Other Spine (Flags, record or other) information exists indicator in PDS API

9 votes

An addition to the PDS API that indicates if (spine) flags (or other spine information) exists for the current patient. This would allow an organisation to know if they should consider interrogating the further information. The information could be defined as administrative (OVM- Overseas Visitors and Migrants or similar) or clinical in nature (reasonable adjustment flag, CPIS or FGM). The nature of the information does not need to be identified beyond further information(admin or clerical). A sequence number or hash or similar could let the organisation know if the information had changed since they last looked. Adding this nugget to PDS may encourage PDS compliant organisations to integrate with the other Spine APIs.

Under consideration api pds-fhir-api reasonable-adjustment-flag Suggested by: Steve Robinson (05 Aug, '20) • Upvoted: 28 Jan • Comments: 4

Comments: 4

06 Aug, '20
Kevin Mayfield
Fully agree (BUT please please don't add as extensions to FHIR Patient).

I've believed for a while the clinical in nature items are pointers to other information (End of Life Care is another), they often indicate a CarePlan exists for a patient. If we wanted to know more we would have sufficient information to find out more (which would be to query CPIS, FGM, EOLC, etc).
11 Sep, '20
Tony Heap Admin
We've had a discussion internally about this. This feature plays into the space of "composing" APIs - APIs that pull together data from a number of disparate APIs to hide some of the complexity and make it easier for API consumers. It's definitely something we're interested in, but in truth we need to do a good job of the individual APIs first before we start tackling composition. So it might be some way down the line.
28 Jan, '22
Kate Gill
I have added another request about some specific "flags" - notably ethnicity which we in UEC have raised with PDS team prior to this
03 Feb, '22
Tony Heap Admin
For reference, Kate's ethnicity suggestion can be seen at https://nhs-digital-api-management.featureupvote.com/suggestions/275536/pds-fhir-api-expose-person-ethnicity .