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" } ] } ] }