Stream: implementers
Topic: Patient and Practitioners
Angelica Garcia Gutierrez (Feb 13 2017 at 23:40):
Patient. generalPractitioner provides a reference to a Practitioner resource. We would like to record the following information: period in which the practitioner was the 'generalPractitioner' for a given patient, and the reason why a member changed from one practitioner to another e.g. patient moved, physician quality problem, physician staff attitude, maximum age reached, etc. Any hints?
Lloyd McKenzie (Feb 13 2017 at 23:41):
Look at CareTeam
Lloyd McKenzie (Feb 13 2017 at 23:42):
The element on Patient is intended to represent core demographic information like "who's the patient's current GP?" and "where's the patient's usual pharmacy?". Management information of who's responsible for what care when is the domain of CareTeam.
Angelica Garcia Gutierrez (Feb 13 2017 at 23:46):
Awesome! CareTeam will be helpful to record all the PCPs associated with a patient. However, I couldn't find a place to record the reason for leaving/changing a group. Should that be an extension?
Lloyd McKenzie (Feb 13 2017 at 23:50):
Extension is one option. Or if you want more detail, you can look at Provenance - which will let you not only capture what changed, but when it was changed, who changed it, who authorized it, etc.
Angelica Garcia Gutierrez (Feb 13 2017 at 23:59):
Could be possible to add a 'EndingReason' field to the CareTeam resource instead?
Lloyd McKenzie (Feb 14 2017 at 00:19):
All things are possible. But you'd need to make the case that that vast majority of systems that track and manage care teams capture "end reason" on each role. Whether that's an easy case to make or a hard one to make, I have no clue.
Lloyd McKenzie (Feb 14 2017 at 00:20):
If you want it in before the STU 3 publication freeze on Sunday, you'd best move fast submitting your change request (and the PC work group may not get to it in time)
Angelica Garcia Gutierrez (Feb 14 2017 at 00:41):
Thank you for your input.
Brian Postlethwaite (Feb 14 2017 at 00:52):
This does feel like extension territory to me too, and I agree with Lloyds explanation of Patient.GP and CareTeam.
Last updated: Apr 12 2022 at 19:14 UTC
