2

In DSTU2 there is an Order object which I was going to use for documenting advanced directives.

http://hl7.org/fhir/order.html

I don't see this in the next version. Any advice on how to model advanced directives or if Order will actually make it to the next version?

http://hl7.org/fhir/2016Sep/resourcelist.html

Thanks!

devjme
  • 684
  • 6
  • 12

2 Answers2

3

Order and OrderResponse have been migrated to the Task resource.

Order wouldn't have worked well to deal with advanced directives because it was required to point to another request resource. It's purpose was to capture requests for fulfillment of another order or request.

You can look at the "workflow" page to get a sense of how Task is intended to be used in STU 3.

For advanced directive, you have a few options. You could use Flag if all you want to say "there's an advanced directive" and point to a Binary for the PDF or other representation. If you want more discrete data, then you might look at either Contract or Consent to see if they provide an appropriate foundation. If not, then you may be stuck with Basic for now - and we'd welcome your feedback on requirements that would keep one of those other resources from meeting your needs.

Lloyd McKenzie
  • 6,345
  • 1
  • 13
  • 10
  • Another possibility for AdvanceDirective is CarePlan as a way of defining the specific details of what should/should not be done, though that wouldn't tackle the legal aspect. – Lloyd McKenzie Oct 27 '16 at 19:53
0

I finally found it under the Consent object.

http://hl7.org/fhir/2016Sep/consent.html

Also thanks for the head up about Order and OrderResponse. I will look into those!

devjme
  • 684
  • 6
  • 12