Use Case & Service Operations

Bundling Workflow

DPH SAPC supports the following operations, and each have Bundled Resources and Bundle ID’s:

Workflow	FHIR Resource Bundle
Admit New / Existing Client + Smoking Status	Patient, Observation
Admit New / Existing Client + Encounter	Patient, Encounter
Admit New / Existing Client + Diagnosis	Patient, Encounter, Condition
Admit New / Existing Client + Women’s Health History	Patient, Encounter, Condition
Admit New / Existing Client + Client Financial Eligibility	Patient, Encounter, Coverage
Admit New / Existing Client + Cal-OMS Admission	Patient, Encounter, QuestionnaireResponse
Admit New / Existing Client + Cal-OMS Discharge	Patient, Encounter, QuestionnaireResponse

Admit New / Existing Client (Patient, Observation):

This workflow is used to admit an existing client using a bundle that consists of the Patient and Observation resources. In this bundle, the Observation has a reference to patient through the Subject field as shown below:

Resource	Element	Dependency
Observation	Subject	Patient resource: PatId

Admit New / Existing Client (Patient, Encounter):

This workflow is used to admit an existing client using a bundle that consists of the Patient and Encounter resources. In this bundle, the Encounter has a reference to patient through the Subject field as shown below:

Resource	Element	Dependency
Encounter	Subject	Patient resource: PatId

Admit New / Existing Client + Diagnosis (Patient, Encounter, Condition):

This workflow is used for submitting a condition for an existing patient using a bundle. The three resources used in bundle are Patient, Encounter and Condition. In this bundle, Encounter and Condition has a reference to patient through Subject field, Condition has a reference to Encounter through Encounter field as shown below:

Resource	Element	Dependency
Encounter	Subject	Patient resource: PatId
Condition	Subject	Patient resource: PatId
Condition	Encounter	Encounter resource: EncounterId

Admit New / Existing Client + Women’s Health History (Patient, Encounter, Condition):

This workflow is used to submit women’s health history using a bundle. The three resources used in bundle are Patient, Encounter and Condition. In this bundle, Encounter and Condition has a reference to patient through Subject field, Condition has a reference to Encounter through Encounter field as shown below:

Resource	Element	Dependency
Encounter	Subject	Patient resource: PatId
Condition	Subject	Patient resource: PatId
Condition	Encounter	Encounter resource: EncounterId

Admit New / Existing Client + Client Financial Eligibility (Patient, Encounter, Coverage):

This workflow is used to submit a financial eligibility for a patient using a bundle. The three resources used in the bundle are Patient, Encounter and Coverage. In this bundle, Encounter has a reference to patient through Subject field, Coverage has a reference to patient through PolicyHolder and Beneficiary fields. Encounter is referred as an extension: coverage-encounterReference as shown below:

Resource	Element	Dependency
Encounter	Subject	Patient resource: PatId
Coverage	PolicyHolder	Patient resource: PatId
Coverage	Beneficiary	Patient resource: PatId
Coverage	Extension: coverage-encounterReference	Encounter resource: EncounterId

Admit New / Existing Client + Cal-OMS Admission (Patient, Encounter, QuestionnaireResponse):

This workflow is used to submit a questionnaire response for CalOmsAdmission for a patient using a bundle. The three resources used in the bundle are Patient, Encounter and QuestionnaireResponse. In this bundle, QuestionnaireResponse has a reference to patient through Subject field, and encounter through Encounter field as shown below:

Resource	Element	Dependency
Encounter	Subject	Patient resource: PatId
QuestionnaireResponse	Subject	Patient resource: PatId
QuestionnaireResponse	Encounter	Encounter resource: EncounterId

Admit New / Existing Client + Cal-OMS Discharge (Patient, Encounter, QuestionnaireResponse):

This workflow is used to submit a questionnaire response for CalOmsDischarge for a patient using a bundle. The three resources used in the bundle are Patient, Encounter and QuestionnaireResponse. In this bundle, QuestionnaireResponse has a reference to patient through Subject field, and encounter through Encounter field as shown below:

Resource	Element	Dependency
Encounter	Subject	Patient resource: PatId
QuestionnaireResponse	Subject	Patient resource: PatId
QuestionnaireResponse	Encounter	Encounter resource: EncounterId