Use compositional approach for Person/Patient/Composition - 2018-Jan Core #49

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    • Type: Change Request
    • Resolution: Not Persuasive
    • Priority: Medium
    • FHIR Core (FHIR)
    • STU3
    • Patient Administration
    • Person
    • Hide

      The person resource is optionally used as a registry of potential patients, or a linkage resource between systems (and is usually external to the clinical systems).

      Where used internally, typically the patient.link resource is used.

      (It does also permit linking Practitioners that are also patients)

      We did not model seperately as you described to keep the usage simple in most cases, and managing the differences between the systems can be co-ordinated more easily by administration systems.

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      The person resource is optionally used as a registry of potential patients, or a linkage resource between systems (and is usually external to the clinical systems). Where used internally, typically the patient.link resource is used. (It does also permit linking Practitioners that are also patients) We did not model seperately as you described to keep the usage simple in most cases, and managing the differences between the systems can be co-ordinated more easily by administration systems.
    • Cooper Thompson/Andrew Torres: 6-0-0
    • Enhancement

      Comment:

      The FHIR Person resource is neither entity nor record. Rather, it is a mix of both. I would highly recommend that the person resource represent a person and that the Composition resource be used to represent a patient record. At the very least, the Person resource should be renamed to PatientRecord if that is its intent. Also, Person and Patient share a number of fields in common. I would recommend a more compositional approach whereby a person may assume a patient role. It is unclear how Person currently relates to Patient or to Composition.

      Summary:

      Use compositional approach for Person/Patient/Composition

            Assignee:
            Unassigned
            Reporter:
            Claude Nanjo (Inactive)
            Claude Nanjo (Inactive)
            Watchers:
            2 Start watching this issue

              Created:
              Updated:
              Resolved: