Details
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Change Request
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Resolution: Persuasive
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Highest
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FHIR Core (FHIR)
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R5
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Patient Administration
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HealthcareService
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Brian Postlethwaite/Iryna Roy: 11-0-5
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Enhancement
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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.
Attachments
Issue Links
- relates to
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FHIR-40453 Referral required for healthcare service
- Triaged
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FHIR-39306 HealthcareServices is missing some example code sets - characteristics, Service Eligibility
- Applied