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/specialization/etc

May be its non confusion, but it simply kind of education/quailifications specific in UA.

5. Absent practitioner role

HL7

"PractitionerRole" -A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time. https://www.hl7.org/fhir/practitionerrole.html#resource

e-Health

Non supports sets Roles/Divisions/specialties/services for Employee.

Problem/Difference

Missing functionality

Data structure comparison

Organization

https://www.hl7.org/fhir/organization.html

HL7	e-Health	Comparison result	To change DM
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	Nothing todo
"telecom" : [{ ContactPoint }]	phones \| jsonb[]	Ok
"telecom" : [{ ContactPoint }]	email \| varchar	Ok
"partOf" : { Reference(Organization) },	???	Problem	Nothing todo
"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	Nothing todo
"endpoint" : [{ Reference(Endpoint) }]	redirect_uri ???	Small problem	Nothing todo

Location

https://www.hl7.org/fhir/location.html

HL7	e-Health	Comparison result	To change DM
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	Nothing todo
"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	Nothing todo
"description" : "<string>", // Additional details about the location that could be displayed as further information to identify the location beyond its name	???	Small problem	Nothing todo
"mode" : "<code>", // instance \| kind	???	Small problem	-
"type" : { CodeableConcept }, // Type of function performed	type \| varchar \| not null	Small problem	Confusion
"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	Nothing todo
"endpoint" : [{ Reference(Endpoint) }] // Technical endpoints providing access to services operated for the location	redirect_uri ???	Small problem	Nothing todo

Practitioner

https://www.hl7.org/fhir/practitioner.html

HL7	e-Health	Comparison result	To change DM
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	Ok
"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	Nothing todo
"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	Nothing todo
→"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	Nothing todo

MedicationRequest

https://www.hl7.org/fhir/medicationrequest.html

HL7	e-Health	Comparison result	To change DM
MedicationRequest	[medication_request]
"identifier" : [{ Identifier }], // External ids for this request	id \| uuid \| not null	Ok
"definition" : [{ Reference(ActivityDefinition\|PlanDefinition) }], // Protocol or definition	??? план действий	Small problem	Nothing todo
"basedOn" : [{ Reference(CarePlan\|MedicationRequest\| ProcedureRequest\| ReferralRequest) }], // What request fulfills	??? основание	Small problem	Nothing todo
"groupIdentifier" : { Identifier }, // Composite request this is part of	??? групповой ИД	Small problem	Nothing todo
"status" : "<code>", // active \| on-hold \| cancelled \| completed \| entered-in-error \| stopped \| draft \| unknown	status \| enum() \| not null	Ok
"intent" : "<code>", // R! proposal \| plan \| order \| instance-order	??? Тип исползования	Small problem	Nothing todo
"category" : { CodeableConcept }, // Type of medication usage	??? категория	Small problem	Nothing todo
"priority" : "<code>", // routine \| urgent \| stat \| asap	??? приоритет (routine \| urgent \| stat \| asap)	Nothing todo	Nothing todo
// medication[x]: Medication to be taken. One of these 2:
→"medicationCodeableConcept" : { CodeableConcept },
→"medicationReference" : { Reference(Medication) },
"subject" : { Reference(Patient\|Group) }, // R! Who or group medication request is for	person_id \| uuid \| not null	Ok
"context" : { Reference(Encounter\|EpisodeOfCare) }, // Created during encounter/admission/stay	??? визит - сreated during encounter/admission/stay	Small problem	Nothing todo
"supportingInformation" : [{ Reference(Any) }], // Information to support ordering of the medication	??? примечание	Small problem	Nothing todo
"authoredOn" : "<dateTime>", // When request was initially authored	created_date \| date \| not null	Ok
"requester" : { // Who/What requested the Request	??? кто запрашивает	Ok
→"agent" : { Reference(Practitioner\|Organization\|Patient\|RelatedPerson\|Device) }, // R! Who ordered the initial medication(s)	??? агент ??? legal_entity_id \| uuid \| not null	Ok
→"onBehalfOf" : { Reference(Organization) } // C? Organization agent is acting for	???
"recorder" : { Reference(Practitioner) }, // Person who entered the request	employee_id \| uuid \| not null	Ok
"reasonCode" : [{ CodeableConcept }], // Reason or indication for writing the prescription	???	Small problem	Nothing todo
"reasonReference" : [{ Reference(Condition\|Observation) }], // Condition or Observation that supports why the prescription is being written	???	Small problem	Nothing todo
"note" : [{ Annotation }], // Information about the prescription	???	Small problem	Need add
"dosageInstruction" : [{ Dosage }], // How the medication should be taken	innm_dosage_instuction \| jsonb \| null	Ok	!!!! ----
"dispenseRequest" : { // Medication supply authorization	Ограничения на выдачу	Ok	- Но делаем кол-во
→"validityPeriod" : { Period }, // Time period supply is authorized for	start_date \| date\| not null end_date \| date\| not null	Ok
→"numberOfRepeatsAllowed" : "<positiveInt>", // Number of refills authorized		Small problem	Nothing todo
→"quantity" : { Quantity(SimpleQuantity) }, // Amount of medication to supply per dispense	innm_dose_qty \| number \| not null
→"expectedSupplyDuration" : { Duration }, // Number of days supply per dispense	???	Small problem	Nothing todo
→"performer" : { Reference(Organization) } // Intended dispenser	???	Small problem	Nothing todo
"substitution" : { // Any restrictions on medication substitution	??? заменители	Small problem	Nothing todo
→"allowed" : <boolean>, // R! Whether substitution is allowed or not		Small problem	Nothing todo
→"reason" : { CodeableConcept } // Why should (not) substitution be made		Small problem	Nothing todo
"priorPrescription" : { Reference(MedicationRequest) }, // An order/prescription that is being replaced	??? предшествующий рецепт	Small problem	Nothing todo
"detectedIssue" : [{ Reference(DetectedIssue) }], // Clinical Issue with action	???	Small problem	Nothing todo
"eventHistory" : [{ Reference(Provenance) }] // A list of events of interest in the lifecycle	???	Small problem	Nothing todo

