StandardPatientHealthRecordIG - Local Development build (v0.4.4). See the Directory of published versions

Data Model

At the core of the Standard Patient Health Record is the assumption that it will contain records in FHIR format, which provides a data model describing health history that has a pedigree of 30 years of industry experience and use in major EHRs.

Loosely speaking, this data model contains all data that relevant to a patient’s health, whether it be generated by clinicians in a hospital inpatient setting, by a specialist clinic or nursing home, or contributed the patient via gym fitness apps, nutrition tracking apps, and so forth. The FHIR data model allows this flexibility, while still being informed by clinical learnings on how to code data with SNOMED, LOINC, ICD-10 and other vocabularies, how to organize data into resources, and how to apply region specific extensions and profiles.

Model

FHIR resource	Elements	Standard	Category	Argonaut R4
Patient	Given Name Family Name Previous Name Middle Name Suffix Date of Birth Gender Preferred Language Current Address Previous Address Phone Number Email address	US Core International Patient Summary	Demographics	Yes
Patient	Sex (assigned at birth) Race Ethnicity	US Core	Demographics Social Determinants of Health	No
Patient	Gender Identity	Gender Harmony	Demographics	No
Patient	Sexual Orientation		Demographics	No
AllergyIntolerance	Substance (Medication) Substance (Drug Class) Reaction	US Core		Yes
Appointment		Argonaut Scheduling		Yes
Binary				Yes
Bundle				Yes
BodyStructure				No
Condition	SDOH Problems Health Concerns Date of Diagnosis Date of Resolution	US Core	Active Problems Social Determinants of Health	Yes
Composition	Progress Notes History and Physicals Discharge Summaries Operative Notes Procedure Notes Consultation notes	US Core C-CDA on FHIR	Clinical Documentation	Yes
CarePlan				Yes
CareTeam				No
Claim	Insurance & Out-of-pocket Costs	CMS Bluebutton 2.0	Financial Health	No
Communication				No
Consent	Medical Power oof Attorneys		End of Life	No
Contract	Medical Power oof Attorneys		End of Life	No
DiagnosticReport	Radiologist Report Pathologist Report Cardiologist Report Oncologist Report	US Core Radiation Dose Summary Breast Radiology Reporting	Diagnostic Imaging	Yes
Device				Yes
DocumentReference				Yes
FamilyMemberHistory				No
Goal				No
ImagingStudy	Diagnostic Radiology Interventional Radiology Mammography Ultrasound MRI/CT	US Core Radiation Dose Summary Breast Radiology Reporting	Diagnostic Imaging	No
Immunization	Immunizations Vaccinations	US Core SMART Health Cards		Yes
MeasureReport	Patient Reported Outcomes (PRO)		Patient Generated Data	No
Media				Yes
Medication		US Core	Active Medications	Yes
MedicationStatement				Yes
MolecularSequence	Whole Genome Sequence	Genomics Reporting	Genomics	No

Observation	Smoking status Glucose Steps Walked Diastolic Blood Pressure Systolic Blood Pressure Body Height Body Weight Heart Rate Respiratory Rate Body Temperature Pulse Oximetry Inhaled O2 Concentration BMI Percentile Weight for length percentile Head Circumference percentile	Vital Signs Physical Activity	Symptoms Vital Signs Laboratory Results Remote Patient Monitoring Behavioral Observations Wearables Point of Care Testing	Yes
Practitioner				Yes
Provenance				No
Procedure				Yes
Questionnaire	Migrant farm worker status Armed forces discharge Phone usage data	Argonaut Questionnaire	Structured Data Capture Social Determinants of Health PRAPARE Survey Technology Usage	Yes
QuestionnaireResponse		Argonaut Questionnaire		Yes
RelatedPerson				Yes
Specimen				No
Schedule		Argonaut Scheduling		Yes
Slot		Argonaut Scheduling		Yes
Task		Patient Request for Corrections		No