Referral Delegation

Some Ocean referrals and consults involve another actor (e.g. medical secretary, resident) that submits the request on behalf of the clinician. In this case, there is a request authorizer and a request submitter. To highlight this, the FHIR payload will include a Practitioner and PractitionerRole resource into the bundle for the referral submitter, along with information for the authorizer and the referral receiver.

Below are some examples of how the submitter and authorizer information will be populated in the payload:

Roles MessageHeader.sender ServiceRequest.requester MessageHeader.author
Physician Assistant (PA) sending referral under physician Dr. D PA Dr. D Dr. D
Nurse Practitioner (NP) sending referral (ordering an MRI) under authorizing physicianDr. D NP Dr. D Dr. D
Medical Secretary (MOA) sending referral as a delegate under Dr. D MOA Dr. D Dr. D