DRAFT PH Road Safety Implementation Guide
0.3.0 - ci-build
DRAFT PH Road Safety Implementation Guide
0.3.0 - ci-build
DRAFT PH Road Safety Implementation Guide, published by UP Manila - National Institutes of Health - National Telehealth Center. This guide is not an authorized publication; it is the continuous build for version 0.3.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/UPM-NTHC/PH-RoadSafetyIG/ and changes regularly. See the Directory of published versions
| Official URL: https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/Questionnaire/rs-oneiss | Version: 0.3.0 | |||
| Draft as of 2025-01-01 | Computable Name: RSOneissQuestionnaire | |||
Structured Data Capture questionnaire for the DOH ONEISS Patient Injury form. Captures patient demographics, encounter information, clinical findings, incident context, injuries, and financial data mapped to RS profiles, supporting SDC $extract.
Profile: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire
| LinkID | Text | Cardinality | Type | Description & Constraints |
|---|---|---|---|---|
  RSOneissQuestionnaire | Structured Data Capture questionnaire for the DOH ONEISS Patient Injury form. Captures patient demographics, encounter information, clinical findings, incident context, injuries, and financial data mapped to RS profiles, supporting SDC $extract. | Questionnaire | https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/Questionnaire/rs-oneiss#0.3.0 | |
  oneiss | ONEISS Patient Injury Form | 0..1 | group | |
  oneiss-patient | Patient Demographics | 0..1 | group | |
  oneiss-patient-name-family | Patient last name | 0..1 | string | Definition: Patient.name.family |
| oneiss-patient-name-given | Patient given name(s) | 0..* | string | Definition: Patient.name.given |
 oneiss-patient-birthdate | Date of birth | 0..1 | date | Definition: Patient.birthDate |
 oneiss-patient-gender | Sex | 0..1 | choice | Definition: Patient.gender Value Set: AdministrativeGender |
| oneiss-patient-hospital-id | Hospital patient ID number | 0..1 | string | Definition: Patient.identifier:patientHospitalID.value |
| oneiss-patient-telecom | Contact number | 0..1 | string | Definition: Patient.telecom.value |
| oneiss-patient-identifiers | Patient identifier | 0..* | group | |
 oneiss-patient-identifier-system | Identifier system (URI) | 0..1 | url | Definition: Patient.identifier.system |
| oneiss-patient-identifier-value | Identifier value | 0..1 | string | Definition: Patient.identifier.value |
| oneiss-patient-identifier-type | Identifier type | 0..1 | string | Definition: Patient.identifier.type.text |
| oneiss-patient-occupation | Occupation | 0..* | group | |
| oneiss-patient-occupation-classification | Occupation classification | 0..1 | choice | Definition: https://build.fhir.org/ig/UP-Manila-SILab/ph-core/StructureDefinition/occupation#Extension.extension:occupationClassification.valueCodeableConcept Value Set: https://build.fhir.org/ig/UP-Manila-SILab/ph-core/ValueSet/occupation-classifications |
 oneiss-patient-occupation-length | Length of time in occupation (years) | 0..1 | decimal | Definition: https://build.fhir.org/ig/UP-Manila-SILab/ph-core/StructureDefinition/occupation#Extension.extension:occupationLength.valueInteger |
| oneiss-patient-address | Address | 0..* | group | |
| oneiss-patient-address-use | Address use | 0..1 | choice | Definition: Patient.address.use Options: 3 options |
 oneiss-patient-address-line | House No. and Street | 0..1 | text | Definition: Patient.address.line |
| oneiss-patient-address-barangay | Barangay | 0..1 | string | Definition: Patient.address.extension:barangay.value[x] |
| oneiss-patient-address-city | City / Municipality | 0..1 | string | Definition: Patient.address.extension:cityMunicipality.value[x] |
| oneiss-patient-address-province | Province | 0..1 | string | Definition: Patient.address.extension:province.value[x] |
| oneiss-patient-address-region | Region | 0..1 | string | Definition: Patient.address.extension:region.value[x] |
