slot>
                <Name>
                    <LocalizedString charset="UTF-8" value="hørecenter" xml:lang="da-DK"/>
                </Name>
            </Classification>
            <Classification classificationScheme="urn:uuid:cccf5598-8b07-4b77-a05e-ae952c785ead"
                            classifiedObject="urn:uuid:4df52b04-6ab9-410f-91a6-867992db22d6"
                            id="urn:uuid:6c0cd877-0eb1-49e9-8f48-d960440fcc6a" nodeRepresentation="394604002">
                <Slot name="codingScheme">
                    <ValueList>
                        <Value>2.16.840.1.113883.6.96</Value>
                    </ValueList>
                </Slot>
                <Name>
                    <LocalizedString charset="UTF-8" value="oto-rhino-laryngologi" xml:lang="da-DK"/>
                </Name>
            </Classification>
            <Classification classificationScheme="urn:uuid:f0306f51-975f-434e-a61c-c59651d33983"
                            classifiedObject="urn:uuid:4df52b04-6ab9-410f-91a6-867992db22d6"
                            id="urn:uuid:ae811626-c5a7-4c87-baea-4be55803813b" nodeRepresentation="28615-3">
                <Slot name="codingScheme">
                    <ValueList>
                        <Value>2.16.840.1.113883.6.1</Value>
                    </ValueList>
                </Slot>
                <Name>
                    <LocalizedString charset="UTF-8" value="Audiologi dokument" xml:lang="da-DK"/>
                </Name>
            </Classification>
            <Classification classificationScheme="urn:uuid:f4f85eac-e6cb-4883-b524-f2705394840f"
                            classifiedObject="urn:uuid:4df52b04-6ab9-410f-91a6-867992db22d6"
                            id="urn:uuid:430c20d0-3f36-4f41-93e4-359fb700816b" nodeRepresentation="N">
                <Slot name="codingScheme">
                    <ValueList>
                        <Value>2.16.840.1.113883.5.25</Value>
                    </ValueList>
                </Slot>
                <Name>
                    <LocalizedString charset="UTF-8" value="Normal" xml:lang="da-DK"/>
                </Name>
            </Classification>
            <Classification classificationScheme="urn:uuid:2c6b8cb7-8b2a-4051-b291-b1ae6a575ef4"
                            classifiedObject="urn:uuid:4df52b04-6ab9-410f-91a6-867992db22d6"
                            id="urn:uuid:c6afd872-2a68-4b9c-8e4c-5832325f265a" nodeRepresentation="16">
                <Slot name="codingScheme">
                    <ValueList>
                        <Value>urn:ad:dk:medcom:noah:action-categories</Value>
                    </ValueList>
                </Slot>
                <Name>
                    <LocalizedString charset="UTF-8" value="Impedance" xml:lang="da-DK"/>
                </Name>
            </Classification>
            <Classification classificationScheme="urn:uuid:2c6b8cb7-8b2a-4051-b291-b1ae6a575ef4"
                            classifiedObject="urn:uuid:4df52b04-6ab9-410f-91a6-867992db22d6"
                            id="urn:uuid:2e7f13f2-af30-4dfa-9da2-59b609b9bcae" nodeRepresentation="T001147">
                <Slot name="codingScheme">
                    <ValueList>
                        <Value>urn:ad:dk:medcom:noah:action-categories</Value>
                    </ValueList>
                </Slot>
                <Name>
                    <LocalizedString charset="UTF-8" value="Højre" xml:lang="da-DK"/>
                </Name>
            </Classification>
            <ExternalIdentifier id="urn:uuid:3052d56b-dc35-4a4e-9d2d-7ff89f958b1d"
                                identificationScheme="urn:uuid:58a6f841-87b3-4a3e-92fd-a8ffeff98427"
                                registryObject="urn:uuid:4df52b04-6ab9-410f-91a6-867992db22d6"
                                value="2007539315^^^&1.2.208.176.1.2&ISO">
                <Name>
                    <LocalizedString value="XDSDocumentEntry.patientId"/>
                </Name>
            </ExternalIdentifier>
            <ExternalIdentifier id="urn:uuid:bbe1fe74-ceec-48e3-b9ac-51fa9d810bc0"
                                identificationScheme="urn:uuid:2e82c1f6-a085-4c72-9da3-8640a32e42ab"
                                registryObject="urn:uuid:4df52b04-6ab9-410f-91a6-867992db22d6"
                                value="1.2.208.184^4df52b04-6ab9-410f-91a6-867992db22d6">
                <Name>
                    <LocalizedString value="XDSDocumentEntry.uniqueId"/>
                </Name>
            </ExternalIdentifier>
        </ExtrinsicObject>
        <ExtrinsicObject home="urn:oid:1.2.208.176.43210.8.10" id="urn:uuid:68c2bb76-a2e6-4d56-85dc-1982f4a16021"
                         lid="urn:uuid:68c2bb76-a2e6-4d56-85dc-1982f4a16021" mimeType="text/xml"
                         objectType="urn:uuid:7edca82f-054d-47f2-a032-9b2a5b5186c1"
                         status="urn:oasis:names:tc:ebxml-regrep:StatusType:Approved">
            <Slot name="creationTime">
                <ValueList>
                    <Value>20240220124412</Value>
                </ValueList>
            </Slot>
            <Slot name="hash">
                <ValueList>
                    <Value>0f4a46adcfc3c7416cc24bc9d7b0c9256f0856fe</Value>
                </ValueList>
            </Slot>
            <Slot name="languageCode">
                <ValueList>
                    <Value>da-DK</Value>
                </ValueList>
            </Slot>
            <Slot name="serviceStartTime">
                <ValueList>
                    <Value>20240220124203</Value>
                </ValueList>
            </Slot>
            <Slot name="serviceStopTime">
                <ValueList>
                    <Value>20240220124203</Value>
                </ValueList>
            </Slot>
            <Slot name="repositoryUniqueId">
                <ValueList>
                    <Value>1.2.208.176.43210.8.20.11</Value>
                </ValueList>
            </Slot>
            <Slot name="size">
                <ValueList>
                    <Value>7136</Value>
                </ValueList>
            </Slot>
            <Slot name="sourcePatientId">
                <ValueList>
                    <Value>2007539315^^^&1.2.208.176.1.2&ISO</Value>
                </ValueList>
            </Slot>
            <Slot name="sourcePatientInfo">
                <ValueList>
                    <Value>PID-5|Rasmussen^Adrian</Value>
                    <Value>PID-7|19530720</Value>
                    <Value>PID-8|M</Value>
                </ValueList>
