Mental Health FHIR Store Mappings: Difference between revisions
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The Patient Demographic resource is | The Patient Demographic resource is | ||
{| class="wikitable" | {| class="wikitable" | ||
|+MHS001 | |+MHS001: Master Patient Index. To carry personal details of the patient. One occurrence of this group is required. | ||
Master Patient Index | |||
To carry personal details of the patient. One occurrence of this group is required. | |||
!Property | !Property | ||
!Description | !Description |
Revision as of 10:36, 20 January 2023
Patient Demographics
The Patient Demographic resource is
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 |
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 |
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 |
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 |
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) |
Property | Description | Conformance | FHIR STU3 Mapping | Value Set |
---|---|---|---|---|
START DATE (MENTAL HEALTH CARE COORDINATOR ASSIGNMENT PERIOD) | The start date of a Mental Health Care Coordinator Assignment Period for a patient. | M | ||
CARE PROFESSIONAL LOCAL IDENTIFIER | A unique local CARE PROFESSIONAL IDENTIFIER within a Health Care Provider which may be assigned automatically by the computer system.
|
R | ||
END DATE (MENTAL HEALTH CARE COORDINATOR ASSIGNMENT PERIOD) | The end date of a Mental Health Care Coordinator Assignment Period for a patient. | R | ||
CARE PROFESSIONAL SERVICE OR TEAM TYPE ASSOCIATION (MENTAL HEALTH) | The type of service or team the Care Professional is associated with. | R |
Property | Description | Conformance | FHIR STU3 Mapping | Value Set |
---|---|---|---|---|
DISABILITY CODE | The DISABILITY of a PERSON.
This could be where: the PERSON has been diagnosed as disabled or the PERSON considers themself to be disabled. |
M | Condition.code | |
DISABILITY IMPACT PERCEPTION | The patient's perception of whether their day-to-day activities are limited because of a health problem or disability which has lasted, or is expected to last, at least 12 months. | R | Condition.extension(suggestion of an extension for DISABILITY IMPACT PERCEPTION) |
Property | Description | Conformance | FHIR STU3 Mapping | Value Set |
---|---|---|---|---|
CARE PLAN IDENTIFIER | A unique identifierfor Care Plan. | M | ||
CARE PLAN TYPE (MENTAL HEALTH) | The type of Care Plan for the patient, recorded by the service. | M | ||
CARE PLAN CREATION DATE | The date that a Care Plan was created for a patient. | M | ||
CARE PLAN CREATION TIME | The time that a Care Plan was created for a patient. | R | ||
CARE PLAN LAST UPDATED DATE | The date that the Care Plan was last updated for a patient.
Where the Care Plan has not otherwise been updated this will be the same as the Care Plan Creation Date. |
R | ||
CARE PLAN LAST UPDATED TIME | The time that the Care Plan was last updated for a patient.
Where the Care Plan has not otherwise been updated this will be the same as the Care Plan Creation Time. |
R | ||
CARE PLAN IMPLEMENTATION DATE | The date that the Care Plan was implemented for a patient. | R |
Property | Description | Conformance | FHIR STU3 Mapping | Value Set |
---|---|---|---|---|
FAMILY INVOLVED IN CARE PLAN INDICATOR | An indication of whether a member of the patient's family is currently involved in the patient's care plan.
This only needs to be captured for inpatients that are in scope of Transforming Care. |
R | ||
FAMILY NOT INVOLVED IN CARE PLAN REASON | The reason that the patient's family is not currently involved in the patient's care plan.
This only needs to be captured for inpatients that are in scope of Transforming Care. |
R | ||
CARE PLAN CONTENT AGREED BY | The type of PERSON, SERVICE or ORGANISATION that agreed the content of the CARE PLAN for the PATIENT. | M | ||
CARE PLAN CONTENT AGREED DATE | The date on which the content of the CARE PLAN was agreed by a PATIENT or Patient Proxy. | R | ||
CARE PLAN CONTENT AGREED TIME | The time on which the content of the CARE PLAN was agreed by a PATIENT or Patient Proxy | R |
Property | Description | Conformance | FHIR STU3 Mapping | Value Set |
---|---|---|---|---|
ASSISTIVE TECHNOLOGY FINDING (SNOMED CT) | The SNOMED CT concept ID which is used to identify the finding relating to the assistive technology that a PATIENT is dependent on. | M | ||
PRESCRIPTION TIMESTAMP (ASSISTIVE TECHNOLOGY) | The date, time and time zone for the prescription of Assistive Technology. | R |