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PRSB Logical Model Mappings
PRSB have provided a logical model of Medication and Vaccination relevant data found within the existing standards.
The Encounter logical model mapping is based analysing the PRSB information standards for professionals, plus Admission details, plus Discharge details from Core information V2 standard
Problem/Condition PRSB Problem Condition from Core information V2 standard
PRSB Procedures and Therapies PRSB Procedures and Therapies from Core information V2 standard
Encounter mappings
| Name | Description | UK Core FHIR Target |
|---|---|---|
| Contacts with professionals | The details of the personís contact with a professional. | N/A Header Row |
| Contacts with professionals record entry | This is a contacts record entry. There may be 0 to many record entries under a section. Each record entry is made up of a number of elements or data items. | N/A Header Row |
| Date and time of contact | Date and time of the contact. | Encounter.period |
| Location of contact | The location where the contact took place. | N/A Header Row |
| Coded value | The coded value for location | Encounter.location Referencing location.identifier |
| Free text | Free text field to be used if no code is available | Encounter.location Referencing location.name |
| Seen by | The professional that saw the person. | N/A Header Row |
| Name | The name of the professional that saw the person | Encounter.participant.individual referencing Practitioner.name OR PractitionerRole.practitioner.display |
| Role | The role of the person providing the service. | referenced PractitionerRole.code.coding.code |
| Responsible professional | The name and role of the professional that had overall responsibility for the person e.g. consultant, nurse consultant, midwife, allied health professional (may not have actually seen the person). | N/A Header Row |
| Name | The name of the responsible professional. | Encounter.participant.individual referencing Practitioner.name OR PractitionerRole.practitioner.display |
| Role | The role of the responsible professional | referenced PractitionerRole.code.coding.code |
| Location type | The type of location where the contact took place e.g. person's home | Encounter.Encounter.location.physicalType |
| Contact type | Type of contact e.g. GP consultation, outpatient attendance | Encounter.class or encounter.type |
| Consultation method | Consultation method used e.g. face to face, telephone | Encounter.type |
| Specialty | The specialty e.g. physiotherapy, oncology, mental health etc | Encounter.serviceType |
| Service | The service that was provided. | Encounter.serviceType |
| Professionals present | The name, role of the additional individuals or team members including consultant(s), nurse consultant(s), allied health professional(s), social worker(s) | N/A Header Row |
| Name | The name of the professional present | Encounter.participant.individual referencing Practitioner.name OR PractitionerRole.practitioner.display |
| Role | The role of the professional present. | referenced PractitionerRole.code.coding.code |
| Outcome of contact | This records the outcome of the contact. | Encounter.diagnosis.condition orEncounter.appointment referencing appointment.status |
| Admission details | Admission details | N/A Header Row |
| Admission details record entry | This is the admission details record entry. There may be 0 to many record entries under a section. Each record entry is made up of a number of elements or data items. | N/A Header Row |
| Date of admission | Date and time the person was admitted to hospital. | Encounter.period |
| Admitted to | The hospital the person was admitted to. | N/A Header Row |
| Coded value | The coded value for admission to | Encounter.location Referencing location.identifier |
| Free text | Free text field to be used if no code is available | Encounter.location Referencing location.name |
| Responsible care professional | The care professional who has overall responsibility for the person (may not actually see the person) | N/A Header Row |
| Name | The name of the responsible care professional. | Encounter.participant.individual referencing Practitioner.name OR PractitionerRole.practitioner.display |
| Role | The role of the responsible consultant. | referenced PractitionerRole.code.coding.code |
| Reason for admission | The health problems and issues experienced by the person that prompted the decision to admit to hospital e.g. chest pain, mental health crisis, blackout, fall, a specific procedure, intervention, investigation or treatment, non compliance with treatment. | N/A Header Row |
| Coded value | The coded value for reason for admission | Encounter.reasonCode |
| Free text | Free text field to be used if no code is available | The FHIR target needs further discussion |
| Admission method | How the person was admitted to hospital e.g. elective, emergency, maternity, transfer etc. | N/A Header Row |
| Coded value | The coded value for admission method | ExtensionUKCoreAdmissionMethod |
| Free text | Free text field to be used if no code is available | The FHIR target needs further discussion |
| Legal status on admission | Whether the person was admitted as informal or formal/detained. | Would this be better as an extension on encounter? (e.g legal status on admission) |
| Source of admission | Where the person was immediately prior to admission, e.g. usual place of residence, temporary place of residence, penal establishment. | N/A Header Row |
