Non Visit Note
Non-Visit Note
Source Object: Non-Visit Note
The Non-Visit Note source object represents notes or documents in a healthcare system that are related to a patient but are not associated with a specific visit or encounter. These notes can cover various topics and are typically created for documentation, communication, or informational purposes.
Overview
Non-visit notes are an essential part of a patient's medical record, providing a means to document important information and details that may not be tied to a specific appointment or encounter. They serve as a flexible and versatile tool for healthcare providers to maintain comprehensive patient records.
Usage
The Non-Visit Note source object is utilized in the following ways:
- Note Storage: It stores the content of non-visit notes, including text-based information, which can cover a wide range of topics, such as patient history, follow-up instructions, or general health information.
- Timestamps: The source object includes timestamps such as creation date, document date, and signed date to maintain a chronological record of when the note was created and signed.
- Patient Association: Notes are associated with a specific patient, ensuring that the information is linked to the correct individual's medical history.
- Tags: Non-visit notes may be tagged with codes or descriptors to categorize and classify the type or content of the note, making it easier to retrieve specific information.
Non-visit notes are an important component of electronic health records, as they allow healthcare providers to capture a wide range of patient-related information in a structured and organized manner.
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 | - | 2016-10-15T23:32:43Z | - | DocumentReference | context.period.start | - | NA | - | TBD |
created_date | DateTime | Top Level | 0..1 | - | 2016-10-15T23:32:43Z | - | DocumentReference | extension[*].valueString | created-date | NA | created-date | TBD |
deleted_date | DateTime | Top Level | 0..1 | - | null | - | DocumentReference | extension[*].valueString | deleted-date | NA | deleted-date | TBD |
document_date | DateTime | Top Level | 0..1 | - | 2016-10-15T23:32:43Z | - | DocumentReference | date | - | NA | - | TBD |
id | Long | Top Level | 0..1 | - | 67179970585 | - | DocumentReference | id | - | NA | - | TBD |
notes | Object | Top Level | 0..* | - | - | - | DocumentReference | - | - | NA | notes | TBD |
notes.text | String | Top Level | 0..1 | - | this is phone note | - | DocumentReference | extension[].extension[].valueString | - | NA | note | TBD |
patient | Integer | Top Level | 0..1 | - | 64058687489 | - | DocumentReference | subject.reference | Patient | NA | - | TBD |
signed_by | Integer | Top Level | 0..1 | - | 131074 | - | DocumentReference | extension[*].valueString | signed-by | NA | signed-by | string |
signed_date | DateTime | Top Level | 0..1 | - | 2016-10-15T23:34:18Z | - | DocumentReference | extension[*].valueString | signed-date | NA | signed-date | TBD |
tags | Object | Top Level | 0..* | - | - | - | DocumentReference | - | - | NA | tags | TBD |
tags.code | String | Top Level | 0..1 | - | 45378 | - | DocumentReference | extension[].extension[].valueCodeableConcept.coding[*].code | - | NA | - | TBD |
tags.code_type | String | Top Level | 0..1 | - | CPT | - | DocumentReference | extension[].extension[].valueCodeableConcept.extensions[*].valueString | - | NA | code-type | string |
tags.value | String | Top Level | 0..1 | - | Colonoscopy (Screening) | - | DocumentReference | extension[].extension[].valueCodeableConcept.coding[*].display | - | NA | - | TBD |
type | ValueSet | Top Level | 0..1 | - | phone | "email", "nonvisit", "phone" | DocumentReference | type.coding[*].display | - | NA | - | string |