| oneiss-encounter | Encounter Details | 0..1 | group | |
| oneiss-encounter-incident-number | Incident number | 0..1 | string | Definition: Encounter.identifier:incidentNumber.value |
| oneiss-encounter-hospital-case | Hospital case number | 0..1 | string | Definition: Encounter.identifier:hospitalCaseNo.value |
| oneiss-encounter-class | Type of patient | 0..1 | choice | Definition: Encounter.class Value Set: SILPH - Type of Patient (VS) |
 oneiss-encounter-period-start | Date/Time of consultation | 0..1 | dateTime | Definition: Encounter.period.start |
| oneiss-encounter-service-provider | Receiving medical facility | 0..1 | string | Definition: Encounter.serviceProvider.display |
| oneiss-encounter-originating-organization | Originating hospital | 0..1 | string | Definition: Encounter.hospitalization.origin.display |
| oneiss-encounter-originating-practitioner | Originating physician | 0..1 | string | Definition: Encounter.participant:receivedBy.individual.display |
| oneiss-encounter-disposition | Encounter disposition | 0..1 | choice | Definition: Encounter.hospitalization.dischargeDisposition Value Set: SILPH - Outpatient/ER Disposition (VS) |
| oneiss-encounter-disposition-other | Disposition – other (specify) | 0..1 | text | Definition: Encounter.hospitalization.dischargeDisposition.text |
| oneiss-encounter-transfer-destination | Transferred to (destination facility) | 0..1 | string | Definition: Encounter.hospitalization.destination.display |
| oneiss-clinical | Clinical Assessments | 0..1 | group | |
| oneiss-clinical-initial-impression | Initial impression | 0..1 | group | |
| oneiss-clinical-initial-impression-text | Initial impression (diagnosis text or code) | 0..1 | text | Definition: Condition.code.text |
| oneiss-clinical-final-diagnosis | Final diagnosis | 0..* | group | |
| oneiss-clinical-final-diagnosis-text | Final diagnosis (ICD-10 or text) | 0..1 | text | Definition: Condition.code.text |
| oneiss-clinical-icd10-nature | ICD-10 nature of injury | 0..* | group | |
| oneiss-clinical-icd10-nature-code | Nature of injury code | 0..1 | choice | Definition: Condition.code Value Set: SILPH - ICD10 Nature of Injury (VS) |
| oneiss-clinical-icd10-external | ICD-10 external cause | 0..* | group | |
| oneiss-clinical-icd10-external-code | External cause code | 0..1 | choice | Definition: Condition.code Value Set: SILPH - ICD10 External Cause of Injury (VS) |
| oneiss-clinical-condition-of-patient | Condition of patient | 0..1 | group | |
| oneiss-clinical-condition-of-patient-status | Patient condition | 0..1 | choice | Definition: Observation.valueCodeableConcept Value Set: SILPH - General Disposition (VS) |
| oneiss-clinical-status-on-arrival | Status on arrival | 0..1 | group | |
| oneiss-clinical-status-on-arrival-value | Status on arrival | 0..1 | choice | Definition: Observation.valueCodeableConcept Value Set: SILPH - Status (VS) |
| oneiss-clinical-psychosocial-support | Psychosocial support/condition | 0..1 | group | |
| oneiss-clinical-psychosocial-support-status | Psychosocial support provided? | 0..1 | choice | Definition: Procedure.status Options: 2 options |
| oneiss-clinical-psychosocial-support-notes | Psychosocial support notes | 0..1 | text | Definition: Procedure.note.text |
| oneiss-clinical-transport-coordination | Transport coordination with receiving hospital | 0..1 | group | |
| oneiss-clinical-transport-coordination-status | Transport coordination done? | 0..1 | choice | Definition: Procedure.status Options: 2 options |
| oneiss-clinical-transport-coordination-notes | Transport coordination notes | 0..1 | text | Definition: Procedure.note.text |
| oneiss-clinical-first-aid | First aid provided | 0..1 | group | |
| oneiss-clinical-first-aid-status | First aid given? | 0..1 | choice | Definition: Procedure.status Options: 2 options |
| oneiss-clinical-first-aid-what | If yes, what first aid was given? | 0..1 | text | Definition: Procedure.code.text |
