Stream: implementers
Topic: PractionerRole.specialty and procedures
Michael Duarte (Feb 03 2022 at 01:20):
I am interested in associating Practitioners with more specific specialties than what seem to be intended by PractirionerRole.specialty. This information will be used to help determine which Practitioner may be most suited to care for a patient with specific needs. From the SNOWMED codes referenced in the example set on hl7, specialty seems very high level (e.g. Cardiology, Psychiatry, etc.) while I am looking for something more specific like Exercise Therapy (https://browser.ihtsdotools.org/?perspective=full&conceptId1=229065009) or Dietary Needs Eduction (https://browser.ihtsdotools.org/?perspective=full&conceptId1=370847001). It seems like many of the specializations or treatment specialties I am looking for are SNOWMED procedures or regimes and therapies. Are there any best practices around associating Practitioners with procedures or therapies that they specialize in?
Lloyd McKenzie (Feb 03 2022 at 01:56):
The value set specified for PractitionerRole.specialty is only a 'preferred' binding. You're free to use more detailed codes instead of (or in addition to) the codes listed in the spec.
Michael Duarte (Feb 03 2022 at 02:00):
Thanks @Lloyd McKenzie ! So would the advice be to create our own custom coding for more specific specialties? Or would you suggest trying to find a way to relate the SNOWMED procedure codes to Practitioners in some manner?
Lloyd McKenzie (Feb 03 2022 at 03:35):
@Brian Postlethwaite - are you aware of more detailed codes available anywhere?
Brian Postlethwaite (Feb 24 2022 at 22:24):
Not specifically, it really depends on your context/jurisdiction.
Not everywhere has SNOMED licensing, and different spaces are going to want to use a different subset, more general, or more specific/detailed (i.e. fine grained sub-specialties)
Last updated: Apr 12 2022 at 19:14 UTC
