Physician Document
Source Object: Physician Document
Overview and Usage: The "Physician Document" source object is used in healthcare systems to manage and store documents related to patients, typically created or generated by physicians or healthcare providers. These documents can include a variety of clinical and administrative information. Here's a breakdown of the key components:
- ActionNote: This field may contain notes or descriptions related to actions taken with the document.
- AppointmentId: Identifies the appointment or encounter associated with the document.
- AssignedTo: Specifies who the document is assigned to, which can be a healthcare provider or staff member.
- CreatedDateTime: Indicates the date and time when the document was initially created.
- CreatedUser: Identifies the user who created the document.
- DeletedDateTime: If applicable, this field records the date and time when the document was deleted.
- DepartmentId: Specifies the department or area of the healthcare facility associated with the document.
- DocumentSource: Describes the source or origin of the document.
- DocumentSubclass: Categorizes the document into a specific subclass based on its content or purpose.
- PhysicianAuthId: Refers to an identifier associated with the physician who authorized or created the document.
- EncounterId: Identifies the encounter or visit during which the document was generated.
- InternalNote: May contain internal notes or additional information regarding the document.
- LastModifiedDate: Records the date when the document was last modified.
- LastModifiedUser: Specifies the user who made the last modification to the document.
- Pages.ContentType: Describes the content type of the pages within the document.
- Pages.Href: Provides links or references to specific pages within the document.
- Pages.PageId: Identifies individual pages within the document.
- Pages.PageOrdering: Specifies the order or sequence of pages within the document.
- PatientId: Identifies the patient associated with the document.
- Priority: Indicates the priority or importance level of the document.
- ProviderId: Identifies the healthcare provider or physician associated with the document.
- Status: Describes the current status of the document (e.g., pending, finalized, etc.).
- Subject: Provides a subject or title for the document.
- ClinicalProviderId: Specifies the ID of the clinical provider associated with the document.
- DocumentClass: Categorizes the document into a specific class based on its content or type.
- DocumentDescription: Provides a description or summary of the document.
- DocumentRoute: Specifies the route or path taken by the document within the healthcare system.
- DocumentType: Identifies the type or category of the document.
- DocumentTypeId: Contains an identifier associated with the document type.
- ExternalAccessionId: If applicable, this field may contain an external accession ID or reference.
- ExternalNote: May include external notes or additional information regarding the document.
- InternalAccessionId: Contains an internal accession ID or reference, if applicable.
- InternalNote: May include internal notes or additional information regarding the document.
- LastModifiedDateTime: Records the date and time when the document was last modified.
- ObservationDateTime: Specifies the date and time associated with observations or data within the document.
- TietoOrderId: Contains an identifier associated with Tieto orders, if relevant.
- FaxNumber: Specifies the fax number associated with the document, if applicable.
The "Physician Document" source object is a versatile component in healthcare systems, facilitating the management and retrieval of documents that are crucial for patient care, medical records, and administrative purposes. It helps healthcare providers maintain comprehensive and organized documentation to support clinical decision-making and patient management.
This source object enables the secure storage and accessibility of a wide range of documents generated within a healthcare environment.
