FHIR Implementation Guide: GP care and Paramedical care 0.1.0-dev

This FHIR IG is currently under development and can not be considered stable and ready for use.

1 Introduction

This is the implementation guide for the information standard GP Care and Paramedical care (Dutch: Huisartsenzorg en Paramedische Zorg). This standard is described in this functional specification and implemented here using HL7 FHIR R4. This implementation guide assumes that the reader is familiar with this FHIR version.

Currently this IG covers the use case "General practitioner refers to paramedic" and specifically just the referral and not the transfer of a medical record. As development moves on, more use cases will be added.

Apart from this document, the guidelines as specified in general FHIR Implementation Guide apply.

2 Actors involved

Actors		Systems		FHIR Capability Statements
Name	Description	Name	Description	Name	Description
General practitioner	The general practitioner who sends a referral message for a patient to a paramedic	Sending XIS	Healthcare information system of the sending organization	n/a	FHIR requirements for sending XIS
Paramedic	The paramedic that receives the referral message	Paramedic	Healthcare information system of the receiving organization	n/a	FHIR requirements for receiving XIS

3 Workflow and message structure

3.1 Overview

The information standards contains various use cases that are not always isolated. For instance, when a general practitioner sends a referral to a paramedic, the paramedic might return an update about the patients treatment process to the general practitioner. A ServiceRequest resource is used for the referral accompanied by a Task resource to track the workflow. In a later stage, more resource profiles will be added for the transfer of the medical record.

3.2 ServiceRequest

The requirements for the ServiceRequest resource in the context of this information standard are specified using the [n/a] profile. This profile SHALL be used in referral use cases.

3.3 Task

The requirements for the Task resource in the context of this information standard are specified using the [n/a] profile. This profile SHALL be used for the workflow.

4 FHIR profiles

4.3 Medical record (Dossiergegevens)

4.3.1 HCIMs

The following table lists the FHIR profiles that implement the HCIMs used within the Medical record (Dutch: Dossiergegevens) section of GP Care and Paramedical care.

HCIM name NL	FHIR profile	Remark
AllergieIntolerantie	http://nictiz.nl/fhir/StructureDefinition/nl-core-AllergyIntolerance
BehandelAanwijzing2	n/a	Currently in development
Contact	http://nictiz.nl/fhir/StructureDefinition/nl-core-Encounter
LaboratoriumUitslag	n/a	Currently in development
MedicatieContraIndicatie	n/a	Currently in development
Medicatieafspraak	http://nictiz.nl/fhir/StructureDefinition/mp-MedicationAgreement
Medicatieverstrekking	http://nictiz.nl/fhir/StructureDefinition/mp-MedicationDispense
Meting	n/a	HCIM template
SOEPVerslag	n/a	Currently in development
Verrichting	http://nictiz.nl/fhir/StructureDefinition/nl-core-Procedure
Verstrekkingsverzoek	http://nictiz.nl/fhir/StructureDefinition/mp-DispenseRequest
ZorgEpisode	n/a	Currently in development

4.3.2 Other concepts

The following table lists the FHIR profiles that implement the other concepts used within the Medical record (Dutch: Dossiergegevens) section GP Care and Paramedical care.

Concept name NL	FHIR profile	Remark
BeeldvormendOnderzoek
BeloopInterventie
Correspondentie-item
FamilieAnamnese
FunctieOnderzoek
IndividueelZorgplan
IntercollegiaalConsult
LichamelijkOnderzoek
Overdrachtsgegevens
PatientAnamnese
PsychogeriatrischOnderzoek
PsychososialeAnamnese
RisicovolLeefgedrag
VerrichtingenDerden
Voorgeschiedenis