Page Comparison

...

Table of Contents

Data Structure

Service Request

Object name: service_request

...

HL7

...

Name

...

Type

...

M/O

...

Description and constraints

...

HL7 vs eHealth comparison result

...

Status

...

Table of Contents

FHIR description

Service request

Schema

...

View file

name	Service request data model.drawio

Service request document

Collection name: service_requests

This collection used to store service request documents.

specimen : { Reference(Specimen) } // One or more specimens that the laboratory procedure will use-No ImplementationbodySite : { CodeableConcept } // Location on Body SNOMED CT Body Structures (Example) (Anatomic location where the procedure should be performed. This is the target site)

should we implement this attribute (seems that it should be used for procedural|diagnostic requests)?note : { Annotation } // Commentsnotestringe-Health: stringOkpatientInstruction : { string } // Patient or consumer oriented instructionspatientInstructionstringOkrelevantHistory : { Reference(Provenance) } // Key events in the history of the reques-No Implementation-ExpirationDatee-Heatth: used for automatic deactivation of unused referrals. Should be pre-configuredOk-PermittedEpisodesOfCare[Reference(EpisodeOfCare)]e-Heatth: used for giving access rights to view listed episodes to the future performer of the requestOk

Name		Type	M/O	Description and constraints	HL7 vs eHealth comparison result
id		string	M	System identifier of Service request (ObjectID)	Doesn't comply with FHIR
status		string	M	Status of Service request. Fetches from a dictionary `service_request_statuses`	Ok
status_history	inserted_at	string	M	Datetime when status was changed	Doesn't comply with FHIR
	inserted_by	string		Identifier of the user who changed the status of the service request
	status	string		Status of Service request. Fetches from a dictionary
	status_reason	string		Reason of changing the status to completed/recalled/cancelled
program_processing_status		string	M	Status of processing Service request based on medical program. Fetches from a dictionary `service_request_processing_statuses`	Doesn't comply with FHIR
program_processing_status_history	inserted_at	string	M	Datetime when program_processing_status was changed	Doesn't comply with FHIR
	inserted_by	string		Identifier of the user who changed the program_processing_status
	program_processing_status	string		Status of processing Service request based on medical program.
intent		string	M	Proposal of the Service request. Fetches from a dictionary	Ok
priority		string	M	Indicates how quickly the Service request should be addressed with respect to other requests. Fetches from a dictionary	Ok
based_on		[Reference]	O	Reference on Care plan and its Activity	Ok
category		{Codeable_concept}	M	Category of the Service request. Fetches from the dictionary	Ok
code		{Reference}	M	Reference on Service or Service group. Fetches from the dictionary	Doesn't comply with FHIR (datatype)
quantity		{SimpleQuantity}	O	Quantity of required procedures, encounters or diagnostic_reports	Doesn't comply with FHIR
remaining_quantity		{SimpleQuantity}	O	Remaining Quantity of procedures, encounters or diagnostic_reports	Doesn't comply with FHIR
program		{Reference}	O	Reference on Medical program resource	Doesn't comply with FHIR
context		{Reference}	M	Reference on Encounter identifier based on Service request was created	Doesn't comply with FHIR
occurrence_date_time occurrence_period		{Timing} {Period}	O	One of these fields is allowed, another should be forbidden. Describes a period, timing or frequency upon which the activity is to occur.	Ok
expiration_date		string	M	Indicates expiration date of the Service request	Doesn't comply with FHIR
requester_employee		[Reference]	O	The individual who initiated the Service request and has responsibility for its activation	Doesn't comply with FHIR
requester_legal_entity		[Reference]	O	Legal entity where was initiated the Service request	Doesn't comply with FHIR
reason_reference		[Reference]	O	References on conditions/oservations.	Ok
supporting_info		[Reference]	O	Reference on supporting medical events.	Ok
note		string	O	Comments, notes about Service requests	Doesn't comply with FHIR
patient_instruction		string	O	Patient or consumer-oriented instructions	Ok
permitted_resources		[Reference]	O	Used for giving access rights to view listed episodes to the future performer of the request	Doesn't comply with FHIR
performer		{Reference}	O	Reference on employee who will perform the Service request.	Ok
location_reference		{Reference}	O	Reference on division where will be performed the Service request	Ok
performer_type		{Codeable_concept}	O	Desired type of performer for doing the requested service.

