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== Case == | == Case == | ||
This file contains details of patient out of hours case data.<br /> | This file contains details of patient out of hours case data.<br /> | ||
{| class="mw-collapsible" border="1" style="border-collapse:collapse; text-align: center; vertical-align:top; width:70%;" | {| class="mw-collapsible" border="1" style="border-collapse:collapse; text-align: center; vertical-align:top; width:70%;" | ||
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This file contains defined questions and answers linked to a case. It is treated like a questionnaire associated with a case encounter. | This file contains defined questions and answers linked to a case. It is treated like a questionnaire associated with a case encounter. | ||
{| class="mw-collapsible" border="1" style="border-collapse:collapse; text-align: center; vertical-align:top; width:70%;" | {| class="mw-collapsible" border="1" style="border-collapse:collapse; text-align: center; vertical-align:top; width:70%;" | ||
! colspan="2" style="color:#90A4AE" |'''Publisher''' | ! colspan="2" style="color:#90A4AE" |'''Publisher''' | ||
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This files list the outcomes(s) of the case. | This files list the outcomes(s) of the case. | ||
{| class="mw-collapsible" border="1" style="border-collapse:collapse; text-align: center; vertical-align:top; width:70%;" | {| class="mw-collapsible" border="1" style="border-collapse:collapse; text-align: center; vertical-align:top; width:70%;" | ||
! colspan="2" style="color:#90A4AE" |'''Publisher''' | ! colspan="2" style="color:#90A4AE" |'''Publisher''' | ||
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This file lists all patient notes linked to a case. | This file lists all patient notes linked to a case. | ||
{| class="mw-collapsible" border="1" style="border-collapse:collapse; text-align: center; vertical-align:top; width:70%;" | {| class="mw-collapsible" border="1" style="border-collapse:collapse; text-align: center; vertical-align:top; width:70%;" | ||
! colspan="2" style="color:#90A4AE" |'''Publisher''' | ! colspan="2" style="color:#90A4AE" |'''Publisher''' | ||
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Details all the patients seen as part of the OOH service linked to a case. | Details all the patients seen as part of the OOH service linked to a case. | ||
{| class="mw-collapsible" border="1" style="border-collapse:collapse; text-align: center; vertical-align:top; width:70%;" | {| class="mw-collapsible" border="1" style="border-collapse:collapse; text-align: center; vertical-align:top; width:70%;" | ||
! colspan="2" style="color:#90A4AE" |'''Publisher''' | ! colspan="2" style="color:#90A4AE" |'''Publisher''' | ||
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This file details the patient consultations associated with a case. | This file details the patient consultations associated with a case. | ||
{| class="mw-collapsible" border="1" style="border-collapse:collapse; text-align: center; vertical-align:top; width:70%;" | {| class="mw-collapsible" border="1" style="border-collapse:collapse; text-align: center; vertical-align:top; width:70%;" | ||
! colspan="2" style="color:#90A4AE" |'''Publisher''' | ! colspan="2" style="color:#90A4AE" |'''Publisher''' | ||
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{{Note|These will be Snomed DM&D coded as part of phase 2.}} | {{Note|These will be Snomed DM&D coded as part of phase 2.}} | ||
{| class="mw-collapsible" border="1" style="border-collapse:collapse; text-align: center; vertical-align:top; width:70%;" | {| class="mw-collapsible" border="1" style="border-collapse:collapse; text-align: center; vertical-align:top; width:70%;" | ||
! colspan="2" style="color:#90A4AE" |'''Publisher''' | ! colspan="2" style="color:#90A4AE" |'''Publisher''' | ||
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Details all the clinical codes added during a Consultation which links back to a case.<br /> | Details all the clinical codes added during a Consultation which links back to a case.<br /> | ||
{| class="mw-collapsible" border="1" style="border-collapse:collapse; text-align: center; vertical-align:top; width:70%;" | {| class="mw-collapsible" border="1" style="border-collapse:collapse; text-align: center; vertical-align:top; width:70%;" | ||
! colspan="2" style="color:#90A4AE" |'''Publisher''' | ! colspan="2" style="color:#90A4AE" |'''Publisher''' | ||
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! scope="col" width="15%" |Field | ! scope="col" width="15%" |Field | ||
|- | |- | ||
|+ | |+ | ||
Linked to the Patient resource Care Provider | Linked to the Patient resource Care Provider | ||
|- | |- | ||
|GPPracticeNatCode | |GPPracticeNatCode | ||
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! scope="col" width="15%" |Field | ! scope="col" width="15%" |Field | ||
|- | |- | ||
|+ | |+ | ||
|- | |- | ||
|UserRef | |UserRef |
Revision as of 14:46, 27 July 2023
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 |
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 |