| oneiss-clinical-first-aid-by-whom | If yes, by whom? | 0..1 | text | Definition: Procedure.performer.actor.display |
| oneiss-clinical-blood-alcohol | Blood alcohol concentration | 0..1 | group | |
| oneiss-clinical-blood-alcohol-value | Blood alcohol concentration | 0..1 | decimal | Definition: Observation.valueQuantity.value |
| oneiss-clinical-other-risk-factors | Other risk factors at time of incident | 0..* | group | |
| oneiss-clinical-other-risk-factors-code | Risk factor | 0..1 | choice | Definition: Observation.valueCodeableConcept Value Set: SILPH - Risk Factors (VS) |
| oneiss-clinical-other-risk-factors-other | Risk factor – other (specify) | 0..1 | text | Definition: Observation.valueCodeableConcept.text |
| oneiss-clinical-safety-accessories | Safety accessories used | 0..* | group | |
| oneiss-clinical-safety-accessories-code | Safety accessory | 0..1 | choice | Definition: Observation.valueCodeableConcept Value Set: SILPH - Safety Devices (VS) |
| oneiss-clinical-safety-accessories-other | Safety accessory – other (specify) | 0..1 | text | Definition: Observation.valueCodeableConcept.text |
| oneiss-incident | Incident Details | 0..1 | group | |
| oneiss-incident-injury-datetime | Date and time of injury | 0..1 | group | |
| oneiss-incident-injury-datetime-value | Date/Time of injury | 0..1 | dateTime | Definition: Observation.valueDateTime |
| oneiss-incident-injury-intent | Injury intent | 0..1 | group | |
| oneiss-incident-injury-intent-value | Intent of injury | 0..1 | choice | Definition: Observation.code Value Set: SILPH - Injury Intent (VS) |
| oneiss-incident-transport-vehicular | Transport/vehicular accident? | 0..1 | group | |
 oneiss-incident-transport-vehicular-value | Transport accident? | 0..1 | boolean | Definition: Observation.valueBoolean |
| oneiss-incident-mode-of-transport | Mode of transport to facility | 0..1 | group | |
| oneiss-incident-mode-of-transport-value | Mode of transport | 0..1 | choice | Definition: Observation.valueCodeableConcept Value Set: SILPH - Mode of Transport (VS) |
| oneiss-incident-mode-of-transport-other | Mode of transport – other (specify) | 0..1 | text | Definition: Observation.valueCodeableConcept.text |
| oneiss-incident-triage-priority | Triage priority | 0..1 | group | |
| oneiss-incident-triage-priority-value | Triage priority category | 0..1 | choice | Definition: Observation.valueCodeableConcept Value Set: SILPH - Triage (VS) |
| oneiss-incident-urgency | Priority level (urgency) | 0..1 | group | |
| oneiss-incident-urgency-value | Urgency level | 0..1 | choice | Definition: Observation.valueCodeableConcept Value Set: SILPH - Status (VS) |
| oneiss-incident-place | Place of occurrence | 0..1 | group | |
| oneiss-incident-place-value | Place of occurrence | 0..1 | choice | Definition: Observation.valueCodeableConcept Value Set: SILPH - Place of Occurrence (VS) |
| oneiss-incident-activity | Activity at time of incident | 0..1 | group | |
| oneiss-incident-activity-value | Activity at time | 0..1 | choice | Definition: Observation.valueCodeableConcept Value Set: SILPH - Activity (VS) |
| oneiss-incident-collision-type | Collision vs non-collision | 0..1 | group | |
| oneiss-incident-collision-type-value | Collision classification | 0..1 | choice | Definition: Observation.valueCodeableConcept Value Set: SILPH - Transport Accident: Collision or Noncollision (VS) |
| oneiss-incident-patient-vehicle | Patient's vehicle | 0..1 | group | |
| oneiss-incident-patient-vehicle-code | Patient's vehicle | 0..1 | choice | Definition: Observation.valueCodeableConcept Value Set: SILPH - Patient's Vehicle (VS) |
| oneiss-incident-patient-vehicle-other | Patient's vehicle – other (specify) | 0..1 | text | Definition: Observation.valueCodeableConcept.text |
| oneiss-incident-other-vehicle | Other vehicle/object involved | 0..* | group | |
| oneiss-incident-other-vehicle-code | Other vehicle/object | 0..1 | choice | Definition: Observation.valueCodeableConcept Value Set: SILPH - Other Vehicle in Collision (VS) |
