Details
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Change Request
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Resolution: Persuasive
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Medium
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FHIR Core (FHIR)
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STU3
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Patient Administration
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Person
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8.18.3
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Iryna Roy/Alex de Leon: 5-0-1
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Enhancement
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Compatible, substantive
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R5
Description
The Person resource needs additional information to solve common use cases described in the resource definition.
- Person.deceased
- Person.maritalStatus
- Person.communication.
As it turns out two of these proposition has been raised before by Alexander Henket
- 17319 Summary: Person.maritalStatus missing
- 17318 Summary: Person.deceased is missing
Both deceased and maritalStatus change to the Person resource is refused by the workgroup on the basis: "The Person resource is not intended to be the demographic store for all patients/people.
Its core usage is for the very basics and linkages."
I think this explanation misses vital points in the description of the Person resource, its intended purpose and it's actual use by implementers. The description of the resource states plainly: "Demographics and administrative information about a person independent of a specific health-related context."
The first two use-cases mentioned:
"A set of demographics that can be used to co-ordinate the maintenance of this de-normalized information across practitioners, patients and/or related persons
e.g. link known resources of the different types together within a system
A state/network based Master Person Index"
This is the exact opposite of the reasoning for rejecting these changes, I think this is a mistake that will cripple the standard for these central use-cases. The master Person Index is a central part of the healtcare sector in most European countries.
I wan to move for the addition of these elements to the Person resource so that the resource can be used (without adding extentions) for implementing the two most central use-cases stated for the resource.
Attachments
Issue Links
- relates to
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FHIR-17318 Person.deceased is missing
- Resolved - No Change
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FHIR-26590 Add Practitioner.deceased[x] element
- Published