Details
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Change Request
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Resolution: Persuasive
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Medium
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FHIR Core (FHIR)
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R5
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Orders & Observations
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ServiceRequest (Diagnostic/Procedure/ReferralRequest)
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JD Nolen / Yanick Gaudet : 6-0-0
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Enhancement
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Compatible, substantive
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R6
Description
As part of the v2-to-FHIR project we are mapping commonly used fields in key v2 messages to FHIR resources so that messages can be transformed into bundle of FHIR resources. OBR-17 is the Order Callback Phone Number field but there is no cognate existing data element in FHIR. We suggest that a standard extension to ServiceRequest be created to allow exchange of this concept.
While ServiceRequest does have a .requester field which may contain a Practitioner, PractitionerRole or Organization reference, but the entity that placed the order may not be the best point of contact for follow up questions or to call with the results (eg. a provider may place an order for an admitted patient, but it's the nursing station or another provider that could answer follow up questions). It's important to have a discrete place to provide the contact info.
We suggest a ContactPoint data type.
The v2 description can be reused as part of the extension narrative:
This extension contains the telephone number for reporting a status or a result. (we may want to include other use cases too)