xCaliber healthCare Data Mesh

Patient Record

Source Object: Patient Record

Overview and Usage The "Patient Record" source object contains essential data related to patient records, including details of clinical documents, appointments, and medical history.

  • Appointment ID: Unique identifier for the associated appointment.
  • Assigned To: The healthcare provider or entity responsible for the patient's record.
  • Clinical Provider ID: Identifier for the clinical provider involved in the record.
  • Contraindication Reason: Reason for any contraindications, including code, codeset, and description.
  • Declined Reason: Reason for any declined actions, including code, codeset, and description.
  • Created Date and Time: Date and time when the record was created.
  • Deleted Date and Time: Date and time when the record was deleted or marked for deletion.
  • Department ID: Identifier for the department associated with the record.
  • Document Class: The class of the document related to the record.
  • Document Description: Description of the document.
  • Document Route: The route used for the document.
  • Document Source: The source of the document.
  • Document Subclass: The subclass of the document.
  • Document Type: Type of the document.
  • Document Type ID: Identifier for the document type.
  • Encounter ID: Identifier for the patient encounter.
  • External Accession ID: External identifier for accessing the record.
  • External Note: Additional notes or comments for external reference.
  • Internal Accession ID: Internal identifier for accessing the record.
  • Internal Note: Internal notes or comments associated with the record.
  • Last Modified Date and Time: Date and time of the last modification to the record.
  • Observation Date and Time: Date and time of observations or events within the record.
  • Patient ID: Unique identifier for the patient.
  • Priority: Priority level or status of the record.
  • Provider ID: Identifier for the healthcare provider.
  • Receive Note: Notes or comments related to the receipt of the record.
  • Status: The status of the record (e.g., active, deleted).
  • Subject: The subject or main topic of the record.
  • Tieto Order ID: Identifier for Tieto orders associated with the record.

The "Patient Record" source object is central to maintaining patient records and ensuring the proper documentation of patient healthcare information. It helps facilitate patient care, record-keeping, and data management.

Mapping Table

Data FieldExample ValueSource Data Field DescriptionSource Field Data TypeSource Data Field CardinalityMapped FHIR++ ResourceMapped FHIR Data FieldAugmented MappingAssociated Coding SystemAssociated FHIR Data Field ExtensionMapping Context
appointmentid-The appointment ID for this document.number0..1DocumentReferencecontext.related.reference-Top Level
assignedto-Person the document is assigned tostring0..1DocumentReferenceextension.valueStringassigned-toTop Level
clinicalproviderid-The clinical provider ID of the performing providernumber0..1DocumentReferencecustodian.referenceTop Level
contraindicationreason.code-The code indicating why the order was contraindicated.string0..1DocumentReferenceextension.valueCodeableConcept.codecontraindication-reasonTop Level
contraindicationreason.codeset-The codeset that the code belongs to.string0..1DocumentReferenceextension.valueCodeableConcept.systemTop Level
contraindicationreason.description-The plaintext description of the contraindication reason.string0..1DocumentReferenceextension.valueCodeableConcept.displayTop Level
createddatetime-Date/Time (ISO 8601) the document was createdstring0..1DocumentReferencedateTop Level
declinedreason.code-The code indicating why the order was contraindicated.string0..1DocumentReferenceextension.valueCodeableConcept.codedeclined-reasonTop Level
declinedreason.codeset-The codeset that the code belongs to.string0..1DocumentReferenceextension.valueCodeableConcept.systemTop Level
declinedreason.description-The plaintext description of the contraindication reason.string0..1DocumentReferenceextension.valueCodeableConcept.displayTop Level
declinedreasontext-The user-facing description of the reason the order was not given.string0..1DocumentReferenceextension.valueStringdeclined-reason-textTop Level
deleteddatetime-Date/time (ISO 8601) the document was deletedstring0..1DocumentReferenceextension.valueDateTimedeleted-datetimeTop Level
departmentid-Department for the documentstring0..1DocumentReferenceextension.valueStringdepartment-idTop Level
documentclass-Class of documentstring0..1DocumentReferencecategory.coding.codeTop Level
documentdescription-Description of the document typestring0..1DocumentReferencedescriptionTop Level
documentroute-Explains method by which the document was entered into the athenaNet (INTERFACE (digital), FAX, etc.)string0..1DocumentReferenceextension.valueStringdocument-routeTop Level
documentsource-Explains where this document originated (e.g. ENCOUNTER, PORTAL, etc.)string0..1DocumentReferenceextension.valueStringdocument-sourceTop Level
documentsubclass-Specific type of documentstring0..1DocumentReferencecategory.extension.valueStringdocument-subclassTop Level
documenttype-The description for this documentstring0..1DocumentReferenceextension.valueStringdocument-typeTop Level
documenttypeid-The ID of the description for this documentnumber0..1DocumentReferenceextension.valueStringdocument-type-idTop Level
encounterid-Encounter IDstring0..1DocumentReferencecontext.encounter.referenceTop Level
externalaccessionid-The external accession ID for this document. Format depends on the system the ID belongs to.string0..1DocumentReferenceextension.valueStringexternal-accession-idTop Level
externalnote-External note for the patientstring0..1DocumentReferenceextension.valueStringexternal-noteTop Level
patientrecordid-The primary key for patientrecord class of documentsnumber0..1DocumentReferenceidTop Level
internalaccessionid-The internal accession ID for this document. Format depends on the system the ID belongs to.string0..1DocumentReferenceextension.valueStringinternal-accession-idTop Level
internalnote-The 'Internal Note' attached to this documentstring0..1DocumentReferenceextension.valueStringinternal-noteTop Level
lastmodifieddatetime-Date/time (ISO 8601) the document was last modifiedstring0..1DocumentReferenceextension.valueDateTimelast-modified-datetimeTop Level
observationdatetime-Date/time (ISO 8601) the observation was takenstring0..1DocumentReferenceextension.valueDateTimeobservation-datetimeTop Level
patientid-The athenaNet patient IDnumber0..1DocumentReferencesubject.referenceTop Level
priority-Document priority, when available.number0..1DocumentReferenceextension.valueStringpriorityTop Level
providerid-Provider ID for this documentnumber0..1DocumentReferenceauthor.referenceTop Level
receivernote-External note sent to the receiving facilitystring0..1DocumentReferenceextension.valueStringreceiver-noteTop Level
status-Status of the documentstring0..1DocumentReferencestatusTop Level
subject-Subject of the documentstring0..1DocumentReferenceextension.valueStringsubjectTop Level
tietoorderid-Order ID of the order this document is tied to, if anynumber0..1DocumentReferencecontext.related.referenceTop Level