Cross-enterprise Medical Board Review
Related Use Case
Scenario context
The participants to the Medical Board Review are located in different hospitals. Optionally, a video conferencing tool enables the participants to have live contact.
Actors/Roles
- MBR Requestor
- MBR Scheduler
- MBR Preparer
- MBR Scribe
- MBR Chairperson
Transactions
- Request MBR (Medical Board review)
- Schedule MBR
- Prepare MBR
- MBR meeting and reporting
- Finalize MBR
Technical process flow
- A specialist (MBR requester) requests a medical board review for a patient to the MBR Scheduler. He/she sends the request (with the additional information to the MBR Scheduler.
- The MBR Scheduler checks if the patient meets the inclusion criteria of the board, and looks for a timeslot for the MBR for that patient
- The organiser sends the affirmation to the requester
- All participants can prepare for the medical board review by viewing and examining all the relevant medical information
- At the medical board review meeting, all participants discuss the case.
- A scribe writes down the recommendations of the board
- The medical board review report is authorised by all, and sent to the requester (and possibly to other involved healthcare professionals).
Associated profiles, standards, and HL7 FHIR Implementation guides
- Policy: —
- Care process: XDW, XTB-WD, PIX/PDQ
- Information: (any documents, depends on implementation)
- Infrastructure: XDS/ XDR/ XDM, ATNA, CT
- Access control: BPPC, XUA(++)
Possible issues
Information is stored in different ways in different systems. Agreements on using structured data exchange have to be made in order to facilitate a “cross-organisational” view on the information. For this, content profiles can be used, but different types of Medical Board Reviews require different content profiles.
Implementation examples
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