            </Slot>
            <Slot name="urn:ihe:iti:xds:2013:referenceIdList">
                <ValueList>
                    <Value>2908bfd8-8eed-4745-8296-e6fcb086343b^^^^urn:ad:dk:medcom:noah:action-uuid</Value>
                </ValueList>
            </Slot>
            <Name>
                <LocalizedString charset="UTF-8" value="Ny højre immittance" xml:lang="da-DK"/>
            </Name>
            <VersionInfo versionName="1"/>
            <Classification classificationScheme="urn:uuid:93606bcf-9494-43ec-9b4e-a7748d1a838d"
                            classifiedObject="urn:uuid:68c2bb76-a2e6-4d56-85dc-1982f4a16021"
                            id="urn:uuid:d016cbcf-dea3-4318-821e-de11d170fba2" nodeRepresentation="">
                <Slot name="authorPerson">
                    <ValueList>
                        <Value>^ABC^ABC</Value>
                    </ValueList>
                </Slot>
                <Slot name="authorInstitution">
                    <ValueList>
                        <Value>Dansk HøreCenter^^^^^&1.2.208.176.1.1&ISO^^^^478981000016006</Value>
                    </ValueList>
                </Slot>
            </Classification>
            <Classification classificationScheme="urn:uuid:41a5887f-8865-4c09-adf7-e362475b143a"
                            classifiedObject="urn:uuid:68c2bb76-a2e6-4d56-85dc-1982f4a16021"
                            id="urn:uuid:2267d935-057e-494c-815c-6d0108a1fe4d" nodeRepresentation="001">
                <Slot name="codingScheme">
                    <ValueList>
                        <Value>1.2.208.184.100.9</Value>
                    </ValueList>
                </Slot>
                <Name>
                    <LocalizedString charset="UTF-8" value="Klinisk Rapport" xml:lang="da-DK"/>
                </Name>
            </Classification>
            <Classification classificationScheme="urn:uuid:a09d5840-386c-46f2-b5ad-9c3699a4309d"
                            classifiedObject="urn:uuid:68c2bb76-a2e6-4d56-85dc-1982f4a16021"
                            id="urn:uuid:60d00b9d-ef63-46cc-b59c-34591af8af8a"
                            nodeRepresentation="urn:ad:dk:medcom:noah:impedance:format-500">
                <Slot name="codingScheme">
                    <ValueList>
                        <Value>1.2.208.184.100.10</Value>
                    </ValueList>
                </Slot>
                <Name>
                    <LocalizedString charset="UTF-8" value="Noah Impedance i format 500" xml:lang="da-DK"/>
                </Name>
            </Classification>
            <Classification classificationScheme="urn:uuid:f33fb8ac-18af-42cc-ae0e-ed0b0bdb91e1"
                            classifiedObject="urn:uuid:68c2bb76-a2e6-4d56-85dc-1982f4a16021"
                            id="urn:uuid:27702a67-c416-4cd2-b381-12f617950d49" nodeRepresentation="702824005">
                <Slot name="codingScheme">
                    <ValueList>
                        <Value>2.16.840.1.113883.6.96</Value>
                    </ValueList>
                </Slot>
                <Name>
                    <LocalizedString charset="UTF-8" value="hørecenter" xml:lang="da-DK"/>
                </Name>
            </Classification>
            <Classification classificationScheme="urn:uuid:cccf5598-8b07-4b77-a05e-ae952c785ead"
                            classifiedObject="urn:uuid:68c2bb76-a2e6-4d56-85dc-1982f4a16021"
                            id="urn:uuid:48c9a591-d89a-4e32-8f1d-ebddffe4b25e" nodeRepresentation="394604002">
                <Slot name="codingScheme">
                    <ValueList>
                        <Value>2.16.840.1.113883.6.96</Value>
                    </ValueList>
                </Slot>
                <Name>
                    <LocalizedString charset="UTF-8" value="oto-rhino-laryngologi" xml:lang="da-DK"/>
                </Name>
            </Classification>
            <Classification classificationScheme="urn:uuid:f0306f51-975f-434e-a61c-c59651d33983"
                            classifiedObject="urn:uuid:68c2bb76-a2e6-4d56-85dc-1982f4a16021"
                            id="urn:uuid:b4b54fd4-85e5-436a-881b-681bd224d369" nodeRepresentation="28615-3">
                <Slot name="codingScheme">
                    <ValueList>
                        <Value>2.16.840.1.113883.6.1</Value>
                    </ValueList>
                </Slot>
                <Name>
                    <LocalizedString charset="UTF-8" value="Audiologi dokument" xml:lang="da-DK"/>
                </Name>
            </Classification>
            <Classification classificationScheme="urn:uuid:f4f85eac-e6cb-4883-b524-f2705394840f"
                            classifiedObject="urn:uuid:68c2bb76-a2e6-4d56-85dc-1982f4a16021"
                            id="urn:uuid:77df5003-4c23-42db-883c-2e876f041a14" nodeRepresentation="N">
                <Slot name="codingScheme">
                    <ValueList>
                        <Value>2.16.840.1.113883.5.25</Value>
                    </ValueList>
                </Slot>
                <Name>
                    <LocalizedString charset="UTF-8" value="Normal" xml:lang="da-DK"/>
                </Name>
            </Classification>
            <Classification classificationScheme="urn:uuid:2c6b8cb7-8b2a-4051-b291-b1ae6a575ef4"
                            classifiedObject="urn:uuid:68c2bb76-a2e6-4d56-85dc-1982f4a16021"
                            id="urn:uuid:8775e613-6bf5-4f0c-bba3-c1d2e1f30806" nodeRepresentation="16">
                <Slot name="codingScheme">
                    <ValueList>
                        <Value>urn:ad:dk:medcom:noah:action-categories</Value>
                    </ValueList>
                </Slot>
                <Name>
                    <LocalizedString charset="UTF-8" value="Impedance" xml:lang="da-DK"/>
                </Name>
            </Classification>
            <Classification classificationScheme="urn:uuid:2c6b8cb7-8b2a-4051-b291-b1ae6a575ef4"
                            classifiedObject="urn:uuid:68c2bb76-a2e6-4d56-85dc-1982f4a16021"
                            id="urn:uuid:d73097ff-c855-4026-834d-9e33485ea809" nodeRepresentation="T001147">
                <Slot name="codingScheme">
                    <ValueList>
                        <Value>urn:ad:dk:medcom:noah:action-categories</Value>
                    </ValueList>
                </Slot>
                <Name>
                    <LocalizedString charset="UTF-8" value="Højre" xml:lang="da-DK"/>
                </Name>
            </Classification>
