Stream: implementers
Topic: CC Results for serviceRequest
Tyler Trawick (Feb 01 2019 at 18:03):
Some interface vendors (such as LabCorp) allow for a "CC Results" segment on order messages that allow for a copy of that order's results to be sent to the indicated recipient. I'm having some difficulty representing this in FHIR. I've been looking around the serviceRequest type (http://build.fhir.org/servicerequest.html) but I don't see a clear place for this information. Has anyone dealt with this in the past?
Lloyd McKenzie (Feb 01 2019 at 18:09):
@Eric Haas
Eric Haas (Feb 01 2019 at 18:51):
This is good question - the service request is more about the what is being requested and not about the dissemination of the information....
I think using Task and adding a cc field and/or using separate CommunicationRequests and tie it all together. But I have not worked it out. In the work flow discussions @Lloyd McKenzie has this come up?
Lloyd McKenzie (Feb 01 2019 at 18:53):
My leaning is for it to be a core (or at least an extension) element on DiagnosticRequest. I think requiring a separate resource to capture this very common notion is a bit heavy
Tyler Trawick (Feb 01 2019 at 18:59):
That is close to what I am doing now. My current approach is to create a communicationRequest and link to the service requests using the "about" field.
Eric Haas (Feb 01 2019 at 19:00):
I think this is good topic to discuss further in general since this is a slippery slope. SR is for what is being ordered and Task is the fulfillment of a ServiceRequest.
Lloyd McKenzie (Feb 01 2019 at 19:53):
Typically it's the authorization that notes desired ccs. It doesn't matter who fills it, the results should go to the same people.
Ken Sinn (Feb 06 2019 at 22:23):
Similar question, is there a way to add a cc field on the Composition resource? We're mapping from V3 to Composition, and the "copied" participants don't seem to have a hope in this resource.
Grahame Grieve (Feb 06 2019 at 22:24):
copied is a sending process - you need a communication resource?
Eric Haas (Feb 07 2019 at 01:20):
We never are explicit about who gets the results since when we are not messaging. So it still seem like a workflow issue to me. Are we talking about pushing a notification or allowing a pull?
Ken Sinn (Feb 19 2019 at 22:26):
For our implementation, we're looking to map the V2 "OBR-28 Result Copies To" value, to a composition. It's not really a communication request, as it is the historical tracking of which individuals this Composition has been already copied to.
In terms of the V3 mapping, we currently capture this field in .participation[typecode=PRCP], and wondering if anyone has used a similar mapping. Thanks!
Last updated: Apr 12 2022 at 19:14 UTC
