Referral Order Linking

The Referral/Order Linking profile describes what is necessary to communicate and link the referral and/or order number in documentation and metadata associated with services requested by an order placer.

Summary

One of the challenges for users of XD* based exchanges is that there is no profiled mechanism to indicate the order numbers associated with the outstanding orders. This makes it difficult to manage inbound and outbound referral, and /or order transactions for the same patient to and from the same providers exchanging information related to a referral or order.

The Referral/Order Linking profile solves this problem by documenting specific locations and formats, which will facilitate programmatic matching and or linking of related documents for both outbound and inbound transactions for the same patient to and or from the same provider. XD* provides metadata, and CDA provides discrete elements when structured documents are used; both can be constrained for defining order and referral number locations.

The referral, and or order number sent with one or more documents in an XD* submission set can be managed by receiving systems and returned in response fulfillments. This profile defines where these numbers are placed in XDS metadata for submissions and where fulfillments of orders are conveyed in CDA documents.

Benefits

<If the profile can improve Cost, Safety, Quality or Efficiency then list the specific examples of that benefit (e.g. error reduction, increased throughput) and how they come about (e.g. SWF reduces patient errors due to mistyped demographics at the modality by transfering demographics electronically from the Order Filler). Consider using a bullet list for readability. Such benefits help users and vendors make the business case for the profile. If the profile does not improve any aspect of Cost, Safety, Quality or Efficiency feel free to talk about something else here.>

Details

<A few paragraphs, if appropriate, providing more details (mostly in user-speak, not tech-speak) on what the profile does and how it works.>

<If the user might be familiar with the mechanisms used by the profile, you can mention them here. E.g. Evidence Documents is based on DICOM Structured Report (SR) Templates.>

<If the user might have an appreciation for the problems addressed in the profile, you can mention them here, but keep it short. E.g. Mapping HL7 Order fields to DICOM Modality Worklist attributes can be inconsistent in the marketplace, so Scheduled Workflow provides vendors with more detailed instructions.>

Systems Affected

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Actors & Transactions:

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Specification

Profile Status: Final Text <Replace "Final Text" with "Trial Implementation" or "Public Comment" as appropriate.>

Documents:

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Underlying Standards:

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See Also

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Related Profiles

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Consumer Information

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The Profile Purchasing Template describes considerations when purchasing equipment to deploy this Profile. <Replace the link with a link to the actual Purchasing page for the Profile>

Implementer Information

The Profile Implementation Template provides additional information about implementing this Profile in software. <Replace the link with a link to the actual Implementation page for the Profile>

Reference Articles

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This page is based on the Profile Overview Template