Stream: implementers
Topic: Patient Status Extension
T J (Mar 17 2020 at 16:42):
Hi - new to FHIR here.
Wondering if there's a FHIR resource or extension that exists out there that I could use to store a patient's status (e.g. "new", "inactive", "ineligible"). I'd like to associate a status (one of a list that I specify) to each Patient. Here's what I've considered:
- I didn't find anything on the Patient resource that seems to match this. Meta > tags seem flexible enough, however this is pretty core/business-logic data, not metadata, so it didn't seem like a great fit. https://www.hl7.org/fhir/resource-definitions.html#Meta.tag
- I've done a basic search for "status" here: http://hl7.org/fhir/STU3/extensibility-registry.html and here: https://registry.fhir.org/ but I didn't find anything that quite fit our requirements.
Before I go ahead and just build my own Extension, I thought I'd ask if anyone knows of one that seems like a good fit.
Also, if anyone has any particularly useful resources for creating a first basic extension, I'd appreciate that too.
Abel Stolz (Mar 18 2020 at 06:43):
You see patients usually during encounters (http://hl7.org/fhir/encounter.html). Encounter has a status. If this doesn't help, it's generally a good idea to consider other ressources which may reference the ressource you are dealing with, when you don't find something where you would expect it.
Abel Stolz (Mar 18 2020 at 07:57):
I just noticed that the value set for Encounter.status is required, so you can't use your own status codes. So maybe this was not what you were looking for...
Lloyd McKenzie (Mar 18 2020 at 13:50):
Patient has an 'active' flag that covers active vs. inactive. The notion of 'new' (presumably to the organization responsible for the patient) would need to be captured as an extension - it's too fuzzy to have much value in general exchange. The notion of ineligible would need to be tied to "for what?" - is it relevant to a clinical study? A planned procedure? A type of insurance? Where the concept gets captured will be driven by what they're ineligible for.
T J (Mar 18 2020 at 14:15):
Since I need the set of possible "statuses" to meet our needs exactly, I think an Extension is the way to go. Thanks very much for the help!
Apmis Ainad (Apr 02 2020 at 19:47):
How about group? https://www.hl7.org/fhir/group.html
Lloyd McKenzie (Apr 02 2020 at 19:53):
Group is if you're wanting to allow a collection of individuals to be a subject rather than just a single individual
Brian Postlethwaite (Apr 03 2020 at 09:28):
Also status is in some form of context...
(especially things like eligibility for one thing but not another) so EpisodeOfCare might help with context.
Last updated: Apr 12 2022 at 19:14 UTC
