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  1. FHIR Specification Feedback
  2. FHIR-28892

The decision points tree does not seem to follow a natural approach

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    • Icon: Change Request Change Request
    • Resolution: Persuasive with Modification
    • Icon: Highest Highest
    • US Da Vinci HRex (FHIR)
    • current
    • Clinical Interoperability Council
    • Approaches to Exchanging FHIR Data
    • Decision Points
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      We will:

      • In "Direct connection?" section, will call out the fact that there is work-in-progress to allow routing over REST and that once this in place, if it fits within the constraints of the environment, messaging would no longer be necessary.
      • Rename "Human Intervention?" to "Allow Human Intervention?"
      • Revamp "Formal Authorization Required" to:
        • make clear we're talking about authorization for information exchange
        • make clear that Task can be in play even if there's a CommunicationRequest
        • will consider renaming and adjusting diagram so interplay between CommunicationRequest and Task is clearer
        • will reflect that authorization for information exchange sometimes stems from a 'higher level' request (e.g. ServiceRequest, MedicationRequest, etc.)
      • We will add a 'recursive' step beneath Collection and Bundle that speaks to choosing the mechanism for access/exchange of documents and will add documentation that explains the purpose of that recursion.
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      We will: In "Direct connection?" section, will call out the fact that there is work-in-progress to allow routing over REST and that once this in place, if it fits within the constraints of the environment, messaging would no longer be necessary. Rename "Human Intervention?" to "Allow Human Intervention?" Revamp "Formal Authorization Required" to: make clear we're talking about authorization for information exchange make clear that Task can be in play even if there's a CommunicationRequest will consider renaming and adjusting diagram so interplay between CommunicationRequest and Task is clearer will reflect that authorization for information exchange sometimes stems from a 'higher level' request (e.g. ServiceRequest, MedicationRequest, etc.) We will add a 'recursive' step beneath Collection and Bundle that speaks to choosing the mechanism for access/exchange of documents and will add documentation that explains the purpose of that recursion.
    • Bob Dieterle / Marti Velezis : 8-0-2
    • Enhancement
    • Non-substantive
    • Yes

    Description

      The decision points tree does not seem to follow a natural approach on determining the appropriate exchange pattern."Direct connection", "Consumer initates" are secondary to the actual purpose of exchange. There are fundamental prinicples of exchange that must be followed, but beyond that the decisions should be made per the requirements of the use case.

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            vassil Vassil Peytchev
            Vassil Peytchev
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              Updated:
              Resolved: