{
"description": "An Implementation Guide providing the foundational guidance for order-based workflow FHIR interoperability",
"_filename": "ImplementationGuide-hl7.fhir.uv.cow.json",
"package_name": "hl7.fhir.uv.cow",
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"page": {
"page": [ {
"title": "Clinical Order Workflows - Home Page",
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"title": "Workflow State Overview",
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"generation": "markdown"
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"title": "Using Task",
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"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
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"title": "Order Initiation",
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"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
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"generation": "markdown"
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"title": "Order Grouping",
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"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "informative"
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"valueUrl": "order-grouping.html"
} ],
"generation": "markdown"
}, {
"title": "Fulfiller Determination",
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"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
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"valueUrl": "fulfiller-determination.html"
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"generation": "markdown"
}, {
"title": "Fulfillers Requesting Additional Information",
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"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "informative"
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"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
"valueUrl": "fulfiller-need-for-additional-info.html"
} ],
"generation": "markdown"
}, {
"title": "Cancelling and Modifying Orders",
"nameUrl": "cancelling-and-modifying-requests.html",
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"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "informative"
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"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
"valueUrl": "cancelling-and-modifying-requests.html"
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"generation": "markdown"
}, {
"title": "Sharing Outputs from an Order or Referral",
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"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "informative"
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"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
"valueUrl": "sharing-outputs.html"
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"generation": "markdown"
} ],
"title": "Workflow Patterns",
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"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "informative"
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"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
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} ],
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}, {
"page": [ {
"title": "Simple Lab Order Flow",
"nameUrl": "ex1-simple-lab-order-flow.html",
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"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "informative"
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"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
"valueUrl": "ex1-simple-lab-order-flow.html"
} ],
"generation": "markdown"
}, {
"title": "Simple Lab Order Flow with Phlebotomist",
"nameUrl": "ex2-simple-lab-order-flow-with-phlebotomist.html",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "informative"
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"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
"valueUrl": "ex2-simple-lab-order-flow-with-phlebotomist.html"
} ],
"generation": "markdown"
}, {
"title": "Lab Order Workflow where a Reflex is imitated by the Laboratory",
"nameUrl": "ex3-lab-order-flow-reflex-initiated-lab.html",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "informative"
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
"valueUrl": "ex3-lab-order-flow-reflex-initiated-lab.html"
} ],
"generation": "markdown"
}, {
"title": "Prescription and Dispense with single dispense task",
"nameUrl": "ex4-meds-grouped-dispense.html",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "informative"
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
"valueUrl": "ex4-meds-grouped-dispense.html"
} ],
"generation": "markdown"
}, {
"title": "Lab Order Flow with Specimen Rejected",
"nameUrl": "ex5-lab-order-flow-specimen-rejected.html",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "informative"
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
"valueUrl": "ex5-lab-order-flow-specimen-rejected.html"
} ],
"generation": "markdown"
}, {
"title": "Lab Order Flow with Reference Lab",
"nameUrl": "ex6-lab-order-flow-with-reference-lab.html",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "informative"
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
"valueUrl": "ex6-lab-order-flow-with-reference-lab.html"
} ],
"generation": "markdown"
}, {
"title": "Post-Discharge Placement in SNF",
"nameUrl": "ex7-discharge-placement.html",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "informative"
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
"valueUrl": "ex7-discharge-placement.html"
} ],
"generation": "markdown"
} ],
"title": "Examples",
"nameUrl": "examples.html",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "informative"
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
"valueUrl": "examples.html"
} ],
"generation": "markdown"
} ],
