Patient PATCH - Add Patient Races

[ketan takke]

Hi All,

I am working on updating patient races using patient PATCH operation. We have the below races options from which we are selecting one or more options and update patient race in cerner using patient - PATCH.

Alaska Native - 1735-0
American Indian  - 1002-5
Asian - 2028-9
Black or African American - 2054-5 - urn:oid:2.16.840.1.113883.6.238
Hispanic - Not Known
Middle Eastern Indian - Not Known
Native Hawaiian or Other Pacific Island - 2076-8
White/Caucasian - 2106-3
Two or More Races - 2131-1

As per the documentation we need code for all above options and that code is used in patch request. 

referring to https://hl7.org/fhir/us/core/ValueSet-omb-race-category.html.  I was able to map codes for some options.. but cant find code for "Hispanic" and "Middle Eastern Indian".

However, I can add "Hispanic" and "Middle Eastern Indian" options from cerner portal. and when I fetch the patient info using fhir GET endpoint. I cant see entries for these options under extension. but can see these options in "valueString" field. 

I need to know how to update  "Hispanic" and "Middle Eastern Indian" options in patient race using Patient Patch operation. What will be the patch request for performing this update.

thanks

Ketan Takke

[Davis Christi (Oracle Cerner)]

Hello Ketan,

If you are getting the "Hispanic" and "Middle Eastern Indian" in the valueString, what it tells me is that those codes do not have a corresponding Standard Code mapping. If those are not returned in the valueCoding then, you won't be able to Patch them.

Which domain you are testing this in?

Thanks

Davis (Oracle Cerner)

[ketan takke]

Hello Davis,

Thanks for the updates. We are testing this in " fhir-myrecord.sandboxcerner.com" domain. We don't have access to Cerner portal (UI) but our onshore team have access. In the portal UI we can see option for "Hispanic" and "Middle Eastern Indian" while creating/updating patient.
Same thing we need to achieve using Patient - PATCH operation.

Thanks 

Ketan Takke

[Davis Christi (Oracle Cerner)]

Hello Ketan,

My apologies for the late response.

So, fhir-myrecord is a patient access endpoint on which Write/Update capabilities are not supported at this moment. For that you would need to use the provider/system specific endpoint that would be fhir-ehr.

If you are looking to patch a patient record with provider/system access, as I said earlier those values if are not returned on a READ operation as a valueCoding, those cannot be patched.

It may be a case that those values are not mapped.

See for more information on PATCH here: http://fhir.cerner.com/millennium/r4/base/individuals/patient/#patch

Thank you

Davis (Oracle Cerner)