performerType

this is a role, not a participation type. I.e. does not describe the task, but describes the capacity. For example, “compounding pharmacy” or “psychiatrist” or “internal referral”.Okperformer : { Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | HealthcareService | CareTeam) } // Requested perfomer. The desired perfomer for doing the requested service. For example, the surgeon, dermatopathologist, endoscopist, etc

are requested performer and actual performer the same persons ? should we use another attribute for actual performer and leave current attribute for future use??reasonCode : { CodeableConcept } // Procedure Reason Codes (Example). An explanation or justification for why this service is being requested in coded or textual form. This is often for billing purposes. May relate to the resources referred to in supportingInformationreason

e-Health: Only textual form

OkreasonReference : { Reference(Condition | Observation | DiagnosticReport | DocumentReference) } // Indicates another resource that provides a justification for why this service is being requested. May relate to the resources referred to in supportingInformationfindings

[Reference(Condition | Observation)]e-Health: references only to Conditions and Observations Okinsurance : { Reference(Coverage | ClaimResponse) } // Insurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be needed for delivering the requested service-No ImplementationsupportingInfo : { Reference(Any) } // Additional clinical information about the patient or specimen that may influence the services or their interpretations. This information includes diagnosis, clinical findings and other observations. In laboratory ordering these are typically referred to as "ask at order entry questions (AOEs)". This includes observations explicitly requested by the producer (filler) to provide context or supporting information needed to complete the order. For example, reporting the amount of inspired oxygen for blood gas measurements.clinicalHistory

[Reference(Episode of Care | Condition | Observation | Allergy Intolerance)]e-Health: references to Episode of Care, Condition, Observation, Allergy Intolerance Ok

Ok
requisition		string	M	Hashed value of human-readable Service request number	Doesn't comply with FHIR
subject		string	M	Hashed patient_id	Doesn't comply with FHIR (datatype)
used_by_legal_entity		{Reference}	O	Legal entity where the service request has been used	Doesn't comply with FHIR
used_by_legal_entity_history	inserted_at	timestamp	O	Date and time when used_by_legal_entity changed	Doesn't comply with FHIR
	inserted_by	string		User identifier who set the used_by_legal_entity
	used_by_legal_entity	{Reference}		Legal entity where the service request has been used
used_by_division		{Reference}	O	Division where the service request has been used	Doesn't comply with FHIR
used_by_employee		{Reference}	O	Employee who used the service request	Doesn't comply with FHIR
used_by_employee_history	inserted_at	timestamp	O	Date and time when used_by_employee changed	Doesn't comply with FHIR
	inserted_by	string		User identifier who set the used_by_employee
	used_by_employee	{Reference}		Employee who used the service request
completed_with		{Reference}	O	The medical event with which the request was completed	Doesn't comply with FHIR
context_program_service		{Reference}	O	The program service with which the request was completed	Doesn't comply with FHIR
inserted_at		timestamp	M	Datetime when Service request was created	Doesn't comply with FHIR
inserted_by		string	M	Identifier on the user created the Service request	Doesn't comply with FHIR
updated_at		timestamp	M	Datetime when Service request was last updated	Doesn't comply with FHIR
updated_by		string	M	Identifier on the user last updated the Service request	Doesn't comply with FHIR
signed_content_links		[string]	M	Array with links on signed content in media storage.	Doesn't comply with FHIR
specimens		[Reference]	O	Procedure Samples	Ok

