Homerton ADT FHIR Mapping: Difference between revisions

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== Segment - PID - Patient Identification  ==
== Segment - PID - Patient Identification  ==
<br />
This file contains
{| class="wikitable"
{| class="wikitable"
|+
|+
Line 7: Line 7:
!FieldName
!FieldName
!FHIR Mapping
!FHIR Mapping
!Extension
|-
|-
|PID.2
|PID.2
|Patient ID
|Patient ID
|Patient.identifier
|Patient.identifier
|
|-
|-
|PID.3
|PID.3
|Patient Identifier List
|Patient Identifier List
|Patient.identifier
|Patient.identifier
|
|-
|-
|PID.4
|PID.4
|Alternate PatientIidentifier
|Alternate PatientIidentifier
|Patient.identifier
|Patient.identifier
|
|-
|-
|PID.5
|PID.5
|Patient Name
|Patient Name
|Patient.name
|Patient.name
|
|-
|-
|PID.7
|PID.7
|Date/Time Of Birth
|Date/Time Of Birth
|Patient.birthDate & Patient.extension
|Patient.birthDate & Patient.extension
|primarycare-contact-birth-time-extension
|-
|-
|PID.8
|PID.8
|Sex
|Sex
|Patient.gender
|Patient.gender
|
|-
|-
|PID.9
|PID.9
|Patient Alias
|Patient Alias
|Patient.name
|Patient.name
|
|-
|-
|PID.11
|PID.11
|Patient Address
|Patient Address
|Patient.address
|Patient.address
|
|-
|-
|PID.13
|PID.13
|Phone Number - Home
|Phone Number - Home
|Patient.telecom
|Patient.telecom
|
|-
|-
|PID.14
|PID.14
|Phone Number - Business
|Phone Number - Business
|Patient.telecom
|Patient.telecom
|
|-
|-
|PID.15
|PID.15
|Primary Language
|Primary Language
|Patient.communication.language
|Patient.communication.language
|
|-
|-
|PID.16
|PID.16
|Marital Status
|Marital Status
|Patient.maritalStatus
|Patient.maritalStatus
|
|-
|-
|PID.17
|PID.17
|Religion
|Religion
|Patient.extension
|Patient.extension
|primarycare-religion-category-extension
|-
|-
|PID.18
|PID.18
|Patient Account Number
|Patient Account Number
|Patient.identifier
|Patient.identifier
|
|-
|-
|PID.22
|PID.22
|Ethnic Group
|Ethnic Group
|Patient.extension
|Patient.extension
|primarycare-ethnic-category-extension
|-
|-
|PID.29
|PID.29
|Patient Death Date and Time
|Patient Death Date and Time
|Patient.deceased
|Patient.deceased
|
|-
|-
|PID.30
|PID.30
|Patient Death Indicator
|Patient Death Indicator
|Patient.deceased
|Patient.deceased
|
|}
|}


== Case Questions ==
== Segment - PD1 - Patient Additional Demographic ==
This file contains defined questions and answers linked to a case.  It is treated like a questionnaire associated with a case encounter.<br />
This file contains
{| class="wikitable"
{| class="wikitable"
|+
|+
FHIR Resource: QuestionnaireResponse
FHIR Resource:  
!Field#
!FieldName
!FieldName
!FHIR Mapping
!FHIR Mapping
!Extension
|-
|-
|CaseRef
|PD1.3
|identifier also used to derive the linked Encounter reference from a pre- transform
|Patient primary  facility
|Patient.careProvider& Organization
|
|-
|-
|QuestionSetName
|PD1.4
|group.title
|Patient primary  care provider
|-
|Patient.careProvider& Practitioner
|Question
|
|group.question.text
|-
|Answer
|group.question.answer.value
|}
|}


== Outcomes ==
== Segment - NK1 - Next of Kin / Associated Parties ==
This files list the outcomes(s) of the case.<br />
This file contains
{| class="wikitable"
{| class="wikitable"
|+FHIR Resource: EpisodeOfCare
|+FHIR Resource:  
!Field#
!FieldName
!FieldName
!FHIR Mapping
!FHIR Mapping
!Extension
|-
|NK1.2
|Name
|Patient.contact.name
|
|-
|NK1.3
|Relationship
|Patient.contact.relationship
|
|-
|NK1.4
|Address
|Patient.contact.address
|
|-
|NK1.5
|Phone  number
|Patient.contact.telecom.value
|
|-
|NK1.6
|Business  phone number
|Patient.contact.telecom.value
|
|-
|-
|CaseRef
|NK1.7
|id
|Contact  role
|Patient.contact.extension
|primarycare-contact-role-category-extension
|-
|-
|OutcomeName
|NK1.20
|outcome extension
|Primary language
|Patient.contact.extension
|primarycare-contact-main-language-category-extension
|}
|}


Revision as of 15:34, 3 March 2021

Segment - PID - Patient Identification

This file contains

FHIR Resource:
Field# FieldName FHIR Mapping Extension
PID.2 Patient ID Patient.identifier
PID.3 Patient Identifier List Patient.identifier
PID.4 Alternate PatientIidentifier Patient.identifier
PID.5 Patient Name Patient.name
PID.7 Date/Time Of Birth Patient.birthDate & Patient.extension primarycare-contact-birth-time-extension
PID.8 Sex Patient.gender
PID.9 Patient Alias Patient.name
PID.11 Patient Address Patient.address
PID.13 Phone Number - Home Patient.telecom
PID.14 Phone Number - Business Patient.telecom
PID.15 Primary Language Patient.communication.language
PID.16 Marital Status Patient.maritalStatus
PID.17 Religion Patient.extension primarycare-religion-category-extension
PID.18 Patient Account Number Patient.identifier
PID.22 Ethnic Group Patient.extension primarycare-ethnic-category-extension
PID.29 Patient Death Date and Time Patient.deceased
PID.30 Patient Death Indicator Patient.deceased

Segment - PD1 - Patient Additional Demographic

This file contains

FHIR Resource:
Field# FieldName FHIR Mapping Extension
PD1.3 Patient primary facility Patient.careProvider& Organization
PD1.4 Patient primary care provider Patient.careProvider& Practitioner

Segment - NK1 - Next of Kin / Associated Parties

This file contains

FHIR Resource:
Field# FieldName FHIR Mapping Extension
NK1.2 Name Patient.contact.name
NK1.3 Relationship Patient.contact.relationship
NK1.4 Address Patient.contact.address
NK1.5 Phone number Patient.contact.telecom.value
NK1.6 Business phone number Patient.contact.telecom.value
NK1.7 Contact role Patient.contact.extension primarycare-contact-role-category-extension
NK1.20 Primary language Patient.contact.extension primarycare-contact-main-language-category-extension

Notes

This file lists all patient notes linked to a case.

FHIR Resource: Flag
FieldName FHIR Mapping
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.

FHIR Resource: Patient
FieldName FHIR Mapping
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.

FHIR Resource: Encounter
FieldName FHIR Mapping
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.
FHIR Resource: MedicationStatement
FieldName FHIR Mapping
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.

FHIR Resource: Observation
FieldName FHIR Mapping
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.

FHIR Resource: Organization. Linked to the Patient resource Care Provider
FieldName FHIR Mapping
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.

FHIR Resource: Practitioner
FieldName FHIR Mapping
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
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