SDOH Clinical Care
2.1.0 - STU 2.1 United States of America flag

This page is part of the SDOH Clinical Care for Multiple Domains (v2.1.0: STU 2.1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 3.0.0. For a full list of available versions, see the Directory of published versions

CapabilityStatement: SDOHCC Referral Recipient - Light Capability Statement

Official URL: http://hl7.org/fhir/us/sdoh-clinicalcare/CapabilityStatement/SDOHCC-ReferralRecipientLight Version: 2.1.0
Draft as of 2021-06 Computable Name: SDOHCC_ReferralRecipientLight

This resource describes the required and desired behavior of systems acting as ‘light-weight’ SDOH clinical care ‘referral recipients’.

These systems fit into the SDOH care workflow in the same manner as ‘regular’ Referral Recipients, however they have simpler interface requirements reflecting the inability of the systems to store data locally and/or expose a FHIR service allowing access to that data. ‘Light’ referral recipients are not expected to expose any FHIR restful services. Instead, they act as clients, querying for tasks on the initiating Referral Sources or Coordination Platforms and creating any resulting Procedure records within the server they received the request from.

Raw OpenAPI-Swagger Definition file | Download

SDOHCC Referral Recipient - Light

  • Official URL:http://hl7.org/fhir/us/sdoh-clinicalcare/CapabilityStatement/SDOHCC-ReferralRecipientLight
  • Implementation Guide Version: None
  • FHIR Version: 4.0.1
  • Intended Use: Requirements
  • Supported Formats: XML, JSON
  • Published: 2021-06
  • Published by: None
  • Status: Draft

This resource describes the required and desired behavior of systems acting as 'light-weight' SDOH clinical care 'referral recipients'.

These systems fit into the SDOH care workflow in the same manner as 'regular' Referral Recipients, however they have simpler interface requirements reflecting the inability of the systems to store data locally and/or expose a FHIR service allowing access to that data. 'Light' referral recipients are not expected to expose any FHIR restful services. Instead, they act as clients, querying for tasks on the initiating Referral Sources or Coordination Platforms and creating any resulting Procedure records within the server they received the request from.

FHIR Client RESTful Capabilities

The light clinical care referral recipient needs to access information from and update information in SDOH clinical care referral sources and/or coordination platforms that have solicited the filling of SDOH-related referrals by this system

Security:

Implementations must meet the general privacy & security requirements documented in this implementation guide.

Summary of Client Wide Interactions

  • SHOULD support the batch† interaction.
batch†

Allows polling for changes to multiple resource types simultaneously

RESTful Capabilities by Resource/Profile:

Summary

♦ = SHALL expectation;⋄ = SHOULD expectation;▿ = MAY expectation;

Resource TypeSupported InteractionsSupported ProfilesSupported SearchesSupported _includesSupported _revincludesSupported Operations
CareTeamread▿, search-type▿ US Core CareTeam Profile♦ _id♦, _lastUpdated⋄
Conditionread♦, search-type⋄ SDOHCC Condition♦ _id♦, _lastUpdated⋄, category♦, clinical-status⋄, code⋄, patient♦, verification-status⋄
Consentread♦, search-type⋄ SDOHCC Consent♦ _id♦, _lastUpdated⋄, source-reference⋄ Consent:source-reference:DocumentReference⋄
Deviceread⋄, search-type⋄ FHIR Device♦ _id♦, _lastUpdated⋄
DocumentReferenceread♦, search-type⋄ US Core DocumentReference Profile♦ _id♦, _lastUpdated⋄
Goalread♦, search-type⋄ SDOHCC Goal♦ _id♦, _lastUpdated⋄, achievement-status⋄, category♦, lifecycle-status⋄, patient♦, target-date⋄
HealthcareServiceread⋄, search-type⋄ SDOHCC Healthcare Service♦ _id♦, _lastUpdated⋄, location♦
Locationread⋄, search-type▿ SDOHCC Location♦ _id♦, _lastUpdated⋄
Observationread♦, search-type⋄ SDOHCC Observation Assessment♦, SDOHCC Observation Screening Response♦, SDOHCC Observation Ethnicity OMB▿, SDOHCC Observation Race OMB▿, SDOHCC Observation Gender Identity▿, SDOHCC Observation Personal Characteristic▿, SDOHCC Observation Personal Pronouns▿, SDOHCC Observation Recorded Sex Gender▿, SDOHCC Observation Sexual Orientation▿ _id♦, _lastUpdated⋄, category♦, code⋄, code-value-concept▿, date⋄, derived-from⋄, patient♦, status♦
Organizationread♦, search-type⋄ US Core Organization Profile♦ _id♦, _lastUpdated⋄
Patientread♦, search-type⋄ US Core Patient Profile♦ _id♦, _lastUpdated⋄
Practitionerread♦, search-type⋄ US Core Practitioner Profile♦ _id♦, _lastUpdated⋄
PractitionerRoleread♦, search-type⋄ US Core PractitionerRole Profile♦ _id♦, _lastUpdated⋄, organization⋄, practitioner⋄ PractitionerRole:organization⋄, PractitionerRole:practitioner⋄
Procedurecreate♦, update♦, read♦, search-type⋄ SDOHCC Procedure♦ _id♦, _lastUpdated⋄, based-on♦, category♦, code⋄, date⋄, patient♦, performer♦, status♦
RelatedPersonread▿, search-type▿ FHIR RelatedPerson♦ _id♦, _lastUpdated⋄
ServiceRequestread♦, search-type⋄ SDOHCC ServiceRequest♦ _id♦, _lastUpdated⋄, category♦, code⋄, intent♦, occurrence⋄, patient♦, performer⋄, requester⋄, status♦, supporting-info⋄ HealthCareService:location♦, ServiceRequest:supporting-info⋄, ServiceRequest:pertains-to-goal⋄, ServiceRequest:patient⋄, ServiceRequest:requester⋄, ServiceRequest:performer⋄, PractitionerRole:practitioner⋄, PractitionerRole:organization⋄
Subscriptioncreate⋄, update▿ R4/B Topic-Based Subscription♦ $status⋄, $topic-list▿
Taskcreate⋄, update♦, read♦, search-type♦ SDOHCC Task For Patient♦, SDOHCC Task For Referral Management♦ _id♦, _lastUpdated⋄, code♦, owner⋄, patient♦, requester♦, status♦, focus♦, output⋄ Task:output

