E-consult
Availability:
| Environment | status |
|---|---|
| Test | 🚧 In development |
| Acceptance | 🛑 Unavailable |
| Production | 🛑 Unavailable |
API specifications:
Functional summary​
When e-consult functionality is enabled for an organisation, patients will be triaged before they can submit an e-consult. The triage process is done by a questionnaire that is filled in by the patient. Based on the answers given by the patient an urgency will be determined. Based on that urgency the patient will either see a self-care advice, can start a chat (see chats functionality) or will be advised to contact the practice by phone.
When a chat is started, the triage data will be sent to the XIS. The triage data contains:
- The answers of the questionnaire
- Urgency
- Automatically generated s-line (subjective journal line)
- The S line (or "s regel") is the subjective perception of the patient about his/her complaints. See https://nl.wikipedia.org/wiki/SOEPstatus (in Dutch) for more information.
Starting an e-consult with triage​
To start an e-consult with triage, the flow is as follows:
Note: The exact followup action on a urgency level depends on the organisation type and settings. This is just an example and illustrates all the possible followup actions.
- The patient starts an e-consult in the Spreekuur.nl app.
- The patient fills in the triage questionnaire.
- Spreekuur.nl determines the urgency based on the answers given by the patient and generates an s-line.
- If the urgency is high, the patient is advised to call the practice (triage out)
- If the urgency is medium, a chat is started and the triage data is send to the XIS.
- A chat session is started in the chat service (see chat functionality)
- The triage data is send to the XIS as a FHIR Bundle containing a QuestionnaireResponse resource with the answers given by the patient and an Observation resource with the determined urgency.
- The patient can see the chat in the Spreekuur.nl app.
- If the urgency is low, a self-care advice is shown to the patient.