Medical History
Source Object: Medical History
Overview and Usage: The "Medical History" source object in the athena EHR system is designed to manage and store medical history information for patients. Developers can access and utilize this object to retrieve and update patients' medical history data. Key data fields include:
- Note Last Modified By: Specifies the user who last modified the medical history note.
- Note Last Modified Date and Time: Records the date and time of the last modification to the medical history note.
- Section Note: Contains the narrative or notes related to specific sections of the medical history.
- Questions (Answer, Code Set, Description, Diagnosis Code, Last Modified By, Last Modified Date, Note, Question, Question ID): Represents questions and answers related to the patient's medical history.
- Delete: Indicates the deletion or removal of specific medical history data.
Developers can leverage the "Medical History" source object to create applications that interact with and update patients' medical history records, providing a comprehensive view of their health and healthcare journey.
Mapping Table
| Data Field | Example Value | Source Data Field Description | Source Field Data Type | Source Data Field Cardinality | Mapped FHIR++ Resource | Mapped FHIR Data Field | Augmented Mapping | Associated Coding System | Associated FHIR Data Field Extension | Mapping Context |
|---|---|---|---|---|---|---|---|---|---|---|
| notelastmodifiedby | - | Username that last modified Medical History note. | String | 0..1 | Condition | note[1].extension[*].valueString | - | note-last-modified-by | Top Level | |
| notelastmodifieddatetime | - | Date and time Medical History note was last modified. | String | 0..1 | Condition | note[1].extension[*].valueString | - | note-last-modified-datetime | Top Level | |
| sectionnote | - | Additional notes for the entire medical history section, if any. | String | 0..1 | Condition | note[1].text | - | Top Level | ||
| questions.answer | - | The answer given by the patient to the question. | String | 0..1 | Condition | contained[].item[].answer[1].valueString | - | Contained | ||
| questions.codeset | - | Codeset the diagnosis code belongs to. | String | 0..1 | Condition | code.coding[*].system | - | Top Level | ||
| questions.description | - | Description of the code. | String | 0..1 | Condition | code.coding[*].description | - | Top Level | ||
| questions.diagnosiscode | - | Diagnosis code. | String | 0..1 | Condition | code.coding[*].code | - | Top Level | ||
| questions.lastmodifiedby | - | Last username to modify question. | String | 0..1 | Condition | contained[1].item[].extension[].valueString | - | last-modified-by | Contained | |
| questions.lastmodifieddatetime | - | The date and time that the question was last modified. | String | 0..1 | Condition | contained[1].item[].extension[].valueString | - | last-modified-datetime | Contained | |
| questions.note | - | Any special notes. | String | 0..1 | Condition | contained[1].item[].extension[].valueString | - | note | Contained | |
| questions.question | - | Disease being inquired about. | String | 0..1 | Condition | contained[1].item[*].text | - | Contained | ||
| questions.questionid | - | athena ID for the question. | Number | 0..1 | Condition | contained[1].item[*].id | - | Contained | ||
| notelastmodifiedby | - | Username that last modified Medical History note. | string | 0..1 | QuestionnaireResponse | meta.extension[*]valueString | note-last-modified-by | Top Level | ||
| notelastmodifieddatetime | - | Date and time Medical History note was last modified. | string | 0..1 | QuestionnaireResponse | meta.extension[*].valueDateTime | note-last-modified-datetime | Top Level | ||
| questions.answer | - | The answer given by the patient to the question. | string | 0..1 | QuestionnaireResponse | item.answer.valueString | Top Level | |||
| questions.codeset | - | Codeset the diagnosis code belongs to. | string | 0..1 | QuestionnaireResponse | item.extension[*].valueCodableConcept.coding.system | diagnosis | Top Level | ||
| questions.description | - | Description of the code. | string | 0..1 | QuestionnaireResponse | item.extension[*].valueCodableConcept.coding.display | Top Level | |||
| questions.diagnosiscode | - | Diagnosis code. | string | 0..1 | QuestionnaireResponse | item.extension[*].valueCodableConcept.coding.code | Top Level | |||
| questions.lastmodifiedby | - | Last username to modify question. | string | 0..1 | QuestionnaireResponse | item.extension[*].valueString | last-modified-by | Top Level | ||
| questions.lastmodifieddatetime | - | The date and time that the question was last modified. | string | 0..1 | QuestionnaireResponse | item.extension[*].valueDateTime | last-modified-datetime | Top Level | ||
| questions.note | - | Any special notes. | string | 0..1 | QuestionnaireResponse | item.extension[*].valueString | note | Top Level | ||
| questions.question | - | Disease being inquired about. | string | 0..1 | QuestionnaireResponse | item.text | Top Level | |||
| questions.questionid | - | athena ID for the question. | number | 0..1 | QuestionnaireResponse | id | Top Level | |||
| sectionnote | - | Additional notes for the entire medical history section, if any. | string | 0..1 | QuestionnaireResponse | meta.extension[*]valueString | section-note | Top Level | ||
| delete | - | Remove the answer to this question. | Boolean | 0..1 | QuestionnaireResponse | item.extension[*].valueString | delete | Top Level |