CareTeam

Conformance Expectation:(conformance expectation undefined)

Resource Specific Documentation:

For referral sources that receive referrals from upstream systems, used to access information about the intended performer of a ServiceRequest when the performer is a specific team of people. Note: Conformance expectations for this resource are lower because CareTeam performers are expected to be uncommon in most SDOH uses

Supported Profiles:

Reference Policy: literal

Profile Interaction Summary:

  • MAY support read†, search-type†.

read†

Allows the system to retrieve a CareTeam that is the intended performer of a ServiceRequest.

search-type†

Allows the monitoring of previously-retrieved CareTeams that are the intended performer of ServiceRequests.

ns.n

Fetch and Search Criteria:

  • A Client MAY be capable of fetching a CareTeam resource using:GET [base]/CareTeam/[id]
  • A Client MAY be capable of fetching resources matching a search query using:GET [base]/CareTeam/[id]{?[parameters]{&_format=[mime-type]}}

Search Parameter Summary:

ConformanceParameterTypeExample
SHALL_idtokenGET [base]/CareTeam?_id=[id]
SHOULD_lastUpdateddateGET [base]/CareTeam?_lastUpdated=[dateTime]

Search Parameter Requirements (When Used Alone or in Combination):

  • _id (token):

    Allows retrieving known CareTeam records - and more specifically, retrieving more than one in a single call to poll for updates

  • _lastUpdated (date):

    Allows filtering for only records that have changed since last query

Condition

Conformance Expectation:(conformance expectation undefined)

Resource Specific Documentation:

For referral sources that receive referrals from upstream systems, used to access information about a patient's SDOH-related conditions, particularly those that are the reason for a referral

Supported Profiles:

Reference Policy: literal

Profile Interaction Summary:

  • SHALL support read†.
  • SHOULD support search-type†.

read†

Allows the system to retrieve a Condition that is the reason for a ServiceRequest.

search-type†

Allows the monitoring of previously-retrieved Conditions that are referenced by ServiceRequests.

ns.n

Fetch and Search Criteria:

  • A Client SHALL be capable of fetching a Condition resource using:GET [base]/Condition/[id]
  • A Client SHOULD be capable of fetching resources matching a search query using:GET [base]/Condition/[id]{?[parameters]{&_format=[mime-type]}}

Search Parameter Summary:

ConformanceParameterTypeExample
SHALL_idtokenGET [base]/Condition?_id=[id]
SHOULD_lastUpdateddateGET [base]/Condition?_lastUpdated=[dateTime]
SHALLcategorytokenGET [base]/Condition?category=[system]|[code]
SHOULDclinical-statustokenGET [base]/Condition?clinical-status=[system]|[code]
SHOULDcodetokenGET [base]/Condition?code=[system]|[code]
SHALLpatientreferenceGET [base]/Condition?patient=[type]/[id]
SHOULDverification-statustokenGET [base]/Condition?verification-status=[system]|[code]

Search Parameter Requirements (When Used Alone or in Combination):

  • _id (token):

    Allows retrieving known Condition records - and more specifically, retrieving more than one in a single call to poll for updates

  • _lastUpdated (date):

    Allows filtering for only records that have changed since last query

  • category (token):

    Allows filtering to only SDOH-related conditions

  • clinical-status (token):

    Allows filtering to only active conditions

  • code (token):

    Allows filtering to only specific SDOH conditions or sets of conditions

  • patient (reference):

    Allows filtering to only conditions associated with a specific patient. Some systems will require that searches be patient-specific

  • verification-status (token):

    Allows filtering to exclude refuted or entered-in-error conditions

Conformance Expectation:(conformance expectation undefined)

Resource Specific Documentation:

Used to access the consent that authorizes disclosure of ServiceRequest information to non-HIPAA-covered entities

Supported Profiles:

Reference Policy: literal

Profile Interaction Summary:

  • SHALL support read†.
  • SHOULD support search-type†.

