Functional Status
The patient’s functional status is recorded by clinicians during encounters with the patient and gives consumers of the data a general indication of the wellness of the patient. The status can be codified using either the Karnofsky scale or Electronic Frailty Index and there is a mandatory textual field for systems that do not store this data as a codeable concept.
The following FHIR profiles are used to form the Functional Status Atomic Unit:
- EOL-Patient-1
- CareConnect-Organization-1
- CareConnect-Practitioner-1 (EOL mandates name.text)
- CareConnect-PractitionerRole-1
- CareConnect-EOL-FunctionalStatus-Observation-1
Functional Status event data item mapping to FHIR profiles
The Functional Status data items are fulfilled by elements within the FHIR resources listed below:
EOL Data Item | FHIR resource element | Mandatory/Required/Optional |
---|---|---|
Functional Status Type | EOL-FunctionalStatus-Observation-1.code | Mandatory |
Functional Status Value | EOL-FunctionalStatus-Observation-1.value or | Optional |
EOL-FunctionalStatus-Observation-1.component.value[x] | Optional | |
Functional Satus Text | EOL-FunctionalStatus-Observation-1.code.text | Mandatory |
CareConnect-EOL-FunctionalStatus-Observation-1.Code (codeableConcept) Guidance
Where the sending system supports a terminology system:
- The codeableConcept.coding element MUST be populated with:
- system: identity of the terminology system (e.g. SNOMED-CT)
- code: symbol in syntax defined by the system
- display: representation defined by the system
- the codeableConcept.text field MUST be populated with the display value from the codeableConcept.coding.display element e.g. ‘Asthma (disorder)’
- the codeableConcept.text field MAY contain free text to capture more detail associated with the codeableConcept.coding.code e.g. ‘Patient uses blue inhaler to relieve symptoms’
Where the sending system does not support a terminology system:
- the codeableConcept.text field MUST be populated with a text description of the concept as a human readable narrative e.g ‘Asthma’.
- the codeableConcept.text field MAY contain free text to capture more detail associated with the concept e.g. ‘Patient uses blue inhaler to relieve symptoms’.
Functional Status ERD
TODO