Details
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Change Request
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Resolution: Persuasive with Modification
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Medium
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EU Laboratory Report (FHIR)
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0.1.0-ballot [deprecated]
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HL7 Europe
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ServiceRequest: Laboratory Order
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Ulrike Merrick / Rob Hausam : 20-0-0
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Clarification
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Non-substantive
Description
https://hl7.eu/fhir/laboratory/StructureDefinition-ServiceRequest-eu-lab-definitions.html#ServiceRequest.specimen has this statement: Must be present, if order is request for test - how is this going to be checked (by testing against the LOINC in ServiceRequest.code)?
Also while we are working through the workflow for ordering using FHIR in the OO Clinical Order Workflow (COW) calls we are realizing that in some cases the order = ServiceRequest resource will be created before the specimen is collected and the specimen collector may not have privileges to update the ServiceRequest resource - so how will this condition be fullfilled then? In the COW call, we have determined that most likely the specimen will reference the ServiceRequest via https://hl7.eu/fhir/laboratory/StructureDefinition-Specimen-eu-lab-definitions.html#Specimen.request
I don't have a solution to suggest, but wanted to start discussion around this approach.