Our EHR application utilizes a wide range of FHIR resources to store EHI data, each serving a specific purpose in the healthcare continuum:

Reference: https://hl7.org/fhir/R4B/resourcelist.html

AllergyIntolerance

We use the AllergyIntolerance resource to record detailed information about patients' allergies and intolerances, providing clinicians with crucial insights into potential adverse reactions. It includes fields like clinicalStatus to describe the allergy's current state, verificationStatus to indicate the level of confirmation, type and category to classify the allergy or intolerance, and criticality to assess the severity of the reaction. The code field identifies the substance that causes the reaction, while patient links to the individual with the allergy or intolerance.

HL7 FHIR R4 Reference - https://hl7.org/fhir/R4B/allergyintolerance.html

Appointment

The Appointment resource is employed to manage both in-person and telehealth appointment scheduling details. It organizes booking slots, captures the nature of appointments, and lists participants, facilitating efficient time management and coordination among patients and healthcare providers. Key fields include status for the booking's current state, serviceType for the nature of the appointment, and participant to list individuals involved and their roles. The start and end fields define the appointment's timeframe, ensuring clear communication of when services are expected to be rendered.

HL7 FHIR R4 Reference - https://hl7.org/fhir/R4B/appointment.html

CarePlan

Our system leverages the CarePlan resource to outline personalized healthcare plans for patients with specific needs. This includes documenting goals, categorizing types of care, and detailing the interventions and monitoring required, supporting coordinated and comprehensive care delivery. The resource includes status and intent to reflect the plan's current state and purpose, category to classify the type of care, subject for the patient receiving care, and goal to link to desired health outcomes. CarePlans play a crucial role in chronic disease management, rehabilitation, and palliative care, among other areas.

HL7 FHIR R4 Reference - https://hl7.org/fhir/R4B/careplan.html

Patient

The Patient resource serves as the cornerstone of our EHR system, containing demographic and identifying information about individuals receiving care. This foundational resource ensures that patient data is centralized, facilitating personalized care and efficient administrative processes. This includes identifiers for unique identification, name, gender, and birthDate for basic demographic information, and address for contact details. Patient information is crucial for personalizing care, record linkage, and administrative processes in healthcare systems.

HL7 FHIR R4 Reference - https://hl7.org/fhir/R4B/patient.html

Organization

We use the Organization resource to represent healthcare facilities, insurance companies, and other entities involved in the care process. This resource helps map the healthcare landscape, detailing organizational structures and relationships critical for care coordination and delivery. It provides structured information about the organization's identity and operational scope, including identifiers for unique identification, name, type for categorization, and address. This resource facilitates the mapping of healthcare services, provider affiliations, and care networks, enhancing the coordination and delivery of healthcare services.

HL7 FHIR R4 Reference - https://hl7.org/fhir/R4B/organization.html

Practitioner

The Practitioner resource details the individuals directly or indirectly involved in patient care, such as physicians, nurses, and therapists. It includes professional credentials and contact information, essential for documenting care provision and managing healthcare workforce data. It captures identifier, name, telecom for contact information, address, and qualification for professional credentials. This resource is essential for documenting care provision, assigning responsibilities, and managing healthcare workforce data.

HL7 FHIR R4 Reference - https://hl7.org/fhir/R4B/practitioner.html

PractitionerRole

Through the PractitionerRole resource, we specify the roles, locations, and services healthcare practitioners are authorized to provide, enabling a detailed understanding of healthcare service capabilities and practitioner responsibilities within our system. It connects practitioner references to individuals, organization references to workplaces, code for role descriptions, and location for service delivery points. This resource enables detailed modeling of healthcare service capabilities, practitioner availability, and organizational structures.

HL7 FHIR R4 Reference - https://hl7.org/fhir/R4B/practitionerrole.html

Encounter

We employ the Encounter resource to record and track patient encounters with healthcare providers. This includes documenting the context, participants, and classification of encounters, forming the basis for clinical documentation and billing processes. It tracks the status of the encounter, class and type for categorization, subject for the patient involved, and participant for detailing involved parties. Encounters are fundamental units of healthcare delivery, documenting the context in which services are provided and forming the basis for clinical documentation, billing, and analysis.

HL7 FHIR R4 Reference - https://hl7.org/fhir/R4B/encounter.html

Observation

Observation captures measurements, assessments, and statements about patients, ranging from vital signs and laboratory data to patient-reported outcomes. It includes status, code for the observation type, subject, effectiveDateTime/Period for timing, and valueQuantity for results. Observations are critical for clinical decision-making, monitoring health status, and guiding treatment plans.

HL7 FHIR R4 Reference - https://hl7.org/fhir/R4B/observation.html

Condition

Condition documents clinical assessments such as diagnoses, problems, or other health matters relevant to a patient. It includes clinicalStatus and verificationStatus for the condition's current state and certainty, code for standardized identification, and subject for patient association. OnsetDateTime offers temporal context. Conditions guide treatment plans, inform healthcare providers about patient history, and support epidemiological studies.

