Adastra Extract FHIR Mapping

Case

This file contains details of patient out of hours case data.

This file contains defined questions and answers linked to a case. It is treated like a questionnaire associated with a case encounter.

**FHIR Resource: QuestionnaireResponse**
FieldName	FHIR Mapping
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

This files list the outcomes(s) of the case.

**FHIR Resource: EpisodeOfCare**
FieldName	FHIR Mapping
CaseRef	id
OutcomeName	outcome extension

This file lists all patient notes linked to a case.

**FHIR Resource: Flag**
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

Details all the patients seen as part of the OOH service linked to a case.

**FHIR Resource: Patient**
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

This file details the patient consultations associated with a case.

**FHIR Resource: Encounter**
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

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

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.

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

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