Communication Request is one of the request resources in the FHIR workflow specification. It is a record of a request for a communication to be performed. Communication is a conveyance of information from one entity, a sender, to another entity, a receiver. The requester requests the sender to send the payload to the recipient. The sender and receivers may be patients, practitioners, related persons, organizations, and devices. Uses of communication request include:
– A computer-based decision-support system requesting a reminder or alert be delivered to a responsible provider
– A physician requesting notification from the nurse if a patient’s temperature exceeds a value
– A monitoring system or a provider requesting a staff member or department to notify a public health agency of a patient presenting with a communicable disease reportable to the public health agency
– A computer-based decision-support system proposes to send educational material to a patient
Communication Request resource is a record of a request. It does not represent the actual flow of communication. The use of Communication Request excludes requests for referrals and requests for therapy or counseling which would be handled by the ServiceRequest resource. The performance of a Communication Request may result in a Communication resource. This resource is referenced by CarePlan, ClaimResponse and itself.
Fast Healthcare Interoperability Resources (FHIR) is a draft standard describing data formats and elements (known as “resources”) and an application programming interface (API) for exchanging electronic health records. The standard was created by the Health Level Seven International (HL7) health-care standards organization.
Its goal is to facilitate interoperation between legacy healthcare systems, to make it easy to provide healthcare information to healthcare providers and individuals on a wide variety of devices from computers to tablets to cell phones, and to allow third-party application developers to provide medical applications which can be easily integrated into existing systems.
FHIR provides an alternative to document-centric approaches by directly exposing discrete data elements as services. For example, basic elements of healthcare like patients, admissions, diagnostic reports and medications can each be retrieved and manipulated via their own resource URLs (Uniform Resource Locators). FHIR was supported at an American Medical Informatics Association meeting by many EHR (Electronic Health Record) vendors which value its open and extensible nature.