Pan-Canadian eReferral-eConsult (CA:eReC) v1.1.0-DFT-Ballot

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

L3: Communications

Secure communications between health care providers related to eReferral or eConsult are supported by messages that focus on the Communication resource.

The messaging supports both "general communications" and "requests for information" (RFI). In practice, they are usually the latter and therefore should be treated as consequence events.

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	Sends RFI related to a Service Request received	Target System	Communication (CA:eReC)	n/a	send-communication-from-provider	Source System	Notify Requester HCP that a request has been received requiring a response
Requester HCP	Sends response to RFI from Source System	Source System	Communication (CA:eReC)	n/a	send-communication-from-requester	Target System	Notify Performer HCP that there is a response to the RFI they sent

Requests for Information (RFI)

A request for information or RFI is to communicate that a service request received is not complete. In many cases, the Performer HCP will either have not accepted the request or will have placed it on hold pending a response.

Communications Payload

In communication messages the Communication resource SHALL contain:

payload.contentString containing a question or comment as text
category is a coded element typically containing rfi (request for information) or gen (general communication)
basedOn, sender, subject containing references to the ServiceRequest, PractitionerRole sending the Communication and Patient respectively

Responses

When responding to a communication received, the Communication will also contain:

inResponseTo referencing the Communication received
payload.contentString containing a text response, and/or
one or more payload.contentAttachment containing a .url to retrieve an attachment or .data