            <ExternalIdentifier id="urn:uuid:9f7371fd-bce2-4816-883f-5aab99907c3d"
                                identificationScheme="urn:uuid:58a6f841-87b3-4a3e-92fd-a8ffeff98427"
                                registryObject="urn:uuid:68c2bb76-a2e6-4d56-85dc-1982f4a16021"
                                value="2007539315^^^&1.2.208.176.1.2&ISO">
                <Name>
                    <LocalizedString value="XDSDocumentEntry.patientId"/>
                </Name>
            </ExternalIdentifier>
            <ExternalIdentifier id="urn:uuid:2299d547-a2f2-4430-86d3-14e20fe5be4f"
                                identificationScheme="urn:uuid:2e82c1f6-a085-4c72-9da3-8640a32e42ab"
                                registryObject="urn:uuid:68c2bb76-a2e6-4d56-85dc-1982f4a16021"
                                value="1.2.208.184^68c2bb76-a2e6-4d56-85dc-1982f4a16021">
                <Name>
                    <LocalizedString value="XDSDocumentEntry.uniqueId"/>
                </Name>
            </ExternalIdentifier>
        </ExtrinsicObject>
        <ExtrinsicObject home="urn:oid:1.2.208.176.43210.8.10" id="urn:uuid:a5242db2-5404-4137-82fb-718dca05419e"
                         lid="urn:uuid:a5242db2-5404-4137-82fb-718dca05419e" mimeType="text/xml"
                         objectType="urn:uuid:7edca82f-054d-47f2-a032-9b2a5b5186c1"
                         status="urn:oasis:names:tc:ebxml-regrep:StatusType:Approved">
            <Slot name="creationTime">
                <ValueList>
                    <Value>20240220124412</Value>
                </ValueList>
            </Slot>
            <Slot name="hash">
                <ValueList>
                    <Value>5d1e719ecc46897db74705d6ca5eba46a035831c</Value>
                </ValueList>
            </Slot>
            <Slot name="languageCode">
                <ValueList>
                    <Value>da-DK</Value>
                </ValueList>
            </Slot>
            <Slot name="serviceStartTime">
                <ValueList>
                    <Value>20240220124204</Value>
                </ValueList>
            </Slot>
            <Slot name="serviceStopTime">
                <ValueList>
                    <Value>20240220124204</Value>
                </ValueList>
            </Slot>
            <Slot name="repositoryUniqueId">
                <ValueList>
                    <Value>1.2.208.176.43210.8.20.11</Value>
                </ValueList>
            </Slot>
            <Slot name="size">
                <ValueList>
                    <Value>7136</Value>
                </ValueList>
            </Slot>
            <Slot name="sourcePatientId">
                <ValueList>
                    <Value>2007539315^^^&1.2.208.176.1.2&ISO</Value>
                </ValueList>
            </Slot>
            <Slot name="sourcePatientInfo">
                <ValueList>
                    <Value>PID-5|Rasmussen^Adrian</Value>
                    <Value>PID-7|19530720</Value>
                    <Value>PID-8|M</Value>
                </ValueList>
            </Slot>
            <Slot name="urn:ihe:iti:xds:2013:referenceIdList">
                <ValueList>
                    <Value>a0ed9fe7-1746-40d3-b676-d41aaa97893b^^^^urn:ad:dk:medcom:noah:action-uuid</Value>
                </ValueList>
            </Slot>
            <Name>
                <LocalizedString charset="UTF-8" value="Ny venstre immittance" xml:lang="da-DK"/>
            </Name>
            <VersionInfo versionName="1"/>
            <Classification classificationScheme="urn:uuid:93606bcf-9494-43ec-9b4e-a7748d1a838d"
                            classifiedObject="urn:uuid:a5242db2-5404-4137-82fb-718dca05419e"
                            id="urn:uuid:11612fe2-6ab6-4af9-b07c-f1c4b330aa07" nodeRepresentation="">
                <Slot name="authorPerson">
                    <ValueList>
                        <Value>^ABC^ABC</Value>
                    </ValueList>
                </Slot>
                <Slot name="authorInstitution">
                    <ValueList>
                        <Value>Dansk HøreCenter^^^^^&1.2.208.176.1.1&ISO^^^^478981000016006</Value>
                    </ValueList>
                </Slot>
            </Classification>
            <Classification classificationScheme="urn:uuid:41a5887f-8865-4c09-adf7-e362475b143a"
                            classifiedObject="urn:uuid:a5242db2-5404-4137-82fb-718dca05419e"
                            id="urn:uuid:63bded50-43a1-42b2-a322-8415878fc8dc" nodeRepresentation="001">
                <Slot name="codingScheme">
                    <ValueList>
                        <Value>1.2.208.184.100.9</Value>
                    </ValueList>
                </Slot>
                <Name>
                    <LocalizedString charset="UTF-8" value="Klinisk Rapport" xml:lang="da-DK"/>
                </Name>
            </Classification>
            <Classification classificationScheme="urn:uuid:a09d5840-386c-46f2-b5ad-9c3699a4309d"
                            classifiedObject="urn:uuid:a5242db2-5404-4137-82fb-718dca05419e"
                            id="urn:uuid:1d58c38d-ef28-4f9d-8ab7-a0083aec3636"
                            nodeRepresentation="urn:ad:dk:medcom:noah:impedance:format-500">
                <Slot name="codingScheme">
                    <ValueList>
                        <Value>1.2.208.184.100.10</Value>
                    </ValueList>
                </Slot>
                <Name>
                    <LocalizedString charset="UTF-8" value="Noah Impedance i format 500" xml:lang="da-DK"/>
                </Name>
            </Classification>
            <Classification classificationScheme="urn:uuid:f33fb8ac-18af-42cc-ae0e-ed0b0bdb91e1"
                            classifiedObject="urn:uuid:a5242db2-5404-4137-82fb-718dca05419e"
                            id="urn:uuid:fb496315-e23c-48f0-9cb8-5b21bd2780f1" nodeRepresentation="702824005">
                <Slot name="codingScheme">
                    <ValueList>
                        <Value>2.16.840.1.113883.6.96</Value>
                    </ValueList>
                </Slot>
                <Name>
                    <LocalizedString charset="UTF-8" value="hørecenter" xml:lang="da-DK"/>
                </Name>
            </Classification>
            <Classification classificationScheme="urn:uuid:cccf5598-8b07-4b77-a05e-ae952c785ead"
                            classifiedObject="urn:uuid:a5242db2-5404-4137-82fb-718dca05419e"
                            id="urn:uuid:319e4e17-aec1-4143-841b-0116401df544" nodeRepresentation="394604002">
