Stream: implementers
Topic: Capturing family situation
Alexander Henket (Feb 14 2018 at 08:55):
I'm trying to wrap my head around a couple of things in social anamnesis. I'm currently struggling to understand how you would model a common thing in Care, which is to describe the living situation. The functional model I'm looking at is here: https://zibs.nl/wiki/FamilySituationChild-v1.0(2017EN) and here https://zibs.nl/wiki/FamilySituation-v3.0(2017EN) -- which one is used depends on perspective.
It consists of a number of things you could convey using Patient + RelatedPerson (mother/father/brother/sister), but also a number things that are typically Observation (NumberOfSiblings), Comment and FamilyComposition (lives with mother/father/grandparents/...)
What are other people using for conveying this type of information?
Tim Berezny (Feb 15 2018 at 15:11):
Interesting, I think i'm about to run into this too. Currently i'm just holding extra data in notes, but that's not what you're looking for. My current preliminary thought was to pursue the questionnaire route ... i'm curious what you come up with
Grahame Grieve (Feb 15 2018 at 20:24):
@Alexander Henket can you put up some sample data?
Alexander Henket (Mar 09 2018 at 08:36):
The ZIB page actually has sample data, but Dutch only. Translated here for convenience:
FamilySituationChild
-
FamilyComposition
* Lives with mother -
NumberOfSiblings
* 2 -
ParentCarer::ContactPerson
* Mother (Ms. Carola Smith, mailto:smithcmm@xmail.com (private))
* Step father (Mr. Peter Vix) -
Siblings
* DateOfBirthSibling: 02-02-2013
* ContactPerson: Brother, callme name: Javier
* DateOfBirthSibling 20-12-2009
* ContactPerson: Step sister, callme name: Janine
Alexander Henket (Mar 09 2018 at 08:38):
(can't seem to figure out the logic behind list levels... sorry)
Marten Smits (Apr 06 2018 at 12:27):
This is the model we want to capture in FHIR: https://zibs.nl/wiki/FamilySituation-v3.0(2017EN)
We are now capturing this in Observation with components and are using the RelatedPerson resource for the child container. Anyone else got a better idea?
Lloyd McKenzie (Apr 06 2018 at 15:13):
Only use components for those things that aren't stand-alone. So things like FamilyComposition, NumberOfSiblings, etc. should be separate observations. (You can create a panel Observation that ties them together if you wish.)
Last updated: Apr 12 2022 at 19:14 UTC
