Mental Health FHIR Store Mappings

Patient Demographics

The Patient Demographic resource is

MHS001 Master Patient Index. To carry personal details of the patient. One occurrence of this group is required.

Property	Description	Conformance	FHIR STU3 Mapping	Value Set
LOCAL PATIENT IDENTIFIER (EXTENDED)	This is a number used to identify a PATIENT uniquely within a Health Care Provider. It may be different from the PATIENT's casenote number and may be assigned automatically by the computer system. LOCAL PATIENT IDENTIFIER (EXTENDED) is used where IT systems have a LOCAL PATIENT IDENTIFIER which is longer than 10 characters and LOCAL PATIENT IDENTIFIER cannot be used for data submission.	M	Patient.Identifier
ORGANISATION IDENTIFIER (LOCAL PATIENT IDENTIFIER)	The ORGANISATION IDENTIFIER of the organisation that assigned the local patient identifier.	M	Patient.Organization.identifier
ORGANISATION IDENTIFIER (EDUCATIONAL ESTABLISHMENT)	ORGANISATION IDENTIFIER (EDUCATIONAL ESTABLISHMENT) is the ORGANISATION IDENTIFIER of the Educational Establishment, including Schools.	R	Patient.Organization.identifier
NHS NUMBER	A number used to identify a PATIENT uniquely within the NHS in England and Wales	R	Patient.identifier(nhsnumber)
NHS NUMBER STATUS INDICATOR CODE (MENTAL HEALTH AND MATERNITY)	The NHS NUMBER STATUS INDICATOR of the PATIENT	R	CareConnect-NHSNumberVerificationStatus-1 https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-NHSNumberVerificationStatus-1
PERSON BIRTH DATE	The date on which a PERSON was born or is officially deemed to have been born	R	Patient.birthDate
POSTCODE OF USUAL ADDRESS	The POSTCODE of the ADDRESS nominated by the PATIENT with ADDRESS ASSOCIATION TYPE 'Main Permanent Residence' or 'Other Permanent Residence'	R	Patient.address.postalCode
GENDER IDENTITY CODE	The gender identity of a PERSON as stated by the PERSON	R	Patient.gender.code
GENDER IDENTITY SAME AT BIRTH INDICATOR	An indication of whether the patient's gender identity is the same as their gender assigned at birth.	R	Patient.gender.extension(suggestion of an extension for GENDER IDENTITY SAME AT BIRTH INDICATOR)
PERSON STATED GENDER CODE	The gender of a PERSON. PERSON STATED GENDER CODE is self declared or inferred by observation for those unable to declare their PERSON STATED GENDER.	R	Patient.gender.code
PERSON MARITAL STATUS	The legal marital status of a PERSON.	R	Patient.maritalStatus
ETHNIC CATEGORY
ETHNIC CATEGORY 2021
LANGUAGE CODE (PREFERRED)
PERSON DEATH DATE
CONSTANT SUPERVISION AND CARE REQUIRED DUE TO DISABILITY INDICATOR
PARENTAL RESPONSIBILITIES INDICATOR
YOUNG CARER INDICATOR
LOOKED AFTER CHILD INDICATOR
LOOKED AFTER CHILD LEGAL STATUS
EDUCATIONAL ASSESSMENT OUTCOME
CHILD PROTECTION PLAN INDICATION CODE
EX-BRITISH ARMED FORCES INDICATOR
OFFENCE HISTORY INDICATION CODE
PRODROME PSYCHOSIS DATE
EMERGENT PSYCHOSIS DATE
MANIFEST PSYCHOSIS DATE
FIRST PRESCRIPTION DATE (ANTI-PSYCHOTIC MEDICATION)
PSYCHOSIS FIRST TREATMENT START DATE
REASONABLE ADJUSTMENT REQUIRED INDICATOR
START DATE (MENTAL HEALTH CARE COORDINATOR ASSIGNMENT PERIOD)
CARE PROFESSIONAL LOCAL IDENTIFIER
END DATE (MENTAL HEALTH CARE COORDINATOR ASSIGNMENT PERIOD)
CARE PROFESSIONAL SERVICE OR TEAM TYPE ASSOCIATION (MENTAL HEALTH)
DISABILITY CODE
DISABILITY IMPACT PERCEPTION
CARE PLAN IDENTIFIER
CARE PLAN TYPE (MENTAL HEALTH)
CARE PLAN CREATION DATE
CARE PLAN CREATION TIME
CARE PLAN LAST UPDATED DATE
CARE PLAN LAST UPDATED TIME
CARE PLAN IMPLEMENTATION DATE
FAMILY INVOLVED IN CARE PLAN INDICATOR
FAMILY NOT INVOLVED IN CARE PLAN REASON
CARE PLAN CONTENT AGREED BY
CARE PLAN CONTENT AGREED DATE
CARE PLAN CONTENT AGREED TIME
ASSISTIVE TECHNOLOGY FINDING (SNOMED CT)
PRESCRIPTION TIMESTAMP (ASSISTIVE TECHNOLOGY)
SOCIAL AND PERSONAL CIRCUMSTANCE (SNOMED CT)
SOCIAL AND PERSONAL CIRCUMSTANCE RECORDED TIMESTAMP
OVERSEAS VISITOR CHARGING CATEGORY
OVERSEAS VISITOR CHARGING CATEGORY APPLICABLE FROM DATE
OVERSEAS VISITOR CHARGING CATEGORY APPLICABLE END DATE
MENTAL HEALTH RESOURCE GROUP TYPE (SNOMED CT)
START DATE (MENTAL HEALTH RESOURCE GROUP)
END DATE (MENTAL HEALTH RESOURCE GROUP)

