Homerton ADT FHIR Mapping
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Segment - PID - Patient Identification
This file contains
| 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
| 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
| 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.
| 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.
| 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.
| 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. |
| 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.
| 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.
| 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.
| 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 |