At this level
health.hats.institution · 4- health.hats.institution.endRole procedure An administrator ends someone's role at their institution, when the person didn't choose to go, or records a leaving by revoking the credential. The node writes the ended PractitionerRole, pointing its forward where the administrator says, and a Provenance naming the administrator. Authenticated as the administrator (service auth), who must hold institution.administrator there.
- health.hats.institution.leaveRole procedure A clinician leaves an institution: their role there ends now. It's their own act, honored at once, since giving up a role only removes access; an administrator revokes the role credential after. The institution's node writes the ended PractitionerRole and a Provenance naming the clinician. Authenticated as the clinician (service auth).
- health.hats.institution.public space not from the namespace authority Referrals, transfers, and consults between two institutions: the requester's ServiceRequest and the receiver's Task. Authority is the requesting institution's DID; the skey is the partner institution's DID.
- health.hats.institution.sharingGrant record not from the namespace authority A patient-signed pre-authorization of a sharing class: a FHIR R4 Consent (scope patient-privacy) under the HATS profile. Stored in the patient's health.hats.audit.log space; read by the coordinator when it answers checkUserAccess.
- health.hats.institution.pneumatic.alert space Clinical alerts routed between departments or institutions, acknowledged by a Communication in response. Authority is the institution's DID; the skey is the partner institution's DID, or a unit or care team within one institution.
- health.hats.institution.pneumatic.bedRequest space Bed availability and capacity coordination, with no PHI: Location status, MeasureReport capacity, and the ask as a Task. Authority is the institution's DID; the skey is the partner institution's DID, or a unit or care team within one institution.
- health.hats.institution.pneumatic.handoff space On-call or care handoffs: the outgoing clinician's Communication and the incoming clinician's response. Authority is the institution's DID; the skey is the partner institution's DID, or a unit or care team within one institution.
- health.hats.institution.pneumatic.incident space Incident and emergency coordination: patient-safety events (AdverseEvent) and emergency alerts (Communication). Authority is the institution's DID; the skey is the partner institution's DID, or a unit or care team within one institution.