5 FHIR-based reporting
This section describes the functionality that is implemented to generate standardized tables and reports from fhir resources.
5.1 Base reporter: Standardized tables
We provide a base reporter that extracts the most important information for the momcare project from the fhir resources into standardized tables. These standardized tables serve as a starting point for further analysis.
Patient timeline table
In the MomCare project, the patient’s journey over time is tracked. This means that most important information would be captured with a table that tracks each procedure, treatment, or diagnosis that a patient receives over time. For this reason we implemented a functionality to create the patient timeline table.
The patient_timeline table consists of all procedures and diagnosis that a patient is subjected to over time. It is created based on the following fhir resources:
- patient
- procedure
- condition
- encounter
- observation
- organization
The patient_timeline is of the following format:
| patient_id | encounter_id | visit_provider_id | visit_provider_name | procedure_time | code | system | type | description_name | visitType | visit_type_code | visit_no | visit_type_no | gestation_week |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 6c2c-3576 | 34 | 52 | Dawar Dispensary | 2022-10-10 | O98.7 | ICD10 | condition | HIV in pregnancy | Antenatal care | 424525001 | 2 | 2 | 20 |
| 6c2c-3576 | 34 | 52 | Dawar Dispensary | 2022-10-10 | NaN | snomed | procedure | HIV test | Antenatal care | 424525001 | 1 | 1 | 18 |
| 6c2c-3576 | 123 | 2 | Ngarenairobi RC Health centre | 2022-11-18 | Z34 | ICD10 | condition | HIV test | Postpartum care | 424525001 | 10 | 1 | 44 |
| 6c2c-3576 | 123 | 2 | Ngarenairobi RC Health centre | 2022-11-18 | NaN | snomed | procedure | Malaria Rapid Test | Antenatal care | 133906008 | 3 | 3 | 30 |
| 6c2c-3576 | 123 | 2 | Ngarenairobi RC Health centre | 2022-11-18 | NaN | snomed | procedure | Blood pressure | Antenatal care | 424525001 | 1 | 1 | 8 |
next to the patient_timeline also some basic information about the patient is of importance, for this reason the patient_information table is created:
| patient_id | birthDate | enrollment_date | age_at_enrolment | age_group | delivery_date | expected_delivery_date |
|---|---|---|---|---|---|---|
| 0242ac120002 | 2002-12-10 | 2023-04-22 | 20 | AGE_GROUP_20_24 | NaT | 2023-09-06 |
| 4b9e0e3b2-9ced | 1990-09-10 | 2020-04-01 | 29 | AGE_GROUP_25_29 | 2020-10-01 | 2020-10-08 |
For further analysis those two tables are often combined into one patient_timline_combined table
questionnare_response table
Besides the patient’s yourney the patient is also requested to answer different questionnaires. The DataCare module contains the functionality to flatten the fhir Resource questionnaireResponse to create a table containing all questionnaires’ questions and answers for each patient. This table is called the questionnaire_response table and is of the following format:
| patientId | ClinicName | date | survey_id | question_id | question | answer | … |
|---|---|---|---|---|---|---|---|
| 6c2c-3576 | Tumaini Hospital | 2021-10-07 | 1 | 44 | Do you have a previous C-Section scar? | false | … |
| 6c2c-3576 | Tumaini Hospital | 2021-10-07 | 1 | 42 | Is this your first child? | true | … |
| 6c2c-3576 | Tumaini Hospital | 2021-10-07 | 2 | 36 | At what age did you have your first child? | <20 | … |
| 6c2c-3576 | Tumaini Hospital | 2021-10-07 | 2 | 35 | How many times have you been pregnant before? | 0 | … |
5.2 Usage Base Reporter
Based on the base reports described above, different reports of interest can be created:
- DHIS2 reports provide insight in how many mothers visit a clinic, what conditions occur amongst mothers that visit that clinic, and what procedures mothers obtain in a clinic.
- Value point reports provide the value points (described in the value points section) obtained by clinics by threathing their patients.
In figure 5.1, a high level overview is given of how the base reports provide input for the DHIS2 and value points reports
TODO
In the analytics workbench an example note book is provided, showing how to use the base reporter.