Vital records
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Eric Trinh (Genesis)
Oct 31, 2019, 3:13:22 PM10/31/19
to Cerner FHIR Developers
Hello,
We're developing an app that supports the SMART launch and allows users to submit birth/fetal death/death records to state department of health based on HL7/IHE implementation guides. Is it possible that Cerner can add some new patients as following?
- a newborn patient with a mother patient for birth (FWS LB....pdf file)
- a fetus patient with a mother patient for fetal death (FWS FD....pdf file)
- a deceased patient (cancer decedent.pdf file)
Yegor Hanov (Cerner)
Nov 1, 2019, 4:40:06 PM11/1/19
to Cerner FHIR Developers
Hi Eric!
We are looking into this request. We haven't set up these types of scenarios in the past in our sandbox, so it will take us a few days to get it staged and mapped.
Stay tuned.
-Yegor (Cerner)
Fran Pivonka (Cerner)
Nov 4, 2019, 5:33:57 PM11/4/19
to cerner-fhir...@googlegroups.com
Eric,
I have added the requested data for the Facility Worksheet for the Live Birth Certification (see attached). The names and id's of the patients are in the header of the table.. You will notice that the domain in which we are testing does not have some of the data defined or mapped. I've tried to indicate below all the information you will currently get back and whether further reference build or mapping is needed. I'll work on the Facility Worksheet for the Report of Fetal Death next and hope to have that to you in a day or two. Please let me know if you need additional information.
On Thursday, October 31, 2019 at 2:13:22 PM UTC-5, Eric Trinh (Genesis) wrote:
Eric Trinh (Genesis)
Nov 5, 2019, 10:28:42 AM11/5/19
to Cerner FHIR Developers
Hi Fran,
Thank you for your prompt response. Seems like I can get a good number of items back. And I do have a few questions:
- For data elements that will not return right now and need further build or mapping done, do you have a timeline for them?
- For data elements that marked as N/A, does it mean they aren't captured by Cerner?
- Could you please add the relationship between the child and the mother in RelatedPerson resource? Like with RelatedPerson?patient=6946007 (child), I can get the mother's info then link them in my app?
- Also could you add these patients into fhir-ehr.sandboxcerner.com so i can test the Smart Launch? This is related to the previous question since in Smart launch, only 1 patient can be selected. But our app is a Vital Record app which needs both child and mother information.
Fran Pivonka (Cerner)
Nov 6, 2019, 5:22:14 PM11/6/19
to cerner-fhir...@googlegroups.com
Eric,
- There is a relationship between the mother and child and the child's id 6954007, so it would be RelatedPerson?patient=6954007. I’m not sure you will get exactly what you need here because in DSTU2 relationship a cardinality of 0..1 and in R4 it is 0..*.
- The domain I used to create the patient data is used by both endpoints so you should be good to test with the patients I gave you using fhir-ehr.sandboxcerner.com or fhir-open.sandboxcerner.com.
- I’ve attached an updated spreadsheet with comments clarified.
- Items that have “mapping requested” are data elements where only “text” returns without the “code”. As soon as the mapping request is complete you should start getting codes back for those data elements. The mapping request will take approximately a week or two.
- Items that have “data not available” are data elements that are not within our data set and won’t be returned.
- Some items that are marked as N/A in the spreadsheet are because data is not available as mentioned above or because the question (like question 15 and 16) have answers of “None of the above” so data was not documented for those questions. If you need me to document additional Condition.codes or Procedure.codes from the list on the worksheet for those questions, let me know.
Eric Trinh (Genesis)
Nov 7, 2019, 2:53:54 PM11/7/19
to Cerner FHIR Developers
Hi Fran,
I see couple new resources available. Appreciate your support. I have couple comments below:
- When i query RelatedPerson?patient=6954007, i found the mom but the relationship is child. shouldn't it be mother or next of kin?
- I can't find these records if I do a SMART launch on my smart-on-fhir app in the developer portal. Could you please make them available over there?
Fran Pivonka (Cerner)
Nov 8, 2019, 4:54:41 PM11/8/19
to Cerner FHIR Developers
Eric,
The relationship between mother and child should now be returned as Mother. Also, we are in the process of getting the 2 patients added so you can do a SMART launch. I'll respond as soon as they are added and available.
Fran (Cerner)
Fran (Cerner)
Fran Pivonka (Cerner)
Nov 11, 2019, 2:46:16 PM11/11/19
to Cerner FHIR Developers
Eric,
The patients have been added and should be available for a SMART launch. Let us know if you are still having trouble.
