CARE PLANS HEALTH INTERACTION+A1:H29 | ||||||||||
Data Source | Conceptual Data Item | Logical Data Item | Logical Data Item Description | Logical Data Item Code | Logical Data Item Field Type | ValueSet Value | ValueSet Code & Description | Format | Cardinality | ValueSet Reference |
Harmonised (H) or Operational (Op) | BOLD equals Harmonised data | Name of the Data Item | The description of the logical data item | SNOMED Code and description or FHIR (if handled by FHIR values) | Eg text, date | BOLD equals Harmonised data | eg. SNOMED, LOINC | Format and Example | Relationship of x to y eg IHI is 1..2 | Link to NCTS, FHIR or Sharepoint |
Care Plan Type **Section Code Required | ||||||||||
H | Type of Care Plan | Type of Care Plan | Contains different types of care plans to manage and address issues that may arise throughout the mother's current and or future pregnancies | New code request | ValueSet | Antenatal management plan | SNOMED 773433004 Antenatal management plan | Text | 0..* | To be created |
Birth Management Plan | SNOMED 1376691000168103 Birth management plan | Text | ||||||||
Postnatal management plan | SNOMED 773432009 Postnatal management plan | Text | ||||||||
Postnatal discharge management plan | SNOMED 1376871000168100 Postnatal discharge management plan | Text | ||||||||
Neonatal care plan | SNOMED 1376941000168103 Neonatal care plan | Text | ||||||||
Next Pregnancy Management Plan | SNOMED 1402171000168109|Future pregnancy management plan| | Text | ||||||||
H | Date | Date | Date of plan | FHIR | Date | DDMMYYYY | 0..1 | |||
H | Summary of considerations for this plan | Summary of considerations for this Plan | Summarise considerations and/or issues for this Plan | SNOMED 423134005 Plan section (record artefact) | FreeText | 0..1 | ||||
H | Plan and due date confirmed by | Mothers eSignature | Mothers agreement to the plan | FHIR | Image | 0..1 | ||||
Operational | ||||||||||
OP | Patient Indentier | IHI | The numerical individual healthcare identifier (IHI) that uniquely identifies each individual in the Australian healthcare system. | FHIR | Text | 16 digits | 1..1 | |||
First Name | First Name of individual | FHIR | Text | Text | 1..1 | |||||
Last Name | Last Name of individual | FHIR | Text | Text | 1..1 | |||||
DOB | The date of birth of the person | FHIR | Date | DDMMYYYY | 1..1 | |||||
Sex | Sex used to identify the patient against the HI Service (Administrative Gender - Possibly) | FHIR | Text | Text | 1..1 | |||||
Examiner (Person who is clinically responsible for the undetaking of the exam) | First Name | First Name of Examiner | Derived from other information sources / systems | Text | Text | 0..1 | ||||
Last Name | Last Name of Examiner | Derived from other information sources / systems | Text | Text | 0..1 | |||||
Designation | The designation of the professional completing the examination | SNOMED 223366009 | Healthcare professional (occupation) (Derived from other information sources / systems) | Text | Text | 0..1 | |||||
Venue | Venue of where examination/assessmment took place | Derived from other information sources / systems | Text | String | 0..1 | |||||
Signature (eSignature) | Digital signature of the examiner | FHIR | String | 1..1 | ||||||
Interaction Type | Interaction Type | This will be used to identify the Interaction Type | FHIR | Text | 1..1 | |||||
Attestation | Attestation | Used to indicate the author of the composition | FHIR | Text | 1..1 | |||||
Date and Time | Date and Time of Examiner attesting the information | FHIR | Date (YYYY-MM-DD) Time (HH-MM-SS) | DD:MM:YYYY HH:MM:SS | 0..1 | |||||
Author | Author | Used to indicate where the information has been sent from i.e. System | FHIR | Text | 1..1 |