FHIR Chat · Use of HealthcareService.specialty · implementers

Stream: implementers

Topic: Use of HealthcareService.specialty


view this post on Zulip Tim Berezny (Sep 28 2020 at 20:54):

Is the intended use of HealthcareService.specialty rigidly tied to the idea of clinical specialties of practitioners?

We have a desire to add a concept of "specialties" to a service that may be something different, and i'm trying to figure out if we should use the specialty field (which has a preferred value set), or take another approach:

  • For long term care: Reunification bed, smoking bed, etc...
  • For orthopaedic specialists: hand, foot, shoulder, etc...
  • For physiotherapist: motor vehicle accidents, sports injury, acupuncture, etc...
  • For meals on wheels: Hot meals, cold meals, etc...

I think of these as more detailed information that is a bit more precise than what a "Service listings" in a directory might be. Kind of like searching for a hair-dresser, but only some will do a perm.

I'm currently considering the following alternatives:

  1. Create a "Service options" extension
  2. Use "HealthcareService.Characteristics"
  3. Use Healthcareservice.type (which is already being used for the main taxonomy classification like "orthopaedic specialist", "physiotherapist", "meals on wheels".
  4. Use Healthcareservice.specialty, (throwing the preferred valueset out the window.)

Thoughts?

view this post on Zulip Lloyd McKenzie (Sep 28 2020 at 21:06):

@Brian Postlethwaite

view this post on Zulip Brian Postlethwaite (Sep 28 2020 at 23:21):

I'd have suggested Characteristics to cover those types of things.

view this post on Zulip Robert McClure (Oct 07 2020 at 18:10):

@Robert Dieterle and @Saul Kravitz I think we also thought characteristics was the thing to use? I understand this is not covered by PlanNet but...

view this post on Zulip Saul Kravitz (Oct 07 2020 at 20:08):

@Gail Kocher

view this post on Zulip Saul Kravitz (Oct 07 2020 at 20:17):

specialty has a strong (required) binding, so that would mitigate against using it.
type has a weaker (extensible) binding, so that might help.
characteristic is wide open, but not MS.


Last updated: Apr 12 2022 at 19:14 UTC