Skip to Main Content

R4 APIs (Millennium)

Announcement

For information related to the Oracle Partner Network (OPN) Industry Healthcare Track please visit our OPN Industry Healthcare Program page.

For specific questions related to Oracle Partner Network (OPN), please contact Partner Assistance.

Millennium FHIR and non-FHIR API Specifications and Supporting Documents can be found HERE on docs.oracle.com
Soarian FHIR API Specifications and Supporting Documents can be found HERE on docs.oracle.com.

Same MRN is there in TWO patients Record

user-z9f1jAug 1 2023 — edited Aug 1 2023

Workflow or API calls:

I have noticed in Sandbox environment, in mulitple cases - same MRN is available in Multiple Patient Data.

For Example , when i search with identifier (MRN)=6929 for Patients, I am getting two Patient data as below.

Both of these patients (Patient with Id 12724065 and Patient with Id 12752866 have the MRN 6929 in their Identifiers data, so can you please help me understand how we can have multiple patients with same MRN value as ideally MRN should always be unique for each and every Patients

Request API - https://fhir-ehr-code.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Patient?identifier=6929

Response:-

{
"resourceType": "Bundle",
"id": "fe0d4ac3-d833-4f75-b634-5ff33d43c43e",
"type": "searchset",
"total": 2,
"link": [
{
"relation": "self",
"url": "https://fhir-ehr-code.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Patient?identifier=6929"
}
],
"entry": [
{
"fullUrl": "https://fhir-ehr-code.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Patient/12724065",
"resource": {
"resourceType": "Patient",
"id": "12724065",
"meta": {
"versionId": "412",
"lastUpdated": "2023-07-27T19:29:08.000Z"
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml"><p><b>Patient</b></p><p><b>Name</b>: Smart, Wilma</p><p><b>Status</b>: Active</p><p><b>DOB</b>: Sep 15, 1990</p><p><b>Administrative Gender</b>: Male</p><p><b>Marital Status</b>: Divorced</p></div>"
},
"extension": [
{
"extension": [
{
"valueCoding": {
"system": "urn:oid:2.16.840.1.113883.6.238",
"code": "2106-3",
"display": "White",
"userSelected": false
},
"url": "ombCategory"
},
{
"valueString": "White",
"url": "text"
}
],
"url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
},
{
"extension": [
{
"valueCoding": {
"system": "urn:oid:2.16.840.1.113883.6.238",
"code": "2135-2",
"display": "Hispanic or Latino",
"userSelected": false
},
"url": "ombCategory"
},
{
"valueString": "Hispanic, Latino, or Spanish Origin",
"url": "text"
}
],
"url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
}
],
"identifier": [
{
"id": "CI-490268797-0",
"use": "usual",
"type": {
"coding": [
{
"system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/4",
"code": "2",
"display": "Community Medical Record Number",
"userSelected": true
},
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "MR",
"display": "Medical record number",
"userSelected": false
}
],
"text": "Community Medical Record Number"
},
"system": "urn:oid:2.16.840.1.113883.3.787.0.0",
"value": "6000033",
"_value": {
"extension": [
{
"valueString": "6000033",
"url": "http://hl7.org/fhir/StructureDefinition/rendered-value"
}
]
}
},
{
"id": "CI-490117305-1",
"use": "usual",
"type": {
"coding": [
{
"system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/4",
"code": "2",
"display": "Community Medical Record Number",
"userSelected": true
},
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "MR",
"display": "Medical record number",
"userSelected": false
}
],
"text": "Community Medical Record Number"
},
