This page is part of the Order Catalog Implementation Guide (v0.1.0: STU 1 Ballot 1) based on FHIR R4. . For a full list of available versions, see the Directory of published versions
Use cases - Laboratory services
This section lists the use cases for using catalogs of laboratory diagnostic services.
- Laboratory catalog shared in pull mode: A clinical or pathology laboratory wishes
to share its full compendium of diagnostic services with the healthcare professionals
and organizations wishing to use these diagnostic services. It publishes it as a catalog
of resources accessible online for discovery and retrieval. Consumers query the catalog
online from their order entry application and retrieve the diagnostic services they want
to insert into their orders to the laboratory for their patients. Implementation
guidance for this use case is provided in the Searching and retrieving
laboratory services section of the specification.
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Subset of catalog imported by consumer: A consumer imports periodically the
subset of the online laboratory catalog it is interested in, so as to have it available
locally in its computerized physician order entry application. Implementation guidance
for this use case is provided in the Searching and retrieving
laboratory services section of the specification.
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Catalog administration using the FHIR API: The laboratory maintains its
compendium of services in a proprietary format, and delegates the standard publication
of this compendium to an external organization operating an HL7 FHIR server of such
catalogs. The application maintaining the laboratory compendium interacts with the FHIR
server to keep the publication up to date, inserting, updating or retiring services
into/from the FHIR catalog. Implementation guidance for this use case is provided in the
Administering laboratory
services section of the specification.
- Sharing a common semantic master catalog: An organization exposes the set of
standardized vocabularies needed to support full semantic interoperability for ordering
and reporting laboratory services within a jurisdiction (e.g. a country). This reference
set is represented as a generic catalog of all the laboratory services that are usable
within the jurisdiction. This generic catalog is imported in whole or in parts by the
applications of the ordering providers and of the laboratories of the jurisdiction.
Implementation guidance for this use case is provided in the Searching and retrieving
laboratory services section of the specification.
- Customized catalog shared in push mode: The custodian of a laboratory catalog
customizes its catalog for a particular group of consumers, and pushes this customized
version to the information systems of each of these consumers. From that point, updates
of this customized catalog are pushed to the same group of customers on a regular basis
(for instance, weekly). Implementation guidance for this use case is provided in the Push interactions section
of the specification.