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