Uzbekistan Digital Health Platform: Specification Update for Managing Organization Attachment Date
Managing organization attachment date - Uzbekistan Digital Health Platform v0.4.0
Summary
The Uzbekistan healthcare system has introduced a new FHIR extension, the 'Managing organization attachment date.' This field records when a patient was attached to a managing organization, ensuring compliance with local operational rules, such as annual restrictions on changing management organizations.
Details
This document details an experimental FHIR extension for the Uzbekistan Digital Health Platform (DHP). The specific addition is 'Managing organization attachment date,' designed to be applied to the `Patient` resource. This extension records the date a patient was linked to a managing organization. Its primary purpose is to enforce local operational constraints within the Uzbek healthcare system, such as limiting changes in a patient's managing organization to once per year. Technically, this specification builds on FHIR 5.0.0 and utilizes an `extension` element within the `Patient` resource structure. By formalizing this extension, the DHP allows domestic electronic health record systems and data exchange platforms to handle detailed history regarding a patient's affiliation and management status in a standardized manner. This represents a significant example of implementing localized operational rules into FHIR for international healthcare information exchange.
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