MedicationDispence

https://www.hl7.org/fhir/medicationdispense.html

HL7	e-Health	Result	To change DM
MedicationDispense	[medication_dispenses], [medication_dispense_details]
"identifier" : [{ Identifier }], // External identifier	id \| uuid \| not null	Ok
"partOf" : [{ Reference(Procedure) }], // Event that dispense is part of	??? процедура лечения	Small problem	Nothing todo
"status" : "<code>", // preparation \| in-progress \| on-hold \| completed \| entered-in-error \| stopped	status \| enum() \| not null	Ok
"category" : { CodeableConcept }, // Type of medication dispense	??? категория	Small problem	Nothing todo
// medication[x]: What medication was supplied. One of these 2:
→"medicationCodeableConcept" : { CodeableConcept },
→"medicationReference" : { Reference(Medication) },
"subject" : { Reference(Patient\|Group) }, // Who the dispense is for	[medication_requests].person_id	Ok
"context" : { Reference(Encounter\|EpisodeOfCare) }, // Encounter / Episode associated with event	??? визит - сreated during encounter/ admission/stay	Small problem	Nothing todo
"supportingInformation" : [{ Reference(Any) }], // Information that supports the dispensing of the medication	??? доп.информация	Small problem	Nothing todo
"performer" : [{ // Who performed event	Аптека	Ok
→"actor" : { Reference(Practitioner\|Organization\|Patient\|Device\|RelatedPerson) }, // R! Individual who was performing	employee_id \| uuid \| not null	Ok
→"onBehalfOf" : { Reference(Organization) } // Organization organization was acting for}],	legal_entity_id \| uuid \| not null division_id \| uuid \| not null	Ok
"authorizingPrescription" : [{ Reference(MedicationRequest) }], // Medication order that authorizes the dispense	medication_request_id \| uuid \| not null	Ok
"type" : { CodeableConcept }, // Trial fill, partial fill, emergency fill, etc.	??? тип использования	Small problem	Nothing todo
"quantity" : { Quantity(SimpleQuantity) }, // Amount dispensed	[medication_dispense_details].medication_qty	Ok
"daysSupply" : { Quantity(SimpleQuantity) }, // Amount of medication expressed as a timing amount	??? хватит на Х дней	Small problem	Nothing todo
"whenPrepared" : "<dateTime>", // When product was packaged and reviewed	???	Small problem	Nothing todo
"whenHandedOver" : "<dateTime>", // When product was given out	???	Small problem	Nothing todo
"destination" : { Reference(Location) }, // Where the medication was sent	???	Small problem
"receiver" : [{ Reference(Patient\|Practitioner) }], // Who collected the medication	??? получатель	Small problem	Need add
"note" : [{ Annotation }], // Information about the dispense	??? примечание отпуска	Small problem	Need add
"dosageInstruction" : [{ Dosage }], // How the medication is to be used by the patient or administered by the caregiver	[medication_requests]. innm_dosage_instuction \| jsonb \| null	Ok
"substitution" : { // Whether a substitution was performed on the dispense	??? заменители	Small problem	Nothing todo
→"wasSubstituted" : <boolean>, // R! Whether a substitution was or was not performed on the dispense	??? заменители	Small problem	Nothing todo
→"type" : { CodeableConcept }, // Code signifying whether a different drug was dispensed from what was prescribed	??? заменители	Small problem	Nothing todo
→"reason" : [{ CodeableConcept }], // Why was substitution made	??? заменители	Small problem	Nothing todo
→"responsibleParty" : [{ Reference(Practitioner) }] // Who is responsible for the substitution	??? заменители	Small problem	Nothing todo
"detectedIssue" : [{ Reference(DetectedIssue) }], // Clinical issue with action	???	Small problem	Nothing todo
"notDone" : <boolean>, // Whether the dispense was or was not performed	status \| enum() \| not null	Ok
// notDoneReason[x]: Why a dispense was not performed. One of these 2:	???	Small problem	Nothing todo
→"notDoneReasonCodeableConcept" : { CodeableConcept },	???	Small problem	Nothing todo
→"notDoneReasonReference" : { Reference(DetectedIssue) },	???	Small problem	Nothing todo
"eventHistory" : [{ Reference(Provenance) }] // A list of releveant lifecycle events	???	Small problem	Nothing todo