                <Slot name="codingScheme">
                    <ValueList>
                        <Value>2.16.840.1.113883.6.96</Value>
                    </ValueList>
                </Slot>
                <Name>
                    <LocalizedString charset="UTF-8" value="oto-rhino-laryngologi" xml:lang="da-DK"/>
                </Name>
            </Classification>
            <Classification classificationScheme="urn:uuid:f0306f51-975f-434e-a61c-c59651d33983"
                            classifiedObject="urn:uuid:a5242db2-5404-4137-82fb-718dca05419e"
                            id="urn:uuid:d7284cd9-d454-4a6a-ad30-1bb9908690af" nodeRepresentation="28615-3">
                <Slot name="codingScheme">
                    <ValueList>
                        <Value>2.16.840.1.113883.6.1</Value>
                    </ValueList>
                </Slot>
                <Name>
                    <LocalizedString charset="UTF-8" value="Audiologi dokument" xml:lang="da-DK"/>
                </Name>
            </Classification>
            <Classification classificationScheme="urn:uuid:f4f85eac-e6cb-4883-b524-f2705394840f"
                            classifiedObject="urn:uuid:a5242db2-5404-4137-82fb-718dca05419e"
                            id="urn:uuid:e2eff486-98b5-411d-9653-ec38d0c9e1db" nodeRepresentation="N">
                <Slot name="codingScheme">
                    <ValueList>
                        <Value>2.16.840.1.113883.5.25</Value>
                    </ValueList>
                </Slot>
                <Name>
                    <LocalizedString charset="UTF-8" value="Normal" xml:lang="da-DK"/>
                </Name>
            </Classification>
            <Classification classificationScheme="urn:uuid:2c6b8cb7-8b2a-4051-b291-b1ae6a575ef4"
                            classifiedObject="urn:uuid:a5242db2-5404-4137-82fb-718dca05419e"
                            id="urn:uuid:354d763c-7b95-48ee-b75c-8cd43a51dda7" nodeRepresentation="15">
                <Slot name="codingScheme">
                    <ValueList>
                        <Value>urn:ad:dk:medcom:noah:action-categories</Value>
                    </ValueList>
                </Slot>
                <Name>
                    <LocalizedString charset="UTF-8" value="Impedance" xml:lang="da-DK"/>
                </Name>
            </Classification>
            <Classification classificationScheme="urn:uuid:2c6b8cb7-8b2a-4051-b291-b1ae6a575ef4"
                            classifiedObject="urn:uuid:a5242db2-5404-4137-82fb-718dca05419e"
                            id="urn:uuid:996888eb-b57c-414c-8311-e90e7fbf2956" nodeRepresentation="T001148">
                <Slot name="codingScheme">
                    <ValueList>
                        <Value>urn:ad:dk:medcom:noah:action-categories</Value>
                    </ValueList>
                </Slot>
                <Name>
                    <LocalizedString charset="UTF-8" value="Venstre" xml:lang="da-DK"/>
                </Name>
            </Classification>
            <ExternalIdentifier id="urn:uuid:1bd37713-0d6c-46fd-bac1-d29155cf4dc1"
                                identificationScheme="urn:uuid:58a6f841-87b3-4a3e-92fd-a8ffeff98427"
                                registryObject="urn:uuid:a5242db2-5404-4137-82fb-718dca05419e"
                                value="2007539315^^^&1.2.208.176.1.2&ISO">
                <Name>
                    <LocalizedString value="XDSDocumentEntry.patientId"/>
                </Name>
            </ExternalIdentifier>
            <ExternalIdentifier id="urn:uuid:31eea7b4-3fcf-4d21-9da9-8bcfd6c19013"
                                identificationScheme="urn:uuid:2e82c1f6-a085-4c72-9da3-8640a32e42ab"
                                registryObject="urn:uuid:a5242db2-5404-4137-82fb-718dca05419e"
                                value="1.2.208.184^a5242db2-5404-4137-82fb-718dca05419e">
                <Name>
                    <LocalizedString value="XDSDocumentEntry.uniqueId"/>
                </Name>
            </ExternalIdentifier>
        </ExtrinsicObject>
        <ExtrinsicObject home="urn:oid:1.2.208.176.43210.8.10" id="urn:uuid:99daabf0-7409-4dd4-87db-a6120665f1c5"
                         lid="urn:uuid:99daabf0-7409-4dd4-87db-a6120665f1c5" mimeType="text/xml"
                         objectType="urn:uuid:7edca82f-054d-47f2-a032-9b2a5b5186c1"
                         status="urn:oasis:names:tc:ebxml-regrep:StatusType:Approved">
            <Slot name="creationTime">
                <ValueList>
                    <Value>20240220124412</Value>
                </ValueList>
            </Slot>
            <Slot name="hash">
                <ValueList>
                    <Value>c7a97e9448f0ea949a8bd2ab4a7e11997341b9cd</Value>
                </ValueList>
            </Slot>
            <Slot name="languageCode">
                <ValueList>
                    <Value>da-DK</Value>
                </ValueList>
            </Slot>
            <Slot name="serviceStartTime">
                <ValueList>
                    <Value>20240220124204</Value>
                </ValueList>
            </Slot>
            <Slot name="serviceStopTime">
                <ValueList>
                    <Value>20240220124204</Value>
                </ValueList>
            </Slot>
            <Slot name="repositoryUniqueId">
                <ValueList>
                    <Value>1.2.208.176.43210.8.20.11</Value>
                </ValueList>
            </Slot>
            <Slot name="size">
                <ValueList>
                    <Value>5484</Value>
                </ValueList>
            </Slot>
            <Slot name="sourcePatientId">
                <ValueList>
                    <Value>2007539315^^^&1.2.208.176.1.2&ISO</Value>
                </ValueList>
            </Slot>
            <Slot name="sourcePatientInfo">
                <ValueList>
                    <Value>PID-5|Rasmussen^Adrian</Value>
                    <Value>PID-7|19530720</Value>
                    <Value>PID-8|M</Value>
                </ValueList>
            </Slot>
            <Slot name="urn:ihe:iti:xds:2013:referenceIdList">
                <ValueList>
                    <Value>a52b1095-14ee-455c-a79f-db00fb27615a^^^^urn:ad:dk:medcom:noah:action-uuid</Value>
                </ValueList>
            </Slot>
            <Name>
                <LocalizedString charset="UTF-8" value="Nyt audiogram" xml:lang="da-DK"/>
            </Name>
            <VersionInfo versionName="1"/>
