Stream: Orders and Observation WG
Topic: Send Copy of Report
Angus Millar (Oct 15 2021 at 06:58):
Hi Guys, back in HL7 V2 when creating an order for pathology or radiology we used ORM^O01 messages here in Australia. Others may have moved to the OML^O21 message which I'm less familiar with. Regardless both had an OBR Segment and OBR-28 had a definition of: This field identifies the people who are to receive copies of the results. In later V2 releases this was deprecated in favour of the PRT Segment (Participation Information Segment).
Regardless, I'm trying to work out how to express the equivalent concept in a FHIR order based around a ServiceRequest in R4.
I can see we have a ServiceRequest.performer property (0..*) where I can have many Practitioner or PractitionerRole resources, along with other types. Then there is also also a ServiceRequest.performerType property (0..1) which can express the type of performer they are, I assume. There is no example code that means "Performer to receive a copy" but I could make my own code to be clear.
However, two things don't feel right to me:
This does not seem like the logical place for this concept to live.
Why is the ServiceRequest.performerType (0..1) when ServiceRequest.performer is (0..*)? Must there only be one type of performer and all must be of the same type?
More importantly, how do I express a list of entities, primarily PractitionerRole, Practitioner or Patient entities that the requester would like a copy of the produced reports to be sent to?
Has anyone else tackled this issue, what other solutions might I have missed?
Thanks guys.
Richard Townley-O'Neill (Oct 18 2021 at 03:08):
http://build.fhir.org/ig/hl7au/au-fhir-base/StructureDefinition-au-composition.html
Rob Hausam (Oct 18 2021 at 12:36):
This is definitely worth some discussion. I would tend to suggest putting it on the agenda for an OO on FHIR call - but that or any of our calls probably aren't at very good times for you, @Angus Millar, as I believe that Tuesday at 10:00 AM EDT for OO on FHIR will be Wednesday 4:00 AM for you?
Angus Millar (Oct 19 2021 at 02:22):
Thanks @Richard Townley-O'Neill. However, we were not intending to use Composition or the document paradigm. Even if we did run with a document and Composition for our orders it does not align with our intent. We are not trying to send extra copies of the order to the extra recipients, we want a way to communicate that the outcome or the order, e.g the diagnostic reports, be sent to the extra recipients.
Angus Millar (Oct 19 2021 at 02:26):
@Rob Hausam Google seems to tell me that Tuesday 10 AM EDT is midnight Wednesday for me in Brisbane Australia. I could make that time if the meeting is on. Can you confirm the meeting will occur and point me to connection details?
Rob Hausam (Oct 19 2021 at 03:36):
@Angus Millar Well, you are right - but unfortunately I was wrong about 10:00 AM EDT. I'm not sure what I was thinking and how I came up with that, but the actual time for the OO on FHIR call is 2:00 PM EDT (so again it would be 4:00 AM for you). :( But in case you do want to get up really early Wednesday morning, here are the details. The Zoom meeting is https://zoom.us/j/5100467805.
Angus Millar (Oct 19 2021 at 04:05):
Thanks for clarifying @Rob Hausam, 4 AM is a little brutal so I will have to see how I feel tomorrow night.
Last updated: Apr 12 2022 at 19:14 UTC