Fran (Cerner)
Eric Trinh (Genesis)
Nov 11, 2019, 4:31:04 PM11/11/19
to cerner-fhir...@googlegroups.com
Thanks Fran. I see them on the SMART launch. However, I'm getting an interesting issue when searching the mother by family, given, birthdate, gender, address-postalcode and telecom taken from the RelatedPerson resource. The query string is: Patient?family=SNOW&given=CHRISTINE&birthdate=eq1994-12-24&gender=female&address-postalcode=66044&phone=9133409832.
But it doesnt work in fhir-ehr sandbox, only in fhir-open sandbox.
In EHR sandbox, it only returns the child record when searching by last name.
By family only:
{
"resourceType": "Bundle",
"id": "24b5d256-be18-4b33-86e3-d94bfb2013a0",
"type": "searchset",
"total": 1,
"link": [
{
"relation": "self",
"url": "https://fhir-ehr.sandboxcerner.com/dstu2/0b8a0111-e8e6-4c26-a91c-5069cbc6b1ca/Patient?family=SNOW&_count=20"
}
],
"entry": [
{
"fullUrl": "https://fhir-ehr.sandboxcerner.com/dstu2/0b8a0111-e8e6-4c26-a91c-5069cbc6b1ca/Patient/6954007",
"resource": {
"resourceType": "Patient",
"id": "6954007",
"meta": {
"versionId": "10",
"lastUpdated": "2019-11-08T21:57:44.000Z"
},
"text": {
"status": "generated",
"div": "<div><p><b>Patient</b></p><p><b>Name</b>: SNOW, JENNIFER</p><p><b>DOB</b>: Feb 12, 2019</p><p><b>Administrative Gender</b>: Female</p><p><b>Marital Status</b>: Single</p><p><b>Status</b>: Active</p></div>"
},
"extension": [
{
"url": "http://fhir.org/guides/argonaut/StructureDefinition/argo-ethnicity",
"extension": [
{
"url": "ombCategory",
"valueCoding": {
"system": "http://hl7.org/fhir/v3/Ethnicity",
"code": "2186-5",
"display": "Not Hispanic or Latino",
"userSelected": false
}
},
{
"url": "detailed",
"valueCoding": {
"system": "http://hl7.org/fhir/v3/Ethnicity",
"code": "2186-5",
"userSelected": false
}
},
{
"url": "text",
"valueString": "Not Hispanic or Latino"
}
]
}
],
"identifier": [
{
"use": "usual",
"type": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0203",
"code": "MR",
"display": "Medical record number",
"userSelected": false
}
],
"text": "Community Medical Record Number"
},
"system": "urn:oid:2.16.840.1.113883.3.787.0.0",
"value": "2455425",
"_value": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendered-value",
"valueString": "2455425"
}
]
},
"period": {
"start": "2019-11-04T16:05:49.000Z"
}
},
{
"use": "usual",
"type": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0203",
"code": "MR",
"display": "Medical record number",
"userSelected": false
}
],
"text": "MRN"
},
"system": "urn:oid:1.1.1.1.1.1",
"value": "10008091",
"_value": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendered-value",
"valueString": "10008091"
}
]
},
"period": {
"start": "2019-11-04T16:05:49.000Z"
}
},
{
"use": "usual",
"type": {
"text": "Military Id"
},
"system": "urn:oid:2.16.840.1.113883.3.42.10001.100001.12",
"value": "566731",
"_value": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendered-value",
"valueString": "566731"
}
]
},
"period": {
"start": "2019-11-04T16:05:49.000Z"
}
}
],
"active": true,
"name": [
{
"use": "official",
"text": "SNOW, JENNIFER",
"family": [
"SNOW"
],
"given": [
"JENNIFER"
],
"period": {
"start": "2019-11-04T16:05:51.000Z"
}
}
],
"telecom": [
{
"system": "phone",
"value": "9133409832",
"use": "home",
"period": {
"start": "2019-11-03T23:38:03.000Z"
}
}
],
"gender": "female",
"birthDate": "2019-02-12",
"address": [
{
"use": "home",
"text": "7817 Rockhill\nLawrence, KS 66044\nUSA",