"system": "urn:oid:2.16.840.1.113883.3.787.0.0",
"value": "9006049966",
"_value": {
"extension": [
{
"valueString": "9006049966",
"url": "http://hl7.org/fhir/StructureDefinition/rendered-value"
}
]
}
},
{
"id": "CI-490116963-2",
"use": "usual",
"type": {
"coding": [
{
"system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/4",
"code": "2",
"display": "Community Medical Record Number",
"userSelected": true
},
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "MR",
"display": "Medical record number",
"userSelected": false
}
],
"text": "Community Medical Record Number"
},
"system": "urn:oid:2.16.840.1.113883.3.787.0.0",
"value": "68256457",
"_value": {
"extension": [
{
"valueString": "68256457",
"url": "http://hl7.org/fhir/StructureDefinition/rendered-value"
}
]
}
},
{
"id": "CI-490117049-3",
"use": "usual",
"type": {
"coding": [
{
"system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/4",
"code": "2",
"display": "Community Medical Record Number",
"userSelected": true
},
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "MR",
"display": "Medical record number",
"userSelected": false
}
],
"text": "Community Medical Record Number"
},
"system": "urn:oid:2.16.840.1.113883.3.787.0.0",
"value": "9005985512",
"_value": {
"extension": [
{
"valueString": "9005985512",
"url": "http://hl7.org/fhir/StructureDefinition/rendered-value"
}
]
}
},
{
"id": "CI-490016864-4",
"use": "usual",
"type": {
"coding": [
{
"system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/4",
"code": "10",
"display": "MRN",
"userSelected": true
},
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "MR",
"display": "Medical record number",
"userSelected": false
}
],
"text": "MRN"
},
"system": "urn:oid:2.16.840.1.113883.6.1000",
"value": "6929",
"_value": {
"extension": [
{
"valueString": "00000006929",
"url": "http://hl7.org/fhir/StructureDefinition/rendered-value"
}
]
},
"period": {
"start": "2019-12-26T15:09:17.000Z"
}
},
{
"id": "CI-490116956-5",
"use": "usual",
"type": {
"coding": [
{
"system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/4",
"code": "10",
"display": "MRN",
"userSelected": true
},
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "MR",
"display": "Medical record number",
"userSelected": false
}
],
"text": "MRN"
},
"system": "urn:oid:2.16.840.1.113883.6.1000",
"value": "6930567",
"_value": {
"extension": [
{
"valueString": "00006930567",
"url": "http://hl7.org/fhir/StructureDefinition/rendered-value"
}
]
}
},
{
"id": "CI-490068336-7",
"use": "usual",
"type": {
"coding": [
{
"system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/4",
"code": "22",
"display": "Military Id",
"userSelected": true
}
],
"text": "Military Id"
},
"system": "urn:oid:2.16.840.1.113883.3.42.10001.100001.12",
"value": "1005007024",
"_value": {
"extension": [
{
"valueString": "1005007024",
"url": "http://hl7.org/fhir/StructureDefinition/rendered-value"
}
]
},
"period": {
"start": "2020-08-10T16:32:37.000Z"
}
},
{
"id": "CI-490059525-8",
"use": "usual",
"type": {
"coding": [
{
"system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/4",
"code": "670843",
"display": "Messaging",
"userSelected": true
},
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "U",
"display": "Unspecified identifier",
"userSelected": false
}
],
"text": "Messaging"
},
"system": "urn:oid:2.16.840.1.113883.3.13.8",
"value": "AEF286E2D14B4D71AA1E05290B408B07",
"_value": {
"extension": [
{
"valueString": "AEF286E2D14B4D71AA1E05290B408B07",
"url": "http://hl7.org/fhir/StructureDefinition/rendered-value"
}
]
},
"period": {
"start": "2020-06-30T19:46:01.000Z"
}
},
{