Medication

https://www.hl7.org/fhir/medication.html

HL7	e-Health	Result	To change DM
Medication	[medications], [ingredients], [innms]
"code" : { CodeableConcept }, // Codes that identify this medication	id \| uuid \| not null	Ok
"status" : "<code>", // active \| inactive \| entered-in-error	status \| varchar \| not null	Ok
"isBrand" : <boolean>, // True if a brand	[medications]	Ok
"isOverTheCounter" : <boolean>, // True if medication does not require a prescription		Small problem	Nothing todo
"manufacturer" : { Reference(Organization) }, // Manufacturer of the item	manufacturer_name_country \| jsonb \| not null	Ok
"form" : { CodeableConcept }, // powder \| tablets \| capsule +	route \| varchar \| not null	Ok
"ingredient" : [{ // Active or inactive ingredient	[inngredients]	Ok
→// item[x]: The product contained. One of these 2:
→"itemCodeableConcept" : { CodeableConcept },
→"itemReference" : { Reference(Substance\|Medication)},	[ingredients].innms_id	Ok
→"isActive" : <boolean>, // Active ingredient indicator	[ingredients].is_active_substance	Ok
→"amount" : { Ratio } // Quantity of ingredient present	[ingredients].dosage	Ok
"package" : { // Details about packaged medications		Ok
→"container" : { CodeableConcept }, // E.g. box, vial, blister-pack	[medications].container_dosage	Ok
→"content" : [{ // What is in the package
→→// item[x]: The item in the package. One of these 2:
→→"itemCodeableConcept" : { CodeableConcept },
→→"itemReference" : { Reference(Medication) },	[medications]	Ok
→→"amount" : { Quantity(SimpleQuantity) } // Quantity present in the package	container_dosage \| jsonb \| not null package_qty \| number\| not null	Ok
"batch" : [{ // Identifies a single production run	???	Small problem	Nothing todo
→"lotNumber" : "<string>", // Identifier assigned to batch	???	Small problem	Nothing todo
→"expirationDate" : "<dateTime>" // When batch will expire	???	Small problem	Nothing todo
"image" : [{ Attachment }] // Picture of the medication	???	Small problem	Nothing todo

E-Health

HL7 comparison

Entity & other comparison

1. Difference kinds of organization

HL7

e-Health

Problem/Difference

2. Hierarchical structure of organization

HL7

e-Health

Problem/Difference

3. Medical services structure of organization/locations

HL7

e-Health

Problem/Difference

4. Confusion in practitioner quailifications/specializtion/etc

HL7

e-Health

Problem/Difference

5. Absent practitioner role

HL7

e-Health

Problem/Difference

Data structure comparison

Organization

Location

Practitioner

MedicationRequest

MedicationDispence

Medication