How can I transer data from one patient to another?

Question

Question

Eyal Levin · Feb 25

#FHIR #JSON #InterSystems IRIS for Health

Hi,

I have a scenario where I recognize that I have a duplicate patient in FHIR , both have a different set of data attached to them (Specimens / Observations / Conditions) and I want to transfer all the data from patient X to patient Y, and maybe mark patient X as not relevant or delete it IDK yet.

since Patch currently supports only single patch,

"The Conditional Patch query identified more than one resource."

I can't use it as a bulk, but I need to loop through all the resources I find that are connected to patient X,

so I guess my question is how would you do it?

Product version: IRIS 2023.3

Discussion (5)5

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score 1 · Answer 1 · 2024-02-25T07:52:27-05:00

I would get a bundle from patient X for each resource that you want to move and send a post for the patient Y with a bundle formed by the resources that you got modifying the reference to the patient Y.

score 1 · Answer 2 · 2024-02-26T04:27:42-05:00

there should be a merge operation on the fhir server for this, or you should be able to use the link element on a patient to assign one as the mast record. See https://www.hl7.org/fhir/patient.html or https://www.hl7.org/fhir/patient-operation-merge.html for more info.

score 0 · Answer 3 · 2024-02-28T01:39:54-05:00

Thanks Dean, I don't see merge operation in R4, only on R5.

I didn't want to link between patients, I wanted to pass all data from one patient to another and to mark the "empty" patient as inactive

score 1 · Answer 4 · 2024-02-26T18:45:34-05:00

Duplicate Patient resources are approached by use of the Patient.link element (the last element in the Patient Resource) . Patient - FHIR v4.0.1 (hl7.org)

See sections 8.1.4 and 8.1.4.1 below Resource Content.

score 0 · Answer 5 · 2024-02-28T01:40:23-05:00

Thanks Russ,

I didn't want to link between patients, I wanted to pass all data from one patient to another and to mark the "empty" patient as inactive