HL7 FHIR R4 Reference - https://hl7.org/fhir/R4B/condition.html

Coverage

Coverage details insurance and financial responsibility for healthcare costs, supporting eligibility checks, billing, and claims processing. It includes status for current validity, beneficiary for the covered individual, and payor for the entity providing the coverage. Coverage resources are crucial for understanding patients' insurance benefits, facilitating access to care, and ensuring timely reimbursement for services

HL7 FHIR R4 Reference - https://hl7.org/fhir/R4B/coverage.html

Procedure

Procedure records actions taken to diagnose or treat a patient. It tracks the status of the procedure, code for what was performed, and subject for patient linkage. PerformedDateTime and performer provide temporal details and identify the healthcare professionals involved. Documenting procedures is essential for care continuity, quality assessment, and healthcare planning.

HL7 FHIR R4 Reference - https://hl7.org/fhir/R4B/procedure.html

Immunization

Immunization tracks vaccinations administered to patients, including the vaccine type, administration details, and patient responses. Status, vaccineCode, and patient are key fields, along with occurrenceDateTime for the administration date and performer for the administering provider. Immunization records are vital for public health, preventing communicable diseases, and managing vaccination schedules.

HL7 FHIR R4 Reference - https://hl7.org/fhir/R4B/immunization.html

Medication

Medication represents detailed information about a consumable medical substance used for treatment. It includes code for identifying the medication, status to indicate its availability, and form describing its physical form (e.g., tablet, liquid). The ingredient field lists active and inactive components, while the manufacturer provides details about the producing company. Medication resources ensure standardized descriptions of pharmaceuticals, supporting safe prescribing, dispensing, and administration

HL7 FHIR R4 Reference - https://hl7.org/fhir/R4B/medication.html

MedicationRequest

MedicationRequest captures requests for medications to be prescribed or dispensed to a patient, including directives for use. It encompasses fields like medicationCodeableConcept for the medication's details, subject for the patient receiving the medication, and dosageInstruction for administration instructions. Requester identifies the healthcare professional making the request. This resource is crucial for medication management, enabling clear communication about medication therapy across care settings.

HL7 FHIR R4 Reference - https://hl7.org/fhir/R4B/medicationrequest.html

RelatedPerson

RelatedPerson provides information about individuals who are related to a patient but are not directly involved in their care. This can include family members or caretakers. Key fields include relationship to describe the nature of the relationship to the patient, name, and telecom for contact information. Patient links the related person to the patient they are associated with. This resource is essential for understanding patient support networks and for emergency contact purposes.

HL7 FHIR R4 Reference - https://hl7.org/fhir/R4B/relatedperson.html

Device

Device details information about medical devices used in the provision of care, ranging from implants to wearable devices. It includes type for the kind of device, status for operational state, and patient for the individual using the device. Manufacturer, modelNumber, and deviceName provide specific identification. Devices play an increasingly critical role in monitoring, diagnostics, and treatment, necessitating accurate documentation and tracking within healthcare systems.

HL7 FHIR R4 Reference - https://hl7.org/fhir/R4B/device.html

DocumentReference

In our EHR system, DocumentReference is utilized to manage and share a wide range of documents, from clinical notes to lab reports. It ensures that vital patient documents are standardized and accessible across care settings. We leverage fields like status for document availability, type and category for document classification, subject to link documents to the appropriate patient, and content for storing or referencing the document data.

HL7 FHIR R4 Reference - https://hl7.org/fhir/R4B/documentreference.html

Goal

Within our EHR system, the Goal resource is integral to outlining intended health outcomes within a patient's care plan. It covers status to monitor progress, description for goal articulation, and target for setting measurable outcomes. This collaborative tool between patients and providers is at the heart of personalized care planning, enabling effective monitoring and adjustments to care plans.

HL7 FHIR R4 Reference - https://hl7.org/fhir/R4B/goal.html

FamilyMemberHistory

In our EHR system, FamilyMemberHistory is a crucial resource for documenting the health conditions and risks present in a patient's family. It utilizes status to denote the record's completeness, relationship to detail the familial connection, and condition for listing health issues, enhancing genetic risk assessment and preventive healthcare planning. The date field ensures the history is timely and relevant, providing a comprehensive view of familial health patterns that could influence patient care.

HL7 FHIR R4 Reference - https://hl7.org/fhir/R4B/familymemberhistory.html

ClinicalImpression

ClinicalImpression in our EHR system is pivotal for capturing and conveying the clinician's evaluative conclusions regarding patient assessments. It includes status for the impression's current state, description for a summary of the impression, subject to link the impression to the patient, and finding for notable observations influencing the clinician’s conclusions. This resource is integral to the diagnostic process, aiding in the formulation of treatment plans and capturing the clinician's interpretive insights.

HL7 FHIR R4 Reference - https://hl7.org/fhir/R4B/clinicalimpression.html

Procedure

Procedure documentation within our EHR system is comprehensive, capturing a wide range of diagnostic and therapeutic actions undertaken for patient care. Critical fields include status to track the procedure's completion, code describing the procedure, subject for patient association, performedDateTime to log the procedure time, and performer detailing the individuals involved. Accurate and detailed Procedure records are fundamental to patient care history, facilitating informed decision-making for future healthcare interventions.

HL7 FHIR R4 Reference - https://hl7.org/fhir/R4B/procedure.html