| oneiss-incident-other-vehicle-other | Other vehicle/object – other (specify) | 0..1 | text | Definition: Observation.valueCodeableConcept.text |
| oneiss-incident-position-of-patient | Position of patient | 0..1 | group | |
| oneiss-incident-position-of-patient-value | Position | 0..1 | choice | Definition: Observation.valueCodeableConcept Value Set: SILPH - Position of Patient (VS) |
| oneiss-incident-position-of-patient-other | Position – other (specify) | 0..1 | text | Definition: Observation.valueCodeableConcept.text |
| oneiss-incident-place-name | Place of occurrence – workplace name | 0..1 | string | Definition: Observation.note.text |
| oneiss-incident-activity-other | Activity – other (specify) | 0..1 | text | Definition: Observation.valueCodeableConcept.text |
| oneiss-injuries | Nature of Injuries | 0..1 | group | |
| oneiss-injuries-multiple | Multiple injuries? | 0..1 | group | |
| oneiss-injuries-multiple-flag | Multiple injuries present? | 0..1 | boolean | Definition: Observation.valueBoolean |
| oneiss-injuries-abrasion | Abrasion | 0..1 | group | |
| oneiss-injuries-abrasion-present | Abrasion present? | 0..1 | boolean | Definition: Observation.valueBoolean |
| oneiss-injuries-abrasion-site | Abrasion site | 0..1 | choice | Definition: Observation.bodySite Value Set: SILPH - List of Body Sites (VS) |
| oneiss-injuries-abrasion-details | Abrasion details | 0..1 | text | Definition: Observation.note.text |
| oneiss-injuries-avulsion | Avulsion | 0..1 | group | |
| oneiss-injuries-avulsion-present | Avulsion present? | 0..1 | boolean | Definition: Observation.valueBoolean |
| oneiss-injuries-avulsion-site | Avulsion site | 0..1 | choice | Definition: Observation.bodySite Value Set: SILPH - List of Body Sites (VS) |
| oneiss-injuries-avulsion-details | Avulsion details | 0..1 | text | Definition: Observation.note.text |
| oneiss-injuries-burn | Burn | 0..1 | group | |
| oneiss-injuries-burn-present | Burn present? | 0..1 | boolean | Definition: Observation.valueBoolean |
| oneiss-injuries-burn-degree | Burn degree | 0..1 | choice | Definition: Observation.valueCodeableConcept Value Set: SILPH - Burns (VS) |
| oneiss-injuries-burn-degree-other | Burn degree – other (specify) | 0..1 | text | Definition: Observation.valueCodeableConcept.text |
| oneiss-injuries-concussion | Concussion | 0..1 | group | |
| oneiss-injuries-concussion-present | Concussion present? | 0..1 | boolean | Definition: Observation.valueBoolean |
| oneiss-injuries-concussion-site | Concussion site | 0..1 | choice | Definition: Observation.bodySite Value Set: SILPH - List of Body Sites (VS) |
| oneiss-injuries-concussion-details | Concussion details | 0..1 | text | Definition: Observation.note.text |
| oneiss-injuries-contusion | Contusion | 0..1 | group | |
| oneiss-injuries-contusion-present | Contusion present? | 0..1 | boolean | Definition: Observation.valueBoolean |
| oneiss-injuries-contusion-site | Contusion site | 0..1 | choice | Definition: Observation.bodySite Value Set: SILPH - List of Body Sites (VS) |
| oneiss-injuries-contusion-details | Contusion details | 0..1 | text | Definition: Observation.note.text |
| oneiss-injuries-fracture | Fracture | 0..1 | group | |
| oneiss-injuries-fracture-type | Fracture type | 0..1 | choice | Definition: Observation.valueCodeableConcept Value Set: SILPH - Fracture Type (VS) |
| oneiss-injuries-fracture-site | Fracture site | 0..1 | choice | Definition: Observation.bodySite Value Set: SILPH - List of Body Sites (VS) |
| oneiss-injuries-fracture-details | Fracture details | 0..1 | text | Definition: Observation.note.text |
| oneiss-injuries-open-wound | Open wound | 0..1 | group | |
| oneiss-injuries-open-wound-present | Open wound present? | 0..1 | boolean | Definition: Observation.valueBoolean |
| oneiss-injuries-open-wound-site | Open wound site | 0..1 | choice | Definition: Observation.bodySite Value Set: SILPH - List of Body Sites (VS) |
