Contacts in demographics

Clinical Ask an editor
1

Hi

We had just embraced the difficult task of using OpenEhr demographics, and we are stuck at “contacts”. It seems that “contact class” only allowed address to be referenced. I try specialized, using a slot inside the contact class , but the constrain by default doesn’t allowed to reference other archetype ( like “communication details” ). Any thoughts how to propeller handle this situation

2

Hi Nuno,

There is very little practical experience with using the current demographics models in the clinical community - @sebastian.iancu from Code24 probably has most experience. We are having a look at the current demographic archetypes to see of/how we can maximise alignment with the the FHIR demographics resources.

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Are you trying to emulate the idea of ‘contacts’ in the FHIR Patient resource?

4

Hi Ian
We are to trying to mirror our legacy demographics data base (that we can´t discontinue), using openEHR to structure data. Reading RM specs , it seems that the original intent was to allowed put telecoms in the class “contact”, using “ Address” class to reference it (wich is a little confuse). Archetype designer doesn’t allow cluster demographics to be built ( or I don’t know how to do it ), and the slot “Addresses” defined in Person archetype only have address.
In relation to FHIR Patient resource , I prefer the organization proposed by @thomas.beale , that seems more ontological robust. Looking forward to see OpenEHR demographics implementing that idea.

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5

Thanks Nuno,

I suggest you take a look at LinkEHR for editing demographics archetypes. I think AD can be extended to support the demographics archetype but it has only partial support for now.

You can easily hack a DEMOGRAPHIC-CLUSTER-archetype from an EHR-CLUSTER archetype quite easily as apart from the archetypeId they are identical. Suggest you build what you need as an EHR Cluster and I can do a wee video of how to hack it!!

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6

Thanks Ian, that would be fantastic.

7

Just out of interest, did you mean this blog post on FHIR Admin resources, or something else?

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8

Hi Thomas

It’s that one. Very enlightening.

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