0.4.6 - ci-build
StandardPatientHealthRecordIG, published by MITRE. This guide is not an authorized publication; it is the continuous build for version 0.4.6 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/personal-health-record-format-ig/ and changes regularly. See the Directory of published versions
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.
| 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 |