History
History
History
Source Object: History
The History source object represents a patient's medical history, providing essential details about various historical events, conditions, or circumstances related to the patient's health. This source object can contain multiple entries reflecting different aspects of the patient's history.
Overview
The History source object is a fundamental part of a patient's electronic health record (EHR), and it plays a critical role in maintaining a comprehensive and accurate medical history. This object captures historical data in a structured format, enabling healthcare providers to track and understand a patient's health journey over time.
Usage
The History source object serves the following key purposes:
- Medical Event Documentation: It is used to document and store various medical events and conditions, such as surgeries, allergies, hospitalizations, or chronic illnesses, that have occurred in a patient's past.
- Chronological Record: Each entry in the History source object is timestamped and includes details about the event or condition, its type, and any relevant textual information. This chronological record helps healthcare providers gain insights into a patient's health history.
- Reference for Treatment: The medical history documented in this source object is a valuable reference for healthcare providers when diagnosing, treating, or managing a patient's current health issues.
- Tracking Health Trends: By examining the historical data, healthcare providers can identify trends or patterns in a patient's health, which can inform future medical decisions.
- Improving Patient Safety: Accurate historical data aids in avoiding adverse events, such as allergic reactions to medications or surgeries that have already taken place.
- Patient Education: The medical history can be used to educate patients about their health conditions, encouraging them to actively participate in their care.
The History source object is a foundational component of a patient's EHR, promoting comprehensive and patient-centered healthcare. It is essential for providing high-quality medical care and ensuring patient safety.
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| created_date | DateTime | Top Level | 0..1 | The date the history was created | 2016-10-13T15:00:38Z | read-only | Condition | recordedDate | - | NA | - | TBD |
| deleted_date | DateTime | Top Level | 0..1 | The date the history was deleted | null | read-only | Condition | extension[*].valueDateTime | - | NA | deleted-date | TBD |
| id | Integer | Top Level | 0..1 | The id of the history | 64073957420 | long(64) | Condition | id | - | NA | - | TBD |
| patient | Integer | Top Level | 0..1 | The id of the patient | 64072843265 | - | Condition | subject.reference | - | NA | - | TBD |
| rank | Integer | Top Level | 1..1 | The rank (or sequence) of the history | 1 | - | Condition | extension[*].valueString | - | NA | rank | TBD |
| text | String | Top Level | 1..1 | The value (or text) of the history | Yogurt daily | string(500) | Condition | code.coding[1].display | - | NA | - | TBD |
| type | String | Top Level | 1..1 | The type of the history | Diet | "Past", "Family", "Social", "Habits", "Diet", "Exercise", "Immunization", "Legal", "Consultation", "Health Maintenance", "Past Surgical", "Cognitive Status", "Functional Status" | Condition | extension[*].valueString | - | NA | type | TBD |
| created_date | DateTime | Top Level | 0..1 | The date the history was created | 2016-10-13T15:00:38Z | read-only | QuestionnaireResponse | authored | - | NA | - | TBD |
| deleted_date | DateTime | Top Level | 0..1 | The date the history was deleted | null | read-only | QuestionnaireResponse | extension[*].valueDate | - | NA | deleted-date | string |
| id | Integer | Top Level | 0..1 | The id of the history | 64073957420 | long(64) | QuestionnaireResponse | id | - | NA | - | TBD |
| patient | Integer | Top Level | 1..1 | The id of the patient | 64072843265 | - | QuestionnaireResponse | subject.reference | - | NA | - | TBD |
| rank | Integer | Top Level | 0..1 | The rank (or sequence) of the history | 1 | - | QuestionnaireResponse | extension[*].valueString | - | NA | rank | string |
