Representation of "verksamhetstyp" of an organization

[danka74]

Relates to issue #47. If "business type" (verksamhetskod/typ/område) no longer is the value of Organization.type what is the alternative representation.

Background: it was raised in #47 that the type of an organization would rather be used for "vårdgivare" and "vårdenhet". In work at EHM with the assignment on a national catalog of care providers, it has been raised other needs, e.g. to represent types of organizational units, e.g. "Sjukhus", "Vårdcentral", "Klinik" corresponding to the "enhetstyp" in HSA.

One such alternative would be to use a high-level HealthcareService providedBy the organization to specify the "verksamhetstyp".

[danka74]

Organization project meeting 2024-04-18:
A solution of using HealthcareService.category for "verksamhetstyp" referencing the organization performing the "verksamhet" using HealthcareService.providedBy was presented. @danka74 will present in more detail at next meeting.
The solution adds an additional resource and the added complexity of the additional resource should be compared to potential overloading of Organization.type.

[danka74]

Organization.type in the resource is bound to this ValueSet including codes for e.g. "Hospital department", "Healthcare provider"), i.e. not the kind of healthcare provided by the organization.

[danka74]

Did some work on Organization and a new HealthcareService:

• Removed binding to HSAVerksamhetVS: https://build.fhir.org/ig/HL7Sweden/basprofiler-r4/branches/organization-type-binding/StructureDefinition-SEBaseOrganization.html
• Added HealthcareService profile with .category bound to HSAVerskamhetVS: https://build.fhir.org/ig/HL7Sweden/basprofiler-r4/branches/organization-type-binding/StructureDefinition-SEBaseHealthcareService.html
  • Added slice for HSAVerksamhet codes by code system value, allows for 0..* slices, each with 1..1 Coding. Other codes with same meaning could be in separate Codings
  • Added binding to .category as opposed to .type, the idea being that category would be more generic and that .type would be used for more detailed healthcare services (vårdtjänster).

[danka74]

2024-04-26 Task force meeting:

• agreement HSAVerksamhetVS binding should be removed from Organization.type
• comparing to other profiles for organization (US, AU) HealthcareService should be used to represent "verksamhet"
  • adds some complexity and risk of lack of synchronization between two resources vs. only one
  • decided to follow example from US and AU
  • To implement in branch and make pull request

[danka74]

Comparing FHIR profile also to HSA schema (v.4.21.2):

• enhetstyp (sjukhus, vårdcentral, distansenhet, apotek) potential use of Organization.type
• ägarform överensstämmer med SCB/Skatteverkets kodverk
• vårdgivartillgörighet - direkt referens från alla vårdenheter till den vårdgivare enheten tillhör
• vård- och omsorgsform - möjlig användning HealthcareService.category?
• skolform för elevhälsa?

The HealthcareService resource representing "verksamhet" can be a contained resource inside the Organization