preBallot - The specification is currently in ballot review and subject to change. . . . For a full list of available versions, see the Directory of published versions
Level 3 System Capabilities
Level 3 systems build upon status tracking capabilities of Level 2 systems by:
- exchanging information about appointments that are scheduled as a result of an eReferral
- providing a secure method of communication between Health Care Providers to clarify the intent of eReferal or eConsult, to request additional supporting information, to seek clarification of advice given through an eConsult, etc.
- enabling advanced workflows that support:
- Single Entry Models,
- splitting of requisitions into multiple requests,
- association of downstream referrals to the initial request
L3: Appointments
Important milestones within an eReferral workflow are the booking and completion of an appointment for the patient to receive the requested service.
A core feature of Level 3 systems is the ability for a Target System to provide Appointment information back to the Source System using messaging. The exchange pattern is similar to that used to track status.
A Target System claiming compliance with Level 3 SHALL have the ability to to generate and transmit valid messages to a Source System that focus on an Appointment when an Appointment is created, booked, rescheduled or cancelled.
A Source System claiming compliance with Level 3 SHALL have the ability to receive and appropriately process a valid messages received from a Target System when the state of a request changes.
Trigger Events & Interactions
| Party | Action / Trigger | Sending System | Focus of Message | State Change | Event Code | Receiving System | Expected action upon receipt of message |
|---|---|---|---|---|---|---|---|
| Performer HCP | Books an appointment in response to a referral request | Target System | Appointment (CA:eReC) | Appointment added to service record | notify-add-appointment | Source RMS | Store the appointment received within the service record for access by the user (etc) |
| Performer HCP | Updates an appointment | Target System | Appointment (CA:eReC) | Appointment updated in service record | notify-update-process-request | Source RMS | Update appointment information within the service record |
| Performer HCP | Cancels an appointment | Target System | Appointment (CA:eReC) | Appointment removed in service ecord | notify-update-process-request | Source RMS | Remove the appointment from the service record |
Appointment Modifications
Transmission of a change or cancellation to a scheduled appointment is supported by the “notify-update-process-request” event.
Allowed changes include:
- a change to an appointment date
- change in location
- change in specialist
- change in status