BHRUT Medway Extract FHIR Mapping

PMI

FHIR Resource: Patient
FieldName	FHIR Mapping
PAS_ID	patient.id patient.identifier
FORENAME	patient.givenName
SURNAME	patient.familyName
NHS_NUMBER	patient.identifier
GENDER_CODE	patient.gender
BIRTH_DTTM	patient.birthDate
DEATH_DTTM	patient.deceasedDateTime
CAUSEOFDEATH	patient.containedParameters => IM.CAUSEOFDEATH
CAUSEOFDEATH_1B	patient.containedParameters => IM.CAUSEOFDEATH_1B
CAUSEOFDEATH_1C	patient.containedParameters => IM.CAUSEOFDEATH_1C
CAUSEOFDEATH_2	patient.containedParameters => IM.CAUSEOFDEATH_2
INFECTION_STATUS	patient.containedParameters => IM.INFECTION_STATUS
ADDRESS1	patient.address.line, use = HOME
ADDRESS2	patient.address.line, use = HOME
ADDRESS3	patient.address.town, use = HOME
ADDRESS4	patient.address.line, use = HOME
ADDRESS5	patient.address.line, use = HOME
POSTCODE	patient.address.postcode, use = HOME
SENSITIVE_PDS_FLAG	patient spine sensitive extension (true/false)
HPHONE_NUMBER	patient.contact.telecom, use = HOME
MPHONE_NUMBER	patient.contact.telecom, use = MOBILE
ETHNICITY_CODE	patient enthnicity extension
REGISTERED_GP_PRACTICE	patient.serviceProvider (reference -> Organization (GP) resource)

Alerts

FHIR Resource: Flag
FieldName	FHIR Mapping
EXTERNAL_ID	flag.id
PAS_ID	flag.patient (reference -> Patient resource)
ALERT_TYPE_DESCRIPTION	flag.category
APPLIED_DTTM	flag recorded date extension
START_DTTM	flag.period.start, status = ACTIVE
ALERT_DESCRIPTION	flag.code.text
ALERT_COMMENTS	flag.code.text
CLOSED_DTTM	flag.period.end, status = INACTIVE

A&E Attendances

FHIR Resource: EpisodeOfCare
FieldName	FHIR Mapping
EXTERNAL_ID	episodeofcare.id
PAS_ID	episodeofcare.patient (reference -> Patient resource)
ARRIVAL_DTTM	episodeofcare.period.start,.status = ACTIVE
DISCHARGED_DTTM	episodeofcare.period.end,.status = FINISHED

FHIR Resource: Encounter
FieldName	FHIR Mapping
EXTERNAL_ID	encounter (Emergency).id encounter (Emergency Arrival).id:01:EM encounter (Emergency Assessment).id:02:EM encounter (Emergency Treatment).id:03:EM encounter (Emergency Conclusion).id:04:EM
PAS_ID	encounter (Emergency).patient (reference -> Patient resource) encounter (Emergency Arrival).patient (reference -> Patient resource) encounter (Emergency Assessment).patient (reference -> Patient resource) encounter (Emergency Treatment).patient (reference -> Patient resource) encounter (Emergency Conclusion).patient (reference -> Patient resource)
HOSPITAL_CODE	encounter (Emergency).serviceProvider (reference -> Organization resource) encounter (Emergency Arrival).serviceProvider (reference -> Organization resource) encounter (Emergency Assessment).serviceProvider (reference -> Organization resource) encounter (Emergency Treatment).serviceProvider (reference -> Organization resource) encounter (Emergency Conclusion).serviceProvider (reference -> Organization resource)
ATTENDANCE_TYPE	encounter (Emergency Arrival).containedParameters => IM.ATTENDANCE_TYPE
ARRIVAL_MODE	encounter (Emergency Arrival).containedParameters => IM.ARRIVAL_MODE
REFERRAL_SOURCE	encounter (Emergency Arrival).containedParameters => IM.REFERRAL_SOURCE
ARRIVAL_DTTM	encounter (Emergency).period.start, status = INPROGRESS encounter (Emergency Arrival).period.start, status = INPROGRESS
TRIAGE_DTTM	encounter (Emergency Arrival).period.end, status = FINISHED encounter (Emergency Assessment).period.start, status = INPROGRESS
SEEN_BY_AE_DOCTOR_DTTM	encounter (Emergency Assessment).period.end, status = FINISHED encounter (Emergency Treatment).period.start, status = INPROGRESS
COMPLAINT	encounter (Emergency).codeableConcept.code.text
DISCHARGED_DTTM	encounter (Emergency).period.end, status = FINISHED encounter (Emergency Treatment).period.end, status = FINISHED encounter (Emergency Conclusion).period.start, status = INPROGRESS episodeofcare.period.end,.status = FINISHED
LEFT_DEPARTMENT_DTTM	encounter (Emergency Conclusion).period.end, status = FINISHED
DISCHARGE_DESTINATION	encounter (Emergency Conclusion).containedParameters => IM.DISCHARGE_DESTINATION
RECORDED_OUTCOME	encounter (Emergency).hospitalization.dischargeDisposition encounter (Emergency Conclusion).containedParameters => IM.RECORDED_OUTCOME