            <Classification classificationScheme="urn:uuid:93606bcf-9494-43ec-9b4e-a7748d1a838d"
                            classifiedObject="urn:uuid:99daabf0-7409-4dd4-87db-a6120665f1c5"
                            id="urn:uuid:6c2f565d-6eef-4746-9c08-308645ed4b8f" nodeRepresentation="">
                <Slot name="authorPerson">
                    <ValueList>
                        <Value>^ABC^ABC</Value>
                    </ValueList>
                </Slot>
                <Slot name="authorInstitution">
                    <ValueList>
                        <Value>Dansk HøreCenter^^^^^&1.2.208.176.1.1&ISO^^^^478981000016006</Value>
                    </ValueList>
                </Slot>
            </Classification>
            <Classification classificationScheme="urn:uuid:41a5887f-8865-4c09-adf7-e362475b143a"
                            classifiedObject="urn:uuid:99daabf0-7409-4dd4-87db-a6120665f1c5"
                            id="urn:uuid:5ad6bf43-033a-43ea-b137-c3b57946cb8a" nodeRepresentation="001">
                <Slot name="codingScheme">
                    <ValueList>
                        <Value>1.2.208.184.100.9</Value>
                    </ValueList>
                </Slot>
                <Name>
                    <LocalizedString charset="UTF-8" value="Klinisk Rapport" xml:lang="da-DK"/>
                </Name>
            </Classification>
            <Classification classificationScheme="urn:uuid:a09d5840-386c-46f2-b5ad-9c3699a4309d"
                            classifiedObject="urn:uuid:99daabf0-7409-4dd4-87db-a6120665f1c5"
                            id="urn:uuid:2d4d9490-0cb0-4b75-a0d6-1d3fdcd349fc"
                            nodeRepresentation="urn:ad:dk:medcom:noah:audiogram:format-500">
                <Slot name="codingScheme">
                    <ValueList>
                        <Value>1.2.208.184.100.10</Value>
                    </ValueList>
                </Slot>
                <Name>
                    <LocalizedString charset="UTF-8" value="Noah Audiogram i format 500" xml:lang="da-DK"/>
                </Name>
            </Classification>
            <Classification classificationScheme="urn:uuid:f33fb8ac-18af-42cc-ae0e-ed0b0bdb91e1"
                            classifiedObject="urn:uuid:99daabf0-7409-4dd4-87db-a6120665f1c5"
                            id="urn:uuid:97cf88e7-a6c3-4733-930b-66888afc3916" nodeRepresentation="702824005">
                <Slot name="codingScheme">
                    <ValueList>
                        <Value>2.16.840.1.113883.6.96</Value>
                    </ValueList>
                </Slot>
                <Name>
                    <LocalizedString charset="UTF-8" value="hørecenter" xml:lang="da-DK"/>
                </Name>
            </Classification>
            <Classification classificationScheme="urn:uuid:cccf5598-8b07-4b77-a05e-ae952c785ead"
                            classifiedObject="urn:uuid:99daabf0-7409-4dd4-87db-a6120665f1c5"
                            id="urn:uuid:9deb9428-c3b4-4ea2-90e6-5eb4b891fd6d" nodeRepresentation="394604002">
                <Slot name="codingScheme">
                    <ValueList>
                        <Value>2.16.840.1.113883.6.96</Value>
                    </ValueList>
                </Slot>
                <Name>
                    <LocalizedString charset="UTF-8" value="oto-rhino-laryngologi" xml:lang="da-DK"/>
                </Name>
            </Classification>
            <Classification classificationScheme="urn:uuid:f0306f51-975f-434e-a61c-c59651d33983"
                            classifiedObject="urn:uuid:99daabf0-7409-4dd4-87db-a6120665f1c5"
                            id="urn:uuid:4f997078-04be-44b0-b9a0-9dfe046da103" nodeRepresentation="28615-3">
                <Slot name="codingScheme">
                    <ValueList>
                        <Value>2.16.840.1.113883.6.1</Value>
                    </ValueList>
                </Slot>
                <Name>
                    <LocalizedString charset="UTF-8" value="Audiologi dokument" xml:lang="da-DK"/>
                </Name>
            </Classification>
            <Classification classificationScheme="urn:uuid:f4f85eac-e6cb-4883-b524-f2705394840f"
                            classifiedObject="urn:uuid:99daabf0-7409-4dd4-87db-a6120665f1c5"
                            id="urn:uuid:b7bb049c-2440-4ce5-b77f-a7683c2f2c27" nodeRepresentation="N">
                <Slot name="codingScheme">
                    <ValueList>
                        <Value>2.16.840.1.113883.5.25</Value>
                    </ValueList>
                </Slot>
                <Name>
                    <LocalizedString charset="UTF-8" value="Normal" xml:lang="da-DK"/>
                </Name>
            </Classification>
            <Classification classificationScheme="urn:uuid:2c6b8cb7-8b2a-4051-b291-b1ae6a575ef4"
                            classifiedObject="urn:uuid:99daabf0-7409-4dd4-87db-a6120665f1c5"
                            id="urn:uuid:5841122d-85d3-47da-8810-c567b5ea11e9" nodeRepresentation="1">
                <Slot name="codingScheme">
                    <ValueList>
                        <Value>urn:ad:dk:medcom:noah:action-categories</Value>
                    </ValueList>
                </Slot>
                <Name>
                    <LocalizedString charset="UTF-8" value="Audiogram" xml:lang="da-DK"/>
                </Name>
            </Classification>
            <ExternalIdentifier id="urn:uuid:cb9effae-59d7-4c45-8143-39ee35d47f43"
                                identificationScheme="urn:uuid:58a6f841-87b3-4a3e-92fd-a8ffeff98427"
                                registryObject="urn:uuid:99daabf0-7409-4dd4-87db-a6120665f1c5"
                                value="2007539315^^^&1.2.208.176.1.2&ISO">
                <Name>
                    <LocalizedString value="XDSDocumentEntry.patientId"/>
                </Name>
            </ExternalIdentifier>
            <ExternalIdentifier id="urn:uuid:8d1a4e1a-7443-4742-b15a-d45a35ec9e9e"
                                identificationScheme="urn:uuid:2e82c1f6-a085-4c72-9da3-8640a32e42ab"
                                registryObject="urn:uuid:99daabf0-7409-4dd4-87db-a6120665f1c5"
                                value="1.2.208.184^99daabf0-7409-4dd4-87db-a6120665f1c5">
                <Name>
                    <LocalizedString value="XDSDocumentEntry.uniqueId"/>
                </Name>
            </ExternalIdentifier>
        </ExtrinsicObject>
    </RegistryObjectList>
</ns3:AdhocQueryResponse>

