Stream: implementers
Topic: AllergyIntolerance.recorder -> Organization
Espen Stranger Seland (Jun 06 2019 at 10:08):
AllergyIntolerance.recorder points to Practitioner|PractitionerRole|Patient|RelatedPerson, but we have a use case where we need a 1:1 in which organization the Practitioner did the recording (or assertion for that matter).
I guess the "real" solution is to wrap it up in an encounter of some kind, but it's a lot of overhead and in the context information about the encounter does not exist.
Another solution is a profile of PractitionerRole for linking to Organization.
Extension "RecordedAt 0..1(ref:Organization|HealthcareService)" is allways possible.
Anyone else have or see this use case?
Lloyd McKenzie (Jun 06 2019 at 12:36):
You can get to the Organization through PractitionerRole. (In some cases, you'll use PractitionerRole to point to the Organization and won't even identify the Practitioner.)
Ken Sinn (Jun 17 2019 at 15:57):
Is this a valid use of the PractitionerRole resource, as a proxy/wrapper class to capture either/or Pracitioner & Organization? Can PractitionerRole be used as an alternate way to implement element[X] = Practitioner|Organization?
Jean Duteau (Jun 17 2019 at 16:54):
It shouldn't be. The organization in PractitionerRole is the source of the roles. I suppose you could use it to say "the recorder is/was a community health physician at Good Health Hospital". But just saying "Good Health Hospital" would be an abuse of PractitionerRole, I think.
Lloyd McKenzie (Jun 17 2019 at 17:06):
In most places where PractitionerRole appears a bare Organization is also allowed, so the only situation where it makes sense to point to PractitionerRole is where you have something else to say beyond the Organization. If the reference doesn't allow a bare Organization, you accomplish that by passing through PractitionerRole, but first I'd engage with the work group here on chat.fhir.org to find out why a bare Organization isn't supported.
Last updated: Apr 12 2022 at 19:14 UTC
