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Interconsulta Transfronteriza

Description:

Enable physician-to-physician consultations between different countries. This use case focuses on the exchange of structured clinical summaries and medical orders for patients in transit.

Scenario:

This corresponds to a second opinion request, or a request for a more specialized opinion, sent from a physician in country A to a physician in country B. The objective is to obtain a specialized opinion about a clinical case. The process starts with the consultation request, followed by the specialist consultation, generation of a return report, and integration of that report into the patient’s clinical record in the country of origin.

Profiles and Process

1. [COUNTRY OF ORIGIN] Store request: the country of origin stores the consultation request on its server.

POST » [OriginServer]/( LACServiceRequestIT )

LACServiceRequestIT profile: LACServiceRequestIT.

IMPORTANT:

• The request must be stored with the provided Identifier information.
• Complete the reference to the organization according to the destination and origin countries, and complete the patient reference with the patient identifier.

1. [DESTINATION COUNTRY] Query the request:

GET ServiceRequest » [OriginServer]/(?performer = Organization/{origin_country} , patient.identifier = [ <patient_identifier> ]

1. [DESTINATION COUNTRY] After care is provided, register the corresponding clinical information: the destination country responds to the consultation request by generating an MHD message with the clinical evaluation information.

POST ITI 65: » [DestinationServer]/(LACList , LACDocReferenceIT, LACBundleDocIT, LACPatient)

• Complete MHD LACBundleTransactionMHDIT profile: LACBundleTransactionMHDIT.

  • LAC List profile: LAC List.
  • LACDocReference Cross-Border Consultation profile: LACDocReferenceIT.
  • LAC Bundle Document -IT- profile: LACBundleDocIT.
  • LAC Patient profile: LAC Patient.

1. [COUNTRY OF ORIGIN] The country of origin queries the consultation result:

GET DocumentReference » [DestinationServer]/( ?type = [ code= Interconsulta Transfronteriza ] , patient.identifier = [ <patient_identifier> ] & identifier = [ <interconsulta_identifier> ] )