Virtually Healthcare - IHE Patient Care Coordination (PCC)
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Virtually Healthcare - IHE Patient Care Coordination (PCC) - Local Development build (v0.1.1-current) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

eReport

Referenced Standards

Scope

It transmits the eReport from the Referral Recipient/Patient Care Provider to the Referral Initiator/Care Provider Event Notifier, when a patient has been discharged (referral completed) or a care event has occured.

Actor Roles

NHS England ServicesGP Connect Send Document(bespoke FHIR)Transfer of Care (FHIR Document)Referral RecipientCare Event NotifierIntermediary Health Information ExchangeReferral InitiatorPatient Care Provider Primary CareReferral InitiatorPatient Care Provider Community, Mental Health, PrivateSocial Care and Secondary CareeReportHL7 v2 ORU_R01 orFHIR R01 Messageother optionsKettering XMLIM1eReportHL7 v2 ORU_R01 orFHIR R01 Messageemail + pdf adaptor

eReport Component Diagram


Message

The following messages are used to support the transmission of a consultation summary.

FHIR Message Purpose EIP Type
Discharge Report
Definition:
unsolicited-observation (R01)
The (structured) discharge report (also known as consulation summary)
Is compatible with HL7 v2 ORU_R01 Message and IM1.
Future upgradeable to HL7 Europe Hospital Discharge Report
Document Message
Discharge Letter
Definition:
original-document-notification-and-content (T02)
The (unstructured) discharge letter as a PDF document (also known as consulation summary)
Is compatible with HL7 v2 MDM_T02 Message and IHE XDS ITI-41.
Can be converted to GP Connect Send Document and Kettering XML
Document Message

Discharge Report

Is based on a HL7 FHIR unsolicited-observation (R01) message.

Detailed Mapping can be here Message ORU_R01 to Bundle Map (Experimental)

FHIR Resource HL7 v2 ORU Segment Cardinality Map  
MessageHeader MSH - Message Header 1..1 MSH[MessageHeader]  
Patient PID - Patient Identification 1..1 PID[Patient]  
Encounter PV1 - Patient visit 0..1 PV1[Encounter] via DiagnosticReport.encounter
(.identifier (PV1-19) preferred, Encounter is optional)
 
ORDER OBSERVATION   1..*    
DiagnosticReport - ORC - Common Order 1..* ORC[DiagnosticReport]  
ServiceRequest (The referral)     ORC[ServiceRequest]  
  - OBR - Observations Request 1..* OBR[DiagnosticReport]  
DiagnosticReport.note - NTE - Notes and Comments      
OBSERVATION   1..*    
Observation or Attachment (part of DiagnosticReport) – OBX - Observation/Result 0..* OBX[Observation]  
DocumentReference
Binary
– OBX Observation/Result (type=ED) 0..* OBX[Observation-Component] DiagnosticReport.extension:supporting-info
and DiagnosticReport.presentedForm to Binary
 

Discharge Letter

Is based on a HL7 FHIR original-document-notification-and-content (T02) message.

Detailed Mapping can be here Message ORU_R01 to Bundle Map (Experimental)

FHIR Resource HL7 v2 ORU Segment Cardinality Map
MessageHeader MSH - Message Header 1..1 MSH[MessageHeader]
Patient PID - Patient Identification 1..1 PID[Patient]
  PV1 - Patient visit 1..1 PV1[Encounter] via DocumentReference.encounter
(.identifier (PV1-19) preferred
ORDER OBSERVATION   1..*  
  - ORC - Common Order 1..* ORC[DiagnosticReport]
      ORC[ServiceRequest]
  - OBR - Observations Request 1..* OBR[DiagnosticReport]
  - NTE - Notes and Comments    
OBSERVATION   1..*  
DocumentReference
Binary
– OBX Observation/Result (type=ED) 0..* OBX[Observation-Component]