The FHIR profiles used for the Investigation Results Event Message Bundle

FHIR Profiles

The following FHIR profiles are used to form the Investigation Results Event Message Bundle:

Bundle Structure

Specifies referencing within the Event Message Bundle.


Investigation Results (open in new TAB)

Investigation Results 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
Note
Date/Time CareConnect-Encounter-1.period.start Mandatory Format is YYYY-MM-DD”T”HH:MM:SS
ODS/ORD Site Code CareConnect-Location-1.identifier (ODS Site Code) Required  
Performing Professional CareConnect-Practitioner.name Required  
SDS Job Role Name CareConnect-PractitionerRole-1.code (SDS Job Role Name) Required  
Investigation CareConnect-Observation-1.code Mandatory The investigation should be drawn from the Procedure hierarchy of SNOMED CT (<71388002 Procedure (procedure)), but there may be an alternative SNOMED CT concept.
Investigation Results CareConnect-Observation-1.value[x]* Required CareConnect-Observation-1.value[String] for free text field to be used if no coded text available.

*Note that the appropriate value data type should be used when reporting investigation results (for example, a measurement would use valueQuantity, and have an appropriate unit). Investigation results that are coded should use SNOMED CT, and be drawn from the Evaluation Findings Hierarchy (< 441742003 Evaluation finding (finding)), but could use other concepts from SNOMED CT. Some investigation results may have several components (for example some genetic investigations, ECG etc.), and these should use the component part of CareConnect-Observation-1 to record the investigation result.

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: ‘​investigation-results-1 | Investigation Results’
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-Observation-1

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

Resource Cardinality 1..1
Element Cardinality Additional Guidance
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
performer 1..1 This will reference the practitioner resource responsible for the event
relatedTarget 0..1 This will reference related observation resources

Investigation Results Example

Profile Change Mappings for Investigation Results

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
CareConnect-DCH-Observation-1 CareConnect-Observation-1
Tags: fhir