Hierarchical Facility, Building, Bay, Room, Bed style Locations in FHIR Encounters

[John Neal]

How will the Cerner FHIR server represent the full hierarchical location of a patient Encounter in FHIR. Ie what would be the equivalent of the data items sent in PV1.3 of HL7 v2 messages.

I'm thinking here about scenarios where app users will need to be shown precisely where a patient is located; i.e. in which facility, building, bay, bed etc so that they can physically locate them.

I will need to show the location of a patient down to Bed level within the locations hierarchy. 

The examples I've pulled off the sandbox only seem to include 'single level' locations; e.g.-

"location": [
               {
                 "location": {
                     "display": "BE Hospital"
                     }
                } 

]

John Neal

[Jenni Syed]

Right now, we don't codify the hierarchy, we only return the display. If the patient is in a specific bed, it will be in the display (this is typically what a user would be shown in one of our banners) along with the unit and room. If we only have building or facility (which is very common), then that's the only thing in the display.

An example of this from the sandbox server is: https://fhir-open.sandboxcernerpowerchart.com/may2015/d075cf8b-3261-481d-97e5-ba6c48d3b41f/Encounter/863887?_format=json

location: 

{

  display: "2N 201 1"

}

Nothing that's currently exposed is intended to be used other than for display purposes. 

We would like to eventually expose the location hierarchy (via the Location resource) and a reference to the lowest level of the hierarchy for the patient's current location. 

[nina utkin]

I know this is an old discussion, is there any news about implementation of Location hierarchy in FHIR?  f.e. if I should map patient location from cerner to FHIR 3? 

[Kathy Pickering (Cerner)]

The implementation of the Location hierarchy in R4 is still the same as Jenni described.

-  Kathy (Cerner)