FHIR Chat · PatientResource Clarifications / Questions

Stream: implementers

Topic: PatientResource Clarifications / Questions

Julia Davis (Apr 04 2019 at 22:37):

Hi,
I am continuing with my HL7 V2.4 mapping exercise and have come to the field PID-21 Mother's Identifier - is it correct to use the link element in the PatientResource?
If so, would I use patient.link.type of "refer" or "seealso" and should the patient.link.other reference a RelatedPerson resource for the mother or the PatientResource of the mother?
My query is because the link element seems to imply the "linked to" resource should be for the same patient i.e. in a merge scenario.

My next question involves patient.gender - in the scenario of a transgender patient who for example is a male identifying as a female the PAS would likely send PID-8 administrative sex as male or possibly Ambiguous/Indeterminate.
The patient wishes to see female on their charts / boards / records, however, we need to hold the fact that the patient is male for drug dosage calculations as they can vary not just on height and weight but also male/female physiology.
How do we hold both pieces of information about the patient i.e. male but identifies as female?

Many thanks
Julia

Grahame Grieve (Apr 04 2019 at 22:40):

PID-21 -> Patient.linkother.identifier but I'm not sure what the type would be. @Cooper Thompson my take is that PA would think this should be an extension?

Grahame Grieve (Apr 04 2019 at 22:41):

as for Gender - have you read this: http://hl7.org/fhir/patient.html#gender

Julia Davis (Apr 05 2019 at 00:05):

@Grahame Grieve Thanks Grahame, I notice that the gender link is for FHIR V4, I should probably have pointed out we are currently using STU3 which talks about LOINC and Snomed codes but didn't seems to provide where the data could be held. ... Any ideas? Thanks Julia

Grahame Grieve (Apr 05 2019 at 00:07):

the principles there in R4 apply to R3 the same

Richard Townley-O'Neill (Apr 05 2019 at 00:08):

R3 : http://hl7.org/fhir/STU3/patient.html#gender

Julia Davis (Apr 05 2019 at 00:40):

@Grahame Grieve , @Richard Townley-O'Neill ... Hi, sorry I must either be going blind or having a very dumb moment (both possibilities) but I can't find the genderIdentity extension in STU3. Am I being blind or does it not matter ... i.e. can I still use the extension? ... Thanks ... it's Friday and it's been a long week

Grahame Grieve (Apr 05 2019 at 00:41):

you can use the extension anyway

Julia Davis (Apr 05 2019 at 00:41):

Awesome! thanks @Grahame Grieve

Jeremie Osaghae-Nosa (Jun 05 2019 at 21:02):

I regarding to accessing patient’s contact data in STU3, I can obtain patient data such as DOB, name, etc but I can never access any of the contact data, would love some help

Lloyd McKenzie (Jun 05 2019 at 21:07):

Can you expand on the issue you're having?

Jeremie Osaghae-Nosa (Jun 05 2019 at 21:13):

I can’t pull any patient.contact.... data at all

Lloyd McKenzie (Jun 05 2019 at 21:21):

Are you sure the patients you're looking at have any?

Jeremie Osaghae-Nosa (Jun 05 2019 at 21:23):

Yes, I’m working with Shelby Von and his father is listed as a contact but can never access it

Jeremie Osaghae-Nosa (Jun 05 2019 at 21:25):

I’m having this issue with a lot of the Backbone Elements

Lloyd McKenzie (Jun 05 2019 at 21:41):

Is the data not coming back or are you having trouble accessing it with one of the reference implementations? If the former, have you tried one of the public test servers and if so, which one? If the latter, which language?