HL7AU - FHIR WG : Domain Analysis Model

Updated based on feedback...

Partner is down as 0..1

Should we/do we need to consider multiple de facto relationship scenarios and allow multiple partners? Whilst polygamy is not legal here, multiple relationships are and are supported by welfare on a case by case basis...should we cater for it in the birth record?

Updated into a series of smaller models, hopefully making it easier to understand.

How specific we need to get re standard child health / baby tests and assessments? Or if they fall under more general observations?

For example, it is typical for a baby to undergo a Guthrie test shortly after birth to screen for a bunch of genetic illnesses.  I notice there hasn’t been any mention of that yet, nor is it present on Alcidion’s birth record.  Feeding (breast/bottle) is also an important notation.

I would expect that the following information/observations re birth are also relevant to baby’s health:

• Type and length of labour
• Assistive technologies (eg suction) used with labour
• Any anaesthesia (or medication) used by mother or baby
• Presence of meconium
• Cord health
• Membrane rupture

There are a few elements of conception and pregnancy that may also impact child’s health:

• Fertility treatment
• Surrogacy (as mentioned)
• Adoption
• Differentiating biological father/parent from adoptive/active parent (ie may be mother’s partner but not official adoptive parent)…..not sure this project can accommodate all of this information.