Der er tre værdier der skal benyttes:

HomeCommunityId - der beskriver det domæne dokumentet befinder sig i.
Værdien hentes ud fra ...ExtrinsicObject/@home
RepositoryUniqueId - der bekriver den kilde under domænet der opbevarer dokumentet
Værdien hentes ud fra ...ExtrinsicObject/Slot[@name=’repositoryUniqueId’]/Value List/Value
DocumentUniqueId - der identificerer selve dokumentet
Værdien hentes ud fra ...ExtrinsicObject/ExternalIdentifier[@identificationScheme=’urn:uuid:2e82c1f6-a085-4c72-9da3-8640a32e42ab]/@value

Yderligere information omkring forespørgsler via dokumentdeling kan ses i Brugervejledning til forespørgsler via DDS

Hentning af Høremappedokumenter

For at hente en patients Aftaleoversigt, skal der laves en ITI-43 forespørgsel via NSP'ens dokumentdelingsservice.

Som beskrevet ovenfor benyttes de tre værdier: HomeCommunityId, RepositoryUniqueId og DocumentUniqueId til at hente dokumenterne.

WSDL til DDS Repository findes her: https://wsdl.nspop.dk/ddsrepository?wsdl

ITI-43 RetrieveDocumentSetRequest

        <RetrieveDocumentSetRequest xmlns="urn:ihe:iti:xds-b:2007">
            <DocumentRequest>
                <HomeCommunityId>urn:oid:1.2.208.176.43210.8.20.11</HomeCommunityId>
                <RepositoryUniqueId>1.2.208.176.43210.8.20.11</RepositoryUniqueId>
                <DocumentUniqueId>6946778998876148702.7192223840203720416.1528441845022</DocumentUniqueId>
            </DocumentRequest>
        </RetrieveDocumentSetRequest>

Det svar der returneres er patientens Aftaleoversigt, indeholdende de dataelementer der er beskrevet under indhold.

Bemærk at selve body delen af aftalen skal hentes ud som en mime attachement

ITI-43 RetrieveDocumentSetResponse

<RetrieveDocumentSetResponse xmlns="urn:ihe:iti:xds-b:2007" xmlns:ns2="http://docs.oasis-open.org/wss/2004/01/oasis-200401-wss-wssecurity-utility-1.0.xsd" xmlns:ns3="urn:oasis:names:tc:SAML:2.0:assertion" xmlns:ns4="http://www.w3.org/2000/09/xmldsig#" xmlns:ns5="http://docs.oasis-open.org/wss/2004/01/oasis-200401-wss-wssecurity-secext-1.0.xsd" xmlns:ns6="http://www.medcom.dk/dgws/2006/04/dgws-1.0.xsd" xmlns:ns7="http://www.nsi.dk/hsuid/2016/08/hsuid-1.1.xsd" xmlns:ns8="urn:oasis:names:tc:ebxml-regrep:xsd:rim:3.0" xmlns:ns9="urn:oasis:names:tc:ebxml-regrep:xsd:rs:3.0" xmlns:ns10="urn:oasis:names:tc:ebxml-regrep:xsd:cms:3.0" xmlns:ns11="urn:oasis:names:tc:ebxml-regrep:xsd:query:3.0" xmlns:ns12="urn:oasis:names:tc:ebxml-regrep:xsd:lcm:3.0"><ns9:RegistryResponse status="urn:oasis:names:tc:ebxml-regrep:ResponseStatusType:Success"/><DocumentResponse><HomeCommunityId>urn:oid:1.2.208.176.43210.8.20.11</HomeCommunityId><RepositoryUniqueId>1.2.208.176.43210.8.20.11</RepositoryUniqueId><DocumentUniqueId>6946778998876148702.7192223840203720416.1528441845022</DocumentUniqueId><mimeType>text/xml</mimeType><Document><xop:Include xmlns:xop="http://www.w3.org/2004/08/xop/include" href="cid:8110ae30-37ff-4306-9c98-0ec153181a9f-68078@urn%3Aihe%3Aiti%3Axds-b%3A2007"/></Document></DocumentResponse></RetrieveDocumentSetResponse></soap:Body></soap:Envelope>
--uuid:52a6c54a-20db-4aba-bf36-2ac132997b00
Content-Type: application/octet-stream
Content-Transfer-Encoding: binary
Content-ID: <8110ae30-37ff-4306-9c98-0ec153181a9f-68078@urn:ihe:iti:xds-b:2007>

<?xml version="1.0" encoding="UTF-8" standalone="no"?>
<ClinicalDocument
	xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"
	xsi:schemaLocation="urn:hl7-org:v3 ../../PHMR/Schema/CDA_SDTC.xsd"
	xmlns="urn:hl7-org:v3" classCode="DOCCLIN" moodCode="EVN">
	<realmCode code="DK" />
	<typeId root="2.16.840.1.113883.1.3" extension="POCD_HD000040" />
	<!-- MedCom DK CDA APD profile OID -->
	<templateId root="1.2.208.184.14.1" />
	<id extension="aa2386d0-79ea-11e3-981f-0800200c9a66"
		root="1.2.208.184" assigningAuthorityName="MedCom" />
	<!-- LOINC code for appointment date -->
	<code code="39289-4" codeSystem="2.16.840.1.113883.6.1"
		codeSystemName="LOINC"
		displayName="Dato og tidspunkt for møde mellem patient og sundhedsperson" />
	<!-- title = "Aftale for" + patient id -->
	<title>Aftale for 2512489996</title>
	<effectiveTime value="20170113100000+0100" />
	<confidentialityCode code="N"
		codeSystem="2.16.840.1.113883.5.25" />
	<languageCode code="da-DK" />