MHS002GP GP Practice Registration. To carry details of the GP Practice Registration of the patient. One occurrence of this group is required for each change of GP Practice Registration.

Property	Description	Conformance	FHIR STU3 Mapping	Value Set
GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION)	The ORGANISATION CODE of the GP Practice that the PATIENT is registered with.	M
START DATE (GMP PATIENT REGISTRATION)	Start Date on which the PERSON registered with a General Medical Practitioner Practice.	R
END DATE (GMP PATIENT REGISTRATION)	The DATE on which the PERSON ceased to be registered with a General Medical Practitioner Practice.	R

MHS003AccommStatus Accommodation Status. To carry accommodation details of the patient. One occurrence of this group is permitted for each accommodation type.

Property	Description	Conformance	FHIR STU3 Mapping	Value Set
ACCOMMODATION TYPE	An indication of the type of accommodation that a PATIENT currently has. This should be based on the PATIENT's main or permanent residence.	M
SETTLED ACCOMMODATION INDICATOR	An indication of whether the main/permanent residence of the patient is settled accommodation.	R
ACCOMMODATION TYPE RECORDED DATE	The PERSON PROPERTY RECORDED DATE when the ACCOMMODATION TYPE was recorded.	R
SECURE CHILDRENS HOME PLACEMENT TYPE	The type of placement for a child or young person accommodated in a Secure Children's Home.	R
ACCOMMODATION TYPE START DATE	The date that the patient's accommodation type started.	R
ACCOMMODATION TYPE END DATE	The date that the patient's accommodation type ended.	R

MHS004EmpStatus Employment Status. To carry details of the employment status of the patient. One occurrence of this group is permitted for each employment status.

Property	Description	Conformance	FHIR STU3 Mapping	Value Set
EMPLOYMENT STATUS	The current PRIMARY EMPLOYMENT status of a PERSON.	M
EMPLOYMENT STATUS START DATE	The date that the patient's employment status started.	R
EMPLOYMENT STATUS END DATE	The date that the patient's employment status ended.	R
EMPLOYMENT STATUS RECORDED DATE	The date that the patient's employment status details were recorded by the healthcare professional.	R
WEEKLY HOURS WORKED	The number of hours worked in a typical week.	R

MHS005PatInd Patient Indicators. To carry details of specific indicators relating to a patient. One occurrence of this group is permitted containing the current or most recently recorded status or indicators and psychosis information.