read†

Allows the system to retrieve a Consent referenced as a 'supportingInformation' item of a ServiceRequest.

search-type†

Allows the monitoring of previously-retrieved Consents related to ServiceRequests of interest.

ns.n

Fetch and Search Criteria:

  • A Client SHALL be capable of fetching a Consent resource using:GET [base]/Consent/[id]
  • A Client SHOULD be capable of fetching resources matching a search query using:GET [base]/Consent/[id]{?[parameters]{&_format=[mime-type]}}
  • A Client SHOULD be capable of supporting the following _includes:
    • Consent:source-reference:DocumentReference - GET [base]/Consent?[parameter=value]&_include=Consent:source-reference:DocumentReference

Search Parameter Summary:

ConformanceParameterTypeExample
SHALL_idtokenGET [base]/Consent?_id=[id]
SHOULD_lastUpdateddateGET [base]/Consent?_lastUpdated=[dateTime]
SHOULDsource-referencereferenceGET [base]/Consent?source-reference=[type]/[id]

Search Parameter Requirements (When Used Alone or in Combination):

  • _id (token):

    Allows retrieving known consent records - and more specifically, retrieving more than one in a single call to poll for updates

  • _lastUpdated (date):

    Allows filtering for only records that have changed since last query

  • source-reference (reference):

    Allows including the document that contains the PDF or similar representation of a paper consent

Device

Conformance Expectation:(conformance expectation undefined)

Resource Specific Documentation:

Used to retrieve the requester or intended performer of an SDOH ServiceRequest. Note: Conformance expectations for this resource are lower because Device requesters and performers are expected to be uncommon in most SDOH uses

Supported Profiles:

Reference Policy: literal

Profile Interaction Summary:

  • SHOULD support read†, search-type†.

read†

Allows the system to retrieve a Device that is the requester or intended performer of a ServiceRequest.

search-type†

Allows the monitoring of previously-retrieved Devices that are the requester or intended performer of ServiceRequests.

ns.n

Fetch and Search Criteria:

  • A Client SHOULD be capable of fetching a Device resource using:GET [base]/Device/[id]
  • A Client SHOULD be capable of fetching resources matching a search query using:GET [base]/Device/[id]{?[parameters]{&_format=[mime-type]}}

Search Parameter Summary:

ConformanceParameterTypeExample
SHALL_idtokenGET [base]/Device?_id=[id]
SHOULD_lastUpdateddateGET [base]/Device?_lastUpdated=[dateTime]

Search Parameter Requirements (When Used Alone or in Combination):

  • _id (token):

    Allows retrieving known Device records - and more specifically, retrieving more than one in a single call to poll for updates

  • _lastUpdated (date):

    Allows filtering for only records that have changed since last query

DocumentReference

Conformance Expectation:(conformance expectation undefined)

Resource Specific Documentation:

Used to retrieve a scanned or other form of document representing the text of a consent. Also used for PDF forms.

Supported Profiles:

Reference Policy: literal

Profile Interaction Summary:

  • SHALL support read†.
  • SHOULD support search-type†.

read†

Allows the system to retrieve a PDF or similar content referenced by a Consent or Task.

search-type†

Allows the monitoring of previously-retrieved DocumentReferences in the event the image/document is amended/corrected/updated.

ns.n

Fetch and Search Criteria:

  • A Client SHALL be capable of fetching a DocumentReference resource using:GET [base]/DocumentReference/[id]
  • A Client SHOULD be capable of fetching resources matching a search query using:GET [base]/DocumentReference/[id]{?[parameters]{&_format=[mime-type]}}

Search Parameter Summary:

ConformanceParameterTypeExample
SHALL_idtokenGET [base]/DocumentReference?_id=[id]
SHOULD_lastUpdateddateGET [base]/DocumentReference?_lastUpdated=[dateTime]

Search Parameter Requirements (When Used Alone or in Combination):

  • _id (token):

    Allows retrieving known DocumentReference records - and more specifically, retrieving more than one in a single call to poll for updates

  • _lastUpdated (date):

    Allows filtering for only records that have changed since last query

Goal

Conformance Expectation:(conformance expectation undefined)

Resource Specific Documentation:

Used to access goals related to an SDOH referral

Supported Profiles:

Reference Policy: literal

Profile Interaction Summary:

  • SHALL support read†.
  • SHOULD support search-type†.

read†

Allows the system to retrieve a goal referenced by a ServiceRequest.

search-type†

Allows the monitoring of previously-retrieved Goals in the event they are updated.

ns.n

Fetch and Search Criteria:

  • A Client SHALL be capable of fetching a Goal resource using:GET [base]/Goal/[id]
  • A Client SHOULD be capable of fetching resources matching a search query using:GET [base]/Goal/[id]{?[parameters]{&_format=[mime-type]}}

Search Parameter Summary:

ConformanceParameterTypeExample
SHALL_idtokenGET [base]/Goal?_id=[id]
SHOULD_lastUpdateddateGET [base]/Goal?_lastUpdated=[dateTime]
SHOULDachievement-statustokenGET [base]/Goal?achievement-status=[system]|[code]
SHALLcategorytokenGET [base]/Goal?category=[system]|[code]
SHOULDlifecycle-statustokenGET [base]/Goal?lifecycle-status=[system]|[code]
SHALLpatientreferenceGET [base]/Goal?patient=[type]/[id]
SHOULDtarget-datedateGET [base]/Goal?target-date=[target-date]

