Clinical Order Workflows
1.0.0-ballot - STU 1 Ballot International flag

This page is part of the Clinical Order Workflows (v1.0.0-ballot: STU 1 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. No current official version has been published yet. For a full list of available versions, see the Directory of published versions

Artifacts Summary

Contents:

This page provides a list of the FHIR artifacts defined as part of this implementation guide.

Behavior: Search Parameters

These define the properties by which a RESTful server can be searched. They can also be used for sorting and including related resources.

ActivityResource

Search on the resources that are linked to a RequestGroup - important to allow for example _revInclude
GroupOrIdentifier

Single search that incides on both request.identifier or groupIdentifier

Structures: Resource Profiles

These define constraints on FHIR resources for systems conforming to this implementation guide.

COW Message Header

Minimum expectations for a MessageHeader resource when used for Clinical Order Workflow. This profile is used to describe the use of FHIR Messaging when RESTful-based exchange is not possible between the Placer and the Fulfiller. The purpose of the constraints for the MessageHeader resource is to make sure that the rest of the CLinical Workflow requirements that may be relevant to a particular implementation or national/regional implementation guides are compatible with the RESTful-based exchange patterns.
COW Subscription Notification

The backported SubscriptionNotification bundle shall contain the backported SubscriptionStatus resource
COW Subscription Status

Minimum expectations for a SubscriptionStatus resource when used for Clinical Order Workflow. This profile is used to describe the use of administrative (pre-coordinated) subscription notifications for RESTful-based exchange between the Placer and the Fulfiller. The purpose of the constraints for the SubscriptionStatus resource is to make sure that additional requirements, which may be relevant to a particular implementation or national/regional implementation guides, are compatible with the RESTful-based exchange patterns.
Cancellation Request Task

A task to indicate a placer-initiated cancellation of a request fulfillment.
Coordination Task

Minimum expectations for a Task resource when created or updated for the purpose of managing the workflow for performing a request. This profile is used to describe the 'please fullfil' request from either a known performer, or by one who is yet to be determined. The information is obtained RESTfully by the recipient either via polling, or as the result of a subscription notification about the existence of the Task resource

Terminology: Value Sets

These define sets of codes used by systems conforming to this implementation guide.

Clinical Orders Workflow - Message Header Event Codes

Value Set containing the codes from the COW Business Status code system.
Clinical Orders Workflow Business Status Codes

This value set is the full expansion of the COW Business Status code system.
Order Notification Status Type

The type of notification represented by the status message.

Terminology: Code Systems

These define new code systems used by systems conforming to this implementation guide.

Subscription Notification Type

The type of notification represented by the status message.
Temp Clinical Order Workflow Example Codes

This code system contains codes for Task.businessStatus and MessageHeader event code. These are example codes, not intended to be used as is

Example: Example Instances

These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like.

COW Authorization Cancellation Task

Example of a COW cancellation task created by the fulfiller in order to request from the placer that the authorized service is cancelled.
COW Coordination Task

Example of a COW 'please fullfil' coordination task
COW Fulfillment Cancellation Task

Example of a COW cancellation task created by the placer in order to indicate to the fulfiller that their execution of the request needs to be cancelled.
COW MessageHeader Example

COW example of a message header for an order update
COW Notification Status

Example of a COW subscription notification status
COW Notification: Status with Focus only

COW example of a Subscription Notification, where the status only points to the focal Task
COW Service Request

Example of a COW ServiceRequest for a Glucose lab test designated by https://loinc.org/2345-7
Fulfiller

COW Filler Actor - generic actor representing the party that is fulfilling an order
Placer

Order Placer Actor - generic actor representing the party that is placing an order