| Coded value | The coded value of source of admission | referenced location.identifier |
| Free text | Free text field to be used if no code is available | referenced location.name or Encounter.hospitalization.origin or Encounter.hospitalization.admitSource |
| Individual accompanying person | Details of the accompanying individual and the extent to which they have provided the information about the person. | N/A Header Row |
| Name | Name of individual accompanying person. | Encounter.participant.individual referencing RelatedPerson.Name |
| Relationship | Relationship of individual accompanying the person. | N/A Header Row |
| Coded value | The coded value for relationship to person. | Encounter.participant.individual referencing RelatedPerson.relationship |
| Free text | Free text field to be used if no code is available | Encounter.participant.individual referencing RelatedPerson.identifier or RelatedPerson.name |
| Comment | Information about the extent to which the accompanying individual provided information about the person. | The FHIR target needs further discussion |
| Specialty | The specialty e.g. physiotherapy, oncology, mental health etc | N/A Header Row |
| Coded value | The coded value for specialty | Encounter.participant.individual.Practitioner.PractitionerRole.speciality |
| Free text | Free text field to be used if no code is available | The FHIR target needs further discussion |
| Discharge details | Discharge details | N/A Header Row |
| Discharge details record entry | This is the discharge details record entry. There may be 0 to many record entries under a section. Each record entry is made up of a number of elements or data items. | N/A Header Row |
| Date of discharge | The date and time of discharge | Encounter.period |
| Discharge location | The hospital the person was discharged from. | Encounter.location.location |
| Discharging consultant | The consultant responsible for the person at time of discharge. | N/A Header Row |
| Name | The name of the discharging consultant | Encounter.participant.individual referencing Practitioner.name OR PractitionerRole.practitioner.display |
| Role | The role of the discharging consultant | referenced PractitionerRole.code.coding.code |
| Discharge method | The method of discharge from hospital e.g. person discharged on clinical advice or with clinical consent; person discharged him/herself or was discharged by a relative or advocate. | N/A Header Row |
| Coded value | The coded value for discharge method | ExtensionUKCoreDischargeMethod |
| Free text | Free text field to be used if no code is available | The FHIR target needs further discussion |
| Discharging specialty | The specialty of the consultant responsible for the person at the time of discharge. | N/A Header Row |
| Coded value | The coded value for discharge speciality | referenced PractitionerRole.specialty.coding.code |
| Free text | Free text field to be used if no code is available | referenced PractitionerRole.specialty.text |
| Discharging department | The department from which the person is discharged. | The FHIR target needs further discussion Or ExtensionUKCoreEmergencyCareDischargeStatus |
| Legal status on discharge | Whether the person was discharged as informal or formal/detained. | Encounter.Subject.Observation |
| Discharge destination | N/A Header Row | |
| Discharge destination | The destination of the person on discharge from hospital e.g. usual place of residence, NHS run care home. | Encounter.hospitalization.dischargeDisposition |
| Discharge address | Address to which the person is discharged if not the usual place of residence. | Encounter.hospitalization.destination referencing Location.address |
Problem/Condition mappings
| Name | Description | UK Core FHIR Target |
|---|---|---|
| Problem list | A summary of the problems that require investigation or treatment. | N/A Header Row |
| Problem list record entry | This is a problem list record entry. | N/A Header Row |
| There may be 0 to many record entries under problem list. | N/A Header Row | |
| Each record entry is made up of a number of elements or data items. | N/A Header Row | |
| Date | The date the problem was identified. | Condition.recordedDate |
| Performing professional | The professional who identified the problem. | Condition.recorder referencing practitioner or Practitioner role |
| Name | The name of the professional. | referenced Practitioner.name OR PractitionerRole.practitioner.display |
| Role | The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etc | referenced PractitionerRole.code.coding.code |
| Grade | The grade of the professional. | referenced PractitionerRole.code.coding.code |
| Speciality | The specialty of the professional e.g. physiotherapy, oncology, mental health etc | referenced PractitionerRole.specialty.coding.code OR .specialty.text |
| Professional identifier | Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation. | referenced Practitioner.identifier |
| Organisation | The name of the organisation the professional works for. | referenced PractitionerRole.organization |
| Contact details | Contact details of the professional | referenced PractitionerRole.telecom OR Practitioner.telecom |
| Location | The location the problem was identified. | N/A Header Row |
| Coded value | The coded value for location. | Condition.encounter.location.location |
| Free text | Free text field to be used if no code is available | The FHIR target needs further discussion |
| Problem | A condition which needs addressing and so is important for every professional to know about when seeing the person. | N/A Header Row |
