Additional Patient Agent Attributes

[JRPearson500]

Using PRSB core information standards mapped to FHIR

[JRPearson500]

The PRSB Core Information Standard https://theprsb.org/standards/coreinformationstandard/ defines how to
share health information in a structured manner. The site contains a link to an Excel spreadsheet which presents the types of information that can be collected about a patient - an extract is shown to the right.

This kind of information can be included in the Alpha data model, by mapping to an appropriate FHIR resource type.

Blue rows mark the start of a segment of information (Patient demographics, GP practice), it is possible to map these to FHIR resource types ‘Patient; and ‘Practitioner.’ We believe it is also possible to map other core information segments to FHIR resource types.

Since the core information standard is mappable to FHIR, it can be used as an input to the Alpha data model. We have documented in the code base how various FHIR resources can be supplied to the model when initialising the patients and environments. This information can then be utilised by the Intelligence Layer.

The core information standard may introduce some extension fields to the respective FHIR resource, as well as some additional constraints (e.g. Patient demographics must have a name field). For these reasons, the FHIR patient health record that is generated by the model may not be Core Information Standard compliant (even when it is FHIR compliant).

In order to make it compliant, it would be possible to build the relevant rules into the FHIR report generator function; we also
recommend building a validator for outputs.