Personal Health Records
1.0.0-ballot - ballot International flag

This page is part of the Standard Personal Health Record (v1.0.0-ballot: STU1 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. . For a full list of available versions, see the Directory of published versions

Data Model

At the core of the Standard Patient Health Record is the assumption that it will contain records in FHIR format, which provides a data model describing health history that has a pedigree of 30 years of industry experience and use in major EHRs.

Loosely speaking, this data model contains all data that relevant to a patient's health, whether it be generated by clinicians in a hospital inpatient setting, by a specialist clinic or nursing home, or contributed the patient via gym fitness apps, nutrition tracking apps, and so forth. The FHIR data model allows this flexibility, while still being informed by clinical learnings on how to code data with SNOMED, LOINC, ICD-10 and other vocabularies, how to organize data into resources, and how to apply region specific extensions and profiles.

Model

FHIR resource Elements Standard Category Argonaut R4
Patient Given Name
Family Name
Previous Name
Middle Name
Suffix
Date of Birth
Gender
Preferred Language
Current Address
Previous Address
Phone Number
Email address
 US Core
International Patient Summary
 Demographics Yes
Patient Sex (assigned at birth)
Race
Ethnicity
 US Core Demographics
Social Determinants of Health
No
Patient Gender Identity
 Gender Harmony Demographics No
Patient Sexual Orientation
   Demographics No
AllergyIntolerance Substance (Medication)
Substance (Drug Class)
Reaction
US Core   Yes
Appointment   Argonaut Scheduling   Yes
Binary       Yes
Bundle       Yes
BodyStructure       No
Condition SDOH Problems
Health Concerns
Date of Diagnosis
Date of Resolution		 US Core Active Problems
Social Determinants of Health		 Yes
Composition Progress Notes
History and Physicals
Discharge Summaries
Operative Notes
Procedure Notes
Consultation notes
US Core
C-CDA on FHIR		 Clinical Documentation Yes
CarePlan       Yes
CareTeam       No
Claim Insurance & Out-of-pocket Costs CMS Bluebutton 2.0 Financial Health No
Communication       No
Consent Medical Power oof Attorneys
   End of Life No
Contract Medical Power oof Attorneys
   End of Life No
DiagnosticReport Radiologist Report
Pathologist Report
Cardiologist Report
Oncologist Report
US Core
Radiation Dose Summary
Breast Radiology Reporting		 Diagnostic Imaging Yes
Device       Yes
DocumentReference       Yes
FamilyMemberHistory       No
Goal       No
ImagingStudy Diagnostic Radiology
Interventional Radiology
Mammography
Ultrasound
MRI/CT
US Core
Radiation Dose Summary
Breast Radiology Reporting		 Diagnostic Imaging No
Immunization Immunizations
Vaccinations
US Core
SMART Health Cards
  Yes
MeasureReport Patient Reported Outcomes (PRO)   Patient Generated Data No
Media       Yes
Medication   US Core Active Medications Yes
MedicationStatement       Yes
MolecularSequence Whole Genome Sequence Genomics Reporting Genomics No
Observation Smoking status
Glucose
Steps Walked
Diastolic Blood Pressure
Systolic Blood Pressure
Body Height
Body Weight
Heart Rate
Respiratory Rate
Body Temperature
Pulse Oximetry
Inhaled O2 Concentration
BMI Percentile
Weight for length percentile
Head Circumference percentile		 Vital Signs
Physical Activity
 Symptoms
Vital Signs
Laboratory Results
Remote Patient Monitoring
Behavioral Observations
Wearables
Point of Care Testing
Yes
Practitioner       Yes
Provenance       No
Procedure       Yes
Questionnaire Migrant farm worker status
Armed forces discharge
Phone usage data
 Argonaut Questionnaire Structured Data Capture
Social Determinants of Health
PRAPARE Survey
Technology Usage
Yes
QuestionnaireResponse   Argonaut Questionnaire   Yes
RelatedPerson       Yes
Specimen       No
Schedule   Argonaut Scheduling   Yes
Slot   Argonaut Scheduling   Yes
Task   Patient Request for Corrections   No