"id": "CI-490068342-9",
"use": "usual",
"type": {
"coding": [
{
"system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/4",
"code": "2553236771",
"display": "Federated Person Principal",
"userSelected": true
},
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "AN",
"display": "Account number",
"userSelected": false
}
],
"text": "Federated Person Principal"
},
"system": "urn:oid:2.16.840.1.113883.3.13.6",
"value": "URN:CERNER:IDENTITY-FEDERATION:REALM:EC2458F2-1E24-41C8-B71B-0E701AF7583D-CH:PRINCIPAL:E82X67QD7AT9DY7F",
"_value": {
"extension": [
{
"valueString": "URN:CERNER:IDENTITY-FEDERATION:REALM:EC2458F2-1E24-41C8-B71B-0E701AF7583D-CH:PRINCIPAL:E82X67QD7AT9DY7F",
"url": "http://hl7.org/fhir/StructureDefinition/rendered-value"
}
]
},
"period": {
"start": "2020-08-10T16:33:50.000Z"
}
},
{
"id": "CI-490059521-10",
"use": "usual",
"type": {
"coding": [
{
"system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/4",
"code": "2553236771",
"display": "Federated Person Principal",
"userSelected": true
},
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "AN",
"display": "Account number",
"userSelected": false
}
],
"text": "Federated Person Principal"
},
"system": "urn:oid:2.16.840.1.113883.3.13.6",
"value": "URN:CERNER:IDENTITY-FEDERATION:REALM:E8A84236-C258-4952-98B7-A6FF8A9C587A-CH:PRINCIPAL:E82X67QD7AT9DY7F",
"_value": {
"extension": [
{
"valueString": "URN:CERNER:IDENTITY-FEDERATION:REALM:E8A84236-C258-4952-98B7-A6FF8A9C587A-CH:PRINCIPAL:E82X67QD7AT9DY7F",
"url": "http://hl7.org/fhir/StructureDefinition/rendered-value"
}
]
},
"period": {
"start": "2020-06-30T19:45:58.000Z"
}
},
{
"id": "CI-490153228-11",
"use": "usual",
"type": {
"coding": [
{
"system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/4",
"code": "2553236785",
"display": "MIllennium Person Identifier",
"userSelected": true
}
],
"text": "MIllennium Person Identifier"
},
"_system": {
"extension": [
{
"valueCode": "unknown",
"url": "http://hl7.org/fhir/StructureDefinition/data-absent-reason"
}
]
},
"value": "12867",
"_value": {
"extension": [
{
"valueString": "12867",
"url": "http://hl7.org/fhir/StructureDefinition/rendered-value"
}
]
},
"period": {
"start": "2020-12-18T19:15:06.000Z"
}
}
],
"active": true,
"name": [
{
"id": "CI-12724065-0",
"use": "official",
"text": "Smart, Wilma",
"family": "Smart",
"given": [
"Wilma"
],
"period": {
"start": "2019-12-26T15:09:19.000Z"
}
},
{
"id": "CI-491545841-0",
"use": "old",
"text": "Smart, Wilma",
"family": "Smart",
"given": [
"Wilma"
],
"period": {
"start": "2023-05-08T01:47:39.000Z",
"end": "2023-05-08T10:55:53.000Z"
}
},
{
"id": "CI-491544667-1",
"use": "old",
"text": "Wolf-11, Wilma",
"family": "Wolf-11",
"given": [
"Wilma"
],
"period": {
"start": "2023-05-05T11:02:05.000Z",
"end": "2023-05-08T01:47:39.000Z"
}
},
{
"id": "CI-491542270-2",
"use": "old",
"text": "John, Wilma",
"family": "John",
"given": [
"Wilma"
],
"period": {
"start": "2023-04-21T14:27:01.000Z",
"end": "2023-05-05T11:02:05.000Z"
}
},
{
"id": "CI-491518131-3",
"use": "old",
"text": "Ali, Wilma",
"family": "Ali",
"given": [
"Wilma"
],
"period": {
"start": "2023-04-21T14:23:00.000Z",
"end": "2023-04-21T14:27:01.000Z"
}
},
{
"id": "CI-491518126-4",
"use": "old",
"text": "Asad, Wilma",
"family": "Asad",
"given": [
"Wilma"
],
"period": {
"start": "2023-04-21T14:22:21.000Z",
"end": "2023-04-21T14:23:00.000Z"
}
},
{
"id": "CI-491518121-5",
"use": "old",
"text": "xWave, Wilma",
"family": "xWave",
"given": [
"Wilma"
],
"period": {
"start": "2023-04-21T13:16:53.000Z",
"end": "2023-04-21T14:2

Comments
Post Details
Added on Aug 1 2023
8 comments
948 views