Stream: implementers
Topic: Location vs Organization
Kapil (May 10 2019 at 01:13):
Hello All,
can you help us to understand FHIR modeling to represent Patient & its department association ? Also association between Practitioner & department ?
here department i mean is a specialized care unit within a Hospital.
Thanks in advance!
Regards
Christiaan Knaap (May 10 2019 at 02:17):
1. Organization can be 'nested' down to the level of department through the 'partOf' element.
2. Patient refers to the custodion of its record through the 'managingOrganization' element, that refers to an Organization.
3. Where a Patient is actually treated is recorded in an Encounter, that refers to both the Patient (subject element) and the Organization (possibly multiple) via the location element.
3. Practitioner is connected to an Organization through a third resource: PractitionerRole.
You may find the ClinFhir Scenario builder useful to gain insight in how resources can be connected.
Kapil (May 22 2019 at 18:32):
Thanks @Christiaan Knaap
so just to confirm understanding..in order to model the 'Patients association (enrolling) with multiple departments within Hospital' shall we represent it by separate Encounter instances where Encounter.Location represents department ?
Regards,
Christiaan Knaap (May 23 2019 at 09:45):
Correct
Stefan Lang (May 23 2019 at 11:50):
@vkapil Encounter.location would represent the physical location of the department (building, room, ....), which is detailed in the referenced Location resource.
A department in terms of an organizational unit would be referenced via Encounter.serviceProvider (reference to an Organization).
Like: the urology department may be located partially in floor 5 south and partially in floor 8 north. In this case "urology department" is an Organization while "floor 5 south" and "floor 8 north" are two different Locations
Last updated: Apr 12 2022 at 19:14 UTC
