Adastra Extract FHIR Mapping

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Case

This file contains details of patient out of hours case data.

Publisher DDS Core Compass V2
Field Name Data/Coding Type FHIR Table Field
PatientRef Patient reference EpisodeOfCare::Patient.reference episode_of_care patient_id
PriorityName priority extension EpisodeOfCare::priority.extension - -
CaseRef id EpisodeOfCare::id episode_of_care id
CaseNo identifier EpisodeOfCare::identifier - -
StartDateTime period.start EpisodeOfCare:period.start episode_of_care date_registered
EndDateTime period.end EpisodeOfCare:period.end episode_of_care date_registered_end
CaseTagName identifier EpisodeOfCare::identifier - -
ArrivedPCC arrival extension EpisodeOfCare::arrival.extension - -
UserRef practitioner reference EpisodeOfCare::practitioner.reference episode_of_care usual_gp_practitioner_id
ODSCode organisation reference EpisodeOfCare::organisation.reference - -

Case Questions

This file contains defined questions and answers linked to a case.  It is treated like a questionnaire associated with a case encounter.

Publisher DDS Core Compass V2
Field Name Data/Coding Type FHIR Table Field
CaseRef identifier also used to derive the linked Encounter reference from a pre- transform
QuestionSetName group.title
Question group.question.text
Answer group.question.answer.value

Outcomes

This files list the outcomes(s) of the case.

Publisher DDS Core Compass V2
Field Name Data/Coding Type FHIR Table Field
CaseRef id
OutcomeName outcome extension

Notes

This file lists all patient notes linked to a case.

Publisher DDS Core Compass V2
Field Name Data/Coding Type FHIR Table Field
CaseRef id together with patientId and ReviewDateTime
PatientRef subject patient reference
ReviewDateTime period.start
NoteText code  as text only
Obsolete n/a - ignored where equals true
Active status
UserRef author reference

Patient

Details all the patients seen as part of the OOH service linked to a case.

Publisher DDS Core Compass V2
Field Name Data/Coding Type FHIR Table Field
PatientRef id
Forename givenName
Surname familyName
DOB birthDate
NHSNumber identifier
NHSNoTraceStatus identifier
Language communicationComponent.language CodableConcept

speaks English extension if language = English

Ethnicity enthnicity extension (only attempt match if field 27 blank)
Gender gender
RegistrationType episode of care registration type extension
HomeAddressBuilding address.line, use = HOME
HomeAddressStreet address.line, use = HOME
HomeAddressTown address.town, use = HOME
HomeAddressLocality address.line, use = HOME
HomeAddressPostcode address.postcode, use = HOME
MobilePhone contactPoint, use = MOBILE
HomePhone contactPoint, use = HOME
EthnicCode enthnicity extension

Consultation

This file details the patient consultations associated with a case.

Publisher DDS Core Compass V2
Field Name Data/Coding Type FHIR Table Field
CaseRef EpisodeOfCare reference

Used to derive Patient reference

ConsultationRef id
StartDateTime period.start
EndDateTime period.end
CaseType CodableConcept encounter_source
History Observation.comments linked to Encounter
Examination Observation.comments linked to Encounter
Diagnosis Observation.comments linked to Encounter
TreatmentPlan Observation.comments linked to Encounter
PatientName n/a - Patient reference used
PatientForename n/a - Patient reference used
PatientSurname n/a - Patient reference used
UserRef Participant Primary Performer reference

Prescriptions

Details the drug items given during the Consultation which links back to a case. 

These will be Snomed DM&D coded as part of phase 2.
Publisher DDS Core Compass V2
Field Name Data/Coding Type FHIR Table Field
CaseRef id = CaseRef + ConsulationRef + PatientId

Used to derive Patient reference

ConsultationRef Used to derive effectiveDate, i.e. same as consultation date and practitioner from

Consultation UserRef Encounter reference

DrugName CodableConcept.code.text
Preparation units extension
Dosage dosage
Quantity quanity extension
DMDCode CodableConcept.code
Issue if (not N) then creates linked MedicationOrder resource


Clinical codes

Details all the clinical codes added during a Consultation which links back to a case.

Publisher DDS Core Compass V2
Field Name Data/Coding Type FHIR Table Field
CaseRef id = CaseRef + ConsulationRef + ClinicalCode

Used to derive Patient reference

ConsultationRef Used to derive effectiveDate, i.e. same as consultation date and the UserRef of the consultation for the Observation clinician

Encounter reference

ClinicalCode CodableConcept.code as Read2.  Also mapped to Snomed.
Term CodableConcept.code.text as Read2.  Also mapped to Snomed.

Provider

Details the patient GP practice and locations.

Publisher DDS Core Compass V2
Field Name Data/Coding Type FHIR Table Field
Linked to the Patient resource Care Provider
GPPracticeNatCode Organization.identifier.value
GPPracitceName Organization.name
GPPracticePostcode Organization.address.postcode

Users

Details the clinical users/practitioners, linking into all UserRef references in other resources.

Publisher DDS Core Compass V2
Field Name Data/Coding Type FHIR Table Field
UserRef id
Forename HumanName.given
Surname HumanName.family
FullName HumanName.text
ProviderGMC if a GP, create an http://endeavourhealth.org/fhir/Identifier/gmc-number identifier
ProviderNMC if a Nurse, create an http://endeavourhealth.org/fhir/Identifier/nmc-number identifier