Starter FHIR Implementation Guide
1.0.1 - draft
Starter FHIR Implementation Guide
1.0.1 - draft
Starter FHIR Implementation Guide, published by Jembi Health Systems. This guide is not an authorized publication; it is the continuous build for version 1.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/jembi/Starter-FHIR-IG/ and changes regularly. See the Directory of published versions
Contents:
This page provides a list of the FHIR artifacts defined as part of this implementation guide.
These define measures as part of content in this implementation guide.
| HIV+ Patients Initiated on ART |
Reports on all HIV+ patients who have been initiated on ART within the reporting period |
These define logic, asset collections and other libraries as part of content in this implementation guide.
| CQL - HIV Common |
Common CQL for HIV calculations. |
| CQL - HIV+ Patients Initiated on ART |
CQL Measure that reports on all HIV+ patients who have been initiated on ART within the reporting period. |
| CQL - Local Common |
Common functions for all CQL calculations. |
| CQL - Most Recent Viral Load Status |
Checks for the most recent viral load and determines the suppression status. |
| CQL - Viral Load (All Patients) |
CQL Measure that reports on all patients who have a HIV viral load date within the reporting period. |
| CQL - Viral Load (Outpatients only) |
CQL Measure that reports on all outpatients who have a HIV viral load date within the reporting period. |
These define data models that represent the domain covered by this implementation guide in more business-friendly terms than the underlying FHIR resources.
| Breastfeeding Status Proprietary Logical Model |
Requirements to capture breastfeding status. |
| CHT Patient Logical Model |
Requirements to register a CHT patient. |
| Patient Logical Model |
Exchange requirements example for the Patient Resource. |
| Related Person Logical Model |
Exchange requirements example for the RelatedPerson Resource. |
These define forms used by systems conforming to this implementation guide to capture or expose data to end users.
| Questionnaire - Pregnancy Status |
A questionaire that provides the questions for pregnancy status. |
These define constraints on FHIR resources for systems conforming to this implementation guide.
| Consent - HIV Status |
Represents the patient's consent to have their HIV status disclosed. |
| Diagnostic Report - Viral Load |
Represents the results for viral load. |
| Encounter - Initiated By The Facility Providing the Service |
Represents the current facility at which the patient is receiving health services. |
| Medication - Represents an ARV Regimen |
Used to record the ARV regimen that will be prescribed to the patient. |
| Medication Administration - For Prescribed ARV Medication |
Used to record the medication administration period for prescribed ARV medication. |
| Medication Dispense - Generic |
Base Medication Request elements that are inherited by other Medication Request profiles. |
| Medication Request - ARV |
Used to record requests for ARV medication that are prescribed to a patient. |
| Observation - ART Follow-up Status |
Represents the patient's current ART follow-up status. |
| Observation - Breastfeeding Status |
Represents whether the patient is currently breatfeeding. |
| Observation - Confirmed HIV positive |
Represents the date the patient was confirmed HIV positive. |
| Observation - Generic |
Base Observation elements that are inherited by other Observation profiles. |
| Observation - Viral Load Result |
Represents the patient's Viral Load Result. |
| Organization |
Organization providing health related services. |
| Patient |
A profile representing the Patient exchange requirements in the Logical Model "Patient Logical Model". Refer to the Mappings tab to see the data element associations between this profile and the Logical Model. |
| Practitioner - General Practitioner |
Represents the practitioner who participated in the observation. |
| Related Person |
A profile representing the RelatedPerson exchange requirements in the Logical Model "Related Person Logical Model". Refer to the Mappings tab to see the data element associations between this profile and the Logical Model. |
| Service Request - PCR HIV Test |
Represents the service request for PCR HIV testing. |
These define constraints on FHIR data types for systems conforming to this implementation guide.
| Strict Coding |
Strict requirements for elements using the Coding data types. |
| Strict Quantity |
Strict requirements for quantity-based measurements. |
These define constraints on FHIR data types for systems conforming to this implementation guide.
| Date and Time Associated with the Assertion |
Represents the date and time to be documented together with the assertion. This is not necessarily the same date and time the Observation was created! For example, it can be used to record a date and time in the past to indicate when a patient reached a certin clinical status. |
| Patient Marital Status |
An extension to capture the marital status. |
| Patient Marital Status Date |
An extension to capture the date for when the marital status came into effect. |
| Patient Marital Status and Effective Date |
An extension to capture the marital status and the effective date for when the marital status came into effect. |
| Source System Resource Reference |
An extension to capture an ID generated by the source system for internal data referencing. |
These define sets of codes used by systems conforming to this implementation guide.
| ARV Drugs |
A list of codes describing the ARV Drugs. |
| Breastfeeding Status |
Codes used for indicating the breastfeedig status. |
| Follow Up Status |
FollowUp Status |
| HIV Test Results |
HIV Test Results |
| HIV Test Types |
HIV Test Types |
| Marital Status |
A list of codes for marital status. |
| Yes/No |
Yes/No Codes Represented as Boolean. |
These define new code systems used by systems conforming to this implementation guide.
