Homerton ADT FHIR Mapping

Segment - PID - Patient Identification

This file contains

FHIR Resource: Patient

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: Patient

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: Patient

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

Segment - PV1 - Patient Visit

This file

FHIR Resource: Encounter

Field#	FieldName	FHIR Mapping	Extension
PV1.2	Patient class	Encounter.class
PV1.4	Admission type	Encounter.extension	encounter-admission-type
PV1.6	Prior patient location	Encounter.location& Location
PV1.7	Attending doctor	Encounter.participant & Practitioner
PV1.8	Referring doctor	Encounter.participant & Practitioner
PV1.9	Consulting doctor	Encounter.participant& Practitioner
PV1.10	Hospital service	Encounter.serviceProvider& Organization
PV1.14	Admit source	Encounter.hospitalization.origin
PV1.17	Admitting doctor	Encounter.participant & Practitioner
PV1.18	Patient type	Encounter.type
PV1.19	Visit number	EpisodeOfCare.identifier
PV1.36	Discharge disposition	Encounter.hospitalization.dischargeDisposition
PV1.37	Discharged to location	Encounter.hospitalization.destination
PV1.39	Servicing facility	Encounter.managingOrganization
PV1.41	Account status	Encounter.status
PV1.44	Admit date/time	Encounter.statusHistory.start
PV1.45	Discharge date/time	Encounter.statusHistory.end
PV1.50	Alternate visit ID	Encounter.identifier
PV1.52	Other healthcare provider	Encounter.participant& Practitioner

Segment - PV2 - Patient Visit - Additional Information

This file

FHIR Resource: Encounter

Field#	FieldName	FHIR Mapping	Extension
PV2.3	Admit reason	Encounter.reason
PV2.4	Transfer reason	Encounter.reason
PV2.8	Expected admit date/time	Encounter.statusHistory.start

Segment - MSH - Message Header

This file

FHIR Resource:

Field#	FieldName	FHIR Mapping	Extension
MSH.3	Sending application	MessageHeader.source.software
MSH.4	Sending facility	MessageHeader.source.name
MSH.5	Receiving application	MessageHeader.destination.extension	message-header-destination-software-extension
MSH.6	Receiving facility	MessageHeader.destination.name & MessageHeader.responsible
MSH.7	Message date/time	MessageHeader.timestamp
MSH.9	Message type	MessageHeader.event.code
MSH.10	Message control id	MessageHeader.extension	message-header-message-control-id-extension
MSH.12	Version ID	MessageHeader.event.version
MSH.13	Sequence number	MessageHeader.extension	message-header-sequence-number-extension

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