The FHIR profiles used for the Feeding Status Event Message Bundle

FHIR Profiles

The following FHIR profiles are used to form the Feeding Status Event Message Bundle:

Bundle Structure

Specifies referencing within the Event Message Bundle.


Feeding Status (open in new TAB)

Feeding Status 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 CareConnect-Encounter-1.period.start or DCH-FeedingStatus-QuestionnaireResponse-1.authored Mandatory
First Milk Feed CareConnect-QuestionnaireResponse-1.item(firstMilkFeed) Required
Date and Time of First Milk Feed CareConnect-QuestionnaireResponse-1.item(firstMilkFeedDateTime) Required
Feeding Status of the baby CareConnect-QuestionnaireResponse-1.item(feedingStatus) Required
Feeding method CareConnect-QuestionnaireResponse-1.item(feedingMethod) Required
Introduction of Solids CareConnect-QuestionnaireResponse-1.item(introductionOfSolids) Required
Approximate Date breastfeeding stopped CareConnect-QuestionnaireResponse-1.item(approximateDateBreastfeedingStopped) Required
Feeding Concerns CareConnect-QuestionnaireResponse-1.item(feedingConcerns) Optional

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: “​feeding-status-1 | ​Feeding Status”
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-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
QuestionnaireResponse.subject 1..1 QuestionnaireResponse.subject SHALL reference the subject Patient resource
QuestionnaireResponse.context 1..1 QuestionnaireResponse.context SHALL reference the Encounter resource
QuestionnaireResponse.author 1..1 QuestionnaireResponse.author SHALL reference the authoring Practitioner resource

Individual Feeding Status items will be recorded as:

First Milk Feed

item (firstMilkFeed)    
QuestionnaireResponse.item (firstMilkFeed) 0..1  
QuestionnaireResponse.item (firstMilkFeed).linkId 1..1 Fixed Value: firstMilkFeed
QuestionnaireResponse.item (firstMilkFeed).text 1..1 Fixed Value: First Milk Feed
QuestionnaireResponse.item (firstMilkFeed).answer 1..1  
QuestionnaireResponse.item (firstMilkFeed).answer.valueCoding 1..1 QuestionnaireResponse.item (firstMilkFeed).answer.valueCoding SHALL use a value from https://fhir.nhs.uk/STU3/ValueSet/DCH-FirstMilkFeed-1

Date and Time of First Milk Feed

item (firstMilkFeedDateTime)    
QuestionnaireResponse.item (firstMilkFeedDateTime) 0..1  
QuestionnaireResponse.item (firstMilkFeedDateTime).linkId 1..1 Fixed Value: firstMilkFeedDateTime
QuestionnaireResponse.item (firstMilkFeedDateTime).text 1..1 Fixed Value: Date and Time of First Milk Feed
QuestionnaireResponse.item (firstMilkFeedDateTime).answer 1..1  
QuestionnaireResponse.item (firstMilkFeedDateTime).answer.valueDateTime 1..1  

Feeding Status of the baby

item (feedingStatus)    
QuestionnaireResponse.item (feedingStatus) 0..1  
QuestionnaireResponse.item (feedingStatus).linkId 1..1 Fixed Value: feedingStatus
QuestionnaireResponse.item (feedingStatus).text 1..1 Fixed Value: Feeding Status of the baby
QuestionnaireResponse.item (feedingStatus).answer 1..1  
QuestionnaireResponse.item (feedingStatus).answer.valueCoding 1..1 QuestionnaireResponse.item (feedingStatus).answer.valueCoding SHALL use a value from ttps://fhir.nhs.uk/STU3/ValueSet/DCH-FeedingStatus-1

Feeding method

item (feedingMethod)    
QuestionnaireResponse.item (feedingMethod) 0..1  
QuestionnaireResponse.item (feedingMethod).linkId 1..1 Fixed Value: feedingMethod
QuestionnaireResponse.item (feedingMethod).text 1..1 Fixed Value: Feeding Method
QuestionnaireResponse.item (feedingMethod).answer 1..1  
QuestionnaireResponse.item (feedingMethod).answer.valueCoding 1..1 QuestionnaireResponse.item (feedingMethod).answer.valueCoding SHOULD use a value from https://fhir.nhs.uk/STU3/ValueSet/DCH-FeedingMethod-1

Introduction of Solids

item (introductionOfSolids)    
QuestionnaireResponse.item (introductionOfSolids) 0..1  
QuestionnaireResponse.item (introductionOfSolids).linkId 1..1 Fixed Value: introductionOfSolids
QuestionnaireResponse.item (introductionOfSolids).text 1..1 Fixed Value: Introduction of Solids
QuestionnaireResponse.item (introductionOfSolids).answer 1..1  
QuestionnaireResponse.item (introductionOfSolids).answer.valueDateTime 1..1  

Approximate Date breastfeeding stopped

item (approximateDateBreastfeedingStopped)    
QuestionnaireResponse.item (approximateDateBreastfeedingStopped) 0..1  
QuestionnaireResponse.item (approximateDateBreastfeedingStopped).linkId 1..1 Fixed Value: approximateDateBreastfeedingStopped
QuestionnaireResponse.item (approximateDateBreastfeedingStopped).text 1..1 Fixed Value: Date of last breast milk feed to the nearest month and year
QuestionnaireResponse.item (approximateDateBreastfeedingStopped).answer 1..1  
QuestionnaireResponse.item (approximateDateBreastfeedingStopped).answer.valueDateTime 1..1  

Feeding Concerns

item (feedingConcerns)    
QuestionnaireResponse.item (feedingConcerns) 0..1  
QuestionnaireResponse.item (feedingConcerns).linkId 1..1 Fixed Value: feedingConcerns
QuestionnaireResponse.item (feedingConcerns).text 1..1 Fixed Value: Feeding Concerns
QuestionnaireResponse.item (feedingConcerns).answer 1..1  
QuestionnaireResponse.item (feedingConcerns).answer.valueString 1..1  

Feeding Status Example

Profile Change Mappings for Feeding Status

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
DCH-FeedingStatus-QuestionnaireResponse-1 CareConnect-QuestionnaireResponse-1
Tags: fhir