Cardiac Order
Cardiac Order
Source Object: Cardiac Order
The Cardiac Order source object represents orders and records related to cardiac procedures, tests, and treatments within the healthcare system.
Overview
In the context of healthcare, cardiac orders are vital for the diagnosis, treatment, and monitoring of cardiac conditions. These orders encompass various aspects of patient care in the cardiology department, including diagnostic tests, procedures, and prescriptions related to heart health.
Usage
The Cardiac Order source object serves several essential purposes in healthcare systems:
- Diagnosis and Monitoring: Cardiac orders are used for diagnostic tests like electrocardiograms (ECG or EKG), echocardiograms, and other procedures to diagnose and monitor heart conditions.
- Prescriptions: They may include orders for cardiac medications, specifying dosage, frequency, and duration of use.
- Follow-Up: Cardiac orders can designate the recommended follow-up methods, such as scheduled appointments for reevaluations, further tests, or consultations.
- ICD-10 Codes: These orders often contain International Classification of Diseases, 10th Edition (ICD-10) codes for accurate coding and billing related to cardiac conditions.
- Clinical Reason: The clinical reason field may contain information about the medical necessity or rationale behind the cardiac order.
- Confidentiality: The confidential flag may indicate if certain cardiac orders or associated documents are restricted or confidential.
- Practice Information: Cardiac orders are associated with specific medical practices and may include practice-specific details.
The Cardiac Order source object plays a crucial role in the management of cardiac patients' health by facilitating accurate diagnostics, treatments, and follow-up plans.
Mapping Table
| Data Field | Source Field Data Type | Resource Mapping Context | Source Data Field Cardinality | Source Data Field Description | Example Value | Source Data Field Validation Rule | Mapped FHIR Resource | Mapped FHIR Data Field | Augmented Mapping | Associated Coding System | Associated FHIR Data Field Extension | Mapped FHIR Data Field Type |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| chart_date | DateTime | Top Level | 0..1 | Date at which this order was first seen in the patient's chart. | - | - | ServiceRequest | extension[*].valueString | - | NA | chart-date | TBD |
| clinical_reason | String | Top Level | 0..1 | The reason for clinical | - | - | ServiceRequest | extension[*].valueString | - | NA | clinical-reason | TBD |
| confidential | Boolean | Top Level | 0..1 | Whether the provider has marked the order as confidential. Should not be shared with a patient. | TRUE | true, false | ServiceRequest | extension[*].valueBoolean | - | NA | confidential | TBD |
| created_date | DateTime | Top Level | 0..1 | Time at which elation created this order. Can be different from chart_date when the order was imported into a chart from a different source and document_date when documenting an order that happened at some other time. | - | - | ServiceRequest | authoredOn | - | NA | - | TBD |
| deleted_date | DateTime | Top Level | 0..1 | Time at which elation deleted this order. | - | - | ServiceRequest | extension[*].valueDateTime | - | NA | deleted-date | TBD |
| document_date | DateTime | Top Level | 0..1 | Time at which this order was created in whichever system created it. Could be historical or same as the create_date. | - | - | ServiceRequest | occurrenceDateTime | - | NA | - | TBD |
| follow_up_method | String | Top Level | 0..1 | Freetext field communicating how the patient should receive their results. | - | ServiceRequest | extension[*].valueString | - | NA | follow-up | TBD | |
| icd10_codes | Object | Top Level | 0..* | List of ICD10 codes | - | - | ServiceRequest | - | - | NA | - | TBD |
| icd10_codes.code | String | Top Level | 0..1 | icd 10 code | - | - | ServiceRequest | reasonCode.coding[*].code | - | NA | - | TBD |
| icd10_codes.description | String | Top Level | 0..1 | icd10 description | - | - | ServiceRequest | reasonCode.coding[*].display | - | NA | - | TBD |
| id | Integer | Top Level | 0..1 | The id of the Cardiac order in Elation's systems. Will be unique. | - | - | ServiceRequest | id | - | NA | - | TBD |
| medications | String | Top Level | 0..1 | - | - | - | ServiceRequest | extension[*].valueString | - | NA | medications | TBD |
| patient | Integer | Top Level | 0..1 | The id of the patient. | - | - | ServiceRequest | subject.reference | - | NA | - | TBD |
| practice | Integer | Top Level | 0..1 | The id of the practice. | - | - | ServiceRequest | extension[*].valueReference.reference | Organization | NA | practice | TBD |
| prescribing_user | Integer | Top Level | 0..1 | - | - | - | ServiceRequest | requester.reference | - | NA | - | TBD |
| signed_date | DateTime | Top Level | 0..1 | The time when the order was signed. | - | - | ServiceRequest | extension[*].valueString | - | NA | signed-date | TBD |
| tests | Object | Top Level | 0..* | The list of tests that should be performed | - | - | ServiceRequest | - | - | NA | - | TBD |
| tests.code | String | Top Level | 0..1 | Any code associated with the test. | - | - | ServiceRequest | code.coding[1].code | - | NA | - | TBD |
| tests.created_date | DateTime | Top Level | 0..1 | Time at which Elation created this Cardiac Order Test. | - | - | ServiceRequest | code.extension[*].valueDateTime | - | NA | created-date | TBD |
| tests.deleted_date | DateTime | Top Level | 0..1 | Time at which this Cardiac Order Test was deleted. | - | - | ServiceRequest | code.extension[*].valueDateTime | - | NA | deleted-date | TBD |
| tests.id | Integer | Top Level | 0..1 | The id of the Cardiac Order Test. | - | - | ServiceRequest | code.id | - | NA | - | TBD |
| tests.name | String | Top Level | 0..1 | The name of the Cardiac Order Test. | - | - | ServiceRequest | code.extension[*].valueString | - | NA | test-name | TBD |
| tests.practice_created | Integer | Top Level | 0..1 | The id of the practice that created the test if practice created. | - | - | ServiceRequest | code.extension[*].valueInteger | - | NA | practice-created | TBD |