Search Parameter Requirements (When Used Alone or in Combination):

  • _id (token):

    Allows retrieving known Goal records - and more specifically, retrieving more than one in a single call to poll for updates

  • _lastUpdated (date):

    Allows filtering for only records that have changed since last query

  • achievement-status (token):

    Allows filtering to only include unmet goals

  • category (token):

    Allows filtering to only include SDOH-related goals

  • lifecycle-status (token):

    Allows filtering to only include active goals

  • patient (reference):

    Allows filtering to only include goals for a particular patient. Some systems will require searches to be patient-specific

  • target-date (date):

    Allows filtering based on when a particular goal is desired to be achieved

HealthcareService

Conformance Expectation:(conformance expectation undefined)

Resource Specific Documentation:

For referral sources that receive referrals from upstream systems, used to access information about the intended performer of a ServiceRequest when the performer is a specific service within a larger facility. Also used to indicate who a patient or caregiver should contact about a particular service.

Supported Profiles:

Reference Policy: literal

Profile Interaction Summary:

  • SHOULD support read†, search-type†.

read†

Allows the system to retrieve a HealthcareService that is the intended performer of a ServiceRequest.

search-type†

Allows the monitoring of previously-retrieved HealthcareServices that are the intended performer of ServiceRequests.

ns.n

Fetch and Search Criteria:

  • A Client SHOULD be capable of fetching a HealthcareService resource using:GET [base]/HealthcareService/[id]
  • A Client SHOULD be capable of fetching resources matching a search query using:GET [base]/HealthcareService/[id]{?[parameters]{&_format=[mime-type]}}

Search Parameter Summary:

ConformanceParameterTypeExample
SHALL_idtokenGET [base]/HealthcareService?_id=[id]
SHOULD_lastUpdateddateGET [base]/HealthcareService?_lastUpdated=[dateTime]
SHALLlocationreferenceGET [base]/HealthcareService?location=[type]/[id]

Search Parameter Requirements (When Used Alone or in Combination):

  • _id (token):

    Allows retrieving known HealthcareService records - and more specifically, retrieving more than one in a single call to poll for updates

  • _lastUpdated (date):

    Allows filtering for only records that have changed since last query

  • location (reference):

    Allows retrieval of the phyical site(s) associated with a HealthService

Location

Conformance Expectation:(conformance expectation undefined)

Resource Specific Documentation:

Used to access information about the potential sites at which a requested service might be performed. Allows a patient to evaluate the suitability of a proposed activity or service.

Supported Profiles:

Reference Policy: literal

Profile Interaction Summary:

  • SHOULD support read†.
  • MAY support search-type†.

read†

Allows the system to retrieve a Location that is an available location for a service.

search-type†

Allows the monitoring of previously-retrieved Locations that are the intended locations for services.

ns.n

Fetch and Search Criteria:

  • A Client SHOULD be capable of fetching a Location resource using:GET [base]/Location/[id]
  • A Client MAY be capable of fetching resources matching a search query using:GET [base]/Location/[id]{?[parameters]{&_format=[mime-type]}}

Search Parameter Summary:

ConformanceParameterTypeExample
SHALL_idtokenGET [base]/Location?_id=[id]
SHOULD_lastUpdateddateGET [base]/Location?_lastUpdated=[dateTime]

Search Parameter Requirements (When Used Alone or in Combination):

  • _id (token):

    Allows retrieving known Location records - and more specifically, retrieving more than one in a single call to poll for updates

  • _lastUpdated (date):

    Allows filtering for only records that have changed since last query

Observation

Conformance Expectation:(conformance expectation undefined)

Resource Specific Documentation:

For referral sources that receive referrals from upstream systems, used to access information about SDOH-related observations for a patient - particularly those that are reasons for a referral as well as certain SDOH-relevant demographic information

Supported Profiles:

Reference Policy: literal

Profile Interaction Summary:

  • SHALL support read†.
  • SHOULD support search-type†.

read†

Allows the system to retrieve an Observation referenced by a ServiceRequest.

search-type†

Allows the monitoring of previously-retrieved Observations for updates/corrections.

ns.n

Fetch and Search Criteria:

  • A Client SHALL be capable of fetching an Observation resource using:GET [base]/Observation/[id]
  • A Client SHOULD be capable of fetching resources matching a search query using:GET [base]/Observation/[id]{?[parameters]{&_format=[mime-type]}}

Search Parameter Summary:

ConformanceParameterTypeExample
SHALL_idtokenGET [base]/Observation?_id=[id]
SHOULD_lastUpdateddateGET [base]/Observation?_lastUpdated=[dateTime]
SHALLcategorytokenGET [base]/Observation?category=[system]|[code]
SHOULDcodetokenGET [base]/Observation?code=[system]|[code]
SHOULDdatedateGET [base]/Observation?date=[date]
SHOULDderived-fromreferenceGET [base]/Observation?derived-from=[type]/[id]
SHALLpatientreferenceGET [base]/Observation?patient=[type]/[id]
SHALLstatustokenGET [base]/Observation?status=[system]|[code]

