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  1. PatientManager
  2. PAM-477

PatientManager considerations for assigning authority values in HL7 FHIR

    Details

    • Type: Improvement
    • Status: Closed
    • Priority: Major
    • Resolution: Duplicate
    • Affects Version/s: None
    • Fix Version/s: 9.9.0
    • Component/s: None
    • Labels:
      None
    • Account:
      Maintenance 2017 (MAINTENANCE2017)

      Description

      Anne-Gaëlle

      We should have a conversation about patient ID assigning authority values.

      For many years, we have used OIDs for the assigning authorities used at connectathon (eg 1.3.6.1.4.1.21367.13.20.2000 for 'IHEGREEN').

      Now we have FHIR-based profiles, and in the Patient Resource (http://hl7.org/fhir/STU3/patient.html) the patient ID is and Identifier datatype (http://hl7.org/fhir/STU3/datatypes.html#Identifier), and the 'system' (ie the assigning authority) is a uri datatype (http://hl7.org/fhir/STU3/datatypes.html#uri) meaning the value must be a URL or URN.

      Here are some of my thoughts (we should discuss some more):
      -- We should still offer Connectathon 'pre-load' demographics in Gazelle TM Patient Generation & Sharing in HL7v2 and HL7v3 format, with no changes to the assigning authority values
      -- In the PatientManager tool we have many patients with assigning authority (Universal ID) with an OID value. We should keep those.
      -- In the PatientManager for PDQm and PIXm query responses, it looks like you are returning OID values for Identifier.system (eg in https://gazelle.ihe.net/PatientManager/messages/messageDisplay.seam?id=226597). Has anyone complained about that?
      -- for the NA2018 Connectathon, I plan to create a full set of FHIR (STU3) Patient Resources that are equivalent to those in HL7v2 and v3. I have begun to create them (ftp://ftp.ihe.net/Connectathon/data_sets/PreLoad_Demographics_FHIR_Patient_Resources/). For the NA2018 Connectathon, our plan is to host these on a FHIR server accessible before and during Connectathon. This plan is not finished yet.

      Let me know if you have time to discuss this.


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            • Assignee:
              aberge Anne-Gaelle Berge
              Reporter:
              lfelhofer Lynn Felhofer
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                Updated:
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                Potential Duplicates