Dr. R — External Specialist
A specialist outside the practice receiving inbound referrals, sending consult reports back, and occasionally requesting follow-up imaging or labs from the primary practice.
Pain Points
- Insufficient referral context. Receives faxed referrals with no problem list, no recent labs, no insurance verification — just a name and a phone number.
- No acknowledgment loop. Sends consult reports back via fax or one-off CCDA, with no acknowledgment that the primary practice ever received or read them.
- Phone tag for follow-up orders. Cannot easily request authorization for additional services without re-routing through the patient or front desk.
Goals within REV.health
- Receive referrals as FHIR ServiceRequest bundles over Direct Trust with full USCDI v3 attached: problem list, meds, allergies, recent labs, imaging.
- Acknowledge, schedule, and report back through a FHIR Task lifecycle (Received → Reviewed → Accepted → Integrated) that closes the loop visibly for both practices.
- Submit follow-up requests directly into the primary practice's task queue — no phone tag, no fax, no re-routing through the patient.
Modules Touched
Day-in-the-Life Workflow
- Receive referral — FHIR bundle with full clinical context arrives via Direct Trust: problem list, recent labs, imaging all attached. No phone tag needed.
- Review — problem list, recent labs, imaging all attached and accessible in one view.
- Accept — click "Accept Referral"; patient auto-scheduled in specialist's system. Primary practice sees Task status: Received → Reviewed → Accepted.
- Conduct specialist visit — send consult report back as FHIR DiagnosticReport via Direct Trust.
- Request follow-up — order additional imaging; request routed directly to primary practice's task queue.
- Primary practice acknowledges receipt — Task lifecycle: Received → Integrated. Loop closed visibly.
- Dashboard shows: 4 referrals received, 3 consult reports sent, 1 follow-up pending.