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Resource Profile: NoBasisEndpoint - Detailed Descriptions

Active as of 2019-05-15

Definitions for the no-basis-Endpoint resource profile.

1. Endpoint
Definition

The no-basis profile of the Endpoint resource makes it possible to use the resource for the norwegian service based adressing (tjenestebasert adressering) and other adressing schemes.

The technical details of an endpoint that can be used for electronic services, such as for web services providing XDS.b or a REST endpoint for another FHIR server. This may include any security context information.

Control0..*
InvariantsDefined on this element
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (: contained.contained.empty())
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (: contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (: text.`div`.exists())
2. Endpoint.id
Definition

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

Control0..1
Typestring
Comments

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

3. Endpoint.meta
Definition

The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

Control0..1
TypeMeta
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
4. Endpoint.implicitRules
Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

Control0..1
Typeuri
Is Modifiertrue
Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
5. Endpoint.language
Definition

The base language in which the resource is written.

Control0..1
BindingThe codes SHOULD be taken from CommonLanguages
Max Binding: AllLanguages A human language.
Typecode
Comments

Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
6. Endpoint.text
Definition

A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

Control0..1
TypeNarrative
Alternate Namesnarrative, html, xhtml, display
Comments

Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
7. Endpoint.contained
Definition

These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

Control0..*
TypeResource
Alternate Namesinline resources, anonymous resources, contained resources
Comments

This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

8. Endpoint.extension
Definition

May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
9. Endpoint.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Control0..*
TypeExtension
Is Modifiertrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
10. Endpoint.identifier
Definition

Identifier for the organization that is used to identify the endpoint across multiple disparate systems.

NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..*
TypeIdentifier
Comments

no-basis: Adresseregisteret do not provide a identifier for the Endpoints, so any identifier scheme is apropriate.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
11. Endpoint.status
Definition

active | suspended | error | off | test.

Control1..1
BindingThe codes SHALL be taken from EndpointStatus The status of the endpoint.
Typecode
Is Modifiertrue
Comments

This element is labeled as a modifier because the status contains codes that mark the endpoint as not currently valid.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
12. Endpoint.connectionType
Definition

no-basis: the connection type should be coded according to http://hl7.org/fhir/ValueSet/endpoint-connection-type. However specific connection types used in Norway can be coded according to http://hl7.no/fhir/ValueSet/no-basis-endpoint-connection-type (amqp, ebxml etc.)

A coded value that represents the technical details of the usage of this endpoint, such as what WSDLs should be used in what way. (e.g. XDS.b/DICOM/cds-hook).

Control1..1
BindingThe codes SHALL be taken from no-basis-connection-type.valueset; other codes may be used where these codes are not suitable
TypeCoding
Comments

For additional connectivity details for the protocol, extensions will be used at this point, as in the XDS example.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
13. Endpoint.name
Definition

A friendly name that this endpoint can be referred to with.

Control0..1
Typestring
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
14. Endpoint.managingOrganization
Definition

The organization that manages this endpoint (even if technically another organisation is hosting this in the cloud, it is the organisation associated with the data).

no-basis: In Norway this relates to the organization with the responsibility for the data e.g. "dataansvarlig". no-basis recommends the use of logical reference to an organization using ENH or RSH. To describe a top level organization. Departments within an organization could use a different reference scheme defined by the organization.

Control0..1
TypeReference(Organization | NoBasisOrganization)
Alternate Namesdataansvarlig
Comments

This property is not typically used when searching for Endpoint resources for usage. The typical usage is via the reference from an applicable Organization/Location/Practitioner resource, which is where the context is provided. Multiple Locations may reference a single endpoint, and don't have to be within the same organization resource, but most likely within the same organizational hierarchy.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
15. Endpoint.contact
Definition

Contact details for a human to contact about the subscription. The primary use of this for system administrator troubleshooting.

Control0..*
TypeContactPoint
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
16. Endpoint.period
Definition

The interval during which the endpoint is expected to be operational.