"line": [
"7817 Rockhill"
],
"city": "Lawrence",
"district": "Douglas",
"state": "KS",
"postalCode": "66044",
"country": "USA",
"period": {
"start": "2019-11-03T23:38:03.000Z"
}
}
],
"maritalStatus": {
"coding": [
{
"system": "http://hl7.org/fhir/marital-status",
"code": "U",
"display": "Unmarried",
"userSelected": false
}
],
"text": "Single"
},
"multipleBirthBoolean": true,
"contact": [
{
"relationship": [
{
"coding": [
{
"system": "http://hl7.org/fhir/patient-contact-relationship",
"code": "emergency",
"display": "Emergency",
"userSelected": false
}
],
"text": "Emergency Contact"
}
],
"name": {
"use": "official",
"text": "SNOW, CHRISTINE",
"family": [
"SNOW"
],
"given": [
"CHRISTINE"
],
"period": {
"start": "2019-11-05T16:46:57.000Z"
}
},
"telecom": [
{
"system": "phone",
"value": "9133409832",
"use": "home",
"period": {
"start": "2019-11-05T16:46:53.000Z"
}
}
],
"address": {
"use": "home",
"text": "7817 Rockhill\nLawrence, KS 66044\nUSA",
"line": [
"7817 Rockhill"
],
"city": "Lawrence",
"district": "Douglas",
"state": "KS",
"postalCode": "66044",
"country": "USA",
"period": {
"start": "2019-11-05T16:46:53.000Z"
}
},
"gender": "female",
"period": {
"start": "2019-11-08T21:57:43.000Z"
}
},
{
"relationship": [
{
"coding": [
{
"system": "http://hl7.org/fhir/patient-contact-relationship",
"code": "emergency",
"display": "Emergency",
"userSelected": false
}
],
"text": "Emergency Contact"
}
],
"name": {
"use": "official",
"text": "SNOW, CHRISTINE",
"family": [
"SNOW"
],
"given": [
"CHRISTINE"
],
"period": {
"start": "2019-11-05T16:46:57.000Z"
}
},
"telecom": [
{
"system": "phone",
"value": "9133409832",
"use": "home",
"period": {
"start": "2019-11-05T16:46:53.000Z"
}
}
],
"address": {
"use": "home",
"text": "7817 Rockhill\nLawrence, KS 66044\nUSA",
"line": [
"7817 Rockhill"
],
"city": "Lawrence",
"district": "Douglas",
"state": "KS",
"postalCode": "66044",
"country": "USA",
"period": {
"start": "2019-11-05T16:46:53.000Z"
}
},
"gender": "female",
"period": {
"start": "2019-11-05T16:46:53.000Z",
"end": "2019-11-08T21:14:20.000Z"
}
},
{
"relationship": [
{
"coding": [
{
"system": "http://hl7.org/fhir/patient-contact-relationship",
"code": "family",
"display": "Family",
"userSelected": false
}
],
"text": "Next of Kin"
}
],
"name": {
"use": "official",
"text": "SNOW, CHRISTINE",
"family": [
"SNOW"
],
"given": [
"CHRISTINE"
],
"period": {
"start": "2019-11-08T20:29:14.000Z"
}
},
"telecom": [
{
"system": "phone",
"value": "9133409832",
"use": "home",
"period": {
"start": "2019-11-08T20:29:13.000Z"
}
}
],
"address": {
"use": "home",
"text": "7817 Rockhill\nLawrence, KS 66044\nUSA",
"line": [
"7817 Rockhill"
],
"city": "Lawrence",
"district": "Douglas",
"state": "KS",
"postalCode": "66044",
"country": "USA",
"period": {
"start": "2019-11-08T20:29:13.000Z"
}
},
"gender": "female",
"period": {
"start": "2019-11-08T21:57:43.000Z"
}
},
{
"relationship": [
{
"coding": [
{
"system": "http://hl7.org/fhir/patient-contact-relationship",
"code": "family",
"display": "Family",
"userSelected": false
}
],
"text": "Next of Kin"
}
],
"name": {
"use": "official",
"text": "SNOW, CHRISTINE",
"family": [
"SNOW"
],
"given": [
"CHRISTINE"
],
"period": {
"start": "2019-11-03T23:38:11.000Z"
}
},
"telecom": [
{
"system": "phone",
"value": "9133409832",
"use": "home",
"period": {
"start": "2019-11-03T23:38:03.000Z"
}
}
],
"address": {
"use": "home",
"text": "7817 Rockhill\nLawrence, KS 66044\nUSA",
"line": [