"title": "Table of Contents",
"nameUrl": "toc.html",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "informative"
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
"valueUrl": "toc.html"
} ],
"generation": "html"
},
"resource": [ {
"name": "ActivityResource",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "SearchParameter"
} ],
"reference": {
"reference": "SearchParameter/activity-resource"
},
"description": "Search on the resources that are linked to a RequestGroup - important to allow for example _revInclude",
"exampleBoolean": false
}, {
"name": "Cancellation Request Task",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
} ],
"reference": {
"reference": "StructureDefinition/cancellation-request-task"
},
"description": "A task to indicate a placer-initiated cancellation of a request fulfillment.",
"exampleBoolean": false
}, {
"name": "Clinical Orders Workflow - Message Header Event Codes",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
} ],
"reference": {
"reference": "ValueSet/message-header-event"
},
"description": "Value Set containing the codes from the COW Business Status code system.",
"exampleBoolean": false
}, {
"name": "Clinical Orders Workflow Business Status Codes",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
} ],
"reference": {
"reference": "ValueSet/business-status"
},
"description": "This value set is the full expansion of the COW Business Status code system.",
"exampleBoolean": false
}, {
"name": "Coordination Task",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
} ],
"reference": {
"reference": "StructureDefinition/coordination-task"
},
"description": "Minimum expectations for a Task resource when created or updated for the purpose of managing the workflow for performing a request. This profile is used to describe the 'please fullfil' request from either a known performer, or by one who is yet to be determined. The information is obtained RESTfully by the recipient either via polling, or as the result of a subscription notification about the existence of the Task resource",
"exampleBoolean": false
}, {
"name": "COW Authorization Cancellation Task",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Task"
} ],
"reference": {
"reference": "Task/cow-authorization-cancellation-task-example"
},
"description": "Example of a COW cancellation task created by the fulfiller in order to request from the placer that the authorized service is cancelled.",
"exampleCanonical": "http://hl7.org/fhir/uv/cow/StructureDefinition/cancellation-request-task"
}, {
"name": "COW Coordination Task",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Task"
} ],
"reference": {
"reference": "Task/cow-coordination-task-example"
},
"description": "Example of a COW 'please fullfil' coordination task",
"exampleCanonical": "http://hl7.org/fhir/uv/cow/StructureDefinition/coordination-task"
}, {
"name": "COW Fulfillment Cancellation Task",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Task"
} ],
"reference": {
"reference": "Task/cow-cancellation-task-example"
},
"description": "Example of a COW cancellation task created by the placer in order to indicate to the fulfiller that their execution of the request needs to be cancelled.",
"exampleCanonical": "http://hl7.org/fhir/uv/cow/StructureDefinition/cancellation-request-task"
}, {
"name": "COW Message Header",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
} ],
"reference": {
"reference": "StructureDefinition/cow-message-header"
},
"description": "Minimum expectations for a MessageHeader resource when used for Clinical Order Workflow. This profile is used to describe the use of FHIR Messaging when RESTful-based exchange is not possible between the Placer and the Fulfiller. The purpose of the constraints for the MessageHeader resource is to make sure that the rest of the CLinical Workflow requirements that may be relevant to a particular implementation or national/regional implementation guides are compatible with the RESTful-based exchange patterns.",
"exampleBoolean": false
}, {
"name": "COW MessageHeader Example",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "MessageHeader"
} ],
"reference": {
"reference": "MessageHeader/cow-message-header-example"
},
"description": "COW example of a message header for an order update",
"exampleCanonical": "http://hl7.org/fhir/uv/cow/StructureDefinition/cow-message-header"
}, {
"name": "COW Notification Status",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Parameters"
} ],
"reference": {
"reference": "Parameters/cow-notification-status-example"
},
"description": "Example of a COW subscription notification status",
"exampleCanonical": "http://hl7.org/fhir/uv/cow/StructureDefinition/cow-subscription-status"
}, {
"name": "COW Notification: Status with Focus only",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Bundle"
} ],
"reference": {
"reference": "Bundle/cow-notification-status-only-example"
},
"description": "COW example of a Subscription Notification, where the status only points to the focal Task",
"exampleCanonical": "http://hl7.org/fhir/uv/cow/StructureDefinition/cow-subscription-notification"
}, {
"name": "COW Service Request",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ServiceRequest"
} ],
"reference": {
"reference": "ServiceRequest/cow-service-request-example"
},
"description": "Example of a COW ServiceRequest for a Glucose lab test designated by https://loinc.org/2345-7",
"exampleBoolean": true
}, {
"name": "COW Subscription Notification",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
} ],
"reference": {
"reference": "StructureDefinition/cow-subscription-notification"
},
"description": "The backported SubscriptionNotification bundle shall contain the backported SubscriptionStatus resource",
"exampleBoolean": false
}, {
"name": "COW Subscription Status",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