Property	Description	Conformance	FHIR STU3 Mapping	Value Set
CONSTANT SUPERVISION AND CARE REQUIRED DUE TO DISABILITY INDICATOR	An indication of whether a disabled PATIENT needs constant (round the clock) care and/or supervision for maintenance of their safety and/or wellbeing.	R	Patient.extension(disability)
PARENTAL RESPONSIBILITIES INDICATOR	An indication of whether a PATIENT has Parental Responsibilities for a child or young person, as stated by the PATIENT.	R	Patient.link.other(RelatedPerson)
YOUNG CARER INDICATOR	An indication of whether a child or young person (PATIENT) has a caring role for an ill or disabled Parent/Carer/Sibling.	R	Patient.extension(suggestion of an extension for YOUNG CARER INDICATOR)
LOOKED AFTER CHILD INDICATOR	An indication of whether a PATIENT is a Looked After Child.	R	Patient.extension(suggestion of an extension for LOOKED AFTER CHILD INDICATOR)
LOOKED AFTER CHILD LEGAL STATUS	The legal status of the Looked After Child. This refers to the Children's Act 1989: see details https://www.legislation.gov.uk/ukpga/1989/41/contents	R	Patient.extension(suggestion of an extension for LOOKED AFTER CHILD LEGAL STATUS)
EDUCATIONAL ASSESSMENT OUTCOME	The outcome of an EDUCATIONAL ASSESSMENT.	R	Patient.extension(suggestion of an extension for EDUCATIONAL ASSESSMENT OUTCOME)
CHILD PROTECTION PLAN INDICATION CODE	An indication of whether the child or young person (PATIENT) is/has previously been subject to a child protection plan.	R	Patient.extension(suggestion of an extension for CHILD PROTECTION PLAN INDICATION CODE)
EX-BRITISH ARMED FORCES INDICATOR	An indication of whether the PATIENT is an ex-member of the British Armed Forces, i.e. army, navy or air force, or is a dependant of a person who is an ex-services member.	R	Patient.extension(suggestion of an extension for EX-BRITISH ARMED FORCES INDICATOR)
OFFENCE HISTORY INDICATION CODE	An indication of whether the PATIENT has a history of offences, including index offences (i.e. is recordable, committed in England and Wales, prosecuted by the police and is not a breach of the peace). This is completed by CARE PROFESSIONALS based on the PATIENT history, informed by referral information.	R	Patient.extension(suggestion of an extension for OFFENCE HISTORY INDICATION CODE)
PRODROME PSYCHOSIS DATE	Date at which first noticeable change in behaviour or mental state occurred prior to emergence of full-blown psychosis for the patient. There should be a clear deterioration in functioning from previous levels. Examples include poor attendance/worsening performance at school/work, trouble sleeping, withdrawing from/fighting with friends/family, attenuated psychotic symptoms (increased suspiciousness,/jealously, occasionally hearing name being called when no' ones around, whisperings, slight confusion in thinking etc.).	R	DetectedIssue.date Condition.onset[x].onsetDateTime(PRODROME PSYCHOSIS DATE)
EMERGENT PSYCHOSIS DATE	Date at which there was first clear evidence of a positive psychotic symptom for the patient (i.e. delusion, hallucination, or thought disorder), regardless of its duration. Such a symptom would be scored 4 or more on the PANSS.	R	DetectedIssue.date Condition.onset[x].onsetDateTime(EMERGENT PSYCHOSIS DATE)
MANIFEST PSYCHOSIS DATE	Date at which a positive psychotic symptom has lasted for a week for the patient. This is usually just 7 days after the date of the first psychotic symptom.	R	DetectedIssue.date Condition.onset[x].onsetDateTime(MANIFEST PSYCHOSIS DATE)
FIRST PRESCRIPTION DATE (ANTI-PSYCHOTIC MEDICATION)	Date the patient was first prescribed anti-psychotic medication following referral into an Early Intervention in Psychosis (EIP) Service.	R	MedicationRequest.authoredOn DetectedIssue.mitigation.date
PSYCHOSIS FIRST TREATMENT START DATE	Date the patient first commenced prescribed (not PRN) anti-psychotic medication, following referral into an Early Intervention in Psychosis (EIP) Service, and thereafter was compliant for at least 75% of the time during the subsequent month (using clinical judgement). Note: For the majority of people this will be the same date as the date of prescription.	R	MedicationRequest.authoredOn DetectedIssue.mitigation.date
REASONABLE ADJUSTMENT REQUIRED INDICATOR	An indicator to alert the clinician that this patient may need a reasonable adjustment made	R	Patient.extension(proposition of an extension for REASONABLE ADJUSTMENT REQUIRED INDICATOR)