Da Vinci Payer Data exchange Implementation Guide Release 0.1.0

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