"7817 Rockhill"
],
"city": "Lawrence",
"district": "Douglas",
"state": "KS",
"postalCode": "66044",
"country": "USA",
"period": {
"start": "2019-11-03T23:38:03.000Z"
}
},
"gender": "female",
"period": {
"start": "2019-11-08T21:20:31.000Z",
"end": "2019-11-08T21:25:54.000Z"
}
},
{
"relationship": [
{
"coding": [
{
"system": "http://hl7.org/fhir/patient-contact-relationship",
"code": "family",
"display": "Family",
"userSelected": false
}
],
"text": "Next of Kin"
}
],
"name": {
"use": "official",
"text": "SNOW, CHRISTINE",
"family": [
"SNOW"
],
"given": [
"CHRISTINE"
],
"period": {
"start": "2019-11-08T20:29:14.000Z"
}
},
"telecom": [
{
"system": "phone",
"value": "9133409832",
"use": "home",
"period": {
"start": "2019-11-08T20:29:13.000Z"
}
}
],
"address": {
"use": "home",
"text": "7817 Rockhill\nLawrence, KS 66044\nUSA",
"line": [
"7817 Rockhill"
],
"city": "Lawrence",
"district": "Douglas",
"state": "KS",
"postalCode": "66044",
"country": "USA",
"period": {
"start": "2019-11-08T20:29:13.000Z"
}
},
"gender": "female",
"period": {
"start": "2019-11-08T20:29:13.000Z",
"end": "2019-11-08T21:14:20.000Z"
}
}
],
"communication": [
{
"language": {
"coding": [
{
"system": "urn:ietf:bcp:47",
"code": "en",
"display": "English",
"userSelected": false
}
],
"text": "English"
},
"preferred": true
}
],
"careProvider": [
{
"reference": "Practitioner/1746007",
"display": "Pivonka, Francine"
}
]
}
}
]
}
Both family and given:
{
"resourceType": "Bundle",
"id": "81a0653a-d1f3-400a-9537-553b32096c62",
"type": "searchset",
"total": 0,
"link": [
{
"relation": "self",
"url": "https://fhir-ehr.sandboxcerner.com/dstu2/0b8a0111-e8e6-4c26-a91c-5069cbc6b1ca/Patient?family=SNOW&given=CHRISTINE&_count=20"
}
]
}
Eric Trinh (Genesis)
Nov 11, 2019, 4:54:59 PM11/11/19
to Cerner FHIR Developers
Here is the search results of fhir-open and fhir-ehr with the following query string: Patient?family=SNOW&given=CHRISTINE&address-postalcode=66044&birthdate=eq1994-12-24&gender=female&phone=9133409832
By combination:
{
"resourceType": "Bundle",
"id": "daeea403-eacc-41c4-a56c-4bb5b7e64854",
"type": "searchset",
"total": 0,
"link": [
{
"relation": "self",
}
]
}
{
"resourceType": "Bundle",
"id": "2e0ac313-02fb-47cf-9286-6ea670c9f8d9",
"type": "searchset",
"total": 1,
"link": [
{
"relation": "self",
}
],
"entry": [
{
"fullUrl": "https://fhir-open.sandboxcerner.com/dstu2/0b8a0111-e8e6-4c26-a91c-5069cbc6b1ca/Patient/6946007",
"resource": {
"resourceType": "Patient",
"id": "6946007",
"meta": {
"versionId": "14",
"lastUpdated": "2019-11-08T21:57:44.000Z"
},
"text": {
"status": "generated",
"div": "<div><p><b>Patient</b></p><p><b>Name</b>: SNOW, CHRISTINE</p><p><b>DOB</b>: Dec 24, 1994</p><p><b>Administrative Gender</b>: Female</p><p><b>Marital Status</b>: Unknown</p><p><b>Status</b>: Active</p></div>"
},
"extension": [
{
"extension": [
{
"url": "ombCategory",
"valueCoding": {
"userSelected": false
}
},
{
"url": "detailed",
"valueCoding": {
"system": "http://hl7.org/fhir/v3/Race",
"code": "2106-3",
"userSelected": false
}
},
{
"url": "text",
"valueString": "White"
}
]
},
"value": "2455410",
"valueString": "2455410"
}
]
},
"period": {
"start": "2019-11-03T23:38:03.000Z"
}
},
{
"use": "usual",
"type": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0203",
"code": "MR",
"display": "Medical record number",
"userSelected": false
}
],
"text": "MRN"
},
"system": "urn:oid:1.1.1.1.1.1",
"value": "1892832",
"valueString": "1892832"
