Introduction

Aligncare FHIR server is implementation of FHIR R4 server standard which enables access and search capabilities for patient metrics data. Patient metrics data is structured using two base FHIR resources: Patient and RiskAssessment . Patient resource is used in base implementation and also to model patient demographic data in other resources. RiskAssessment is extended and profiled in AcRiskAssessmentMetrics which enables modeling Aligncare core metrics data for patient

AcRiskAssessmentMetrics is Aligncare FHIR profile based on RiskAssessment. Core metrics data is modeled using extensions.

Patient FHIR resource is used to model patient demographic data.

"resource": {
        "resourceType": "AcRiskAssessmentMetrics",
        "id": "0",
        "meta": null,
        "status": "final",
        "subject": {
          "reference": "https://fhir-ac-dev.azurewebsites.net/api/patient/38877",
          "type": "Patient",
          "identifier": {
            "use": "official",
            "type": null,
            "system": "http://hl7.org/fhir/sid/us-ssn",
            "value": "17039405659",
            "period": null,
            "assigner": null
          },
          "display": "William Dicki"
        },
        "extension": [
          {
            "url": "https://fhir.simplifier.net/AligncareFHIR/StructureDefinition/8fa5a23f-68f0-4b71-a070-83bee8f46c97",
            "extension": [
              {
                "url": "PredominantPrescriber",
                "valueString": "10211446476"
              },
              {
                "url": "PCPID",
                "valueString": "19198500222"
              },
              {
                "url": "PCPName",
                "valueString": ""
              },
              {
                "url": "MER",
                "valueString": null
              },
              {
                "url": "Polypharm",
                "valueString": "3"
              },
              {
                "url": "PolyPrescriber",
                "valueString": "4"
              },
              {
                "url": "TheraputicComplexity",
                "valueString": "3"
              },
              {
                "url": "CoordinationRisk",
                "valueString": "3"
              },
              {
                "url": "ConcurrentDrugs",
                "valueString": "0"
              },
              {
                "url": "ReportedDate",
                "valueString": "6/15/2018 12:00:00 AM"
              },
              {
                "url": "InNetworkCount",
                "valueString": "5"
              },
              {
                "url": "OutofNetworkCount",
                "valueString": "4"
              },
              {
                "url": "BrandCount",
                "valueString": "3"
              },
              {
                "url": "GenericCount",
                "valueString": "9"
              },
              {
                "url": "ControlledSubstanceHighCount",
                "valueString": "3"
              },
              {
                "url": "ControlledSubstanceMedCount",
                "valueString": "0"
              },
              {
                "url": "ControlledSubstanceLowCount",
                "valueString": "1"
              },
              {
                "url": "DrugLast90DaysCount",
                "valueString": "6"
              },
              {
                "url": "AllDrugCount",
                "valueString": "12"
              },
              {
                "url": "MERActualLevel",
                "valueString": "1.590000"
              },
              {
                "url": "ModelName",
                "valueString": null
              },
              {
                "url": "Region",
                "valueString": "MSA 10"
              },
              {
                "url": "Site",
                "valueString": "site71"
              },
              {
                "url": "Group",
                "valueString": ""
              },
              {
                "url": "AttentionPolypharmacy",
                "valueString": null
              },
              {
                "url": "AttentionPolyprescribers",
                "valueString": null
              },
              {
                "url": "AttentionTherapeuticComplexity",
                "valueString": null
              },
              {
                "url": "FiveOrMoreConcurrentDrugs",
                "valueString": null
              },
              {
                "url": "PotentialCSAAbuse",
                "valueString": null
              },
              {
                "url": "PotentialComplianceIssue",
                "valueString": null
              },
              {
                "url": "PotentialAbuse",
                "valueString": null
              },
              {
                "url": "EmergentNewDiagnosisGroup",
                "valueString": null
              },
              {
                "url": "ChangeinPredictedExpense",
                "valueString": null
              },
              {
                "url": "ChangeinCoordinationRisk",
                "valueString": null
              },
              {
                "url": "ChangeinPolypharm",
                "valueString": null
              },
              {
                "url": "ChangeinPolyprescriber",
