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  1. FHIR Specification Feedback
  2. FHIR-41782

HealthcareService - is a referral required

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    • Icon: Change Request Change Request
    • Resolution: Persuasive
    • Icon: Highest Highest
    • FHIR Core (FHIR)
    • R5
    • Patient Administration
    • HealthcareService
    • Hide

      A new propery will be added:

      referralRequired boolean 0..1

      The eligibility backbone element will be updated to be more closely aligned with the group characteristics which has a similar functionality.

      from

      eligibility

         code

         comment

      to

      eligibility BackboneElement 0..*

         code 0..1 CodeableConcept // the kind of eligibility

         value[x] 0..1 CC, bool, quantity, range, reference

         comment 0..1 markdown // free text describing the eligibility

         period 0..1 period // the period in which this eligibility applies

      invariant: to require code if value is used

      Update the disposition from FHIR-39306 to chage the "referal-required" code to "specialist-referral-required"

      Some notes on how the example binding could utilize the value[x]

      • pediatric-patients (with value age range)
      • existing-patients (bool value)
      • new-patients (bool value)
      • low-income-patients (maybe codeableconcept for ranges)
      • uninsured-patients (bool value)
      • renal-patients (e.g., for dialysis services)
      • speciailist-referral-required (value codeableconcept for type of referral)
      • assessment-required (bool/codeableconcept value)
      Show
      A new propery will be added: referralRequired boolean 0..1 The eligibility backbone element will be updated to be more closely aligned with the group characteristics which has a similar functionality. from eligibility     code     comment to eligibility BackboneElement 0..*    code 0..1 CodeableConcept // the kind of eligibility    value [x] 0..1 CC, bool, quantity, range, reference    comment 0..1 markdown // free text describing the eligibility    period 0..1 period // the period in which this eligibility applies invariant: to require code if value is used Update the disposition from  FHIR-39306 to chage the "referal-required" code to "specialist-referral-required" Some notes on how the example binding could utilize the value [x] pediatric-patients (with value age range) existing-patients (bool value) new-patients (bool value) low-income-patients (maybe codeableconcept for ranges) uninsured-patients (bool value) renal-patients (e.g., for dialysis services) speciailist-referral-required (value codeableconcept for type of referral) assessment-required (bool/codeableconcept value)
    • Brian Postlethwaite/Iryna Roy: 11-0-5
    • Enhancement
    • Compatible, substantive

    Description

      The narrative for HealthcareService notes that some services are referrals.  HealthcareService.referralMethod indicates the method for a referral, but I see a means to know the nature of the referral: no referral needed (the patient may self-refer), any healthcare provider can refer, or referral must be by a specialist (e.g., a PET brain scan requires a neurologist referral).  Am I overlooking something?  Otherwise ...

      One option is to add a 'referral' concept to ServiceProvisionCode example value set (along with 'free', 'disc', cost') in HealthcareService.serviceProvisionCode.  Specialist referral could be supported as other values beyond the examples ... although this seems problematic considering the range of possible additional values. 

      Another option is to add element(s) to indicate if a referral is necessary and constraints on the referral.  

       

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            Unassigned Unassigned
            smrobertson Scott M. Robertson
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              Created:
              Updated:
              Resolved: