Requesting mapping information for my data.

[Aakash Aggarwal]

Hi everyone,

I've been using FHIR DB for a while to manage patient information, including details like conditions and medications. I'm now looking to add new information divided into sections such as history_of_present_illness and follow_ups, which span multiple domains (Problem, Procedure, Lab, Medication).

To be specific, my data is organized into sections for each patient, such as:

assessment
assessment_and_plan
chief_complaint
family_history
history_present_illness
Each section contains data across the four domains: Problem, Procedure, Lab, Medication.

Currently, I'm handling this by mapping each section to a specific FHIR resource. For example:

The assessment section is stored in the ClinicalImpression resource.
Each domain within a section (e.g., problems in the Condition resource) is referenced through extensions in ClinicalImpression.
This way, fetching an assessment for a patient includes all related domain data.

However, I'm wondering if there's a more specific or efficient way to structure this data in FHIR. For instance, in the follow_up section, I create an Appointment resource for the follow_up text and then create a Procedure resource for related details (IMOTitle, IMOcode, etc.), referencing this Procedure in the Appointment. I suspect creating an Appointment resource just for the text might not be the best approach.

Here's an example of the data I'm working with: Google Sheet.

Any guidance or suggestions on better structuring this data in FHIR would be greatly appreciated!

Thanks,
Aakash