Are there FHIR resources for Call Orders, Activity Orders, Precautions?


#1

Hospital orders may include Call Orders (e.g., “call doctor if glucose > 400 mg/dL”), Activity Orders (e.g., “bed rest,” “up in chair every 8 hours,” or “up ad lib”), and Precautions (“seizure precautions” or “withdrawal precautions”).

Are these currently modeled as FHIR resources? I thought I might find them under Care Provision resources, but didn’t see them.


#2

Activity Orders and Precautions would both be ServiceRequests. Call orders could be ServiceRequests, but they could also be CommunicationRequests. Might be worth submitting a change request to make this clearer in the spec and to add some examples.


#3

@lloyd, thank you! Of course, I should have searched current drafts instead of just the DSTU3.


#4

I want to model precautions in FHIR 3 how can I do that without serviceRequest


#5

Precaution is probably best handled using Flag


#6

Ok but now I also see this https://www.hl7.org/fhir/plandefinition.html which has an example of Low Suicide Risk Order Set. Isn’t that a precaution / where precaution should live since it is a protocol of how to deal with a certain illness not necessarily a certain patient?

Thanks!


#7

It depends on what you mean by “precaution”. If you’re interested in patient-specific (or device-specific or location-specific, etc.), then you want Flag. If you want a general "in this circumstance, regardless of timeframe or individual, here’s the things to watch out for, then PlanDefinition would be appropriate.


#8

Ok thanks for the info!