Control0..1
TypePeriod
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
17. Endpoint.payloadType
Definition

no-basis: for ebXML and AMQP messages in Norway one is expected to list all mesage types that the endpoint supports using the CodeSystem Meldingens funksjon (OID=8279) as a minimum. To describe complete version information to determine the type and version of the messages the endpoint supports, a CapabilityStatement can be used to describe the endpoints communication capabilities in detail. REST endpoints are expected to use the code "any" from https://www.hl7.org/fhir/codesystem-endpoint-payload-type.html. Proper FHIR Restful API's are expected to serve a CapabilityStatement from the base uri specified. Other payload types can be given using codes from the ValueSet http://hl7.org/fhir/ValueSet/endpoint-payload-type.

The payload type describes the acceptable content that can be communicated on the endpoint.

Control1..*
BindingFor example codes, see EndpointPayloadType
TypeCodeableConcept
Comments

The payloadFormat describes the serialization format of the data, where the payloadType indicates the specific document/schema that is being transferred; e.g. DischargeSummary or CarePlan.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
SlicingThis element introduces a set of slices on Endpoint.payloadType. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ coding.system
18. Endpoint.payloadType:meldingensFunksjon
SliceNamemeldingensFunksjon
Definition

no-basis: for ebXML and AMQP messages in Norway one is expected to list all mesage types that the endpoint supports using the CodeSystem Meldingens funksjon (OID=8279). Version information (version of the payload document) shold be given in the coding.version element.

The payload type describes the acceptable content that can be communicated on the endpoint.

Control0..*
BindingThe codes SHALL be taken from urn:oid:2.16.578.1.12.4.1.1.8279
TypeCodeableConcept
Comments

The payloadFormat describes the serialization format of the data, where the payloadType indicates the specific document/schema that is being transferred; e.g. DischargeSummary or CarePlan.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
19. Endpoint.payloadType:formatCode
SliceNameformatCode
Definition

no-basis: Specific information about payload type and version. Information about the payload type and version for ebxml and amqp messages

The payload type describes the acceptable content that can be communicated on the endpoint.

Control0..*
BindingThe codes SHALL be taken from urn:oid:2.16.578.1.12.4.1.1.0000
TypeCodeableConcept
Comments

The payloadFormat describes the serialization format of the data, where the payloadType indicates the specific document/schema that is being transferred; e.g. DischargeSummary or CarePlan.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
20. Endpoint.payloadMimeType
Definition

no-basis: should we list relevant codes for ebXML messages? List appropriate media types for FHIR REST endpoints? XML: application/fhir+xml JSON: application/fhir+json RDF: application/fhir+turtle ebXML messages: text/xml

The mime type to send the payload in - e.g. application/fhir+xml, application/fhir+json. If the mime type is not specified, then the sender could send any content (including no content depending on the connectionType).

Control0..*
BindingThe codes SHALL be taken from http://www.rfc-editor.org/bcp/bcp13.txt
Typecode
Comments

Sending the payload has obvious security consequences. The server is responsible for ensuring that the content is appropriately secured.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
21. Endpoint.address
Definition

The uri that describes the actual end-point to connect to.

no-basis: for ebXML messages in Norway one is expected to use mailto: prefix for the endpoint. For AMQP messages in Norway one is expected to use "ampq://" or "amqps://" prefix. REST endpoints will have "http://" or "https://" prefix.

Control1..1
Typeurl
Comments

For rest-hook, and websocket, the end-point must be an http: or https: URL; for email, a mailto: url, for sms, a tel: url, and for message the endpoint can be in any form of url the server understands (usually, http: or mllp:). The URI is allowed to be relative; in which case, it is relative to the server end-point (since there may be more than one, clients should avoid using relative URIs)

This address will be to the service base, without any parameters, or sub-services or resources tacked on.

E.g. for a WADO-RS endpoint, the url should be "https://pacs.hospital.org/wado-rs"

and not "https://pacs.hospital.org/wado-rs/studies/1.2.250.1.59.40211.12345678.678910/series/1.2.250.1.59.40211.789001276.14556172.67789/instances/...".

Example
amqp endpoint:amqp_endpoint
ebxml endpoint:ebxml_endpoint
REST endpoint:REST_endpoint
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
22. Endpoint.header
Definition

Additional headers / information to send as part of the notification.

Control0..*
Typestring
Comments

Exactly what these mean depends on the channel type. The can convey additional information to the recipient and/or meet security requirements.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))