FHIR R4 resources

Fast Healthcare Interoperability Resources is the standard on which clinical data exchange now converges. Adopting it means BAEMS can exchange with an electronic health record, a laboratory system or national digital health infrastructure without a custom interface for each.

These fifteen resources cover the emergency care pathway from arrival through diagnosis and treatment to reimbursement.

Patient

An individual receiving or awaiting care — demographics, history and contact details. The anchor resource for everything else.

Encounter

An interaction between patient and provider: location, date, reason and the parties involved.

Condition

A clinical condition, problem or diagnosis, with onset, severity, status and clinical notes.

Observation

Clinical observations and measurements — vital signs, laboratory results, diagnostic readings.

Procedure

A procedure performed on a patient: type, date and time, performer, outcome.

MedicationRequest

A request for medication with name, dosage, frequency and instructions.

MedicationAdministration

The actual administration of a medication: what, how much, by what route, at what time.

AllergyIntolerance

A patient's allergy or intolerance — allergen, reaction, severity, onset. Critical in unconscious presentation.

DiagnosticReport

A report of diagnostic tests or imaging: type, results, interpretation and conclusion.

Immunisation

Immunisation history — vaccine, date, dosage and provider.

Location

A physical location where care is delivered: name, address, type and contact.

Practitioner

An individual provider involved in care: name, role, specialty, contact.

Organisation

An organisation delivering care: name, type, address and contact.

Coverage

Insurance coverage or benefit plan — type, policy holder, effective dates. The PM-JAY linkage point.

Claim

A request for reimbursement: service codes, costs and payer information.