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 |
---|---|---|---|---|---|---|---|---|---|---|
actionnote | - | The most recent action note for a document | string | 0..1 | DocumentReference | extension.valueString | action-note | Top Level | ||
appointmentid | - | The appointment ID for this document | integer | 0..1 | DocumentReference | extension.valueString | appointment-id | Top Level | ||
assignedto | - | Person the document is assigned to | string | 0..1 | DocumentReference | extension.valueString | assigned-to | Top Level | ||
createddatetime | - | Date the document was created. Please use createddatetime instead. | string | 0..1 | DocumentReference | date | Top Level | |||
createduser | - | The user who created this document. | string | 0..1 | DocumentReference | extension.valueString | created-user | Top Level | ||
deleteddatetime | - | Date/time (ISO 8601) the document was deleted | string | 0..1 | DocumentReference | extension.valueDatetime | deleted-datetime | Top Level | ||
departmentid | - | Department for the document | string | 0..1 | DocumentReference | extension.valueString | department-id | Top Level | ||
documentsource | - | Explains where this document originated. | string | 0..1 | DocumentReference | extension.valueString | document-source | Top Level | ||
documentsubclass | - | Specific type of document | string | 0..1 | DocumentReference | category.extension.valueString | document-subclass | Top Level | ||
physicianauthid | - | The primary key for physician authorization documents | integer | 0..1 | DocumentReference | id | Top Level | |||
encounterid | - | Encounter ID | string | 0..1 | DocumentReference | context.encounter.reference | Top Level | |||
internalnote | - | The 'Internal Note' attached to this document | string | 0..1 | DocumentReference | extension.valueString | internal-note | Top Level | ||
lastmodifieddate | - | Date/time (ISO 8601) the document was last modified | string | 0..1 | DocumentReference | extension.valueDateTime | last-modified-date | Top Level | ||
lastmodifieduser | - | The user who last modified this document. | string | 0..1 | DocumentReference | extension.valueString | last-modified-user | Top Level | ||
pages.contenttype | - | The content-type that will be returned by the page image call. | string | 0..1 | DocumentReference | content.attachment.contentType | Top Level | |||
pages.href | - | The URL to get the document image. | string | 0..1 | DocumentReference | content.attachment.url | Top Level | |||
pages.pageid | - | The ID to use in a call to get the page image. | string | 0..1 | DocumentReference | content.attachment.id | Top Level | |||
pages.pageordering | - | Within this list of pages, the ordering (starting with 1). | string | 0..1 | DocumentReference | content.attachment.extension.valueString | page-ordering | Top Level | ||
patientid | - | The athenaNet patient ID. | integer | 0..1 | DocumentReference | subject.reference | Top Level | |||
priority | - | Document priority, when available. 1 is high, 2 is normal. Some labs use other numbers or characters that are lab-specific. | string | 0..1 | DocumentReference | extension.valueString | priority | Top Level | ||
providerid | - | Provider ID for this document | integer | 0..1 | DocumentReference | author.reference | Top Level | |||
status | - | Status of the document | string | 0..1 | DocumentReference | status | Top Level | |||
subject | - | Subject of the document | string | 0..1 | DocumentReference | extension.valueString | subject | Top Level | ||
clinicalproviderid | - | The clinical provider ID of the performing provider | number | 0..1 | DocumentReference | custodian.reference | Top Level | |||
documentclass | - | Class of document | string | 0..1 | DocumentReference | category.coding.code | Top Level | |||
documentdescription | - | Description of the document type | string | 0..1 | DocumentReference | description | Top Level | |||
documentroute | - | Explains method by which the document was entered into the athenaNet (INTERFACE (digital), FAX, etc.) | string | 0..1 | DocumentReference | extension.valueString | document-route | Top Level | ||
documenttype | - | The description for this document | string | 0..1 | DocumentReference | extension.valueString | document-type | Top Level | ||
documenttypeid | - | The ID of the description for this document | number | 0..1 | DocumentReference | extension.valueString | document-type-id | Top Level | ||
externalaccessionid | - | The external accession ID for this document. Format depends on the system the ID belongs to. | string | 0..1 | DocumentReference | extension.valueString | external-accession-id | Top Level | ||
externalnote | - | External note for the patient | string | 0..1 | DocumentReference | extension.valueString | external-note | Top Level | ||
internalaccessionid | - | The internal accession ID for this document. Format depends on the system the ID belongs to. | string | 0..1 | DocumentReference | extension.valueString | internal-accession-id | Top Level | ||
internalnote | - | The 'Internal Note' attached to this document | string | 0..1 | DocumentReference | extension.valueString | internal-note | Top Level | ||
lastmodifieddatetime | - | Date/time (ISO 8601) the document was last modified | string | 0..1 | DocumentReference | extension.valueDateTime | last-modified-datetime | Top Level | ||
observationdatetime | - | Date/time (ISO 8601) the observation was taken | string | 0..1 | DocumentReference | extension.valueDateTime | observation-datetime | Top Level | ||
tietoorderid | - | Order ID of the order this document is tied to, if any | number | 0..1 | DocumentReference | context.related.reference | Top Level | |||
faxnumber | - | The phone number to use to call back the patient. | string | 0..1 | DocumentReference | extension.valueString | fax-number | Top Level |