Application-Object Mapping¶
Minimum required ontology objects per application, with relationship details and cross-application dependency analysis.
App 1: Patient 360 & Care Coordination¶
FHIR: Patient/Encounter | Minimum Objects: 12
| Object | System | Role in App | Key Relationship |
|---|---|---|---|
Patient_Master |
EHR | Core entity — golden patient record | — |
Patient_Identifier |
EHR | MRN, SSN, insurance ID cross-referencing | depends_on -> Patient_Master |
Encounter |
EHR | Visit/admission tracking and episode management | depends_on -> Patient_Master |
Diagnosis |
EHR | Active and historical diagnoses for longitudinal view | depends_on -> Encounter |
Problem_List |
EHR | Chronic condition tracking across encounters | depends_on -> Patient_Master |
Medication_Order |
EHR | Active medications and reconciliation | depends_on -> Patient_Master |
Lab_Result |
Lab/Imaging | Lab results for clinical trending | depends_on -> Patient_Master |
Imaging_Result |
Lab/Imaging | Radiology and imaging findings | depends_on -> Patient_Master |
Allergy |
EHR | Allergy and adverse reaction history | depends_on -> Patient_Master |
Discharge |
EHR | Discharge planning and disposition tracking | depends_on -> Encounter |
SDoH_Assessment |
EHR | Social determinants of health screening | depends_on -> Patient_Master |
Care_Gap |
Internal | HEDIS/quality measure compliance gaps | depends_on -> Patient_Master |
Policies: clinical-safety-policy, hipaa-privacy-policy Workflows: patient-matching, care-gap-detection Integrations: ehr-rcm-sync, notes-nlp, population-feed
App 2: Clinical Decision Support¶
FHIR: MedicationRequest/Observation | Minimum Objects: 11
| Object | System | Role in App | Key Relationship |
|---|---|---|---|
Patient_Master |
EHR | Patient context for clinical rules | — |
Diagnosis |
EHR | Active diagnoses triggering decision rules | depends_on -> Patient_Master |
Medication_Order |
EHR | Prescription data for interaction checking | depends_on -> Patient_Master |
Medication_Administration |
EHR | MAR data for dose timing validation | depends_on -> Medication_Order |
Lab_Result |
Lab/Imaging | Lab values for clinical alerting | depends_on -> Patient_Master |
Vital_Sign |
EHR | Real-time vitals for early warning scoring | depends_on -> Patient_Master |
Allergy |
EHR | Allergy context for drug safety checks | depends_on -> Patient_Master |
Clinical_Order |
EHR | Order entry for CPOE decision support | depends_on -> Patient_Master |
Drug_Interaction |
Internal | Drug-drug and drug-allergy interaction rules | depends_on -> Medication_Order |
Clinical_Guideline |
Internal | Evidence-based clinical pathways and protocols | — |
Early_Warning_Score |
Internal | Composite deterioration score (NEWS/MEWS) | depends_on -> Vital_Sign |
Policies: clinical-safety-policy Workflows: clinical-decision-support, critical-result-management Integrations: lab-imaging-feed, notes-nlp
App 3: Revenue Cycle Optimization¶
FHIR: Claim/EOB | Minimum Objects: 10
| Object | System | Role in App | Key Relationship |
|---|---|---|---|
Patient_Master |
EHR | Patient identity for billing | — |
Encounter |
EHR | Visit context for charge capture | depends_on -> Patient_Master |
Diagnosis |
EHR | DRG assignment and coding accuracy | depends_on -> Encounter |
Claim |
RCM | Claim submission and adjudication tracking | depends_on -> Encounter |
Charge |
RCM | Charge capture and CDM mapping | depends_on -> Encounter |
Denial |
RCM | Denial tracking and root cause analysis | depends_on -> Claim |
Payer_Contract |
RCM | Contract terms and reimbursement rates | — |
Prior_Authorization |
RCM | Authorization status and compliance | depends_on -> Encounter |
Patient_Financial |
RCM | Patient liability and payment plans | depends_on -> Patient_Master |
Procedure_Record |
EHR | Procedure coding for claim accuracy | depends_on -> Encounter |
Policies: revenue-cycle-policy Workflows: denial-prediction Integrations: ehr-rcm-sync, notes-nlp
App 4: Operational Efficiency & Capacity¶
FHIR: Location/Schedule | Minimum Objects: 9
| Object | System | Role in App | Key Relationship |
|---|---|---|---|
Patient_Master |
EHR | Patient identity for census and flow | — |
Encounter |
EHR | Admission/discharge/transfer tracking | depends_on -> Patient_Master |
Bed_Census |
HIS | Real-time bed availability and occupancy | depends_on -> Encounter |
OR_Schedule |
HIS | Operating room utilization and scheduling | depends_on -> Encounter |
ED_Arrival |
HIS | Emergency department throughput tracking | depends_on -> Patient_Master |
Staffing |
HIS | Nurse/physician staffing levels and ratios | depends_on -> Bed_Census |
Patient_Acuity |
EHR | Acuity-based patient classification | depends_on -> Patient_Master |
Discharge |
EHR | Discharge readiness and disposition planning | depends_on -> Encounter |
Vital_Sign |
EHR | Vital trends for patient acuity scoring | depends_on -> Patient_Master |
Policies: bed-management-policy Workflows: bed-management Integrations: ehr-his-sync
App 5: Population Health Management¶
HEDIS/HCC | Minimum Objects: 10**
| Object | System | Role in App | Key Relationship |
|---|---|---|---|
Patient_Master |
EHR | Patient demographics for population segmentation | — |
Encounter |
EHR | Utilization patterns and visit frequency | depends_on -> Patient_Master |
Diagnosis |
EHR | Chronic condition prevalence and HCC coding | depends_on -> Patient_Master |
Medication_Order |
EHR | Medication adherence tracking | depends_on -> Patient_Master |
Lab_Result |
Lab/Imaging | Lab trends for chronic disease management | depends_on -> Patient_Master |
Population_Roster |
Population Data | Health plan member roster and attribution | depends_on -> Patient_Master |
Risk_Stratification |
Internal | Risk score assignment (HCC, CDPS) | depends_on -> Patient_Master |
SDoH_Assessment |
EHR | Social risk factors for population analytics | depends_on -> Patient_Master |
Care_Gap |
Internal | Quality measure compliance gaps per patient | depends_on -> Patient_Master |
Quality_Measure |
Internal | HEDIS/MIPS measure definitions and targets | — |
Policies: quality-measure-policy Workflows: population-risk-stratification, care-gap-detection Integrations: population-feed, ehr-rcm-sync
App 6: Supply Chain & Pharmacy Intelligence¶
Minimum Objects: 8
| Object | System | Role in App | Key Relationship |
|---|---|---|---|
Supply_Inventory |
HIS | Par-level and stock-on-hand tracking | — |
Supply_Usage |
HIS | Consumption data for demand forecasting | depends_on -> Supply_Inventory |
Purchase_Order |
HIS | Procurement and vendor order tracking | depends_on -> Supply_Inventory |
Pharmacy_Inventory |
HIS | Drug inventory and formulary status | — |
Controlled_Substance_Log |
HIS | DEA-regulated substance chain of custody | depends_on -> Pharmacy_Inventory |
Medication_Order |
EHR | Prescription demand signal for pharmacy | depends_on -> Pharmacy_Inventory |
OR_Schedule |
HIS | Surgical supply demand based on case schedule | depends_on -> Supply_Inventory |
Encounter |
EHR | Patient volume for supply demand correlation | — |
Policies: pharmacy-formulary-policy Workflows: supply-demand-forecasting Integrations: ehr-his-sync
App 7: Clinical Quality & Safety¶
CMS/TJC | Minimum Objects: 11**
