Enterprise Imaging (Proof of Concept)
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Enterprise Imaging (Proof of Concept) - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Filler Order Management [RAD-3]

Filler Order Management [RAD-3] (IHE RAD Scheduled Workflow.b) - the Department System Scheduler / Order Filler (RIS) informs the Order Placer of orders it creates (for example a request received on paper), of status changes, and of cancellations by the Order Filler.

References

Messages

Message Trigger Use
OMG^O19^OMG_O19 (ORC-1 SN) New filler order Order Filler creates an order; ORC-2 placer order number is empty
OMG^O19^OMG_O19 (ORC-1 XX) Change order Order Filler changes an order it created
OMG^O19^OMG_O19 (ORC-1 SC) Status change Order Filler reports a change of order status (for example scheduled, in progress, completed)
OMG^O19^OMG_O19 (ORC-1 OC) Cancel Order Filler cancels the order
ORG^O20^ORG_O20 (ORC-1 NA) Acknowledgement Order Placer acknowledges, returning its placer order number in ORC-2
sequenceDiagram
    participant OP as Order Placer<br/>EPR / Order Comms
    participant OF as Order Filler<br/>RIS
    OF ->> OP: OMG^O19 / FHIR Message (O19, focus ServiceRequest)
    OP -->> OF: ORG^O20 / FHIR response message

FHIR Message

The same Imaging Order (O19) FHIR Message as RAD-2, sent by the Order Filler. The order control and status are carried by the Radiology Service Request.

Example: Bundle Message - Imaging Order (O19), status change (ORC-1 SC, ORC-5 CM), with the accession number assigned by the RIS.

FHIR Mapping

As for Placer Order Management [RAD-2], plus:

HL7 v2.5.1 FHIR Note
ORC-3 ServiceRequest.identifier (type FILL) Filler order number. Whether NHS RIS use the accession number as the filler order number is To confirm
ORC-5 ServiceRequest.status Order status

The ORC-1 / ORC-5 code-by-code mapping to ServiceRequest.status is Open.