} ],
"reference": {
"reference": "StructureDefinition/cow-subscription-status"
},
"description": "Minimum expectations for a SubscriptionStatus resource when used for Clinical Order Workflow. This profile is used to describe the use of administrative (pre-coordinated) subscription notifications for RESTful-based exchange between the Placer and the Fulfiller. The purpose of the constraints for the SubscriptionStatus resource is to make sure that additional requirements, which may be relevant to a particular implementation or national/regional implementation guides, are compatible with the RESTful-based exchange patterns.",
"exampleBoolean": false
}, {
"name": "Fulfiller",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ActorDefinition"
} ],
"reference": {
"reference": "ActorDefinition/filler"
},
"description": "COW Filler Actor - generic actor representing the party that is fulfilling an order",
"exampleBoolean": true
}, {
"name": "GroupOrIdentifier",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "SearchParameter"
} ],
"reference": {
"reference": "SearchParameter/group-or-identifier"
},
"description": "Single search that incides on both request.identifier or groupIdentifier",
"exampleBoolean": false
}, {
"name": "Order Notification Status Type",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
} ],
"reference": {
"reference": "ValueSet/order-notification-status-type"
},
"description": "The type of notification represented by the status message.",
"exampleBoolean": false
}, {
"name": "Placer",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ActorDefinition"
} ],
"reference": {
"reference": "ActorDefinition/placer"
},
"description": "Order Placer Actor - generic actor representing the party that is placing an order",
"exampleBoolean": true
}, {
"name": "Subscription Notification Type",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "CodeSystem"
} ],
"reference": {
"reference": "CodeSystem/subscription-notification-status-type"
},
"description": "The type of notification represented by the status message.",
"exampleBoolean": false
}, {
"name": "Temp Clinical Order Workflow Example Codes",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "CodeSystem"
} ],
"reference": {
"reference": "CodeSystem/temp"
},
"description": "This code system contains codes for Task.businessStatus and MessageHeader event code. These are example codes, not intended to be used as is",
"exampleBoolean": false
} ],
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "copyrightyear"
}, {
"url": "value",
"valueString": "2023+"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "releaselabel"
}, {
"url": "value",
"valueString": "STU 1 Ballot"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "special-url"
}, {
"url": "value",
"valueString": "http://hl7.org/fhir/ValueSet/subscription-notification-type"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "path-history"
}, {
"url": "value",
"valueString": "http://hl7.org/fhir/uv/cow/history.html"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "autoload-resources"
}, {
"url": "value",
"valueString": "true"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "path-liquid"
}, {
"url": "value",
"valueString": "template/liquid"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "path-liquid"
}, {
"url": "value",
"valueString": "input/liquid"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "path-qa"
}, {
"url": "value",
"valueString": "temp/qa"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "path-temp"
}, {
"url": "value",
"valueString": "temp/pages"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "path-output"
}, {
"url": "value",
"valueString": "output"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "path-suppressed-warnings"
}, {
"url": "value",
"valueString": "input/ignoreWarnings.txt"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "template-html"
}, {
"url": "value",
"valueString": "template-page.html"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "template-md"
}, {
"url": "value",
"valueString": "template-page-md.html"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "apply-contact"
}, {
"url": "value",
"valueString": "true"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "apply-context"
}, {
"url": "value",
"valueString": "true"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "apply-copyright"
}, {
"url": "value",
"valueString": "true"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "apply-jurisdiction"
}, {
"url": "value",
"valueString": "true"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "apply-license"
}, {
"url": "value",
"valueString": "true"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "apply-publisher"
}, {
"url": "value",
"valueString": "true"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "apply-version"
}, {
"url": "value",
"valueString": "true"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "apply-wg"
}, {
"url": "value",
"valueString": "true"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "active-tables"
}, {
"url": "value",
"valueString": "true"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "fmm-definition"
}, {
"url": "value",
"valueString": "http://hl7.org/fhir/versions.html#maturity"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "propagate-status"
}, {
"url": "value",
"valueString": "true"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "excludelogbinaryformat"
}, {
"url": "value",
"valueString": "true"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "tabbed-snapshots"
}, {
"url": "value",
"valueString": "true"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-internal-dependency",
"valueCode": "hl7.fhir.uv.tools.r4#0.4.1"
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
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