	<!-- information about the patient -->
	<recordTarget typeCode="RCT" contextControlCode="OP">
		<patientRole classCode="PAT">
			<id extension="2512489996" root="1.2.208.176.1.2"
				assigningAuthorityName="CPR" />
			<addr use="H">
				<streetAddressLine>Skovvejen 12</streetAddressLine>
				<streetAddressLine>Landet</streetAddressLine>
				<postalCode>5700</postalCode>
				<city>Svendborg</city>
				<country>Danmark</country>
			</addr>
			<telecom value="tel:65123456" use="H" />
			<telecom value="mailto:nab@udkantsdanmark.dk" use="WP" />
			<patient classCode="PSN" determinerCode="INSTANCE">
				<name>
					<given>Nancy</given>
					<given>Ann</given>
					<family>Berggren</family>
				</name>
				<administrativeGenderCode code="F"
					codeSystem="2.16.840.1.113883.5.1" />
				<birthTime value="19481225000000+0000" />
			</patient>
		</patientRole>
	</recordTarget>

	<!-- the health care organisation and person responsible for the appointment -->
	<author typeCode="AUT" contextControlCode="OP">
		<time value="20170216100000+0100" />
		<assignedAuthor classCode="ASSIGNED">
			<id extension="242621000016001" root="1.2.208.176.1.1"
				assigningAuthorityName="SOR" />
			<addr use="WP">
				<streetAddressLine>Valdemarsgade 53</streetAddressLine>
				<postalCode>5700</postalCode>
				<city>Svendborg</city>
				<country>Danmark</country>
			</addr>
			<telecom value="tel:65113333-1" use="WP" />
			<assignedPerson classCode="PSN"
				determinerCode="INSTANCE">
				<name>
					<prefix>Læge</prefix>
					<given>Jens</given>
					<family>Jensen</family>
				</name>
			</assignedPerson>
			<representedOrganization classCode="ORG"
				determinerCode="INSTANCE">
				<name>OUH Radiologisk Afdeling (Svendborg)</name>
				<telecom nullFlavor="NI" />
				<addr use="WP">
					<streetAddressLine nullFlavor="NI" />
				</addr>
			</representedOrganization>
		</assignedAuthor>
	</author>

	<!-- the organisation responsible for maintaing the CDA document -->
	<custodian typeCode="CST">
		<assignedCustodian classCode="ASSIGNED">
			<representedCustodianOrganization
				classCode="ORG" determinerCode="INSTANCE">
				<id extension="515361000016007" root="1.2.208.176.1.1"
					assigningAuthorityName="SOR" />
				<name>OUH Klinisk IT (Odense)</name>
				<telecom value="tel:66113333-2" use="WP" />
				<addr use="WP">
					<streetAddressLine>J. B. Winsløwsvej 4 1</streetAddressLine>
					<postalCode>5000</postalCode>
					<city>Odense C</city>
					<country>Danmark</country>
				</addr>
			</representedCustodianOrganization>
		</assignedCustodian>
	</custodian>

	<!-- the date and time for when the service event will take place -->
	<documentationOf typeCode="DOC">
		<serviceEvent classCode="MPROT" moodCode="EVN">
			<effectiveTime>
				<low value="20180831110000+0100" />
				<high value="20180831120000+0100" />
			</effectiveTime>
		</serviceEvent>
	</documentationOf>

	<!-- CDA Body -->
	<component typeCode="COMP" contextConductionInd="true">
		<structuredBody classCode="DOCBODY" moodCode="EVN">

			<component typeCode="COMP" contextConductionInd="true">

				<section classCode="DOCSECT" moodCode="EVN">
					<!-- DK APD Plan of treatment section template -->
					<templateId root="1.2.208.184.14.11.1"
						extension="2017-03-10" />
					<code code="18776-5" codeSystem="2.16.840.1.113883.6.1"
						codeSystemName="LOINC" displayName="Plan of care note" />
					<title>Aftale</title>
					<text>Aftale-tekst-her</text>

					<entry>
						<encounter moodCode="APT" classCode="ENC">
							<!-- DK APD Planned Encounter template -->
							<templateId root="1.2.208.184.14.11.2"
								extension="2017-03-10" />

							<id root="1.2.208.184"
								extension="9a6d1bac-17d3-4195-89a4-1121bc809b4d"
								assigningAuthorityName="MedCom" />
							<code code="185353001" displayName="Aftale dato"
								codeSystemName="SNOMED CT" codeSystem="2.16.840.1.113883.6.96">
							</code>
							<statusCode code="active" />

							<!-- time period for the planned health care service -->
							<effectiveTime>
								<low value="20170531110000+0100" />
								<high value="20170531120000+0100" />
							</effectiveTime>

							<!-- responsible organisation/person for the health care service -->
							<performer typeCode="PRF">
								<assignedEntity classCode="ASSIGNED">
									<id extension="320161000016005" root="1.2.208.176.1.1"
										assigningAuthorityName="SOR" />
									<addr use="WP">
										<streetAddressLine>Valdemarsgade 53</streetAddressLine>
										<postalCode>5700</postalCode>
										<city>Svendborg</city>
										<country>Danmark</country>
									</addr>
									<telecom value="tel:66113333-3" use="WP" />
									<assignedPerson classCode="PSN"
										determinerCode="INSTANCE">
										<name>
											<prefix>Læge</prefix>
											<given>Anders</given>
											<family>Andersen</family>
										</name>
									</assignedPerson>
									<representedOrganization
										classCode="ORG" determinerCode="INSTANCE">
										<name>OUH Radiologisk Ambulatorium (Nyborg)</name>
										<telecom nullFlavor="NI" />
										<addr use="WP">
											<streetAddressLine nullFlavor="NI" />
										</addr>
									</representedOrganization>
								</assignedEntity>
							</performer>