Search Parameter Requirements (When Used Alone or in Combination):

  • _id (token):

    Allows retrieving known Observation records - and more specifically, retrieving more than one in a single call to poll for updates

  • _lastUpdated (date):

    Allows filtering for only records that have changed since last query

  • category (token):

    Allows filtering for only SDOH-related observations

  • code (token):

    Allows filtering for specific types of observations

  • code-value-concept (composite):

    Allows filtering for observations that have a specific coded value answer for a specified observation type

  • date (date):

    Allows filtering for observations that held in a particular time period

  • derived-from (reference):

    Allows filtering for observations derived from a particular QuestionnaireResponse

  • patient (reference):

    Allows filtering for observations specific to a particular patient. Some systems will require that all queries be patient-specific

  • status (token):

    Allows filtering for observations that are completed or revised (i.e. not in-progress or entered-in-error)

Organization

Conformance Expectation:(conformance expectation undefined)

Resource Specific Documentation:

For referral sources that receive referrals from upstream systems, used to access information about an Organization that is the requester or intended performer of a ServiceRequest

Supported Profiles:

Reference Policy: literal

Profile Interaction Summary:

  • SHALL support read†.
  • SHOULD support search-type†.

read†

Allows the system to retrieve an Organization that is the requester or intended performer of a ServiceRequest.

search-type†

Allows the monitoring of previously-retrieved Organizations that are the requester or intended performer of ServiceRequests.

ns.n

Fetch and Search Criteria:

  • A Client SHALL be capable of fetching an Organization resource using:GET [base]/Organization/[id]
  • A Client SHOULD be capable of fetching resources matching a search query using:GET [base]/Organization/[id]{?[parameters]{&_format=[mime-type]}}

Search Parameter Summary:

ConformanceParameterTypeExample
SHALL_idtokenGET [base]/Organization?_id=[id]
SHOULD_lastUpdateddateGET [base]/Organization?_lastUpdated=[dateTime]

Search Parameter Requirements (When Used Alone or in Combination):

  • _id (token):

    Allows retrieving known Organization records - and more specifically, retrieving more than one in a single call to poll for updates

  • _lastUpdated (date):

    Allows filtering for only records that have changed since last query

Patient

Conformance Expectation:(conformance expectation undefined)

Resource Specific Documentation:

For referral sources that receive referrals from upstream systems, used to access information about the Patient that is the subject a ServiceRequest

Supported Profiles:

Reference Policy: literal

Profile Interaction Summary:

  • SHALL support read†.
  • SHOULD support search-type†.

read†

Allows the system to retrieve the Patient that is the subject of a ServiceRequest.

search-type†

Allows the monitoring of previously-retrieved Patients.

ns.n

Fetch and Search Criteria:

  • A Client SHALL be capable of fetching a Patient resource using:GET [base]/Patient/[id]
  • A Client SHOULD be capable of fetching resources matching a search query using:GET [base]/Patient/[id]{?[parameters]{&_format=[mime-type]}}

Search Parameter Summary:

ConformanceParameterTypeExample
SHALL_idtokenGET [base]/Patient?_id=[id]
SHOULD_lastUpdateddateGET [base]/Patient?_lastUpdated=[dateTime]

Search Parameter Requirements (When Used Alone or in Combination):

  • _id (token):

    Allows retrieving known Patient records - and more specifically, retrieving more than one in a single call to poll for updates

  • _lastUpdated (date):

    Allows filtering for only records that have changed since last query

Practitioner

Conformance Expectation:(conformance expectation undefined)

Resource Specific Documentation:

For referral sources that receive referrals from upstream systems, used to access information about an Practitioner that is the requester or intended performer of a ServiceRequest

Supported Profiles:

Reference Policy: literal

Profile Interaction Summary:

  • SHALL support read†.
  • SHOULD support search-type†.

read†

Allows the system to retrieve a Practitioner that is the requester or intended performer of a ServiceRequest.

search-type†

Allows the monitoring of previously-retrieved Practitioners that are the requester or intended performer of ServiceRequests.

ns.n

Fetch and Search Criteria:

  • A Client SHALL be capable of fetching a Practitioner resource using:GET [base]/Practitioner/[id]
  • A Client SHOULD be capable of fetching resources matching a search query using:GET [base]/Practitioner/[id]{?[parameters]{&_format=[mime-type]}}

Search Parameter Summary:

ConformanceParameterTypeExample
SHALL_idtokenGET [base]/Practitioner?_id=[id]
SHOULD_lastUpdateddateGET [base]/Practitioner?_lastUpdated=[dateTime]

Search Parameter Requirements (When Used Alone or in Combination):

  • _id (token):

    Allows retrieving known Practitioner records - and more specifically, retrieving more than one in a single call to poll for updates

  • _lastUpdated (date):

    Allows filtering for only records that have changed since last query

PractitionerRole

Conformance Expectation:(conformance expectation undefined)

Resource Specific Documentation:

For referral sources that receive referrals from upstream systems, used to access information about an PractitionerRole that is the requester or intended performer of a ServiceRequest

