FHIR R4 - Patient
- Faris Ahmetasevic
- Dragos Dobre
Description
The openIMIS Insuree object (from the openimis-be-insuree_py module) was mapped to the FHIR R4 Patient resource.
Notes / Assumptions
The current version of mapping will be focused on aspects of claiming.
In the current version of the openimis-be-insuree_py missing services layer which can be used to perform operations (CRUD - Create, Read, Update, Delete) on entities. That's why the current version of API use directly database layer manager for managing the Insuree objects. This leads to differences between operation between legacy and new openIMIS, for instance, the update operation doesn't create the database row with a history of the object and the delete operation permanently remove the object from the database.
familyId - missing in the current version of the Insuree model (from the openimis-be-insuree_py module). That's why the current version of API doesn't cover that field. Attribute needs to be nullable type in the Database Schema.
photoId - missing in the current version of the Insuree model (from the openimis-be-insuree_py module). That's why the current version of API doesn't cover that field. Attribute need to be nullable type in the Database Schema.
typeofid - missing in the current version of the Insuree model (from the openimis-be-insuree_py module). That's why the current version of API doesn't cover that field. Attribute need to be nullable type in the Database Schema.
Mapping
FHIR R4 Resource - Patient
openIMIS table - tblInsurees, tblFamilies
FHIR R4 field | openIMIS field | Notes | Mapping status |
|---|---|---|---|
identifier | InsureeID / CHFID / passport / TypeOfId / InsureeUUID | there is a 0..* relation on identifier | InsureeID / CHFID / passport / InsureeUUID is mapped |
LastName / OtherNames | name field contains values that are being mapped for both LastName and OtherNames fields | mapped | |
DOB |
| mapped | |
Gender | Link to | mapped | |
Marital | maritalStatus.text in [Married, Single, Divorced, Widowed, Not specified] | mapped | |
Phone / Email | telecom field contains values that are being mapped for both Phone and Email fields | mapped | |
tblInsuree.PhotoID → tblPhotos.PhotoFolder + PhotoFileName | Should include the base URL | mapped | |
tblInsuree.PhotoID → tblPhotos.PhotoDate |
| mapped | |
HFID | reference/HeathcareService | mapped | |
CurrentAddress / GeoLocation | The patient can contain multiple addresses | mapped | |
link to tblInsuree.FamilyId → tblFamilies.InsureeId → tblInsurees.InsureeUUID | reference Patient/UUID | mapped | |
tblInsuree.relationship → tblRelations.Relation OR tblRelations.RelationId | Based on module configuration. tblRelations.Relation by default. | mapped | |
extension.isHead | tblInsuree.IsHead | url: isHead | mapped |
extension.registrationDate | tblInsuree.ValidityFrom | url: registrationDate | mapped |
extension.locationCode | link to tblInsuree.FamilyId → tblFamilies.LocationId→ tblLocations.LocationUUID | url: locationCode | mapped |
extension.educationCode.valueCoding.code | tblInsuree.Education → tblEducations.EducationId | utl: educationCode | mapped |
extension.professionCode.valueCoding.code | tblInsuree.Profession → tblProfessions.ProfessionId | utl: professionCode | mapped |
extension.povertyStatus | tblInsuree → tblFamilies → Poverty | url: povertyStatus | mapped |
extension.group | link to tblInsuree.FamilyId → tblFamilies.FamilyUUID | reference/Group/UUID | not mapped |
Endpoint specification
Example of endpoint URL
http://localhost:8000/api_fhir_r4/Patient/
Supported HTTP operation
CREATE - POST HTTP method
Used to create new FHIR Patient (Insuree). List of supported fields can be found in the table which shows the mapping between openIMIS and FHIR. Should be used the POST HTTP method and the body as JSON representation (example can be found below).
The `head` model attribute isn't currently covered by the current API (related to the not supported familyId). By the default value is False (can be modified by the module configuration).
The `card_issued` model attribute isn't currently covered by the current API. By the default value is False (can be modified by the module configuration).
The `validity_from` attribute is set as the current value of date when the object is created
The `audit_user_id` - the user which interact with the FHIR API is the `TechnicalUser` (Backend security - Models and Concepts) which hasn't representation in tblUsers. That's why the value of the `audit_user_id` attribute is set based on the following algorithm:
Try to get that value from the 'auditUserId' query parameter
If missing get that value then use the value from the module configuration (by default 1)
READ - GET HTTP method
By default, returns the list of all available Patient resources. To fetch information about a specific object, you should add the UUID (e.g. 01DB0819-69F6-44F9-BF3D-0BCC5D4803E2) key to URL :
http://localhost:8000/api_fhir_r4/Patient/01DB0819-69F6-44F9-BF3D-0BCC5D4803E2Should be used the GET HTTP method.
UPDATE - PUT HTTP method
Updates the value of the specific object. List of supported fields can be found in the mapping table. Should be used the PUT HTTP method and the body as JSON representation (example can be found below). The requested URL needs to point to a specific object to do that you should add the UUID (e.g. 01DB0819-69F6-44F9-BF3D-0BCC5D4803E2) key to URL for instance:
http://localhost:8000/api_fhir_r4/Patient/01DB0819-69F6-44F9-BF3D-0BCC5D4803E2The `head` model attribute isn't updated
The `head` model attribute isn't updated
The UPDATE operation will update the specific row of the database and doesn't create the history of changes (like in the legacy openIMIS)
DELETE - DELETE HTTP method
The operation can be used to remove the specific object from the database. Should be used the DELETE HTTP method. The requested URL needs to point to a specific object to do that you should add the UUID (e.g. 01DB0819-69F6-44F9-BF3D-0BCC5D4803E2) key to URL for instance:
http://localhost:8000/api_fhir_r4/Patient/01DB0819-69F6-44F9-BF3D-0BCC5D4803E2The DELETE operation will permanently remove the row from the database.
Module configuration used by the endpoint:
Configuration key | Description | Default value |
|---|---|---|
default_audit_user_id | default value which will be used for 'audit_user_id' field | "default_audit_user_id": 1 |
gender_codes | configuration of codes used by the openIMIS to represent gender (male, female, other) | "gender_codes": { |
R4_fhir_identifier_type_config | configuration of system and codes used to represent the specific types of identifiers | "R4_fhir_identifier_type_config":{ |
R4_fhir_marital_status_config | configuration of system and codes used to represent the specific types of marital status | "R4_fhir_marital_status_config":{ |
default_value_of_patient_head_attribute | default value for 'head' attribute used for creating new Insuree object | "default_value_of_patient_head_attribute": False, |
default_value_of_patient_card_issued_attribute | default value for 'card_issued' attribute used for creating new Insuree object | "default_value_of_patient_card_issued_attribute": False, |
Example JSON representation of content:
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