| Absent or Unknown |
Codes used for indicating when a value is absent or unknown. |
| Marital Status |
A list of codes for marital status. |
| Yes/No |
Yes/No Codes Represented as Boolean. |
These define transformations to convert between data structures used by systems conforming to this implementation guide.
| Map Breastfeeding Observation to Proprietary Structure |
Maps an Observation Structure for Breastfeeding status to a Proprietary Structure |
| Map Breastfeeding Proprietary Structure to an Observation |
Maps a Proprietary Structure for Breastfeeding status to an Observation Resource |
| Map Breastfeeding Question to an Observation |
Maps Questionnaire Response Resource for Breastfeeding status to an Observation Resource |
| Map CHT Patient to FHIR Patient |
Maps CHT Patient to a FHIR Patient resource |
| Map FHIR Patient to CHT Patient |
Maps a FHIR Patient Resource to a CHT Patient |
These define transformations to convert between codes by systems conforming with this implementation guide.
| ConceptMap to and from LOINC to Proprietary |
Mapping to and from proprietary concepts to LOINC. |
These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like.
| Attachment - Example Patient Consent Form |
An example patient consent form. |
| Consent - Patient Consents to Sharing HIV Information Captured at Facility A With Any Facility Except With Facility B |
Represents the patient's consent to NOT have their HIV status disclosed and further managed by organization "Facility B". |
| Consent - Patient Does Not Consent to Sharing HIV Information Outside of Facility A Except With Facility C - Read Only Access |
Represents the patient's consent to NOT share and have their PHI (HIV data) further accessed by any organization other than "Facility A" (Custodian) and "Facility C" (Secondary Use). |
| Consent - Patient Permitted Sharing HIV Information Captured at Facility A With Any Facility - On a Timeline |
Represents the patient's consent to share and have their PHI (HIV data) further managed by any facility. |
| Consent - Patient Permitted Sharing PHI Captured at Facility A With Any Facility |
Represents the patient's consent to share and have their PHI further managed by any facility. |
| Diagnostic Report - Routine Viral Load |
Represents the results for a routine viral load as unsuppressed. |
| Encounter - Referencing a General Patient |
Represents the current facility at which the patient is receiving health services. |
| Logical Model: Patient - Example 1 (Marital Status Captured) |
Patient documented as married. |
| Logical Model: Patient - Example 2 (Marital Status Not Captured) |
Patient marital status not documented. |
| Logical Model: Patient - Example 3 (Marital Status Not Captured) |
Patient marital status not documented but includes a Mother relationship. |
| Logical Model: Related Person - Mother Relationship (Example 1) |
Marital status documented using a HL7 code. |
| Logical Model: Related Person - Mother Relationship (Example 2) |
Marital status documented using a proprietary code. |
| Medication - Represents an ARV Regimen |
Used to record the ARV regimen that will be prescribed to the patient. |
| Medication Administration - For Prescribed ARV Medication |
Used to record the medication administration period for prescribed ARV medication. |
| Medication Request - ARV Prescribed to a Patient Who Initiated ART |
This is to record requests for medication that are prescribed to a patient (Initiated on ART). |
| Observation - Confirmed HIV positive After PCR Testing |
Represents the patient's PCR HIV test result. |
| Observation - Initiated On ART |
Indicates that the patient is initiated on ART. |
| Observation - Suppressed Viral Load Result |
Represents the patient's viral load result as suppressed. |
| Observation - Unsuppressed Viral Load Result |
Represents the patient's viral load result as unsuppressed followed by enhanced adherence counselling. |
| Observation - Viral Load Result |
Represents the patient's viral load result. |
| Observation Breastfeeding Status |
Represents whether the patient is currently breatfeeding. |
| Organization - Facility A |
An organization providing health related services. |
| Organization - Facility B |
An organization providing health related services. |
| Organization - Facility C |
An organization providing health related services. |
| Patient - Example 1 (Marital Status Captured) |
Patient documented as married. |
| Patient - Example 2 (Marital Status Not Captured) |
Patient marital status not documented. |
| Patient - Example 3 (Marital Status Not Captured) |
Patient marital status not documented but includes a Mother relationship. |
| Practitioner - General Practitioner |
Represents the practitioners who participated in the observation. |
| Questionnaire Response - Pregnancy Status |
A questionaire response that documents the answers to the pregnancy status questions. |
| Related Person - Mother Relationship (Example 1) |
Marital status documented using a HL7 code. |
| Related Person - Mother Relationship (Example 2) |
Marital status documented using a proprietary code. |
| Service Request - Routine Viral Load |
Represents the service request for a routine viral load. |
These are resources that are used within this implementation guide that do not fit into one of the other categories.
| SQL - List all Patients and their Identifiers |
A SQL query to find all patients and list out their identifiers (server-generated and business). |