							<!-- organisation/person who are requesting the appointment (placer) -->
							<author typeCode="AUT" contextControlCode="OP">
								<time value="20170216100000+0100" />
								<assignedAuthor classCode="ASSIGNED">
									<id extension="48681000016007" root="1.2.208.176.1.1"
										assigningAuthorityName="SOR" />
									<addr use="WP">
										<streetAddressLine>Toldbodvej 9</streetAddressLine>
										<postalCode>5700</postalCode>
										<city>Svendborg</city>
										<country>Danmark</country>
									</addr>
									<telecom value="tel:62214518" use="WP" />
									<assignedPerson classCode="PSN"
										determinerCode="INSTANCE">
										<name>
											<given>Anders</given>
											<family>Andersen</family>
										</name>
									</assignedPerson>
									<representedOrganization
										classCode="ORG" determinerCode="INSTANCE">
										<name>Lægerne Toldbodvej</name>
										<telecom nullFlavor="NI" />
										<addr use="WP">
											<streetAddressLine nullFlavor="NI" />
										</addr>
									</representedOrganization>
								</assignedAuthor>
							</author>

							<!-- location for the planned health care service -->
							<participant typeCode="LOC">
								<participantRole classCode="SDLOC">
									<!-- DK Service Delivery Location template -->
									<templateId root="1.2.208.184.14.11.3"
										extension="2017-03-10" />
									<id extension="320161000016005" root="1.2.208.176.1.1"
										assigningAuthorityName="SOR" />
									<addr use="WP">
										<streetAddressLine>Vestergade 17</streetAddressLine>
										<postalCode>5800</postalCode>
										<city>Nyborg</city>
										<country>Danmark</country>
									</addr>
									<telecom value="tel:66113333-4" use="WP" />
									<playingEntity classCode="PLC">
										<name>OUH Radiologisk Ambulatorium (Nyborg)</name>
									</playingEntity>
								</participantRole>
							</participant>

							<!-- reason for the planned health care service -->
							<entryRelationship typeCode="RSON">
								<observation classCode="OBS" moodCode="RQO">
									<code code="NI"
										displayName="Ekkokardiografi (Ultralydsundersøgelse af hjertet)" />
								</observation>
							</entryRelationship>
						</encounter>
					</entry>

				</section>

			</component>

		</structuredBody>
	</component>
</ClinicalDocument>

Sikkerhed, roller og rettigheder

For adgang til Aftaleoversigten skal der for sundhedspersoner eksistere et gyldigt SOSI-ID kort som er signeret af NSP'ens Secure Token Service, dokumentationen for SOSI-ID kort og STS ligger under: Anvenderguide til STS

Sundhedspersoner, med en sundhedsfaglig autorisation har adgang til Aftaleoversigten. Sundhedspersoner uden sundhedsfaglig autorisation skal have tilknyttet en rettighed før disse kan få adgang. Lokale organisationer kan enten tilknytte disse rettigheder via Sundhedsstyrelsens Elektroniske Brugerstyring (SEB), eller give rettigheden via den lokale identifikations- og rettighedsstyring.

Følgende roller anvendes i forbindelse med Et samlet patientoverblik.

Rollenavn

Rettighed

Notation som indsættes i SOSI IdKort ved udstedelse

nspSundAssistR2

Giver ret til at læse Aftaleoversigten

Giver også adgang til at læse andre dokumenter, der deles via dokumentdelingsinfrastrukturen jvf. Sundhedslovens §42a stk. 4

(Se overordnet dokumentation for nationale roller her: SEB - Sundhedsvæsenets Elektroniske Brugerstyring - Sundhedsdatastyrelsen Services (nsi.dk))

urn:dk:healthcare:national-federation-role:code:41002:value:SundAssistR2

En sundhedsperson kan ikke have tilknyttet flere roller på samme tid - dette skal administreres via den lokale identifikations- og rettighedsstyring, eller via SEB

Bemærk: SEB-dokumentationen samt vejledningen ved oprettelse af en rolle er ved at blive tilrettet, så rettigheden for nspSundAsisstR2 afspejler ovenstående.

Håndtering af Spærring og Fuldmagt

Spærring

Patienten kan have spærret for at data fra Aftaleoversigten må deles med andre parter i sundhedssektoren, i det tilfælde vil fejlkoden "Consent Filter Applied” blive returneret (se nedenstående xml eksempel for ITI-18 spærrede dokumenter). Det betyder at borgeren enten har spærret for deling af Aftaler til den specifikke sundhedsperson, for Aftaler i et givet tidsrum, for Aftaler fra bestemte organisationer, eller i en kombination af disse. Klienten skal håndtere at der er angivet en spærring, og give sundhedspersonen mulighed for at få adgang til den fulde Aftaleoversigt under specielle vilkår.

For adgang til spærrede Aftaler kan klienten enten angive et værdispring, eller angive at der ligger et explicit samtykke til at se data, og så sende forespørgslen igen med “ConsentOverride” flaget sat til “True”. Der laves logning i dokumentdelingsinfrastrukturen der angiver at en spærring er tilsidesat. Klienten skal samtidig angive årsagen (Eksempelvis: eksplicit samtykke fra patienten for at få adgang til data) til at spærringen er tilsidesat i eget journalsystem, da der kan forventes at være opfølgning på tilsidesatte spærringer.

Yderligere information omkring spærring og forespørgsler via dokumentdeling kan ses i Brugervejledning til forespørgsler via DDS

ITI-18 Spærrede dokumenter

<rs:RegistryError codeContext="urn:dk:nsi:Consent Filter Applied" errorCode="XDSRegistryError" severity="urn:oasis:names:tc:ebxml-regrep:ErrorSeverityType:Error"/>

Fuldmagt

Patientportaler kan give patienternes pårørende adgang via den Fælles Offentlige Fuldmagtsservice, hvortil der er tilknyttet en brugergrænseflade på Borger .dk.

Bevis for fuldmagter er understøttet i OIO-IDWS identitytokens signeret af STS'en, dog understøtter dokumentdelingsservicen ikke OIO-IDWS - så fuldmagter er i stedet etableret via en trust-løsning hvor patientportalen selv håndterer kontrol af fuldmagter.

Information angående angivelse af fuldmagter via dokumentdelingsservicen, kan ses i HSUID header dokumentation.

Ændringslog

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2024-09-30

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