BHRUT Medway Extract FHIR Mapping

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Demographics

PMI

FieldName FHIR Mapping
FHIR Resource: Patient
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

FieldName FHIR Mapping
FHIR Resource: Flag
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

Activity

A&E Attendances

FieldName FHIR Mapping
FHIR Resource: EpisodeOfCare
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


FieldName FHIR Mapping
FHIR Resource: Encounter
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

FieldName FHIR Mapping
FHIR Resource: Encounter
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


FieldName FHIR Mapping
FHIR Resource: EpisodeOfCare
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


FieldName FHIR Mapping
FHIR Resource: Condition
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)


FieldName FHIR Mapping
FHIR Resource: Procedure
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)

Episodes

FieldName FHIR Mapping
FHIR Resource: Encounter
EXTERNAL_ID encounter (Inpatient Episode).id:epi_num:IP:Episode
IP_SPELL_EXTERNAL_ID encounter (Inpatient Episode).partOf (reference -> Encounter (Inpatient) resource)

encounter (Inpatient Episode).episodeOfCare (reference -> EpisodOfCare resource)

PAS_ID encounter (Inpatient Episode).patient (reference -> Patient resource)
EPI_NUM encounter (Inpatient Episode).id:epi_num:IP:Episode
EPISODE_CONSULTANT_CODE encounter (Inpatient Episode).participant (reference -> Practitioner resource)
EPISODE_START_WARD_CODE encounter (Inpatient Episode).containedParameters => JSON_EPISODE_START_WARD_CODE
EPISODE_END_WARD_CODE encounter (Inpatient Episode).containedParameters => JSON_EPISODE_END_WARD_CODE
EPISODE_START_DTTM encounter (Inpatient Admission).period.end   (created during SPELLS)

encounter (Inpatient Episode).period.start

EPISODE_END_DTTM encounter (Inpatient Episode).period.end
ADMINISTRATIVE_CATEGORY_CODE encounter (Inpatient Admission).containedParameters => IM.ADMINISTRATIVE_CATEGORY_CODE
ADMISSION_METHOD_CODE encounter (Inpatient Admission).containedParameters => IM.ADMISSION_METHOD_CODE
ADMISSION_SOURCE_CODE encounter (Inpatient Admission).containedParameters => IM.ADMISSION_SOURCE_CODE
PATIENT_CLASS_CODE encounter (Inpatient Admission).containedParameters => IM.PATIENT_CLASS
DISCHARGE_METHOD_CODE encounter (Inpatient Discharge).containedParameters => IM.DISCHARGE_METHOD_CODE
DISCHARGE_DESTINATION_CODE encounter (Inpatient Discharge).containedParameters => IM.DISCHARGE_DEST_CODE
ADMISSION_HOSPITAL_CODE encounter (Inpatient Episode).serviceProvider (reference -> Organization resource)


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

condition.isprimary = true

PRIMDIAG_DTTM condition.onset
DIAG_01 - DIAG_12 condition.codeableConcept.code, condition.codeableConcept.code.display (via lookup)

condition.isprimary = false

DIAG1_DTTM - DIAG12_DTTM condition.onset


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

procedure.isprimary = true

PRIMARY_PROCEDURE_DATE procedure.performed
PRIMARY_PROCEDURE procedure.codeableConcept.code.text
PROC_01 - PROC_12 procedure.codeableConcept.code,procedure.codeableConcept.code.display (via lookup)

procedure.isprimary = false

PROC_01_DESC - PROC_12_DESC procedure.codeableConcept.code.text

Outpatients

FieldName FHIR Mapping
FHIR Resource: Encounter
EXTERNAL_ID encounter (Outpatient).id

encounter (Outpatient).setAppointment (reference -> appointment resource)

PAS_ID encounter.patient (reference -> Patient resource)
ADMIN_CATEGORY_CODE encounter (Outpatient).containedParameters => IM.ADMIN_CATEGORY_CODE
APPOINTMENT_STATUS_CODE encounter (Outpatient).containedParameters => IM.APPOINTMENT_STATUS_CODE
APPOINTMENT_DTTM encounter (Outpatient).period.start (if APPT_SEEN_DTM blank)
APPT_SEEN_DTTM encounter (Outpatient).period.start
APPT_DEPARTURE_DTTM encounter (Outpatient).period.end
HOSPITAL_CODE encounter (Outpatient).serviceProvider (reference -> Organization resource)
CONSULTANT_CODE encounter (Outpatient).participant (reference -> Practitioner resource)


FieldName FHIR Mapping
FHIR Resource: EpisodeOfCare
EXTERNAL_ID episodeofcare.id
PAS_ID episodeofcare.patient (reference -> Patient resource)
APPOINTMENT_PRIORITY episodeofcare.priority extension
APPOINTMENT_DTTM episodeofcare.period.start (if APPT_SEEN_DTM blank)
APPT_SEEN_DTTM episodeofcare.period.start
APPT_DEPARTURE_DTTM episodeofcare.period.end
HOSPITAL_CODE episodeofcare.managingOrganization (reference -> Organization resource)
CONSULTANT_CODE episodeofcare.careManager (reference -> Practitioner resource)


FieldName FHIR Mapping
FHIR Resource: Appointment
EXTERNAL_ID appointment.id:Appointment
PAS_ID appointment.participant (reference -> Patient resource)
APPT_TYPE appointment.type.text
APPOINTMENT_OUTCOME appointment.comments
APPOINTMENT_STATUS appointment.status
APPOINTMENT_DTTM appointment.start
APPT_ARRIVAL_DTTM appointment.minutesDuration
APPT_CALL_DTTM appointment.minutesDuration
APPT_SEEN_DTTM appointment.end
BOOKED_DTTM appointment booking date extension
CANCEL_DTTM appointment cancellation date extension
CONSULTANT_CODE appointment.participant (reference -> Practitioner resource)


FieldName FHIR Mapping
FHIR Resource: Condition
EXTERNAL_ID condition.encounter (reference -> encounter(Outpatient) resource)
PAS_ID condition.patient (reference -> Patient resource)
PRIMARY_DIAGNOSIS_CODE condition.codeableConcept.code, condition.codeableConcept.code.display (via lookup)

condition.isprimary = true

SECONDARY_DIAGNOSIS_CODE_1 condition.codeableConcept.code, condition.codeableConcept.code.display (via lookup)

condition.isprimary = false

SECONDARY_DIAGNOSIS_CODE_2 condition.codeableConcept.code, condition.codeableConcept.code.display (via lookup)

condition.isprimary = false

SECONDARY_DIAGNOSIS_CODE_3 condition.codeableConcept.code, condition.codeableConcept.code.display (via lookup)

condition.isprimary = false


FieldName FHIR Mapping
FHIR Resource: Procedure
EXTERNAL_ID procedure.encounter (reference -> encounter(Outpatient) resource)
PAS_ID procedure.patient (reference -> Patient resource)
PRIMARY_PROCEDURE_CODE procedure.codeableConcept.code,procedure.codeableConcept.code.display (via lookup)

procedure.isprimary = true

SECONDARY_PROCEDURE_CODE_1 procedure.codeableConcept.code,procedure.codeableConcept.code.display (via lookup)

procedure.isprimary = false

SECONDARY_PROCEDURE_CODE_2 - 11 procedure.codeableConcept.code,procedure.codeableConcept.code.display (via lookup)

procedure.isprimary = false

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Last modified
This page was last modified on 22 March 2021, at 15:50.