Stream: social
Topic: FHIR Primary Care Clinic
Krishna Kesavarapu (Jan 11 2021 at 23:08):
The Payer organization I work for relies on members choosing ‘Primary Care Clinic (PCC)’ instead of the general practice of ‘Primary Care Physician (PCP).’ The FHIR standard has GeneralPractitioner for a Patient resorurce, as shown below:
Would the correct approach be to add an extension for PCP or use GeneralPractioner for both PCC and PCP?
Appreciate your help
Vassil Peytchev (Jan 11 2021 at 23:11):
Why can't you use Organization?
Krishna Kesavarapu (Jan 11 2021 at 23:26):
We could except the definition of GeneralPractitioner does not seem to cover PCC. Our interpretation is it covers PCP and CareManager (organization mostly) and not PCC as shown below:
Patient.generalPractitioner: This may be the primary care provider (in a GP context), or it may be a patient nominated care manager in a community/disability setting, or even organization that will provide people to perform the care provider roles. It is not to be used to record Care Teams, these should be in a CareTeam resource that may be linked to the CarePlan or EpisodeOfCare resources. Multiple GPs may be recorded against the patient for various reasons, such as a student that has his home GP listed along with the GP at university during the school semesters, or a "fly-in/fly-out" worker that has the onsite GP also included with his home GP to remain aware of medical issues.
Vassil Peytchev (Jan 11 2021 at 23:58):
I am pretty sure the text "... or even organization that will provide people to perform the care provider roles" covers your use case.
Frank Oemig (Jan 12 2021 at 08:26):
Is this a 'social' question?
René Spronk (Jan 12 2021 at 10:14):
GPs are certainly not anti-social ;-) .. but yes, this topic would be better suited for #implementers
Last updated: Apr 12 2022 at 19:14 UTC
