英文:
FHIR: Is it possible to persistently store Location information linked to a Patient resource?
问题
在FHIR中，Patient资源包含一个地址字段。然而，如果患者被删除，地址也会被丢弃。是否有一种方法可以使位置信息持续存在？
背景
我们正在为社区卫生工作者开发一个系统。卫生工作者定期访问家庭。他们涵盖了各个位置，因此也涵盖了居住在这些位置的受益人。因此，有必要能够持久地存储位置（受益人的家庭地址）在我们的系统中，并将它们与当前的居住者（受益人）关联起来。
我尝试过的方法
Location资源指向组织。它与Patient资源连接的唯一方式是通过一个Encounter。这并不足够。
此外，我还回顾了Group资源，尝试将家庭或家庭（受益人）与位置关联起来。然而，这也没有产生任何结果。我的理解是Group可以将位置分组，或者将患者分组。
英文:
In FHIR, the Patient resource contains an address field. However, if the patient is removed, the address is also discarded. Is there a way for location information to persist?
Context
We are developing a system for community health workers. CHWs visit homes periodically. They cover locations — and consequently, beneficiaries who reside in those locations. Hence, there is a need to be able to persistently store locations (beneficiary home addresses) in our system, and link them to current occupants (beneficiaries).
What I tried
The Location resource points to Organization. The only way it connects to a Patient resource is via an Encounter. This does not suffice.
Also, I also reviewed the Group resource, to try to connect a family or household (of beneficiaries) to a Location. However, that too did not yield any results. My takeway was that Group could either group locations, or group patients.
答案1
得分: 1
这通常不是大多数系统常见的操作，因此您不太可能找到一个用于此目的的“核心”元素。但是，通过扩展来实现是完全合理的。只需在患者（Patient）上定义一个类型为引用（Reference）的扩展，该引用指向房屋/公寓大楼/您跟踪的任何细粒度的位置记录。详细信息请参考扩展。
英文:
It's not something commonly done by most systems, so you won't likely find a 'core' element for it. However, it's perfectly reasonable to do via an extension. Simply define an extension on Patient with a type of Reference that refers to the Location record for the house/apartment building/whatever granularity you track.
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