Supported Profiles:

Reference Policy: literal

Profile Interaction Summary:

  • SHALL support read†.
  • SHOULD support search-type†.

read†

Allows the system to retrieve a PractitionerRole that is the requester or intended performer of a ServiceRequest.

search-type†

Allows the monitoring of previously-retrieved PractitionerRoles that are the requester or intended performer of ServiceRequests.

ns.n

Fetch and Search Criteria:

  • A Client SHALL be capable of fetching a PractitionerRole resource using:GET [base]/PractitionerRole/[id]
  • A Client SHOULD be capable of fetching resources matching a search query using:GET [base]/PractitionerRole/[id]{?[parameters]{&_format=[mime-type]}}
  • A Client SHOULD be capable of supporting the following _includes:
    • PractitionerRole:organization - GET [base]/PractitionerRole?[parameter=value]&_include=PractitionerRole:organization
    • PractitionerRole:practitioner - GET [base]/PractitionerRole?[parameter=value]&_include=PractitionerRole:practitioner

Search Parameter Summary:

ConformanceParameterTypeExample
SHALL_idtokenGET [base]/PractitionerRole?_id=[id]
SHOULD_lastUpdateddateGET [base]/PractitionerRole?_lastUpdated=[dateTime]
SHOULDorganizationreferenceGET [base]/PractitionerRole?organization=[type]/[id]
SHOULDpractitionerreferenceGET [base]/PractitionerRole?practitioner=[type]/[id]

Search Parameter Requirements (When Used Alone or in Combination):

  • _id (token):

    Allows retrieving known PractitionerRole records - and more specifically, retrieving more than one in a single call to poll for updates

  • _lastUpdated (date):

    Allows filtering for only records that have changed since last query

  • organization (reference):

    Allows doing an _include on Organization when retrieving the PractitionerRole

  • practitioner (reference):

    Allows doing an _include on Practitioner when retrieving the PractitionerRole

Procedure

Conformance Expectation:(conformance expectation undefined)

Resource Specific Documentation:

Used to record information about actions that have been performed as a result of a referral

Supported Profiles:

Reference Policy: literal

Versioning Policy: versioned-update

Profile Interaction Summary:

  • SHALL support create†, update†, read†.
  • SHOULD support search-type†.

create†

Allows the system to write records of procedures done in response to a referral on the system that asked for the referral.

update†

Allows the system to update records of procedures done in response to a referral on the system that asked for the referral.

read†

Allows the referral recipient to retrieve procedures referenced by Tasks previously posted.

search-type†

Allows the referral recipient to check if others have updated (e.g. added comments) to procedures previously posted and/or to find previously submitted procedures so they can be rendered to a user.

ns.n

Modify Criteria:

  • A Client SHALL be capable of posting a Procedure resource using:POST [base]/Procedure/[id]{?_format=[mime-type]}
  • A Client SHALL be capable of putting an existing Procedure resource using:PUT [base]/Procedure/[id]{?_format=[mime-type]}

Fetch and Search Criteria:

  • A Client SHALL be capable of fetching a Procedure resource using:GET [base]/Procedure/[id]
  • A Client SHOULD be capable of fetching resources matching a search query using:GET [base]/Procedure/[id]{?[parameters]{&_format=[mime-type]}}

Search Parameter Summary:

ConformanceParameterTypeExample
SHALL_idtokenGET [base]/Procedure?_id=[id]
SHOULD_lastUpdateddateGET [base]/Procedure?_lastUpdated=[dateTime]
SHALLbased-onreferenceGET [base]/Procedure?based-on=[type]/[id]
SHALLcategorytokenGET [base]/Procedure?category=[system]|[code]
SHOULDcodetokenGET [base]/Procedure?code=[system]|[code]
SHOULDdatedateGET [base]/Procedure?date=[date]
SHALLpatientreferenceGET [base]/Procedure?patient=[type]/[id]
SHALLperformerreferenceGET [base]/Procedure?performer=[type]/[id]
SHALLstatustokenGET [base]/Procedure?status=[system]|[code]

Search Parameter Requirements (When Used Alone or in Combination):

  • _id (token):

    Allows retrieving known Procedure records - and more specifically, retrieving more than one in a single call to poll for updates

  • _lastUpdated (date):

    Allows filtering for only records that have changed since last query

  • based-on (reference):

    Allows filtering for procedures resulting from a particular service request

  • category (token):

    Allows filtering for procedures that are SDOH-related

  • code (token):

    Allows filtering for procedures based on the specific service delivered

  • date (date):

    Allows filtering for procedures based on when they were delivered

  • patient (reference):

    Allows filtering for procedures based on who they were delivered to. Some systems may require that all searches be patient-specific.

  • performer (reference):

    Allows filtering for procedures based on who delivered the procedure.

