Epic FHIR R4 Workflow API

Workflow API includes the following FHIR R4 Profiles:

Schedule

Schedule resources provide a container for time-slots that can be booked using an appointment. It provides the window of time (period) that slots are defined for and what type of appointments can be booked. The schedule does not provide any information about actual appointments. This separation greatly assists where access to the appointments would not be permitted for security or privacy reasons, while still being able to determine if an appointment might be available.

Slot

Slot resources are used to provide time-slots that can be booked using an appointment. They do not provide any information about appointments that are available, just the time, and optionally what the time can be used for. These are effectively spaces of free/busy time. Slots can also be marked as busy without having appointments associated.

Appointment

Appointment resources are used to provide information about a planned meeting that may be in the future or past. The resource only describes a single meeting, a series of repeating visits would require multiple appointment resources to be created for each instance. Examples include a scheduled surgery, a follow-up for a clinical visit, a scheduled conference call between clinicians to discuss a case, the reservation of a piece of diagnostic equipment for a particular use, etc. The visit scheduled by an appointment may be in person or remote (by phone, video conference, etc.) All that matters is that the time and usage of one or more individuals, locations and/or pieces of equipment is being fully or partially reserved for a designated period of time.

AppointmentResponse

Appointment resources are used to provide information about a planned meeting that may be in the future or past. They may be for a single meeting or for a series of repeating visits. Examples include a scheduled surgery, a follow-up for a clinical visit, a scheduled conference call between clinicians to discuss a case, the reservation of a piece of diagnostic equipment for a particular use, etc. The visit scheduled by an appointment may be in person or remote (by phone, video conference, etc.) All that matters is that the time and usage of one or more individuals, locations and/or pieces of equipment is being fully or partially reserved for a designated period of time.

ServiceRequest

ServiceRequest is a record of a request for a procedure or diagnostic or other service to be planned, proposed, or performed, as distinguished by the ServiceRequest.intent field value, with or on a patient. The procedure will lead to either a Procedure or DiagnosticReport, which in turn may reference one or more Observations, which summarize the performance of the procedures and associated documentation such as observations, images, findings that are relevant to the treatment/management of the subject. This resource may be used to share relevant information required to support a referral or a transfer of care request from one practitioner or organization to another when a patient is required to be referred to another provider for a consultation /second opinion and/or for short term or longer term management of one or more health issues or problems.

Examples include:

• diagnostic tests/studies
• endoscopic procedures
• counseling
• biopsies
• therapies (e.g., physio-, social-, psychological-)
• (exploratory) surgeries or procedures
• exercises
• specialist consultation and assessments
• community services
• nursing services
• pharmacist medication review, and
• other clinical interventions.