| Problems may include diagnoses, symptoms, disabilities and social or behavioural issues | N/A Header Row | |
| Coded value | The coded value for the problem list. | Condition.code |
| Free text | Free text field to be used if no code is available | Condition.note |
| Onset date | A date or estimated date that the problem began | Condition.onset.onsetDateTime |
| End Date | The date or estimated date the problem was resolved. | Condition.abatement.abatementDateTime |
| Stage of disease | The stage of the disease where relevant. | Condition.stage.summary |
| Person completing record | Details of the person completing the record. | N/A Header Row |
| Name | The name of the person completing the record. | Condition.recorder referenced Practitioner.name OR PractitionerRole.practitioner.display |
| Role | The organisational role of the person completing record. | referenced PractitionerRole.code.coding.code |
| Grade | The grade of the person completing the record. | referenced PractitionerRole.code.coding.code |
| Specialty | The main specialty of the person completing the record. | referenced PractitionerRole.specialty.coding.code OR .specialty.text |
| Organisation | The organisation the person completing the record works for. | referenced PractitionerRole.organization |
| Professional identifier | Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation. | referenced Practitioner.identifier |
| Date completed | The date and time the record was completed. | Condition.recordedDate |
| Contact details | Contact details of the person completing the record. | referenced PractitionerRole.telecom OR Practitioner.telecom |
Procedures and Therapies mappings
| Name | Description | UK Core FHIR Target |
|---|---|---|
| Person demographics | The person's details and contact information. | N/A Header Row |
| Procedures and therapies | The details of any procedures performed. Includes both psychological and medical therapies and procedures (e.g. cognitive behaviour therapy, hip replacement) | N/A Header Row |
| Procedure record entry | This is a procedure record entry. There may be 0 to many record entries under a section. Each record entry is made up of a number of elements or data items. | N/A Header Row |
| Date | The date the procedure was performed. | Procedure.performed.performedDateTime |
| Location | The location where the procedure was undertaken. | Procedure.location |
| Coded value | The coded value for location. | Procedure.location.identifier |
| Free text | Free text field to be used if no code is available | Procedure.location.name |
| Performing professional | The professional who performed the procedure. | Procedure.performer.actor referencing practitioner or Practitioner role |
| Name | The name of the professional. | referenced Practitioner.name OR PractitionerRole.practitioner.display |
| Role | The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etc | referenced PractitionerRole.code.coding.code |
| Grade | The grade of the professional. | referenced PractitionerRole.code.coding.code |
| Speciality | The specialty of the professional e.g. physiotherapy, oncology, mental health etc | referenced PractitionerRole.specialty.coding.code OR .specialty.text |
| Professional identifier | Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation. | referenced Practitioner.identifier |
| Organisation | The name of the organisation the professional works for. | referenced PractitionerRole.organization |
| Contact details | Contact details of the professional | referenced PractitionerRole.telecom OR Practitioner.telecom |
| Procedure | The therapeutic or diagnostic procedure performed. Includes both psychological and medical therapies and procedures (e.g. cognitive behaviour therapy, or follow-up interventions as a result of physical health checks). Complementary or alternative procedures and therapies should be recorded here. | N/A Header Row |
| Coded value | The procedure code. | Procedure.code |
| Free text | Free text field to be used if no code is available | Procedure.note |
| Anatomical site | The body site of the procedure | Procedure.BodySite |
| Coded value | The coded value of the anatomical site. | Procedure.BodySite |
| Free text | Free text field to be used if no code is available | Procedure.note |
| Laterality | Laterality of the procedure | Procedure.bodySite |
| Coded value | The coded value for laterality. | Procedure.BodySite |
| Free text | Free text field to be used if no code is available | Procedure.note |
| Complications related to procedure | Details of any intra-operative complications encountered during the procedure, arising during the personís stay in the recovery unit or directly attributable to the procedure. | |
| Coded value | The coded value for complications relating to procedure. | Procedure.complication and Procedure.complicationDetail Reference Condition.code |
| Free text | Free text field to be used if no code is available | Reference Condition.note from Procedure.complicationDetail |
| Specific anesthesia issues | Details of any adverse reaction to any anesthetic agents including local anesthesia. Problematic intubation, transfusion reaction, etc. | |
| Coded value | The coded value for specific anesthesia issues. | ExtensionUKCoreAnaestheticIssues |
| Free text | Free text field to be used if no code is available | Reference Condition.note from Procedure.complicationDetail |
| Person completing record | Details of the person completing the record. | referenced Practitioner.name OR PractitionerRole.practitioner.display |