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5.3 Resource Person - Content

Patient Administration Work Group

Maturity Level: 1

Compartments: Patient, Practitioner, RelatedPerson

Demographics and administrative information about a person independent of a specific health-related context.

5.3.2 Resource Content

 

Alternate definitions: Schema/Schematron, Resource Profile (XML, JSON), Questionnaire

5.3.2.1 Terminology Bindings

Path	Definition	Type	Reference
Person.gender	The gender of a person used for administrative purposes.	Required	AdministrativeGender
Person.link.assurance	The level of confidence that this link represents the same actual person, based on NIST Authentication Levels.	Required	IdentityAssuranceLevel

5.3.3 De-normalized Data

Most of the properties of the Person resource are replicated within the other resources that they are shared with. This is intentional and highlights that the "disconnectedness" of the resources.

Not many systems actually implement a shared Person record, and as such the values DO become out of sync with each other. The inclusion of this resource does permit a capability for systems to identify other instances of this actual person's data via a centralized registry that can assist in keeping things up to date.

5.3.4 Person and Linking

The link element is used to relate resources under a common person record. This element supports two primary scenarios where other resources refer to the same person resource.

The link element cannot be used to link to RelatedPerson entries. So we can utilize a Person resource to relate these elements together identifying them as the same individual.

5.3.5 Cross-Domain Patient Directory

In a data sharing network, finding the location of patient records across different systems is a necessary pre-requisite for accessing external patient data. Using the link element, systems associate patient resources from different organizations. The assuranceLevel associated with the link provides a way for a system to qualify its confidence in the asserted link. For example, a relationship from the person to a patient using a probabilistic matching algorithm may be represented using a link with an assurance level of level1, while a relationship established using a government-issued photo ID may be created with an assurance level of level3.

5.3.6 Cross-Domain Provider Directory

Similarly, providers working in multiple healthcare service settings may be linked across different organizations using the link element. The various practitioner resources can be related using a common person resource with a link for each of the practitioner resources located in other organizations.

5.3.7 Client Portal

Client Portals provide consumer access to a window of their data locked up in healthcare systems. In many cases these systems are externally integrated and do not have access to the legacy CIS/PAS systems.

In contrast to most systems where a user has access to multiple patients depending on their roles and permissions, a client portal provides a consumer with direct access to their data (with permissions applied). This can also include not just their data (via the Person.link Patient entries), but also to information that they have entered, or were involved with (via the Person.link RelatedPerson entries), such as observations that they entered.
With appropriate permissions/consent applied, the user could have access to other Patient records linked via a RelatedPerson.

5.3.8 Search Parameters

Search parameters for this resource. The common parameters also apply. See Searching for more information about searching in REST, messaging, and services.

Name	Type	Description	Paths
address	string	An address in any kind of address/part	Person.address
address-city	string	A city specified in an address	Person.address.city
address-country	string	A country specified in an address	Person.address.country
address-postalcode	string	A postal code specified in an address	Person.address.postalCode
address-state	string	A state specified in an address	Person.address.state
address-use	token	A use code specified in an address	Person.address.use
birthdate	date	The person's date of birth	Person.birthDate
email	token	A value in an email contact	Person.telecom(system=email)
gender	token	The gender of the person	Person.gender
identifier	token	A person Identifier	Person.identifier
link	reference	Any link has this Patient, Person, RelatedPerson or Practitioner reference	Person.link.target (Patient, Practitioner, Person, RelatedPerson)
name	string	A portion of name in any name part	Person.name
organization	reference	The organization at which this person record is being managed	Person.managingOrganization (Organization)
patient	reference	The Person links to this Patient	Person.link.target (Patient)
phone	token	A value in a phone contact	Person.telecom(system=phone)
phonetic	string	A portion of name using some kind of phonetic matching algorithm	Person.name
practitioner	reference	The Person links to this Practitioner	Person.link.target (Practitioner)
relatedperson	reference	The Person links to this RelatedPerson	Person.link.target (RelatedPerson)
telecom	token	The value in any kind of contact	Person.telecom