Stream: implementers
Topic: How to indicate a "Self-Referral" in ServiceRequest
Tim Berezny (Sep 10 2019 at 20:04):
I'm pondering how to indicate a "Self-Referral" in a ServiceRequest. There are a few options that I see:
1) In ServiceRequest.requester, reference the same Patient resource as is referenced in ServiceRequest.subject
2) Leave ServiceRequest.requester blank, to imply a self-referral
3) Create some type of extension flag to indicate that it's a self referral (and probably leave ServiceRequest.requester blank)
4) Other method?
Any suggestions on the best approach?
Others who may be interested in the answer: @Ion Moraru , @Amadou Tall , @Geoff Ramsay , @Tristan Wilson
Tim Berezny (Sep 10 2019 at 20:09):
5) Add some kind of concept of ServiceRequest referral source type that could have multiple values, like "Self", "Clinician", "Family Doctor", etc...
Eric Haas (Sep 10 2019 at 21:12):
look at med request - self administered (e.g. Cannabis) using reported flag and requester = patient
Eric Haas (Sep 10 2019 at 21:13):
@Michelle (Moseman) Miller ? what do you think?
Eric Haas (Sep 10 2019 at 21:16):
looking for a reported extension which never happened was proposed by Workflow as while back.
Eric Haas (Sep 10 2019 at 21:20):
then we have to decide what to put in intent and I have a tracker on that proposing "unknown" GF#22867 (which Lloyd is questioning)
Lloyd McKenzie (Sep 11 2019 at 00:07):
It's not necessarily reported - if the patient is the author, then it's not a secondary source (which is what 'reported' is for.)
Lloyd McKenzie (Sep 11 2019 at 00:08):
I think #1 works just fine.
Eric Haas (Sep 11 2019 at 00:12):
and the required intent????
Eric Haas (Sep 11 2019 at 00:15):
I assume the source system is recording orders and anything outside of that is reported...the patient does not have access to the ordering system.
Eric Haas (Sep 11 2019 at 00:16):
...I/m assuming since I don't think I can walk into a hospital and enter orders for myself.
Lloyd McKenzie (Sep 11 2019 at 00:24):
Always. Business rules would determine whether patients are allowed to "order" a given type of referral or just "recommend" one
Tim Berezny (Sep 11 2019 at 01:33):
In the case I'm looking at, the patient does have access to the "ordering" (i.e., referral) system, through a public portal.
I can't think of any obvious drawbacks of option 1... seems like it might do the trick
Michelle (Moseman) Miller (Sep 11 2019 at 12:56):
I agree with option 1
Last updated: Apr 12 2022 at 19:14 UTC
