Stream: implementers
Topic: Communication "status" for email/chat like conversations?
Tilo Christ (May 27 2021 at 14:48):
I am building an email-like conversation system between nurses and patients. Since it is used purely clinical, might refer to other clinical data and I have set up a very secure FHIR server anyhow, I am thinking about using the "Communication" resource to model such exchanges and placing the XHTML context of the message as a payload into it. Has anybody else attempted something like this, and if so, are there any thoughts on how to express status, such as "received but unread", "read but unconfirmed", "confirmed", etc.
Lloyd McKenzie (May 27 2021 at 15:26):
There are a number of systems that use Communication for secure email over FHIR. Typically 'in progress' is used to denote unread. I.e. "Communication hasn't been completed yet". What's the difference between 'confirmed' vs. 'unconfirmed'?
Tilo Christ (May 27 2021 at 16:27):
Lloyd McKenzie said:
There are a number of systems that use Communication for secure email over FHIR. Typically 'in progress' is used to denote unread. I.e. "Communication hasn't been completed yet". What's the difference between 'confirmed' vs. 'unconfirmed'?
Patients can "silently" just look at the message (in which case it is read but not confirmed), or actively communicate back to the caregiver that they have read&understood the message (read & confirmed).
Lloyd McKenzie (May 27 2021 at 20:43):
The latter sounds like a response communication, though I guess you could also use an extension.
John Silva (May 27 2021 at 20:52):
Interesting -- this reminds me -- for example, parents of premature babies may need to read and understand the communication from the NICU staff. In some cases there might even be a follow-up questionnaire to check on their understanding.
Lloyd McKenzie (May 27 2021 at 21:47):
follow-up Questionnaire (or more specifically, the request to complete one) would be Task.
Tilo Christ (May 27 2021 at 22:38):
Lloyd McKenzie said:
The latter sounds like a response communication, though I guess you could also use an extension.
The response in this case is merely a flag. There is also a true option to really respond in the sense of writing a message back. I think I will try an extension for the flag and use a response communication for the possibility to write back.
Lloyd McKenzie (May 27 2021 at 22:41):
And Task if you're wanting to ask the Patient to do something
Last updated: Apr 12 2022 at 19:14 UTC
