Class: Patient

Description of: Patient

Class steward is Patient Administration
Interested committees Orders/Observation
A person who may receive, is receiving, or has received Healthcare services.

Attribute definitions for: Patient

ambulatory_status_cd

Identifies the patient's transient state of mobility or factors which impact their state of mobility, e.g., pregnant, ambulates with assistive devices, etc.

Rationale: Enhances the attribute description using existing 2.3 terminology (GT1-34, IN2-32, NK1-18, PV1-15) to provide clarity.

OpenIssue: Should this attribute be moved to person? Verify that permanent vs. transient conditions are handled as separate attributes. Note that the presence of this attribute brings up to question the entire issue of observations and metaobservations made by non0clinicians for non-clinical purposes.

|GT1^34^00145^Ambulatory Status| |IN2^32^00145^Ambulatory Status| |NK1^18^00145^Ambulatory Status| |PV1^15^00145^Ambulatory Status|

birth_order_amt

For newborn patients in a multiple birth the order this patient was born in.

Rationale: field is to contain the ordinal birth position, not a code for the position. V2.3 field is datatype NM.

|PID^25^00128^Birth Order|

living_arrangement_cd

A code depicting the living arrangements of a person (e.g., Alone, Family, Relatives, Institution, . . .).

|GT1^37^00742^Living Arrangement| |IN2^35^00742^Living Arrangement| |NK1^21^00742^Living Arrangement| |PD1^2^00742^Living Arrangement|

living_dependency_cd

A code depicting the nature of a dependency that may exist between one stakeholder and another.

|GT1^33^00755^Living Dependency| |IN2^31^00755^Living Dependency| |NK1^17^00755^Living Dependency| |PD1^1^00755^Living Dependency|

multiple_birth_ind

A indication as to whether the patient is part of a multiple birth.

|PID^24^00127^Multiple Birth Indicator|

newborn_baby_ind

A indication that the patient is a newborn baby.

|PV2^36^00737^Newborn Baby Indicator|

organ_donor_ind

An indication that the patient is an organ donor.

|PD1^8^00760^Organ Donor|

preferred_pharmacy_id

The preferred pharmacy of the patient.

Association definitions for: Patient

participates_in (0,n) :: Preferred_provider_participation :: has_as_care_recipient (1,1)

is_target_of (0,n) :: Target_participation :: has_as_target (0,1)

Rationale: Replaces associations: Patient may_be_the_subject_of order - Patient is_subject_of Clinical_observation - Patient has Goal.

is_a_role_of (1,1) :: Person :: takes_on_role_of (0,1)

has (0,n) :: Administrative_patient_accident :: pertains_to (1,1)

is_requested_by (0,n) :: Patient_appointment_request :: requests (1,1)

has_a_primary_provider (0,1) :: Individual_healthcare_practitioner :: is_the_primary_provider_for (0,n)

is_scheduled_by (0,n) :: Patient_slot :: is_a_scheduleable_unit_for (1,1)

has (0,n) :: Healthcare_benefit_product :: is_for (1,1)

has_as_a_contact (0,n) :: Contact_person :: is_a_contact_for (0,1)

has (0,n) :: Patient_billing_account :: belongs_to (1,1)

has (0,n) :: Health_chart :: belongs_to (1,1)

is_involved_in (0,n) :: Patient_encounter :: involves (1,1)

has (0,n) :: Patient_information_disclosure :: pertains_to (1,1)

has_as_primary_facility (0,1) :: Master_patient_service_location :: is_primary_facility_for (0,n)

is_source_for (0,n) :: Collected_specimen_sample :: is_sourced_from (0,1)

has (0,n) :: Disability :: pertains_to (1,1)

Rationale: 2.3 abstract message definition

OpenIssue:

has (0,1) :: Administrative_patient_death :: pertains_to (1,1)