Entity & other comparison
1. Difference kinds of organization
HL7
"Organisation"."type" : [{ CodeableConcept }] https://www.hl7.org/fhir/codesystem-organization-type.html
| Code | Display | Definition |
| prov | Healthcare Provider | An organization that provides healthcare services. |
| dept | Hospital Department | A department or ward within a hospital (Generally is not applicable to top level organizations) |
| team | Organizational team | An organizational team is usually a grouping of practitioners that perform a specific function within an organization (which could be a top level organization, or a department). |
| govt | Government | A political body, often used when including organization records for government bodies such as a Federal Government, State or Local Government. |
| ins | Insurance Company | A company that provides insurance to its subscribers that may include healthcare related policies. |
| edu | Educational Institute | An educational institution that provides education or research facilities. |
| reli | Religious Institution | An organization that is identified as a part of a religious institution. |
| crs | Clinical Research Sponsor | An organization that is identified as a Pharmaceutical/Clinical Research Sponsor. |
| cg | Community Group | An un-incorporated community group. |
| bus | Non-Healthcare Business or Corporation | An organization that is a registered business or corporation but not identified by other types. |
| other | Other | Other type of organization not already specified. |
e-Health
[legal_entities].type | DICTIONARY: LEGAL_ENTITY_TYPE
"values": {
"MSP": "заклад з надання медичних послуг",
"MIS": "Medical Information system"
},
"name": "LEGAL_ENTITY_TYPE"
Problem/Difference
- In HL7 type its array (many kinds), in the e-Health Legal Entity - one value of type
- In HL7 type "prov" (Healthcare Provider) its crossing of 2 or more types of e-Health
2. Hierarchical structure of organization
HL7
Supports hierarchy by attribute "Part of"
e-Health
Non supports hierarchy of Legal Entity
Problem/Difference
Missing functionality
3. Medical services structure of organization/locations
HL7
Supports multi medical services (category + type) in location (division) at entity "healthcareservice" https://www.hl7.org/fhir/healthcareservice.html
e-Health
Now non support. May be use "Product Catalog" ???
Problem/Difference
Missing functionality
4. Confusion in practitioner quailifications/specializtion/etc
HL7
"Practitioner"."qualification"."code" : { CodeableConcept } - https://www.hl7.org/fhir/v2/0360/2.7/index.html#definition
e-Health
Other structure of quailification
### Qualification + type: SPECIALIZATION (string, required) - `Dictionary QUALIFICATION_TYPE` + institution_name: Академія Богомольця (string, required) + speciality: Педіатр (string, required) + issued_date: 2017-02-28 (string, required) - дата отримання сертифікату + certificate_number: 2017-02-28 (string, required)
Problem/Difference
Big confusion and incompatibility of practitioner quailifications/specializtion/etc
Data structure comparison
Organization
https://www.hl7.org/fhir/organization.html
| HL7 | e-Health | Result |
|---|---|---|
| Organization | [legal_entities] | |
| "identifier" : [{ Identifier }] | id | uuid | not null | Ok |
| "active" : <boolean> | status | enum('active','closed') | not null | Ok |
| "type" : [{ CodeableConcept }] | type | varchar | not null | Ok |
| "name" : "<string>" | name | varchar | not null | Ok |
| "alias" : ["<string>"], // A list of alternate names that the organization is known as, or was known as in the past | ??? | Small problem |
| "telecom" : [{ ContactPoint }] | phones | jsonb[] | Ok |
| "telecom" : [{ ContactPoint }] | email | varchar | Ok |
| "partOf" : { Reference(Organization) }, | ??? | Problem |
| "contact" : [{ // Contact for the organization for a certain purpose}] | [employees] | Ok |
| →"purpose" : { CodeableConcept }, // The type of contact | [employees].employee_type | Ok |
| →"name" : { HumanName }, // A name associated with the contact | [employees].[parties].first_name + last_name | Ok |
| →"telecom" : [{ ContactPoint }], // Contact details (telephone, email, etc.) for a contact | [employees].[parties].phones | Ok |
| →"address" : { Address } // Visiting or postal addresses for the contact | [employees].[parties].??? | Small problem |
| "endpoint" : [{ Reference(Endpoint) }] | redirect_uri ??? | Small problem |
Location
https://www.hl7.org/fhir/location.html
| HL7 | e-Health | Result |
|---|---|---|
| Location | [divisions] | |
| "identifier" : [{ Identifier }] | id | uuid | not null | Ok |
| "status" : "<code>", // active | suspended | inactive | status | varchar | not null | Ok |
| "operationalStatus" : { Coding }, // The Operational status of the location (typically only for a bed/room) | ??? | Small problem |
| "name" : "<string>", // Name of the location as used by humans | name | varchar | not null | Ok |
| "alias" : ["<string>"], // A list of alternate names that the location is known as, or was known as in the past | ??? | Small problem |
| "description" : "<string>", // Additional details about the location that could be displayed as further information to identify the location beyond its name | ??? | Small problem |
| "mode" : "<code>", // instance | kind | ??? | Small problem |
| "type" : { CodeableConcept }, // Type of function performed | type | varchar | not null | Ok |
| "telecom" : [{ ContactPoint }], // Contact details of the location | phones | jsonb[] | not null email | varchar | Ok |
| "address" : { Address }, // Physical location | addresses | jsonb | not null | Ok |
| "physicalType" : { CodeableConcept }, // Physical form of the location | ??? | Ok |
| "position" : { // The absolute geographic location | location | geometry | Ok |
| →"longitude" : <decimal>, // R! Longitude with WGS84 datum | location | geometry | Ok |
| →"latitude" : <decimal>, // R! Latitude with WGS84 datum | location | geometry | Ok |
| →"altitude" : <decimal> // Altitude with WGS84 datum | location | geometry | Ok |
| "managingOrganization" : { Reference(Organization) }, // Organization responsible for provisioning and upkeep | legal_entity_id | uuid | not null | Ok |
| "partOf" : { Reference(Location) }, // Another Location this one is physically part of | ??? | Small problem |
| "endpoint" : [{ Reference(Endpoint) }] // Technical endpoints providing access to services operated for the location | redirect_uri ??? | Small problem |
Practitioner
https://www.hl7.org/fhir/practitioner.html
| HL7 | e-Health | Result |
|---|---|---|
| Practitioner | [employees] | |
| "identifier" : [{ Identifier }] | id | uuid | not null | Ok |
| "active" : <boolean>, // Whether this practitioner's record is in active use | is_active | boolean | not null | |
| "name" : [{ HumanName }], // The name(s) associated with the practitioner | [parties].first_name + last_name | Ok |
"telecom" : [{ ContactPoint }], // A contact detail for the practitioner (that apply to all roles) | [parties].phones | Ok |
| "gender" : "<code>", // male | female | other | unknown | [parties].gender | Ok |
| "birthDate" : "<date>", // The date on which the practitioner was born | [parties].birth_date | Ok |
| "photo" : [{ Attachment }], // Image of the person | ??? | Small problem |
| "qualification" : [{ // Qualifications obtained by training and certification}] | [doctors].qualification | Ok |
→"identifier" : [{ Identifier }], // An identifier for this qualification for the practitioner | ||
→"code" : { CodeableConcept }, // R! Coded representation of the qualification | ??? [doctors].[qualification]. type | Problem |
| →"period" : { Period }, // Period during which the qualification is valid | ??? | Small problem |
→"issuer" : { Reference(Organization) } // Organization that regulates and issues the qualification | [doctors].[qualification].institution_name | Ok |
"communication" : [{ CodeableConcept }] // A language the practitioner is able to use in patient communication | ??? | Small problem |