This page is part of the Da Vinci Payer Data Exchange (v0.1.0: STU 1 Ballot 1) based on FHIR R4. The current version which supercedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions
4-2 Useful Patient History for Providers
When providers are building a health history for a new patient the information they are interested in MAY include:
- Ambulatory events
- In-patient events
- Medications
- Procedures
The PDex Implementation Guide will focus on examples related to Ambulatory events.
Question_For_Comment(Q_F_C03): |
Are there other categories of clinical data that providers wish to see? |
As part of an event or episode of care the provider will be interested in the following types of data:
- Consultations
- Practitioners who the patient has seen
- Care Plan
- Lab test results
- Image Studies
- Medical Devices
- Procedures
- Diagnoses
- Vital Signs
- Medications
- Immunizations
- Allergies
- Notes
- Family History
These types of data SHALL be mapped to FHIR clinical resources as follows:
Data type | FHIR R4/US Core STU3 profile |
---|---|
Consultation | Encounter: http://hl7.org/fhir/us/core/2019Jan/StructureDefinition-us-core-encounter.html |
Practitioners who the patient has seen | CareTeam: http://hl7.org/fhir/us/core/2019Jan/StructureDefinition-us-core-careteam.html |
Care Plan | CarePlan: http://hl7.org/fhir/us/core/2019Jan/StructureDefinition-us-core-careplan.html” |
Lab test results | DiagnosticReport: http://hl7.org/fhir/us/core/2019Jan/StructureDefinition-us-core-diagnosticreport.html |
Image studies | DocumentReference: http://hl7.org/fhir/us/core/2019Jan/StructureDefinition-us-core-documentreference.html |
Medical Devices | Device: http://hl7.org/fhir/us/core/2019Jan/StructureDefinition-us-core-device.html |
Procedures | Procedure: http://hl7.org/fhir/us/core/2019Jan/StructureDefinition-us-core-procedure.html |
Diagnoses | DiagnosticReport: http://hl7.org/fhir/us/core/2019Jan/StructureDefinition-us-core-diagnosticreport.html |
Vital signs | Observation: http://hl7.org/fhir/us/core/2019Jan/StructureDefinition-us-core-observation.html |
Medications | MedicationDispense: http://hl7.org/fhir/R4/medicationdispense.html |
Immunizations | Immunization: http://hl7.org/fhir/us/core/2019Jan/StructureDefinition-us-core-immunization.html |
Allergies | AllergyIntolerance: http://hl7.org/fhir/us/core/2019Jan/StructureDefinition-us-core-allergyintolerance.html |
Notes | DiagnosticReport: http://hl7.org/fhir/us/core/2019Jan/StructureDefinition-us-core-diagnosticreport.html |
FamilyHistory | DocumentReference: http://hl7.org/fhir/us/core/2019Jan/StructureDefinition-us-core-documentreference.html |