| text | String | Top Level | 1..1 | The value (or text) of the history | Yogurt daily | string(500) | QuestionnaireResponse | text | - | NA | - | TBD |
| type | String | Top Level | 1..1 | The type of the history | Diet | "Past", "Family", "Social", "Habits", "Diet", "Exercise", "Immunization", "Legal", "Consultation", "Health Maintenance", "Past Surgical", "Cognitive Status", "Functional Status" | QuestionnaireResponse | extension[*].valueString | - | NA | type | string |
| created_date | DateTime | Top Level | 0..1 | The date the history was created | 2016-10-13T15:00:38Z | read-only | FamilyMemberHistory | date | - | NA | - | TBD |
| deleted_date | DateTime | Top Level | 0..1 | The date the history was deleted | null | read-only | FamilyMemberHistory | extension[*].valueDateTime | - | NA | deleted-date | TBD |
| id | Integer | Top Level | 0..1 | The id of the history | 64073957420 | long(64) | FamilyMemberHistory | id | - | NA | - | TBD |
| patient | Integer | Top Level | 0..1 | The id of the patient | 64072843265 | - | FamilyMemberHistory | patient.reference | - | NA | - | TBD |
| rank | Integer | Top Level | 1..1 | The rank (or sequence) of the history | 1 | - | FamilyMemberHistory | extension[*].valueString | - | NA | rank | TBD |
| text | String | Top Level | 1..1 | The value (or text) of the history | Yogurt daily | string(500) | FamilyMemberHistory | condition[].code.coding[].display | system=http://hl7.org/fhir/sid/cvx | NA | - | TBD |
| type | String | Top Level | 1..1 | The type of the history | Diet | "Past", "Family", "Social", "Habits", "Diet", "Exercise", "Immunization", "Legal", "Consultation", "Health Maintenance", "Past Surgical", "Cognitive Status", "Functional Status" | FamilyMemberHistory | extension[*].valueString | - | NA | type | TBD |
| created_date | DateTime | Top Level | 0..1 | The date the history was created | 2016-10-13T15:00:38Z | read-only | Immunization | recorded | - | NA | - | TBD |
| deleted_date | DateTime | Top Level | 0..1 | The date the history was deleted | null | read-only | Immunization | extension[*].valueDateTime | - | NA | deleted-date | TBD |
| id | Integer | Top Level | 0..1 | The id of the history | 64073957420 | long(64) | Immunization | id | - | NA | - | TBD |
| patient | Integer | Top Level | 0..1 | The id of the patient | 64072843265 | - | Immunization | patient.reference | - | NA | - | TBD |
| rank | Integer | Top Level | 1..1 | The rank (or sequence) of the history | 1 | - | Immunization | extension[*].valueString | - | NA | rank | TBD |
| text | String | Top Level | 1..1 | The value (or text) of the history | Yogurt daily | string(500) | Immunization | vaccineCode.coding[*].display | system=http://hl7.org/fhir/sid/cvx | NA | - | TBD |
| type | String | Top Level | 1..1 | The type of the history | Diet | "Past", "Family", "Social", "Habits", "Diet", "Exercise", "Immunization", "Legal", "Consultation", "Health Maintenance", "Past Surgical", "Cognitive Status", "Functional Status" | Immunization | extension[*].valueString | - | NA | type | TBD |
| created_date | DateTime | Top Level | 0..1 | The date the history was created | 2016-10-13T15:00:38Z | read-only | Procedure | performedDateTime | - | NA | - | TBD |
| deleted_date | DateTime | Top Level | 0..1 | The date the history was deleted | null | read-only | Procedure | extension[*].valueDate | - | NA | deleted-date | dateTime |
| id | Integer | Top Level | 0..1 | The id of the history | 64073957420 | long(64) | Procedure | id | - | NA | - | TBD |
| patient | Integer | Top Level | 0..1 | The id of the patient | 64072843265 | - | Procedure | subject.reference | - | NA | - | TBD |
| rank | Integer | Top Level | 1..1 | The rank (or sequence) of the history | 1 | - | Procedure | extension[*].valueString | - | NA | rank | string |
| text | String | Top Level | 1..1 | The value (or text) of the history | Yogurt daily | string(500) | Procedure | code.coding[1].display | - | NA | - | TBD |
| type | String | Top Level | 1..1 | The type of the history | Diet | "Past", "Family", "Social", "Habits", "Diet", "Exercise", "Immunization", "Legal", "Consultation", "Health Maintenance", "Past Surgical", "Cognitive Status", "Functional Status" | Procedure | extension[*].valueString | - | NA | type | string |