FHIR Chat · Recipients and Patient IDs in a Diagnostic Report · implementers

Stream: implementers

Topic: Recipients and Patient IDs in a Diagnostic Report


view this post on Zulip ken masters (Jun 16 2017 at 13:55):

Hi, what is the best approach in listing recipients of a Diagnostic Report? and listing Patient IDs associated with those reports?

1. Communication Resource vs listing recipients within a Document Manifest. ? Does it matter?
2. Listing Patient IDs as a contained Patient Resource within Diagnostic Report or separately in a claims resource? ID is used for billing purposes too.

thanks,
K

view this post on Zulip Lloyd McKenzie (Jun 16 2017 at 14:40):

1. Communication and CommunicationRequest are dynamic - they allow you to ask for information to be shared and track whether it was shared or not. DocumentManifest is passive. It represents metadata about a document. It's also intended for use with documents only (and a DiagnosticReport won't necessarily be represented that way)
2. Links to Patient should appear everywhere they apply - so in a DiagnosticReport both the report itself, as well as every Observation in the report, every Specimen, etc. will all point to the relevant Patient. (There's no context conduction in FHIR - every resoruce instance must be able to stand alone.)

view this post on Zulip ken masters (Jun 16 2017 at 14:54):

Thank you Lloyd.. I get you. Cheers.

view this post on Zulip Elliot Silver (Jun 16 2017 at 16:50):

Minor correction, DocumentReference is metadata about a document; DocumentManifest is about grouping a bunch of DocumentReferences together as releated.


Last updated: Apr 12 2022 at 19:14 UTC