                "valueString": null
              },
              {
                "url": "ChangeinTherapeuticComplexity",
                "valueString": null
              },
              {
                "url": "EmergentWithinDiagnosisGroup",
                "valueString": null
              },
              {
                "url": "SubPopulation",
                "valueString": null
              },
              {
                "url": "COA",
                "valueString": ""
              },
              {
                "url": "Product",
                "valueString": "Standard"
              },
              {
                "url": "EmployerGroup",
                "valueString": ""
              }
            ]
          },
          {
            "url": "https://fhir.simplifier.net/AligncareFHIR/StructureDefinition/fb7c1c96-461e-4298-9ea9-5ecf335a1d74",
            "extension": [
              {
                "url": "RxMG",
                "valueString": "ENDx040"
              },
              {
                "url": "ConditionName",
                "valueString": "Endocrine/Metabolic / Diabetes without insulin"
              },
              {
                "url": "isEmergent",
                "valueString": "New diagnosis group"
              },
              {
                "url": "ConditionImpact",
                "valueString": "L"
              }
            ]
          },
          {
            "url": "https://fhir.simplifier.net/AligncareFHIR/StructureDefinition/fb7c1c96-461e-4298-9ea9-5ecf335a1d74",
            "extension": [
              {
                "url": "RxMG",
                "valueString": "GSIx020"
              },
              {
                "url": "ConditionName",
                "valueString": "General Signs and Symptoms / Pain"
              },
              {
                "url": "isEmergent",
                "valueString": "New diagnosis group"
              },
              {
                "url": "ConditionImpact",
                "valueString": "M"
              }
            ]
          },
          {
            "url": "https://fhir.simplifier.net/AligncareFHIR/StructureDefinition/fb7c1c96-461e-4298-9ea9-5ecf335a1d74",
            "extension": [
              {
                "url": "RxMG",
                "valueString": "GURx010"
              },
              {
                "url": "ConditionName",
                "valueString": "Genito-Urinary / Acute Minor"
              },
              {
                "url": "isEmergent",
                "valueString": "New diagnosis group"
              },
              {
                "url": "ConditionImpact",
                "valueString": "M"
              }
            ]
          },
          {
            "url": "https://fhir.simplifier.net/AligncareFHIR/StructureDefinition/fb7c1c96-461e-4298-9ea9-5ecf335a1d74",
            "extension": [
              {
                "url": "RxMG",
                "valueString": "CARx050"
              },
              {
                "url": "ConditionName",
                "valueString": "Cardiovascular / Vascular disorders"
              },
              {
                "url": "isEmergent",
                "valueString": "New diagnosis group"
              },
              {
                "url": "ConditionImpact",
                "valueString": "M"
              }
            ]
          },
          {
            "url": "https://fhir.simplifier.net/AligncareFHIR/StructureDefinition/fb7c1c96-461e-4298-9ea9-5ecf335a1d74",
            "extension": [
              {
                "url": "RxMG",
                "valueString": "INFx020"
              },
              {
                "url": "ConditionName",
                "valueString": "Infections / Acute minor"
              },
              {
                "url": "isEmergent",
                "valueString": "New diagnosis group"
              },
              {
                "url": "ConditionImpact",
                "valueString": "L"
              }
            ]
          },
          {
            "url": "https://fhir.simplifier.net/AligncareFHIR/StructureDefinition/fb7c1c96-461e-4298-9ea9-5ecf335a1d74",
            "extension": [
              {
                "url": "RxMG",
                "valueString": "GSIx040"
              },
              {
                "url": "ConditionName",
                "valueString": "General Signs and Symptoms / Severe Pain"
              },
              {
                "url": "isEmergent",
                "valueString": "New diagnosis group"
              },
              {
                "url": "ConditionImpact",
                "valueString": "H"
              }
            ]
          },
          {
            "url": "https://fhir.simplifier.net/AligncareFHIR/StructureDefinition/fb7c1c96-461e-4298-9ea9-5ecf335a1d74",
            "extension": [
              {
                "url": "RxMG",
                "valueString": "EYEx020"
              },
              {
                "url": "ConditionName",
                "valueString": "Eye / Symptoms"
              },
              {
                "url": "isEmergent",
                "valueString": "New diagnosis group"
              },
              {
                "url": "ConditionImpact",
                "valueString": "L"
              }
            ]
          }
        ]
      }