| Object | System | Role in App | Key Relationship |
|---|---|---|---|
Patient_Master |
EHR | Patient identity for quality measure attribution | — |
Encounter |
EHR | Episode context for quality measures | depends_on -> Patient_Master |
Diagnosis |
EHR | Condition data for quality numerator/denominator | depends_on -> Encounter |
Medication_Order |
EHR | Medication data for safety and stewardship | depends_on -> Patient_Master |
Lab_Result |
Lab/Imaging | Lab values for infection and safety indicators | depends_on -> Patient_Master |
Vital_Sign |
EHR | Vitals for sepsis and deterioration screening | depends_on -> Patient_Master |
Quality_Measure |
Internal | CMS/TJC measure definitions and benchmarks | — |
Adverse_Event |
Internal | Safety event tracking and root cause analysis | depends_on -> Encounter |
Infection_Indicator |
Lab/Internal | HAI surveillance markers (CAUTI, CLABSI, SSI) | depends_on -> Encounter |
Safety_Assessment |
Internal | Fall risk, pressure injury, and restraint scoring | depends_on -> Patient_Master |
Antibiotic_Order |
EHR | Antibiotic stewardship and usage tracking | depends_on -> Medication_Order |
Policies: quality-measure-policy, clinical-safety-policy Workflows: hai-surveillance Integrations: lab-imaging-feed, notes-nlp
App 8: Regulatory & Compliance Automation¶
HIPAA/CMS | Minimum Objects: 9**
| Object | System | Role in App | Key Relationship |
|---|---|---|---|
Patient_Master |
EHR | Patient identity for compliance tracking | — |
Encounter |
EHR | Episode data for regulatory submissions | depends_on -> Patient_Master |
PHI_Access_Log |
Internal | HIPAA access audit trail | depends_on -> Patient_Master |
Quality_Measure |
Internal | CMS/MIPS/IQR measure reporting | — |
Regulatory_Return |
Internal | Filing status and submission tracking | — |
Accreditation_Standard |
Internal | TJC/DNV accreditation requirement mapping | — |
Patient_Consent |
EHR | Consent forms and authorization records | depends_on -> Patient_Master |
Regulatory_Publication |
External | Regulatory change intelligence and updates | — |
Claim |
RCM | Claim data for CMS regulatory reporting | depends_on -> Encounter |
Policies: hipaa-privacy-policy, regulatory-reporting-policy Workflows: regulatory-reporting Integrations: regulatory-feed
Cross-Application Dependency Matrix¶
Shows which entities are shared across applications (checkmark = required by that app):
| Entity | Patient 360 | CDS | Revenue Cycle | Ops | Pop Health | Supply | Quality | Regulatory |
|---|---|---|---|---|---|---|---|---|
| Patient_Master | x | x | x | x | x | — | x | x |
| Encounter | x | — | x | x | x | x | x | x |
| Diagnosis | x | x | x | — | x | — | x | — |
| Medication_Order | x | x | — | — | x | x | x | — |
| Lab_Result | x | x | — | — | x | — | x | — |
| Vital_Sign | — | x | — | x | — | — | x | — |
| Quality_Measure | — | — | — | — | x | — | x | x |
| Allergy | x | x | — | — | — | — | — | — |
| Discharge | x | — | — | x | — | — | — | — |
| SDoH_Assessment | x | — | — | — | x | — | — | — |
| Care_Gap | x | — | — | — | x | — | — | — |
| Claim | — | — | x | — | — | — | — | x |
| OR_Schedule | — | — | — | x | — | x | — | — |
Entity Count per App¶
| Application | Min Objects | Workflows | Policies | Integrations |
|---|---|---|---|---|
| Patient 360 & Care Coordination | 12 | 2 | 2 | 3 |
| Clinical Decision Support | 11 | 2 | 1 | 2 |
| Revenue Cycle Optimization | 10 | 1 | 1 | 2 |
| Operational Efficiency & Capacity | 9 | 1 | 1 | 1 |
| Population Health Management | 10 | 2 | 1 | 2 |
| Supply Chain & Pharmacy | 8 | 1 | 1 | 1 |
| Clinical Quality & Safety | 11 | 1 | 2 | 2 |
| Regulatory & Compliance | 9 | 1 | 2 | 1 |