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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R5
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Patient Administration
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Patient
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Cooper Thompson / Rick Lisseveld : 7-0-0
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Enhancement
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Non-substantive
Description
As part of the v2-to-FHIR project we are mapping commonly used fields in key v2 messages to FHIR resources so that messages can be transformed into bundle of FHIR resources. PID-31 is the Identity Unknown Indicator field but there is no cognate existing data element in FHIR. We suggest that a standard extension to Patient be created to allow exchange of this concept.
We suggest a CodeableConcept value using value set http://terminology.hl7.org/CodeSystem/v2-0136 with a binding of Required (could also be a code data type if we are going with a Required binding strength).
The v2 description can be reused as part of the extension narrative:
This extension indicates whether or not the patient's/person's identity is known.
Y the patient's/person's identity is unknown
N the patient's/person's identity is known
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