| oneiss-injuries-open-wound-type | Open wound type | 0..1 | text | Definition: Observation.valueCodeableConcept.text |
| oneiss-injuries-open-wound-details | Open wound details | 0..1 | text | Definition: Observation.note.text |
| oneiss-injuries-traumatic-amputation | Traumatic amputation | 0..1 | group | |
| oneiss-injuries-traumatic-amputation-present | Traumatic amputation present? | 0..1 | boolean | Definition: Observation.valueBoolean |
| oneiss-injuries-traumatic-amputation-site | Traumatic amputation site | 0..1 | choice | Definition: Observation.bodySite Value Set: SILPH - List of Body Sites (VS) |
| oneiss-injuries-traumatic-amputation-details | Traumatic amputation details | 0..1 | text | Definition: Observation.note.text |
| oneiss-injuries-other | Other specified injury | 0..1 | group | |
| oneiss-injuries-other-type | Other injury type | 0..1 | text | Definition: Observation.valueCodeableConcept.text |
| oneiss-injuries-other-site | Other injury site | 0..1 | choice | Definition: Observation.bodySite Value Set: SILPH - List of Body Sites (VS) |
| oneiss-injuries-other-details | Other injury details | 0..1 | text | Definition: Observation.note.text |
| oneiss-clinical-outcome-release | Outcome at release | 0..1 | group | |
| oneiss-clinical-outcome-release-status | Outcome at release | 0..1 | choice | Definition: https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-outcome#Observation.valueCodeableConcept Value Set: SILPH - Outcome (VS) |
| oneiss-clinical-outcome-discharge | Outcome at discharge | 0..1 | group | |
| oneiss-clinical-outcome-discharge-status | Outcome at discharge | 0..1 | choice | Definition: https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-outcome#Observation.valueCodeableConcept Value Set: SILPH - Outcome (VS) |
| oneiss-postcrash | Post-crash Investigation | 0..1 | group | |
| oneiss-postcrash-collision-type | Collision type | 0..1 | group | |
| oneiss-postcrash-collision-type-value | Collision type | 0..1 | string | Definition: Observation.valueCodeableConcept.text |
| oneiss-postcrash-traffic-investigator | Traffic investigator present? | 0..1 | group | |
| oneiss-postcrash-traffic-investigator-flag | Traffic investigator present? | 0..1 | boolean | Definition: Observation.valueBoolean |
| oneiss-postcrash-cctv | CCTV availability | 0..1 | group | |
| oneiss-postcrash-cctv-available | CCTV available? | 0..1 | boolean | Definition: Observation.valueBoolean |
| oneiss-postcrash-evidence | Post-crash evidence documents | 0..1 | group | |
| oneiss-postcrash-evidence-cause | Cause of crash document | 0..1 | group | |
| oneiss-postcrash-evidence-cause-url | Document URL | 0..1 | url | Definition: DocumentReference.content.attachment.url |
| oneiss-postcrash-evidence-fault | Party at fault document | 0..1 | group | |
| oneiss-postcrash-evidence-fault-url | Document URL | 0..1 | url | Definition: DocumentReference.content.attachment.url |
| oneiss-postcrash-evidence-traffic-management | Traffic incident management log | 0..1 | group | |
| oneiss-postcrash-evidence-traffic-management-url | Document URL | 0..1 | url | Definition: DocumentReference.content.attachment.url |
| oneiss-postcrash-evidence-road-network | Road network shape files | 0..1 | group | |
| oneiss-postcrash-evidence-road-network-url | Document URL | 0..1 | url | Definition: DocumentReference.content.attachment.url |
| oneiss-finance | Finance | 0..1 | group | |
| oneiss-finance-cost | Cost of care | 0..1 | decimal | Definition: Claim.total.value |
| oneiss-comments | Comments | 0..1 | group | |
| oneiss-comments-text | Comments | 0..1 | text | Definition: Observation.valueString |
| Documentation for this format | ||||
Options Sets
Answer options for oneiss-patient-address-use
Answer options for oneiss-clinical-psychosocial-support-status
Answer options for oneiss-clinical-transport-coordination-status
Answer options for oneiss-clinical-first-aid-status