The FHIR profiles used for the Early Years Progress Event Message Bundle

FHIR Profiles

The following FHIR profiles are used to form the Early Years Progress Event Message Bundle:

Bundle Structure

Specifies referencing within the Event Message Bundle.


Early Years Progress (open in new TAB)

Early Years Progress Event data item mapping to FHIR profiles

This Mapping table defines the FHIR elements that SHALL be used to encode the Healthy Child Event Specification data items for each DCH Event Message payload.
Some common data item mappings, such as patient, publisher or Date/Time of event information, are defined within the Header mapping table and SHALL be considered in parallel with the payload mapping.

The Child Health Event data items are fulfilled by elements within the FHIR resources listed below:

DCH Data Item FHIR Resource element Mandatory/Required/Optional
Date/Time CareConnect-Encounter-1.period.start Mandatory
Site Code CareConnect-Location-1.identifier Required
Performing Professional CareConnect-Practitioner.name Required
Professional Type CareConnect-PractitionerRole-1.code (SDS Job Role Name) Required
Parental Consent CareConnect-QuestionnaireResponse-1.item(parentalConsent) Required
Communication and Language CareConnect-QuestionnaireResponse-1.item(communicationAndLanguage) Required
Physical Development CareConnect-QuestionnaireResponse-1.item(physicalDevelopment) Required
Personal, Social and Emotional Development CareConnect-QuestionnaireResponse-1.item(personalSocialEmotionalDevelopment) Required
Any Areas of Concern CareConnect-QuestionnaireResponse-1.item(areasOfConcern) Required
Type of Support Requested/Provided CareConnect-QuestionnaireResponse-1.item(supportedRequestedOrProvided) Required

Resource Population Requirements and Guidance

The following requirements and resource population guidance should be followed in addition to the requirements and guidance outlined in the data item mapping above and in the Event Header requirements page.

Bundle

Resource Cardinality 1..1
Element Cardinality Additional Guidance
type 1..1 Fixed value: message

Event-MessageHeader-1

The Event-MessageHeader-1 resource included as part of the event message SHALL conform to the Event-MessageHeader-1 constrained FHIR profile and the additional population guidance as per the table below:

Resource Cardinality 1..1
Element Cardinality Additional Guidance
extension(messageEventType) 1..1  
event 1..1 Fixed Value: ‘early-years-progress-1 | Early Years Progress’
responsible 1..1 This will reference the responsible Organization resource
focus 1..1 This will reference the CareConnect-Encounter-1 resource which contains information relating to the event message.

CareConnect-Organization-1

The CareConnect-Organization-1 resource included as part of the event message SHALL conform to the CareConnect-Organization-1 constrained FHIR profile and the additional population guidance as per the table below:

Resource Cardinality 1..*
Element Cardinality Additional Guidance
identifier.system 1..1 Fixed value: https://fhir.nhs.uk/Id/ods-organization-code
identifier.value 1..1 Organisation’s ODS Organization Code
name 1..1 Organisation’s Name

CareConnect-HealthcareService-1

The CareConnect-HealthcareService-1 resource included as part of the event message SHALL conform to the CareConnect-HealthcareService-1 constrained FHIR profile and the additional population guidance as per the table below:

Resource Cardinality 1..1
Element Cardinality Additional Guidance
providedBy 1..1 This will reference the ‘sender’ organization of the event message.
type 1..1 This will represent the type of service responsible for the event message. This will have a fixed value from the ValueSet CareConnect-CareSettingType-1
specialty 1..1 HealthcareService.specialty SHALL use a value from https://fhir.nhs.uk/STU3/ValueSet/DCH-Specialty-1

CareConnect-Patient-1

The CareConnect-Patient-1 resource included as part of the event message SHALL conform to the CareConnect-Patient-1 constrained FHIR profile and the additional population guidance as per the table below:

Resource Cardinality 1..1
Element Cardinality Additional Guidance
identifier 1..1 Patient NHS Number SHALL be included within the nhsNumber identifier slice
name (official) 1..1 Patients name as registered on PDS, included within the resource as the official name element slice
birthDate 1..1 The patient birth date shall be included in the patient resource

CareConnect-Encounter-1

The CareConnect-Encounter-1 resource included as part of the event message SHALL conform to the CareConnect-Encounter-1 constrained FHIR profile and the additional population guidance as per the table below:

Resource Cardinality 1..1
Element Cardinality Additional Guidance
Encounter.type.coding(childHealthEncounterType) 1..1 Encounter.type.coding(childHealthEncounterType) SHALL use a value from https://fhir.nhs.uk/STU3/ValueSet/DCH-ChildHealthEncounterType-1
Encounter.reason.coding(snomedCT) 1..1 Encounter.reason.coding(snomedCT) SHALL use a value from https://fhir.nhs.uk/STU3/ValueSet/DCH-AdmissionReason-1
serviceProvider 1..1 This will reference the Organisation resource hosting the Encounter
location 1..1 This will reference the Encounter’s Location
subject 1..1 This will reference the patient resource representing the subject of this event