}
]
},
"period": {
"start": "2019-11-03T23:38:03.000Z"
}
},
{
"use": "usual",
"type": {
"text": "Military Id"
},
"system": "urn:oid:2.16.840.1.113883.3.42.10001.100001.12",
"value": "566716",
"valueString": "566716"
}
]
},
"period": {
"start": "2019-11-03T23:38:03.000Z"
}
}
],
"active": true,
"name": [
{
"use": "official",
"text": "SNOW, CHRISTINE",
"family": [
"SNOW"
],
"given": [
"CHRISTINE"
],
"period": {
"start": "2019-11-03T23:38:11.000Z"
}
}
],
"telecom": [
{
"system": "phone",
"value": "9133409832",
"use": "home",
"period": {
"start": "2019-11-03T23:38:03.000Z"
}
}
],
"gender": "female",
"birthDate": "1994-12-24",
"address": [
{
"use": "home",
"text": "7817 Rockhill\nLawrence, KS 66044\nUSA",
"line": [
"7817 Rockhill"
],
"city": "Lawrence",
"district": "Douglas",
"state": "KS",
"postalCode": "66044",
"country": "USA",
"period": {
"start": "2019-11-03T23:38:03.000Z"
}
}
],
"maritalStatus": {
"coding": [
{
"system": "http://hl7.org/fhir/v3/NullFlavor",
"code": "UNK",
"display": "unknown",
"userSelected": false
}
],
"text": "Unknown"
},
"contact": [
{
"relationship": [
{
"coding": [
{
"system": "http://hl7.org/fhir/patient-contact-relationship",
"code": "family",
"display": "Family",
"userSelected": false
}
],
"text": "Family Member"
}
],
"name": {
"use": "official",
"text": "SNOW, JENNIFER",
"family": [
"SNOW"
],
"given": [
"JENNIFER"
],
"period": {
"start": "2019-11-04T16:05:51.000Z"
}
},
"telecom": [
{
"system": "phone",
"value": "9133409832",
"use": "home",
"period": {
"start": "2019-11-03T23:38:03.000Z"
}
}
],
"address": {
"use": "home",
"text": "7817 Rockhill\nLawrence, KS 66044\nUSA",
"line": [
"7817 Rockhill"
],
"city": "Lawrence",
"district": "Douglas",
"state": "KS",
"postalCode": "66044",
"country": "USA",
"period": {
"start": "2019-11-03T23:38:03.000Z"
}
},
"gender": "female",
"period": {
"start": "2019-11-08T21:32:26.000Z"
}
},
{
"relationship": [
{
"coding": [
{
"system": "http://hl7.org/fhir/patient-contact-relationship",
"code": "family",
"display": "Family",
"userSelected": false
}
],
"text": "Next of Kin"
}
],
"name": {
"use": "official",
"text": "SNOW, JENNIFER",
"family": [
"SNOW"
],
"given": [
"JENNIFER"
],
"period": {
"start": "2019-11-04T16:05:51.000Z"
}
},
"telecom": [
{
"system": "phone",
"value": "9133409832",
"use": "home",
"period": {
"start": "2019-11-03T23:38:03.000Z"
}
}
],
"address": {
"use": "home",
"text": "7817 Rockhill\nLawrence, KS 66044\nUSA",
"line": [
"7817 Rockhill"
],
"city": "Lawrence",
"district": "Douglas",
"state": "KS",
"postalCode": "66044",
"country": "USA",
"period": {
"start": "2019-11-03T23:38:03.000Z"
}
},
"gender": "female",
"period": {
"start": "2019-11-08T20:13:24.000Z"
}
}
],
"communication": [
{
"language": {
"coding": [
{
"system": "urn:ietf:bcp:47",
"code": "en",
"display": "English",
"userSelected": false
}
],
"text": "English"
},
"preferred": true
}
]
}
}
]
}
On Thursday, October 31, 2019 at 2:13:22 PM UTC-5, Eric Trinh (Genesis) wrote:
Madhur Rajendran (Cerner)
Nov 12, 2019, 9:50:59 AM11/12/19
to Cerner FHIR Developers
Hi Eric,
Can you create a new question for the issue you are seeing now? Also x-request-ids are preferred over full responses.
Thanks,
Madhur (Cerner)
Eric Trinh (Genesis)
Nov 12, 2019, 10:57:37 AM11/12/19
to Cerner FHIR Developers
Hi Madhur,
Thanks for the suggestion. I created "Searching for another patient during launch" post for this.
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