Order interaction for the creation of a document

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Summary

This proposal documents a new set of HL7 version 3 interactions related to 'ordering the creation of a document'. The newly created set of interactions should be part of a new Topic in the RCMR (medical records) domain. The medical records domain is the responsability of the Structured Documents WG.

Use-case

  • Sending an order to request for the (human) creation of a clinical summary report; sending an order to request the creation (by a software application) of a lab result report.

Dynamic Model

In terms of Dynamic Model and Trigger Events the newly proposed Topic conforms to the general order-promise-observation Design Pattern as defined by the Orders and Observations WG. That design pattern will be used as the basis for this topic.

Static Model

The static model used in the order interactions has to indicate various items of metadata related to the document that should be created (e.g. requested document type, requested author, requested templates the document should conform to, patient id, etc.).

The basic model (refined by further discussions) could be defined to be the CDA Header model, with the focal DOCCLIN Act in RQO mood.