Spells

FHIR Resource: Encounter
FieldName	FHIR Mapping
EXTERNAL_ID	encounter (Inpatient).id
PAS_ID	encounter (Inpatient).patient (reference -> Patient resource) encounter (Inpatient Admission).patient (reference -> Patient resource) encounter (Inpatient Discharge).patient (reference -> Patient resource)
ADMISSION_DTTM	encounter (Inpatient).period.start, status = INPROGRESS encounter (Inpatient Admission).period.start, status = INPROGRESS
ADMISSION_CONSULTANT_CODE	encounter (Inpatient).participant (reference -> Practitioner resource) encounter (Inpatient Admission).participant (reference -> Practitioner resource)
ADMISSION_HOSPITAL_CODE	encounter (Inpatient).serviceProvider (reference -> Organization resource) encounter (Inpatient Admission).serviceProvider (reference -> Organization resource) encounter (Inpatient Discharge).serviceProvider (reference -> Organization resource)
ADMISSION_METHOD_CODE	encounter (Inpatient Admission).containedParameters => IM.ADMISSION_METHOD_CODE
ADMISSION_SOURCE_CODE	encounter (Inpatient Admission).containedParameters => IM.ADMISSION_SOURCE_CODE
ADMISSION_WARD_CODE	encounter (Inpatient Admission).containedParameters => JSON_ADMISSION_WARD_CODE
PATIENT_CLASS_CODE	encounter (Inpatient Admission).containedParameters => IM.PATIENT_CLASS
DISCHARGE_DTTM	encounter (Inpatient).period.end, status = FINISHED NOTE: encounter (Inpatient Admission).period.end, status = FINISHED when linked Inpatient Episode encounter starts (See EPISODES)
DISCHARGE_METHOD_CODE	encounter (Inpatient Discharge).containedParameters => IM.DISCHARGE_METHOD_CODE
DISCHARGE_DESTINATION_CODE	encounter (Inpatient Discharge).containedParameters => IM.DISCHARGE_DEST_CODE
DISCHARGE_CONSULTANT_CODE	encounter (Inpatient Discharge).participant (reference -> Practitioner resource)
DISCHARGE_WARD_CODE	encounter (Inpatient Discharge).containedParameters => JSON_DISCHARGE_WARD_CODE

FHIR Resource: EpisodeOfCare
FieldName	FHIR Mapping
EXTERNAL_ID	episodeofcare.id
PAS_ID	episodeofcare.patient (reference -> Patient resource)
ADMISSION_DTTM	episodeofcare.period.start, status = ACTIVE
ADMISSION_CONSULTANT_CODE	episodeofcare.caremanager (reference -> Practitioner resource)
ADMISSION_HOSPITAL_CODE	episodeofcare.managingOrganization (reference -> Organization resource)
DISCHARGE_DTTM	episodeofcare.period.start, status = FINISHED

FHIR Resource: Condition
FieldName	FHIR Mapping
EXTERNAL_ID	condition.encounter (reference -> encounter(Inpatient) resource)
PAS_ID	condition.patient (reference -> Patient resource)
ADMISSION_DTTM	condition.onset
ADMISSION_CONSULTANT_CODE	condition.clinician (reference -> Practitioner resource)
PRIMARY_DIAGNOSIS	condition.codeableConcept.code.text
PRIMARY_DIAGNOSIS_CODE	condition.codeableConcept.code, condition.codeableConcept.code.display (via lookup)

FHIR Resource: Procedure
FieldName	FHIR Mapping
EXTERNAL_ID	procedure.encounter (reference -> encounter(Inpatient) resource)
PAS_ID	procedure.patient (reference -> Patient resource)
ADMISSION_DTTM	procedure.performed
ADMISSION_CONSULTANT_CODE	procedure.performer (reference -> Practitioner resource)
PRIMARY_PROCEDURE	procedure.codeableConcept.code.text
PRIMARY_PROCEDURE_CODE	procedure.codeableConcept.code, procedure.codeableConcept.code.display (via lookup)