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  1. FHIR Specification Feedback
  2. FHIR-33695

Observation.subject should not be mandatory

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    • Icon: Change Request Change Request
    • Resolution: Persuasive with Modification
    • Icon: Highest Highest
    • Point of Care Devices (FHIR)
    • 0.3.0
    • Devices
    • STU
    • Enumeration Observation profile
      Numeric Observation profile
      Observation profile
      Sample Array Observation profile
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      Per the discussion in the comments, this will be dealt with in the text of the IG. The IG will provide guidance on what implementers should / could do when the patient identity is not (yet) known by the device....while keeping Observation.subject mandatory for compatibility with the FHIR Core profile "Vital Signs." (paraphrasing Javier's comment)

      Also, dividing the profile into two parts, one where the patient association is known and another where the patient association is unknown and compliance to the Vital Signs Profile is not possible and the patient information.  

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      Per the discussion in the comments, this will be dealt with in the text of the IG. The IG will provide guidance on what implementers should / could do when the patient identity is not (yet) known by the device....while keeping Observation.subject mandatory for compatibility with the FHIR Core profile "Vital Signs." (paraphrasing Javier's comment) Also, dividing the profile into two parts, one where the patient association is known and another where the patient association is unknown and compliance to the Vital Signs Profile is not possible and the patient information.  
    • Correction

    Description

      The specification mandates the inclusion of a subject.

      I think this is to strict. Due to privacy concerns or device design, the subject (patient) may not be known by the device.

      Please relax this requirement (back to) optional --> cardinality 0..1

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            Unassigned Unassigned
            bvdh Bas van den Heuvel
            Bas van den Heuvel, Javier Espina, John Rhoads
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              Updated:
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