FHIR Patient

Copyright 2024 Brightstreet Group

The following is a description of a Patient that can be submitted to a Community Information Exchange Hub. For detailed information please visit the HL7 FHIR page HL7.FHIR.US.CORE\US Core Patient Profile - FHIR v4.0.1 Note that, for purposes of this documentation and its use in exchanging social services information, patient is equivalent to any community member and is simply the FHIR “person” data structure.

Typically, this would be used to provide demographic or information necessary for an outreach or other service to be requested for this community member, as well as to establish their unique identity for further information exchange (status, interventions, etc.) in the future.

Operations

The following are operations that can be performed and links to:

Sample Object

{ "active": true, "address": [ { "city": "Springfield", "district": "CALHOUN", "line": [ "TEST Ave, " ], "postalCode": "49037", "state": "MI", "text": "TEST Ave, Springfield, MI, 49037", "type": "physical", "use": "old" } ], "birthDate": "YYYY-MM-DD", "communication": [ { "language": { "coding": [ { "code": "en-US", "display": "English" } ] }, "preferred": true } ], "deceasedBoolean": false, "extension": [ { "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race", "valueString": "White / Caucasian" }, { "url": "http://hl7.org/fhir/us/military-service/StructureDefinition/military-service-veteran-status", "valueBoolean": false }, { "url": "https://mi-cie.org/fhir/StructureDefinition/affiliated-tribes", "valueString": "" }, { "url": "https://mi-cie.org/fhir/StructureDefinition/disability-status", "valueBoolean": false }, { "url": "https://mi-cie.org/fhir/StructureDefinition/modified-by-user", "valueString": "Megan Janik" }, { "url": "https://mi-cie.org/fhir/StructureDefinition/total-household-members", "valueString": "3" }, { "url": "https://mi-cie.org/fhir/StructureDefinition/tribal-affiliation", "valueBoolean": false } ], "gender": "female", "id": "b577fb46-1234-475a-8ab3-d95612068769", "identifier": [ { "system": "https://membersupport.gryp-cie.org", "type": { "text": "cieGenerationOneId" }, "use": "official", "value": "b577fb46-1234-475a-8ab3-d95612068769" }, { "system": "https://www.michigancsanetwork.org/", "type": { "text": "IntakeId" }, "use": "official", "value": "129780222" }, { "system": "https://www.michigancsanetwork.org/", "type": { "text": "PersonId" }, "use": "official", "value": "373966" }, { "system": "https://csa.org", "type": { "text": "smsConsent" }, "use": "official", "value": "No" } ], "meta": { "lastUpdated": "2024-05-24T15:01:32.754921+00:00", "versionId": "MTcxNjU2Mjg5Mjc1NDkyMTAwMA" }, "name": [ { "family": "LASTNAME", "given": [ "FIRSTNAME" ], "use": "official" } ], "resourceType": "Patient", "telecom": [ { "rank": 1, "system": "phone", "use": "mobile", "value": "(555) 555-5555" }, { "rank": 2, "system": "phone", "use": "home", "value": "(444) 444-4444" }, { "rank": 1, "system": "email", "use": "home", "value": "TEST@email.com" } ] }

Field Descriptions

The following are descriptions of each of the attributes in a FHIR patient resource.

Field

Description

References

 

Field

Description

References

 

name

Contains the full name of the patient including first, middle and last name.

Patient - FHIR v6.0.0-ballot2

name_0_family (last)

name_0_given_0 (first)

name_0_given_1 (middle)

name_0_text

name_0_use

identifiers

Represents a array of identifiers for this Patient. An example would be if the patient has a MRN number with a health system. That id will be stored along with the system of record for that id.

Patient - FHIR v6.0.0-ballot2

identifier_x_system

identifier_x_type_text

identifier_x_use

identifier_x_value

*Where x is the index in the array with 0 being the first.

active

If the patient record is active.

Patient - FHIR v6.0.0-ballot2

active

gender

The gender of the patient.

Patient - FHIR v6.0.0-ballot2

gender

birthDate

The birthdate of the patient in the following format YYYY-MM-DD.

Patient - FHIR v6.0.0-ballot2

birthDate

telecom

A list of the contacts for this person. It can be phone numbers, text numbers or emails.

Patient - FHIR v6.0.0-ballot2

telecom_x_system (phone or email)

telecom_x_use (mobile or home)

telecom_x_value

*Where x is the index in the array with 0 being the first.

communication

The languages that are spoken by this patient with a preferred language.

https://build.fhir.org/patient-definitions.html#Patient.communication

communication_0_language_coding_0_code (ISO language code)

communication_0_language_coding_0_display

communication_0_preferred

address

A list of addresses for this patient.

Patient - FHIR v6.0.0-ballot2

address_x_city

address_x_country

address_x_district

address_x_line_0

address_x_postalCode

address_x_state

address_0_use

*Where x is the index in the array with 0 being the first.

managingOrganization

The managing organization for this patient. This will be in most cases the CIE Hub Region.

Patient - FHIR v6.0.0-ballot2

 

extension.communication-preference

The preference of communication which can be either email or text as reported by the patient

 

patient_preferenceType_0_value_string

extension.race-ethnicity

The race and ethnicity of the patient as reported by the patient.

 

us_core_race_0_value_string

extension.veteran-status

Is this person a veteran as reported by the patient.

 

military_service_veteran_status_0_value_boolean

extension.primary-source-income

The primary source of income reported by the patient.

 

primary-source-income_0_value_string

extension.combined-household-income

The combined household income reported by the patient.

 

combined_household_income_0_value_string

extension.affliatedTribes

The affiliated tribe of this patient.

 

affiliated_tribes_0_value_string

extension.highest-level-education

Represents the highest level education that this client reached.

 

highest_level_education_0_value_string

extension.total-household-members

Number of members in the household.

 

total_household_members_0_value_string

extension.tribal-affiliation

This is a yes or no if the patient is affiliated with a tribe.

 

tribal_affiliation_0_value_boolean