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Concepts/Patient: Difference between revisions

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OHC identity seed
 
OHC identity seed
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|domain=clinical
|domain=clinical
|title=Patient
|title=Patient
|summary=A person who receives care through your facility or program — the longitudinal anchor for clinical documentation.
|order=1
|order=1
|introduced=3.0
|introduced=3.0
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{| class="wikitable"
{| class="wikitable"
! Identifier type !! Typical use
|-
|-
! Identifier type
| Facility MRN || Primary key inside a hospital or clinic
! Typical use
|-
|-
| Facility MRN
| National health ID || ABDM, ABHA, or other national rails
| Primary key inside a hospital or clinic
|-
|-
| National health ID
| Program ID || Public health or campaign-specific registries
| ABDM, ABHA, or other national rails
|-
| Program ID
| Public health or campaign-specific registries
|}
|}


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== Lifecycle ==
== Lifecycle ==


<syntaxhighlight lang="text">
<syntaxhighlight lang="text">Register → Active → (optional) Inactive / Deceased</syntaxhighlight>
Register → Active → (optional) Inactive / Deceased
</syntaxhighlight>

* '''Register''' — a patient record is created with minimum demographics
* '''Register''' — a patient record is created with minimum demographics
* '''Active''' — the record is used for encounters and orders
* '''Active''' — the record is used for encounters and orders

Revision as of 04:13, 5 July 2026

conceptclinicalFHIR: PatientCARE 3.0+

A patient in Care is a person who receives care through your facility or program. It is the longitudinal anchor for clinical documentation — every encounter, observation, order, and care plan links back to a patient record.

What it represents

In Care's FHIR-aligned model, a patient maps to the Patient resource. It holds:

  • Identity — name, date of birth, sex, photo, and government or facility identifiers
  • Contact — phone, address, and emergency contacts
  • Administrative context — registration status, facility association, and tags used by your deployment
  • Clinical linkage — references to encounters, conditions, allergies, and other resources in the record

A patient is not the same as a single visit. One patient can have many encounters over time; the patient record is the container that makes that history coherent.

Identifiers

Patients are located using one or more identifiers, depending on how your deployment is configured:

Identifier type Typical use
Facility MRN Primary key inside a hospital or clinic
National health ID ABDM, ABHA, or other national rails
Program ID Public health or campaign-specific registries

Identifiers must be unique within the scope your administrator defines. Duplicate detection during registration uses these fields.

Lifecycle

Register → Active → (optional) Inactive / Deceased
  • Register — a patient record is created with minimum demographics
  • Active — the record is used for encounters and orders
  • Inactive — retained for history but hidden from routine search (configurable)
  • Deceased — administrative closure; clinical history remains auditable

Permissions

Who can view or edit patient demographics is controlled by role-based access. Clinical staff typically can read full records; registration staff can create and update demographics; some fields may be restricted by facility or ward.

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