CareConnect-Location-1

The CareConnect-Location-1 resource included as part of the event message SHALL conform to the CareConnect-Location-1 constrained FHIR profile and the additional population guidance as per the table below:

Resource Cardinality 0..1

CareConnect-Practitioner-1

The CareConnect-Practitioner-1 resource included as part of the event message SHALL conform to the CareConnect-Practitioner-1 constrained FHIR profile and the additional population guidance as per the table below:

Resource Cardinality 1..1

CareConnect-PractitionerRole-1

The CareConnect-PractitionerRole-1 resource included as part of the event message SHALL conform to the CareConnect-PractitionerRole-1 constrained FHIR profile and the additional population guidance as per the table below:

Resource Cardinality 1..1
Element Cardinality Additional Guidance
organization 1..1 This will reference the Organization resource responsible for the event
practitioner 1..1 This will reference the Practitioner resource responsible for the event
PractitionerRole.code(careProfessionalType) 1..1 PractitionerRole.code(careProfessionalType) SHALL use a value from https://fhir.nhs.uk/STU3/ValueSet/DCH-ProfessionalType-1
PractitionerRole.code(keyWorkerStatus) 0..1 If Practitioner is a key worker, PractitionerRole.codekeyWorkerStatus SHALL use a value from https://fhir.nhs.uk/STU3/ValueSet/DCH-KeyWorkerStatus-1
PractitionerRole.specialty 1..1 PractitionerRole.specialty SHALL use a value from https://fhir.nhs.uk/STU3/ValueSet/DCH-Specialty-1

CareConnect-QuestionnaireResponse-1

The CareConnect-QuestionnaireResponse-1 resource included as part of the event message SHALL conform to the CareConnect-QuestionnaireResponse-1 constrained FHIR profile and the additional population guidance as per the table below:

Resource Cardinality TBC
Element Cardinality Additional Guidance
status 1..1  
subject 1..1 This will reference the patient resource representing the subject of this event
context 1..1 This will reference the encounter resource representing the context of this event

Individual Early Years Progress items will be recorded as:

item (parentalConsent) 0..1  
item.linkId 1..1 Fixed Value: parentalConsent
item.text 1..1 Fixed Value: Parental Consent
item.answer 1..1  
item.answer.valueCoding 1..1 item.answer.valueCoding SHALL take a value from https://fhir.nhs.uk/STU3/ValueSet/DCH-ParentalConsentToShareInformation-1

Communication And Language

item (communicationAndLanguage) 0..1  
item.linkId 1..1 Fixed Value: communicationAndLanguage
item.text 1..1 Fixed Value: Communication And Language
item.answer 1..1  
item.answer.valueString 1..1  

Physical Development

item (physicalDevelopment) 0..1  
item.linkId 1..1 Fixed Value: physicalDevelopment
item.text 1..1 Fixed Value: Physical Development
item.answer 1..1  
item.answer.valueString 1..1  

Personal, Social and Emotional Development

item (personalSocialEmotionalDevelopment) 0..1  
item.linkId 1..1 Fixed Value: personalSocialEmotionalDevelopment
item.text 1..1 Fixed Value: Personal, Social and Emotional Development
item.answer 1..1  
item.answer.valueString 1..1  

Areas Of Concern

item (areasOfConcern) 0..1  
item.linkId 1..1 Fixed Value: areasOfConcern
item.text 1..1 Fixed Value: Any Areas Of Concern
item.answer 1..1  
item.answer.valueString 1..1  

Support Requested Or Provided

item (supportRequestedOrProvided) 0..1  
item.linkId 1..1 Fixed Value: supportRequestedOrProvided
item.text 1..1 Fixed Value: Type of Support Requested/Provided
item.answer 1..1  
item.answer.valueString 1..1  

Early Years Progress Example

Profile Change Mappings for Early Years Progress

Profiles used in Demographics Update Event Messages 1.2.1-Release Candidate are replaced with:

Demographic-Event-Messages Demographic-Event-Messages-CareConnect
DCH-Bundle-1 Bundle
DCH-MessageHeader-1 Event-MessageHeader-1
CareConnect-Organization-1 CareConnect-Organization-1
DCH-HealthcareService-1 CareConnect-HealthcareService-1
CareConnect-DCH-Patient-1 CareConnect-Patient-1
CareConnect-DCH-Encounter-1 CareConnect-Encounter-1
CareConnect-Location-1 CareConnect-Location-1
CareConnect-DCH-Practitioner-1 CareConnect-Practitioner-1
CareConnect-DCH-PractitionerRole-1 CareConnect-PractitionerRole-1
DCH-EarlyYearsProgress-QuestionnaireResponse-1 CareConnect-QuestionnaireResponse-1
Tags: fhir