Stream: implementers
Topic: Familyhistory for fetus
Marc de Graauw (Mar 23 2020 at 15:30):
In Birthcare, family history is recorded early in pregnancy, from the viewpoint of the fetus, i.e. 'Mother' is the pregnant Patient, 'maternal grandmother' is her mother etc. FamilyMemberHistory resource has Patient 1..1, so it needs a Patient. For fetus we do not want to exchange a Patient resource that early, that could easily mess up patient tables in EHR's. If we put the mother in FamilyMemberHistory .patient (and add a father somewhere) we'd have to rewrite the entire history - what's recorded as 'maternal grandmother' (of the fetus) in the Birthcare record would become 'mother' in FamilyMemberHistory etc. Very messy. Anyone solved this problem?
Richard Townley-O'Neill (Mar 24 2020 at 01:51):
You could add an indicator to the Patient resource to say it is a FHIR patient, not a Birthcare patient.
Otherwise, can you use Reference.identifier instead of Reference.reference?
In other words have a logical identifier for the fetus rather than a reference to a Patient resource.
Marc de Graauw (Mar 24 2020 at 08:30):
Thx, second suggestion is useful (first too, but I like the second better :-)
Lloyd McKenzie (Mar 24 2020 at 13:28):
Just be aware that _include, _revinclude, etc. don't work across logical references
Last updated: Apr 12 2022 at 19:14 UTC
