How to represent a family for the mutuality

bdc-ehealth commented 3 months ago

Bart Decuypere (eHealth) May 31, 2024 at 9:59 AM

@Baise Philippe,

in fact, I would do like this: Group. If we look at the comments here: https://chat.fhir.org/#narrow/stream/179256-Orders-and-Observation-WG/topic/Family.20.26.20household, this is the obvious choice.

However, in R4, there are things that are missing. For example, in your case, how to indicate the role of the family member. One solution would be to use RelatedPerson, but a RelatedPerson has a mandatory Patient. This would mean that the “head of the family” should be the “patient” of each family member.

A second solution is the introduction of a specific extension, which indicates the role in the group, at the member level. e.g. using this code: Valueset-subscriber-relationship - FHIR v4.0.1

A third option would be to use a recursive construction, a group which represents the family, which contains other groups, the head of the family, the partner, the dependents.

Does this help you?

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Baise Philippe June 4, 2024 at 1:54 PM

Thanks Bart

I see in Grahame's example (https://build.fhir.org/branches/2024-05-gg-group/group-example-household.xml.html) that he talks about the notion of "involvement" ( https://build.fhir.org/branches/2024-05-gg-group/valueset-group-involvement-set.html) for the different members of the group

But it's not in r4, nor r5

We will therefore have to create an extension to be able to include the notion of "holder" and "dependent"

Would it be possible to create a profile on the "group" resource in the mycarenet package to be able to create this mutualist family by also adding the necessary extension at the member level?

THANKS

bdc-ehealth commented 3 months ago

@PBACIN ,

we should also create a logical model.

bdc-ehealth commented 3 months ago

you can review here: https://build.fhir.org/ig/hl7-be/mycarenet/branches/issue-100

hl7-be / mycarenet

How to represent a family for the mutuality #100