Aggregated Condition

Resource id

[[Diagnosis.Aggregated Data Point ID]]

Resource meta

• meta: Meta

  • lastUpdated = time of most recent update, automatically maintained by the FHIR server. It is normal for this to be slightly later than any value returned in the http://fhir.patientsknowbest.com/structuredefinition/version-persisted extension.

  • security[x]: Coding

    • system = "http://fhir.patientsknowbest.com/codesystem/privacy-label"

    • code = [[Data Point.Privacy Label]]

  • security[x]: Coding

    • system = “http://fhir.patientsknowbest.com/codesystem/source-organization”

    • code = the resource ID of the Organization representing the [[Data Point.Source Organisation]]

  • security[x]: Coding

    • system = “http://fhir.patientsknowbest.com/codesystem/source-team”

    • code = the resource ID of the Organization representing the [[Data Point.Source Team]]

  • <conditional>

  • If Source Person is a Professional:

  • security[x]: Coding

    • system = “http://fhir.patientsknowbest.com/codesystem/source-practitioner”

    • code = the resource ID of the Practitioner

  • Else if Source Person is a Patient:

  • security[x]: Coding

    • system = “http://fhir.patientsknowbest.com/codesystem/source-patient”

    • code = the resource ID of the Patient

  • security[x]: Coding

    • system = “http://fhir.patientsknowbest.com/codesystem/connecting-org”

    • code = the resource ID of the Organization representing the [[Data Point.Connecting Organisation]]

[[Data Point.Privacy Label]] code mappings (PKB → FHIR):

• GENERAL_HEALTH → GENERAL_HEALTH

• MENTAL_HEALTH → MENTAL_HEALTH

• SEXUAL_HEALTH → SEXUAL_HEALTH

• SOCIAL_CARE → SOCIAL_CARE

• extension[x]: Extension

  • url = “http://fhir.patientsknowbest.com/structuredefinition/uploaded-data-id”

  • valueString = [[Data Point.Uploaded Data ID]]

A single uploadeddata entry can result in multiple data points, so this ID does not necessarily uniquely identify a data point.

• extension[x]: Extension

  • url = “http://fhir.patientsknowbest.com/structuredefinition/access-route”

  • valueCoding: Coding

    • system = “http://fhir.patientsknowbest.com/codesystem/access-route”

    • code = [[Data Point.Access Route]]

    • display = display name for the corresponding access route

• extension[x]: Extension

  • url = "http://fhir.patientsknowbest.com/structuredefinition/source-text"

  • valueString = [[Data Point.Source Text]]

• extension[x]: Extension

  • url = “http://fhir.patientsknowbest.com/structuredefinition/responsible-organization”

  • valueString = [[Data Point.Responsible Organisation Identifier]]

• extension[x]: Extension

  • url = “http://fhir.patientsknowbest.com/structuredefinition/partner-identifier”

  • valueReference: Reference

    • identifier: Identifier

      • system = “urn:uuid:cd97da65-0aa4-43a6-b695-cfd0c6f3267d”

      • value = [[Data Point.HL7 Partner]]

• extension[x]: Extension

  • url = “http://fhir.patientsknowbest.com/structuredefinition/privacy-override-source-organization”

  • valueReference: Reference

    • reference = the relative URL of the Organization resource for the source organisation of the most recent privacy override

Note that this is a reference, unlike the meta.security which contains a code.

• extension[x]: Extension

  • url = "http://fhir.patientsknowbest.com/structuredefinition/privacy-override-source-team”

  • valueReference: Reference

    • reference = the relative URL of the Organization resource for the source team of the most recent privacy override

Note that this is a reference, unlike the meta.security which contains a code.

• extension[x]: Extension

  • url = "http://fhir.patientsknowbest.com/structuredefinition/privacy-override-source-person”

  • valueReference: Reference

    • reference = the relative URL of the Patient or Practitioner resource of the source person of the most recent privacy override

Note that this is a reference, unlike the meta.security which contains a code.

• extension[x]: Extension

  • url = "http://fhir.patientsknowbest.com/structuredefinition/privacy-override-access-route”

  • valueCoding: Coding

    • system = “http://fhir.patientsknowbest.com/codesystem/access-route”

    • code = the access route which added the most recent privacy override

    • display = display name for the corresponding access route

• extension[x]: Extension

  • url = "http://fhir.patientsknowbest.com/structuredefinition/privacy-override-change-date“

  • valueDateTime = the timestamp of the most recent privacy override

• extension[x]: Extension

  • url = “http://fhir.patientsknowbest.com/structuredefinition/recorded-date”

  • valueDateTime = [[Data Point.Entered Timestamp]]

• extension[x]: Extension

  • url = “http://fhir.patientsknowbest.com/structuredefinition/version-persisted”

  • valueDateTime = [[Data Point.Persisted Timestamp]]

• extension[x]: Extension

  • url = “https://fhir.patientsknowbest.com/structuredefinition/upstream-last-updated”

  • valueDateTime = as per extension definition

Condition.identifier

• identifier[x]: Identifier

  • system = “http://fhir.patientsknowbest.com/id/menudata-legacy-identifier”

  • value = [[Data Point.Legacy Data Point ID]]

Condition.clinicalStatus

• clinicalStatus: CodeableConcept

  • coding[0]: Coding

    • system = “http://terminology.hl7.org/CodeSystem/condition-clinical”

    • code = [[Diagnosis.Status]]

[[Data Point.Status]] code mappings (PKB → FHIR):

• ACTIVE → active

• INACTIVE → inactive

Condition.category

• category: CodeableConcept

  • coding[0]: Coding

    • system = “http://terminology.hl7.org/CodeSystem/condition-category”

    • code = “problem-list-item”

Condition.code

[[Diagnosis.Diagnosis]]

Condition.subject

• subject: Reference

  • reference = the relative URL of the Patient resource

  • display = [[User.Title]] [[User.Given Name]] [[User.Family Name]]

Condition.onsetDateTime

[[Diagnosis.Start Timestamp]]

Condition.abatementDateTime

[[Diagnosis.End Timestamp]]

Condition.recordedDate

[[Diagnosis.Date Asserted]]

Condition.note

• note: Annotation

  • text = [[Diagnosis.Details]]