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Label: Nieuwe doorverwijzing |
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| − | {{Vdraft/InformationBox|This FHIR IG is currently under development and can not be considered stable and ready for use. Development of the FHIR artifacts can be followed on [https://github.com/Nictiz/Nictiz-R4-GPCare-ParamedicalCare/tree/develop GitHub] and [https://simplifier.net/nictiz-r4-gpcare-paramedicalcare Simplifier]. For questions and change requests regarding this IG, please create a ticket in [https://bits.nictiz.nl/projects/ELZT BITS].}}
| + | #REDIRECT [[hg:V1_FHIR_ELZ]] |
| − | __NOINDEX__
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| − | __NUMBEREDHEADINGS__
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| − | {{DISPLAYTITLE:FHIR Implementation Guide: GP care and Paramedical care 0.1.0-dev}}
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| − | <div class="toclimit-3">__TOC__</div>
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| − | | |
| − | =Introduction=
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| − | This is the implementation guide for the information standard GP Care and Paramedical care (Dutch: Huisartsenzorg en Paramedische Zorg). This standard is described in [[Ontwerp_Huisartsenzorg|this functional specification]] and implemented here using [https://www.hl7.org/fhir/R4/ HL7 FHIR R4]. This implementation guide assumes that the reader is familiar with both the functional specification and the FHIR standard.
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| − | Apart from this document, the guidelines as specified in the [[FHIR:V1.0_FHIR_IG_R4|general FHIR Implementation Guide]] apply.
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| − | =Workflow and message structure=
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| − | | |
| − | ==Overview==
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| − | The use cases described in this IG are limited in sense of workflow: events are handled on a per use case basis where the sender does not explicitly requests a response (e.g. a status update). Future insights might require more workflow and it is conceivable that the FHIR Task resource will be used to fulfill that. At this point in time, the ServiceRequest and Composition resources are sufficient for the use cases described in this IG. In a later stage, more (mostly zib based) resource profiles will be added for the transfer of the medical record.
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| − | ==ServiceRequest==
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| − | A ServiceRequest resource is used to represent a (request for) referral. The requirements for the ServiceRequest resource in the context of this information standard are specified using the {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/hg-ReferralServiceRequest}} profile. This profile SHALL be used in referral use cases.
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| − | Each referral SHALL be captured by a dedicated ServiceRequest. When a referral is sent to multiple parties, each party receives its own unique ServiceRequest. Revoking referrals after a certain period of time based on whether action is taken or not is out of scope of this information standard.
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| − | ==Composition==
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| − | A Composition resource is used to capture relevant data that supports the referral, for instance the reason for referral or guidance noted down by the general practitioner. The requirements for the Composition resource in the context of this information standard are specified using the {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/hg-ReferralComposition}} profile. This profile SHALL be used in referral use cases.
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| − | ===Handling free text concepts===
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| − | Some concepts in the data set are of data type string, as some of the relevant data is entered manually by the referrer in the context of a specific referral. This data is often not represented as a persistent object in EHRs but more likely stored as a form or a questionnaire entry. In order to send this data within the Composition, the extension {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/ext-TextValue}} is used on {{fhir|Composition.section}}, accompanied by a distinctive code on {{fhir|Composition.section.code}}.
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| − | | |
| − | Example:
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| − | <syntaxhighlight lang="xml" style="max-height:400px; overflow: auto;">
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| − | <Composition>
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| − | ...
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| − | <section>
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| − | <extension url="http://nictiz.nl/fhir/StructureDefinition/ext-TextValue">
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| − | <valueString value="paracetamol indien nodig"/>
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| − | </extension>
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| − | <title value="Ingestelde behandeling"/>
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| − | <code>
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| − | <coding>
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| − | <system value="http://snomed.info/sct"/>
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| − | <code value="108631000146107"/>
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| − | <display value="behandeling lopende (situatie)"/>
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| − | </coding>
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| − | </code>
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| − | <text>
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| − | <status value="extensions"/>
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| − | <div xmlns="http://www.w3.org/1999/xhtml">Ingestelde behandeling: paracetamol indien nodig</div>
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| − | </text>
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| − | </section>
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| − | ...
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| − | </Composition>
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| − | </syntaxhighlight>
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| − | =Use cases=
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| − | {{Vdraft/InformationBoxSmall|Currently this IG only covers the [[#Use_case:_Referral_from_general_practitioner_to_paramedic]] and specifically just the referral and not the transfer of relevant medical record entries. As development moves on, more use cases will be added.}}
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| − | ==Use case: Referral from general practitioner to paramedic==
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| − | This is the technical counterpart of [[Ontwerp_Huisartsenzorg#Usecase:_Huisarts_verwijst_naar_paramedicus|use case 2.5 "Huisarts verwijst naar paramedicus"]] as described in the functional design.
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| − | ===Introduction===
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| − | TODO
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| − | | |
| − | ===Actors involved===
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| − | {| class="wikitable"
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| − | ! colspan="2" | Actors
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| − | ! colspan="2" | Systems
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| − | ! colspan="2" | FHIR CapabilityStatements
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| − | |-
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| − | ! Name
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| − | ! Description
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| − | ! Name
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| − | ! Description
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| − | ! Name
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| − | ! Description
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| − | |-
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| − | | General practitioner
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| − | | The user of a HIS
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| − | | HIS
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| − | | General practitioner information system
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| − | | n/a
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| − | | n/a
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| − | |-
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| − | | Paramedic
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| − | | The user of a PARIS
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| − | | PARIS
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| − | | Paramedic information system
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| − | | n/a
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| − | | n/a
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| − | |}
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| − | ===Sequence diagrams===
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| − | TODO
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| − | =FHIR profiles=
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| − | {| class="wikitable"
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| − | ! Profile name
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| − | ! FHIR Resource
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| − | ! Canonical URL
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| − | |-
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| − | | hg-ReferralServiceRequest
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| − | | ServiceRequest
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| − | | {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/hg-ReferralServiceRequest}}
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| − | |-
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| − | | hg-ReferralComposition
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| − | | Composition
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| − | | {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/hg-ReferralComposition}}
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| − | |-
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| − | |}
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