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C1941 Emergency Contact Relationships Not returning correct Inverse Role Codes in RelatedPerson Response

Yash SethiMar 21 2025

Workflow or API calls:

  1. I am noticing a fair amount of Emergency Contact relationships in C1941 are not returning an inverse role code based on the Gender value of the RelatedPerson in the RelatedPerson response. Is this happening because of a configuration issue in the C1941 environment? Or any other issue causing this?
    1. Examples that currently are not returning inverse role code based on the gender in the RelatedPerson response under the Emergency Contact, Refer: https://www.hl7.org/fhir/R4/valueset-relatedperson-relationshiptype.html
      1. Child (Displayed in C1941)
        1. RelatedPerson gender is male, return role code = FTH
        2. When the RelatedPerson gender is updated to female, return role code is still FTH (Should be MTH)
      2. Brother (Displayed in C1941)
        1. RelatedPerson = male, return role code = BRO
        2. When the RelatedPerson gender is updated to female, return role code is still BRO (Should be SIS)
  2. Also, when the Gender of the RelatedPerson is set to other or unknown. Is there any expected behavior (like it is there for male and female) on what role code will be received in the RelatedPerson response?
    1. See: https://hl7.org/fhir/R4/codesystem-administrative-gender.html#4.3.14.85.2
  3. For Relationships which are not dependent on the Gender like Spouse, Significant Other, etc. Is the behavior same for all gender types as per https://hl7.org/fhir/R4/codesystem-administrative-gender.html#4.3.14.85.2

Background Information:

Failure to provide answers will impact our ability to respond in a timely and effective manner
Developer questions:

Are you an OPN Member? Yes
Have you signed up to be in the Healthcare Developer Track? Yes
Are you a registered Code Program member? Yes
Does your App have a presence on the Oracle Healthcare App Marketplace? Yes
Are you developing on behalf of an Oracle Health client? No

Expected Result:

All relationship types selected in the UI should return a proper inverse role as per the RelatedPerson's gender in the RelatedPerson response.

Actual Result:

Same inverse role code is returned irrespective of the RelatedPerson's gender.

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Added on Mar 21 2025
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