Example

Expand

title	Service request document example

Code Block

language	json

{
    "_id" : UUID("93240a8b-05e1-49ac-bc60-42be82066773"),
    "performer_type" : null,
    "used_by_division" : null,
    "status_history" : [ 
        {
            "inserted_at" : ISODate("2022-01-10T14:00:17.391Z"),
            "inserted_by" : UUID("66bab341-96f8-4dfa-a601-aeb1359b763c"),
            "status" : "active",
            "status_reason" : null
        }, 
        {
            "inserted_at" : ISODate("2022-01-10T14:11:00.783Z"),
            "inserted_by" : UUID("66bab341-96f8-4dfa-a601-aeb1359b763c"),
            "status" : "recalled",
            "status_reason" : {
                "coding" : [ 
                    {
                        "code" : "default",
                        "system" : "eHealth/service_request_recall_reasons"
                    }
                ],
                "text" : null
            }
        }
    ],
    "subject" : "C638240F4B629E4A722B76F207647D8E16C131A76C19291C8854DA5A1A921D12",
    "intent" : "order",
    "used_by_employee" : null,
    "permitted_resources" : [],
    "based_on" : [],
    "note" : null,
    "reason_reference" : [],
    "updated_by" : UUID("66bab341-96f8-4dfa-a601-aeb1359b763c"),
    "inserted_by" : UUID("66bab341-96f8-4dfa-a601-aeb1359b763c"),
    "requester_legal_entity" : {
        "display_value" : null,
        "identifier" : {
            "type" : {
                "coding" : [ 
                    {
                        "code" : "legal_entity",
                        "system" : "eHealth/resources"
                    }
                ],
                "text" : null
            },
            "value" : UUID("f15766d0-70fe-451d-8a66-3edfe6421947")
        }
    },
    "category" : {
        "coding" : [ 
            {
                "code" : "diagnostic_curative",
                "system" : "eHealth/SNOMED/service_request_categories"
            }
        ],
        "text" : null
    },
    "inserted_at" : ISODate("2022-01-10T14:00:17.391Z"),
    "program" : {
        "display_value" : null,
        "identifier" : {
            "type" : {
                "coding" : [ 
                    {
                        "code" : "medical_program",
                        "system" : "eHealth/resources"
                    }
                ],
                "text" : null
            },
            "value" : UUID("4894446b-3f33-4469-b21e-d430aa7a63bd")
        }
    },
    "performer" : null,
    "updated_at" : ISODate("2022-01-10T14:11:00.783Z"),
    "occurrence" : {
        "occurrence_date_time" : ISODate("2022-01-15T13:57:07.964Z"),
        "occurrence_period" : null
    },
    "explanatory_letter" : "Some recall explanation",
    "expiration_date" : ISODate("2023-01-10T23:59:59.000Z"),
    "" : [ 
        "93240a8b-05e1-49ac-bc60-42be82066773/create", 
        "93240a8b-05e1-49ac-bc60-42be82066773/recall"
    ],
    "requisition" : "286C5DE020C747FE823C7C03722A3ECF36D8FC6D7C744674E11C0CF85B042F95",
    "status" : "recalled",
    "completed_with" : null,
    "location_reference" : null,
    "supporting_info" : [ 
        {
            "display_value" : null,
            "identifier" : {
                "type" : {
                    "coding" : [ 
                        {
                            "code" : "episode_of_care",
                            "system" : "eHealth/resources"
                        }
                    ],
                    "text" : null
                },
                "value" : UUID("7bcf2360-786f-47de-9d40-2c881dd59f8b")
            }
        }
    ],
    "program_service" : null,
    "priority" : null,
    "context" : {
        "display_value" : null,
        "identifier" : {
            "type" : {
                "coding" : [ 
                    {
                        "code" : "encounter",
                        "system" : "eHealth/resources"
                    }
                ],
                "text" : null
            },
            "value" : UUID("38cfbd3c-a84f-46cd-89c6-2455dc1b1705")
        }
    },
    "status_reason" : {
        "coding" : [ 
            {
                "code" : "default",
                "system" : "eHealth/service_request_recall_reasons"
            }
        ],
        "text" : null
    },
    "context_program_service" : null,
    "program_processing_status" : "new",
    "requester_employee" : {
        "display_value" : null,
        "identifier" : {
            "type" : {
                "coding" : [ 
                    {
                        "code" : "employee",
                        "system" : "eHealth/resources"
                    }
                ],
                "text" : null
            },
            "value" : UUID("0ec40ce7-5f26-4f1c-baec-30215c964bd6")
        }
    },
    "patient_instruction" : null,
    "program_processing_status_history" : [ 
        {
            "inserted_at" : ISODate("2022-01-10T14:00:17.391Z"),
            "inserted_by" : UUID("66bab341-96f8-4dfa-a601-aeb1359b763c"),
            "program_processing_status" : "new"
        }
    ],
    "used_by_legal_entity" : null,
    "code" : {
        "display_value" : null,
        "identifier" : {
            "type" : {
                "coding" : [ 
                    {
                        "code" : "service",
                        "system" : "eHealth/resources"
                    }
                ],
                "text" : null
            },
            "value" : UUID("bc71706a-472f-4a1a-8f36-8d5421508bb5")
        }
    },
    "quantity": null,
    "remaining_quantity": null,
    "used_by_legal_entity_history": null,
    "used_by_employee_history": null
}

Versions Compared

Old Version 19

New Version Current

Key