Used Documentation

Cookbook	Version	Location
Therapeutic Link WS Cookbook	1.6	https://www.ehealth.fgov.be/ehealthplatform/nl/service-ehealth-therapeutic-links

General Information

Therapeutic Links

Management of the Therapeutic Links:

The eHealth consent WA will allow both patients (incl. patient's parents or mandataries) and authorized HC parties to manage the therapeutic links (declaration, revocation and consultation)
The authorized HC parties, citizin (incl. concerned patients, parents of patients or patient's mandataries) are also able to perform the same operations throughout their usual software by calling the eHealth therapeutic link WS.
The authorized HC organizations are only authorized to verify the existence of the therapeutic links before allowing the HC parties ti access the medical data of the patients by calling the therapeutic link consultation WS through their application.

The existence of a therapeutic relation is one of the fundamental prerequisites for the healthcare (HC) providers to access a patient’s medical data. Therefore, the eHealth platform makes available to the actors
involved in the exchange, storage or referencing personal data, a relay service to manage those therapeutic relations and associated means of evidence.

This relay service is obviously limited to kinds of therapeutic links made available at the eHealth platform level by the ‘owner’ of this therapeutic link (such as the HC party declaring a therapeutic link or the actor responsible
of a recognized specific database, e.g. for Global Medical File relation). A therapeutic link is a relation between a patient and a HC party for a certain type of therapeutic
relation over a period of validity depending on the given evidence. It is not possible to update an existing the therapeutic link; to update information you first need to revoke the existing therapeutic link.

However, the period of validity of an active therapeutic link could be extended on the condition that

The start date of the new period is greater or equal to the start date of the period to be extended
The end date of the new period is greater than the end date of the period to be extended (overlap of period of validity)

The following operations (request-response operation type) will support the management of these links:

PutTherapeuticLink	Used to declare the therapeutic links. Its main purpose is to allow one to declare a therapeutic link.
RevokeTherapeuticLink	Used to revoke the therapeutic links. Its main purpose is to allow one to “end” the (declaration of a) therapeutic link.
GetTherapeuticLink	Used to consult therapeutic links according to basic search parameters. Its main purpose is to allow one to check the existence of the therapeutic links when executing a consultation process
HasTherapeuticLink	Used to check the existence of a therapeutic link

The therapeutic links are managed according to the rules corresponding to the type of therapeutic link through:

Specific webservices (WS) by HC professionals as end-users through their usual software or through an authorized organization
A dedicated web application (WA), currently called eHealth Consent with following end-users: Patients and HC professionals/ HC professionals within an organization

	Declare/Put	Revoke	Consult (Get)	Has
Citizen (patient, parent, mandatary)	Yes	Yes	Yes	Yes
Authorized HC Parties (HC professionals)	Yes	Yes	Yes	Yes
Authorized HC organizations	No	No	Yes	Yes

KMEHR

This service is a ‘KMEHR-based’ WS. We thus strongly recommend consulting the documentation related to the KMEHR normative elements. The KMEHR site aims to offer a central point for the documentation of the KMEHR normative elements.

https://www.ehealth.fgov.be/standards/kmehr/en

The three following generic elements are, in particular, essentials to build the request and the reply of the therapeutic link WS.

cd : This is the key element used to code information: this section is completely based on the description from the KMEHR standard, as can be found on: https://www.ehealth.fgov.be/standards/kmehr/en/page/key-elements#cd
id: This element is used to uniquely identify key elements like request, response of the WS, patient, HCParty. It can also be used to specify any unique identifier: this section is completely based on the description from the KMEHR standard, as can be found on: https://www.ehealth.fgov.be/standards/kmehr/en/page/key-elements#id
HC Party: The hcparty element is a generic element that aims to represent any kind of healthcare party: organization, physician, medical specialty, or even IT systems: this section is entirely based on the description from the KMEHR standard, as can be found on: https://www.ehealth.fgov.be/standards/kmehr/en/page/hcparty

Basic Flow

Flow

Specifications

ID	UC-299-BF
Name	Has Ther Link - HC professional through an authorized organization
Description	Has Therapeutic Link allows users to check the existence of therapeutic links between a HC party and a patient. HC professional through an authorized organization
Actor(s)	HC professional through an authorized organization
Requirements	End-user is a HC professional through an authorized organization End-user manages the therapeutic links throughout his organization Valid eHealth certificate of the organization Identification end-user: SSIN, NIHII (if available), professional category Identification HC organization: CBE or EHP number, HC party category Identification concerned patient: SSIN, support card number (optional) Identification data concerned HC party: SSIN, NIHII (if available), HC party category, first and last name (optional) Therapeutic link type (optional)
Trigger	User wants to check the existence of a therapeutic link between a patient and a HC professional
Precondition(s)	The user has an account for the application The user is logged out
Flow	The user attempts to access the eHealth WS Therapeutic Link The user needs to request a SAML Token by using the valid eHealth certificate of the organization A request for a SAML Token is sent to the Secure Token Service (STS) The STS responds with a SAML Token The user has access to the eHealth WS Therapeutic Link The user does a request to Has a Therapeutic Link The Has Therapeutic Link Request is sent to the WS Therapeutic Link The WS Therapeutic link returns a boolean value The request is logged The WS Therapeutic link responds with a Therapeutic Link Response
Post Condition(s)	The WS Therapeutic link returns a boolean value The request is logged
Test Data	Has Therapeutic link Request Has Therapeutic Link Response Successful Has Therapeutic link response unsuccessful
End point(s)	Therapeutic Links
Remarks	Boolean value: It returns a true if a therapeutic link of this type exists between the patient and HC party. If no therapeutic links corresponding to the criteria could be found, the value false is returned. If no type is specified, any type of therapeutic link is considered.
Additional Information	This operation takes a patient HC party identification and an (optional) type of therapeutic link as input. It returns true if a therapeutic link of this type exists between the patient and HC party. If no type is specified, any type of therapeutic link is considered.

Exception Flow