Is Open Registration for "Therapists" for Psychoth...
# supporta
albert_wong
12/31/2024, 4:28 AMI'm developing a subscription-based psychotherapy documentation app for independent therapists. Each therapist will have exclusive access to their own client records -- and of course no one else's records. Every therapist's practice should be "silo"-ed and separate from each other. Interoperability is typically not that important here -- but confidentiality is -- progress notes for therapists are typically kept apart from medical systems, due to confidentiality.
My challenge is in trying to implement a self-service registration system that allows therapists to:
* Sign up independently
* Try the platform out (and then buy a monthly subscription if they like it)
* Maintain proper access controls and security
Is it possible to allow therapists to self-register while restricting their access to only their own Medplum-bot transcribed progress notes? I think I can set up the Default Access Policies to limit Therapists to view only their own records. However, actually it looks like if I classify therapists as "practitioners" they can't self-register.
I'm hesitant to try the /invite endpoint route -- just because it seems really complex and involved. But here's my not so brilliant idea for a workaround....
albert_wong
12/31/2024, 4:28 AMOk, a totally bizzaro "hacky" thought. I know this violates everything FHIR interoperability related -- but... solo therapists don't generally need interoperability.
So... maybe in this case, the "Actual therapists" are more like PATIENTS... data-wise than actual providers. They want everything to be separated out -- and to only see their own records. And so, we might be able to let these therapists be classified as "Medplum patients" -- so they can self-register.
And then progress notes can be "compositions" that are created by the therapist-who-is-actually-a-medplum-patient-in-the-database. They actually don't need to see anything other than their own "compositions" -- they are just grabbing the progressnote that was generated by the transcription bot + AI within the medplum app, There's no risk of information leakage. And maybe... everyone is happy? 🙂
I know, I know it's a crazy thought. But... curious about folks thoughts! @rahul1 @reshma
albert_wong
01/01/2025, 1:26 AMOr actually another slightly wacky idea: Let the therapists "register" through the a Patient Registration workflow. Then trigger a bot to automatically create a Practitioner with the therapist's info -- as pulled from the Patient Registration. And then send this newly thus-created Practitioner therapist a "reset password" email. And voila -- you've got a bit of a hacky version of Practioner "self-registration".
albert_wong
01/01/2025, 4:24 AMOr finally... let the therapists "register" through a New Project workfow. Then figure out how to make sure the new projects are prepopulated are prepopulated with the same bots, and use "Execute by Identifier".
r
reshma
01/01/2025, 10:08 PMNew Project workflow is probably the closest in term of being the path that seems to match most. If all of the clinical business/logic is implemented, then the "Projects" will provide the separation for the practices
a
albert_wong
01/03/2025, 5:24 AMYes! Thanks -- superhelpful! New Projects sounds like the closest! Bingo. 🙂 This Awesome. It works great! Now... I just need to figure out how to get the Bots, ported over to the new project. 🙂
I think there is a ways to "clone the bots?" from a "basecamp" project into these new projects? But I can't seem to figure that one out just now. If you (or anyone ) have any ideas -- it would be so appreciated. (And lovely to meet you today, @reshma and thanks for all your help!)
178 Views