FHIR Chat · demography data · social

Stream: social

Topic: demography data


view this post on Zulip Mohsen Jafari (Jul 13 2021 at 08:49):

I am almost new to FHIR. We have some data in our clinic such as "Alcohol Consumption", "Smoking", "Weight"; we want to transform these data into FHIR resources, but I don't know which FHIR resource includes these items.

view this post on Zulip Mario Villace (Jul 13 2021 at 09:15):

Hi! And welcome to FHIR!! Personally ("Smoking", "Alcohol",...), I'll recommend to use FHIR Observation resource with "category" : "social-history". https://www.hl7.org/fhir/valueset-observation-category.html
"Weight" can be classified as "vital-signs" Observation category.

Social History Observations define the patient's occupational, personal (e.g., lifestyle), social, familial, and environmental history and health risk factors that may impact the patient's health.

view this post on Zulip Mohsen Jafari (Jul 13 2021 at 09:29):

Thank you @Mario Villace for your response. I will check your suggestion.

view this post on Zulip Mohsen Jafari (Jul 13 2021 at 10:52):

Dear @Mario Villace, I am not able to find a category for "level of care". I mean in German language we have a word for level of care which is actually a measure of how much support a person needs in their daily life. It ranges from 1-5 and it is determined officially. It will in turn determine how much money will be spend on supporting that person. Level 5 means 24h support by 1-2 people.

view this post on Zulip Mario Villace (Jul 13 2021 at 11:44):

IMHO, registering this person requires some level of support can be modelled by Condition FHIR resource: https://www.hl7.org/fhir/condition.html ;

"A clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern. [...] or other health issue/situation that may require ongoing monitoring and/or management (health issue/concern)."

There you can add a "severity", with "preferred" valueset https://www.hl7.org/fhir/valueset-condition-severity.html that you can extend with two more SNOMED values if needed; these are the "preferred" ones:

24484000 Severe
6736007 Moderate
255604002 Mild

I hope this helps. Cheers!


Last updated: Apr 12 2022 at 19:14 UTC