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Referral Outcome Information
Different referral requests and pathways will have different outcomes. As with other business flows, implementers SHALL anticipate the need to discuss expected outcomes of different ServiceRequests and any information to be shared when a ServiceRequest reaches a terminal state (i.e.: completed, cancelled, failed, or rejected).
A referral or consult request is completed when the Performer marks the Task as completed, although in some cases the Requester may have to mark the ServiceRequest as completed.
Below are approaches in use:
Request completed by Performer
In the typical case where a ServiceRequest is accepted by an eReC Performer and then completed by its users, an update to the 'process-request' Task SHOULD be used to share information with the requester about the ServiceRequest outcome, where:
- the MessageHeader.event SHALL be 'notify-update-process-request'
- the
MessageHeader.focusSHALL be a reference to Task resources, where:Task.codeis 'process-request'Task.statusis 'completed'
Task.outputMAY reference one or more resources that are related to the action on the current ServiceRequest (e.g.: a Communication containing a plan of care)
Request completed by Requester
In some cases, the requester of a referral or consult may be required to confirm that the request has been completed.
Note : The task.code is used to differentiate between the eReferral compared to an eConsult request. For eConsult, task.code is 'process-request-consult' and for eReferral the task.code is 'process-request'
In case of an eConsult the workflow will be as follows:
| Business Event | Message EventCode | Target System | Details |
|---|---|---|---|
| Specialist provides response | notify-update-process-request | eReC Requester | Task.code is "process-request-consult"Task.status is "completed"Task.output.valueReference() references the service plan or response (Communication) Communication.payload.contentString contains the specialist's consult response |
| Requester confirms that request has been completed | notify-update-service-request | eReC Performer | ServiceRequest.status is "completed" |
| Requester revokes request | revoke-service-request | eReC Performer | ServiceRequest.status is "revoked" |
| Requester cancels bad request and resubmits to new Target | revoke-service-request followed by add-service-request | eReC Performer | ServiceRequest.status is "revoked" followed by a new ServiceRequest where the ServiceRequest.status is "active" |
| Performer responds to consult request suggesting eReferral | notify-update-process-request | eReC Requester | Task.code is "process-request-consult"Task.status is "completed"Task.output.valueReference() references the service plan or response (Communication)Communication.payload.contentString contains the specialist's consult response.extension:PatientNeedsToBeSeen - PatientNeedsToBeSeen is set to true |