  • status (token):

    Allows filtering for procedures that are complete or in progress

RelatedPerson

Conformance Expectation:(conformance expectation undefined)

Resource Specific Documentation:

For referral sources that receive referrals from upstream systems, used to access information about the requester or intended performer of a ServiceRequest when they are someone with a personal relationship to the Patient. Note: Conformance expectations for this resource are lower because CareTeam performers are expected to be uncommon in most SDOH uses

Supported Profiles:

Reference Policy: literal

Profile Interaction Summary:

  • MAY support read†, search-type†.

read†

Allows the system to retrieve a RelatedPerson that is the requester or intended performer of a ServiceRequest.

search-type†

Allows the monitoring of previously-retrieved RelatedPersons that are the requester or intended performer of ServiceRequests.

ns.n

Fetch and Search Criteria:

  • A Client MAY be capable of fetching a RelatedPerson resource using:GET [base]/RelatedPerson/[id]
  • A Client MAY be capable of fetching resources matching a search query using:GET [base]/RelatedPerson/[id]{?[parameters]{&_format=[mime-type]}}

Search Parameter Summary:

ConformanceParameterTypeExample
SHALL_idtokenGET [base]/RelatedPerson?_id=[id]
SHOULD_lastUpdateddateGET [base]/RelatedPerson?_lastUpdated=[dateTime]

Search Parameter Requirements (When Used Alone or in Combination):

  • _id (token):

    Allows retrieving known RelatedPerson records - and more specifically, retrieving more than one in a single call to poll for updates

  • _lastUpdated (date):

    Allows filtering for only records that have changed since last query

ServiceRequest

Conformance Expectation:(conformance expectation undefined)

Resource Specific Documentation:

For referral sources that receive referrals from upstream systems, used to retrieve an order for SDOH-related services

Supported Profiles:

Reference Policy: literal

Profile Interaction Summary:

  • SHALL support read†.
  • SHOULD support search-type†.

read†

Allows client systems to retrieve the ServiceRequest pointed to by a Task.

search-type†

Allows client systems to monitor multiple ServiceRequests for change simultaneously via polling.

ns.n

Fetch and Search Criteria:

  • A Client SHALL be capable of fetching a ServiceRequest resource using:GET [base]/ServiceRequest/[id]
  • A Client SHOULD be capable of fetching resources matching a search query using:GET [base]/ServiceRequest/[id]{?[parameters]{&_format=[mime-type]}}
  • A Client SHALL be capable of supporting the following _includes:
    • HealthCareService:location - GET [base]/ServiceRequest?[parameter=value]&_include=HealthCareService:location
    • ServiceRequest:supporting-info - GET [base]/ServiceRequest?[parameter=value]&_include=ServiceRequest:supporting-info
    • ServiceRequest:pertains-to-goal - GET [base]/ServiceRequest?[parameter=value]&_include=ServiceRequest:pertains-to-goal
    • ServiceRequest:patient - GET [base]/ServiceRequest?[parameter=value]&_include=ServiceRequest:patient
    • ServiceRequest:requester - GET [base]/ServiceRequest?[parameter=value]&_include=ServiceRequest:requester
    • ServiceRequest:performer - GET [base]/ServiceRequest?[parameter=value]&_include=ServiceRequest:performer
    • PractitionerRole:practitioner - GET [base]/ServiceRequest?[parameter=value]&_include=PractitionerRole:practitioner
    • PractitionerRole:organization - GET [base]/ServiceRequest?[parameter=value]&_include=PractitionerRole:organization

Search Parameter Summary:

ConformanceParameterTypeExample
SHALL_idtokenGET [base]/ServiceRequest?_id=[id]
SHOULD_lastUpdateddateGET [base]/ServiceRequest?_lastUpdated=[dateTime]
SHALLcategorytokenGET [base]/ServiceRequest?category=[system]|[code]
SHOULDcodetokenGET [base]/ServiceRequest?code=[system]|[code]
SHALLintenttokenGET [base]/ServiceRequest?intent=[system]|[code]
SHOULDoccurrencedateGET [base]/ServiceRequest?occurrence=[occurrence]
SHALLpatientreferenceGET [base]/ServiceRequest?patient=[type]/[id]
SHOULDperformerreferenceGET [base]/ServiceRequest?performer=[type]/[id]
SHOULDrequesterreferenceGET [base]/ServiceRequest?requester=[type]/[id]
SHALLstatustokenGET [base]/ServiceRequest?status=[system]|[code]
SHOULDsupporting-inforeferenceGET [base]/ServiceRequest?supporting-info=[type]/[id]

Search Parameter Requirements (When Used Alone or in Combination):

  • _id (token):

    Allows retrieving known ServiceRequests records - and more specifically, retrieving more than one in a single call to poll for updates

  • _lastUpdated (date):

    Allows filtering for only records that have changed since last query

  • category (token):

    Allows filtering to only retrieve ServiceRequests that are SDOH-related

  • code (token):

    Allows filtering to retrieve ServiceRequests for specific types of services

  • intent (token):

    Allows filtering to retrieve only 'order' ServiceRequests and not plans, proposals, etc.

