Stream: implementers
Topic: Patient location
Jing Tang (Mar 28 2021 at 18:12):
1) What's the best way to represent the GPS locations of patient home addresses? I couldn't find a way to represent this without defining a new extension, or via an encounter (which seems wrong to me). This is useful in community health worker scenarios where patient home locations are used for planning home visits.
2) is there a linkage between a "Group" of "Practitioners" and "Healthcare Service"? Again this is useful for identifying a group of health workers who cover an area ("coverageArea" field in "Healthcare Service").
Thanks!
Jose Costa Teixeira (Mar 28 2021 at 20:40):
http://build.fhir.org/extension-geolocation.html
Jing Tang (Mar 28 2021 at 21:19):
thanks Jose :)
Jing Tang (Mar 28 2021 at 21:28):
with question 2) i might have found the answer myself -- perhaps OrganizationAffiliation can be used? So we would have Practitioners in Groups under Organization with an OrganizationAffliation to a parent Organization. And that OrganizationAffliation has a reference to the HealthcareService which has a Location?... This seems like a quite a lot.. maybe a much easier way is just to add the geolocation extension to the group of practitioners.
Jose Costa Teixeira (Mar 28 2021 at 22:43):
Did you look at PractitionerRole?
Lloyd McKenzie (Mar 28 2021 at 22:52):
If the group has collective responsibility, they're an organization
Jing Tang (Mar 29 2021 at 10:49):
Thanks @Jose Costa Teixeira - I think the issue with PractitionerRole is that it's 1:1 with Practitioner. @Lloyd McKenzie Thanks! And how should that 'collective responsibility' be modeled? It seems like there can be a link between that Organization and a HealthcareService if the 'collective responsibility' of that organization is to deliver that service?
Lloyd McKenzie (Mar 29 2021 at 14:42):
Right. A HealthcareService could be offered by a 'practice group' Organization that's "part of" the larger legal entity that is the healthcare organization.
Elliot Silver (Mar 29 2021 at 17:00):
@Jing Tang You may want to look at IHE's mCSD (mobile Care Services Discovery) profile (https://www.ihe.net/uploadedFiles/Documents/ITI/IHE_ITI_Suppl_mCSD.pdf) that covers some of this.
Jing Tang (Mar 29 2021 at 17:31):
ahh ok it's all falling into place now. so we will be using practitioner - practitioner role - organization - healthcare service. thanks @Lloyd McKenzie and thanks @Elliot Silver for sharing the doc - it's useful
Last updated: Apr 12 2022 at 19:14 UTC
