davidmckillop
commented
4 years ago The following comment was submitted in a personal email from Dr Nick Ferris (Radiologist) on the 31/8/2020 as part of his personal review/feedback of the FHIR Diagnostic Report FHIR Implementation Guide . Dr Ferris's feedback is published here with his permission.
Self-initiated requests These are mentioned as “help-wanted” topic, but seem more relevant to profiles for requesting than for reporting. Presumably the reference is to secondary or alternative tests initiated by the radiology provider after reviewing the original request from the referrer, +/- images from the initial procedure. Although these are called “self-initiated”, they are initiated on behalf (and usually with the endorsement) of the referrer, so the report should still go to the original referrer. There might be benefit in including optional fields to flag “substituted” and “additional” procedures in the RIS, but I’m not sure that these are needed in the report (the report text will usually make clear what was done and why).
dtr-agency
Prerequisites
The issue
Change description
Not yet clear how requests that are initiated by a patient or related person should be supported
Things to consider:
Note: there is some overlap with issue #29.
What it actually enables people to do
Having a process for patient or related person initiated tests will provide clarity for the patient and the diagnostic provider.
Mockups
n/a
How awesome would it be?
It would be great to provide a process and create clarity for the patient and the diagnostic provider for self initiated requests.
Workarounds
Each patient or related person would need to communicate with their diagnostic service provider to determine if/how these types of tests are processed.
Additional context
n/a