  • occurrence (date):

    Allows filtering to retrieve ServiceRequests based on the timeframe in which the service needs to be provided

  • patient (reference):

    Allows filtering to retrieve only ServiceRequests associated with a particular patient. Note that some systems may mandate that searches are always patient-specific

  • performer (reference):

    Allows filtering to retrieve only ServiceRequests that designate a specific performer

  • requester (reference):

    Allows filtering to retrieve only ServiceRequests created by a specific practitioner

  • status (token):

    Allows filtering to retrieve only active ServiceRequests

  • supporting-info (reference):

    Allows _include to retrieve supporting information for a ServiceRequest - particularly Consent

Subscription

Conformance Expectation:(conformance expectation undefined)

Resource Specific Documentation:

Used to allow upstream systems to subscribe to and monitor Tasks stored on this system for change

Supported Profiles:

Profile Interaction Summary:

  • SHOULD support create†.
  • MAY support update†.

create†

Necessary if using subscriptions to monitor updates to the Task

update†

Needed to allow the requester to update a subscription - to adjust delivery target, to add additional tasks to monitor (if subscribing by id) typically to cancel a request for fulfillment

Operation Summary:

  • SHOULD support $status†.
  • MAY support $topic-list†.

$status†

Necessary for systems supporting subscriptions to ensure that the subscription is functioning properly and to check for errors

$topic-list†

Allows discovery of what subscription topics the systems supports - needed for systems that aren't pre-configured to be aware of what topics are available for use.

ns.n

Modify Criteria:

  • A Client SHOULD be capable of posting a Subscription resource using:POST [base]/Subscription/[id]{?_format=[mime-type]}
  • A Client MAY be capable of putting an existing Subscription resource using:PUT [base]/Subscription/[id]{?_format=[mime-type]}

Task

Conformance Expectation:(conformance expectation undefined)

Resource Specific Documentation:

Allows the referral recipient to create and monitor for Tasks assigned by referral sources or coordination platforms. Also allows the creation and monitoring of tasks assigned to patients and caregivers.

Supported Profiles:

Reference Policy: literal

Versioning Policy: versioned-update

Profile Interaction Summary:

  • SHALL support update†, read†, search-type†.
  • SHOULD support create†.

create†

Allows referral recipients to request actions of patients and caregivers

update†

Allows modification of an assigned patient existing Task (e.g. to cancel it) or modificiation of a Task assigned to the referral recipient (to accept or reject it or add output links to performed procedures). ReferralRecipients can freely modify any Tasks they have created (though they should consider the impact of doing so on downstream recipients or the patient). However, if they are not the creator, they SHALL only modify tasks they are the 'owner' of and then, only modify Task.status, Task.statusReason, and Task.outputs are possible, and then only for Tasks where the owner is the patient.

read†

Allows retrieval of a Task that was referenced in a subscription notification or per-Task polling for change.

search-type†

Allows the other systems to poll multiple tasks simultaneously, as well as to retrieve referenced resources as part of a single query.

ns.n

Modify Criteria:

  • A Client SHOULD be capable of posting a Task resource using:POST [base]/Task/[id]{?_format=[mime-type]}
  • A Client SHALL be capable of putting an existing Task resource using:PUT [base]/Task/[id]{?_format=[mime-type]}

Fetch and Search Criteria:

  • A Client SHALL be capable of fetching a Task resource using:GET [base]/Task/[id]
    • A Client (conformance expectation undefined) support conditional read of Task resources only with the If-Modified-Since HTTP Header.
  • A Client SHALL be capable of fetching resources matching a search query using:GET [base]/Task/[id]{?[parameters]{&_format=[mime-type]}}
  • A Client (conformance expectation undefined) be capable of supporting the following _includes:
    • Task:output - GET [base]/Task?[parameter=value]&_include=Task:output

Search Parameter Summary:

ConformanceParameterTypeExample
SHALL_idtokenGET [base]/Task?_id=[id]
SHOULD_lastUpdateddateGET [base]/Task?_lastUpdated=[dateTime]
SHALLcodetokenGET [base]/Task?code=[system]|[code]
SHOULDownerreferenceGET [base]/Task?owner=[type]/[id]
SHALLpatientreferenceGET [base]/Task?patient=[type]/[id]
SHALLrequesterreferenceGET [base]/Task?requester=[type]/[id]
SHALLstatustokenGET [base]/Task?status=[system]|[code]
SHALLfocusreferenceGET [base]/Task?focus=[type]/[id]
SHOULDoutputreferenceGET [base]/Task?output=[type]/[id]

Search Parameter Requirements (When Used Alone or in Combination):

  • _id (token):

    Allows retrieving known Task records - and more specifically, retrieving more than one in a single call to poll for updates

  • _lastUpdated (date):

    Allows filtering for only records that have changed since last query

  • code (token):

    Allows filtering for 'fulfill' tasks as opposed to others. Some systems may require code to be included as a filter criteria as different Task codes may correspond to different internal database tables.

  • owner (reference):

    Allows filtering only for tasks that are assigned to a particular owner (or alternatively, tasks that have not yet been assigned)

  • patient (reference):

    Allows monitoring of tasks associated with a particular patient. (Some systems may require that all queries be done in the context of a single patient.)

  • requester (reference):

    Allows retrieving all tasks that have been requested by a particular organization or individual. This will commonly be used to monitor the tasks initiated by a particular system

  • status (token):

    Allows filtering to only active or completed tasks

  • focus (reference):

    Allows retrieving the task(s) seeking fulfillment of a particular ServiceRequest

  • output (reference):

    Allows for the 'output' of a Task to be included when retrieving a Task