The FHIR profiles used for the Social Context Event Message Bundle

FHIR Profiles

The following FHIR profiles are used to form the Social Context Event Message Bundle:

Bundle Structure

Specifies referencing within the Event Message Bundle.


Social Context (open in new TAB)

Social Context 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.
Social Circumstances CareConnect-QuestionnaireResponse-1.item(socialCircumstances) Required Free text.
Lifestyle CareConnect-QuestionnaireResponse-1.item(lifestyle) Required Free text.
Smoking Status CareConnect-QuestionnaireResponse-1.item(smokingStatus) Required Allow SNOMED CT only.
Smoking Status- details CareConnect-QuestionnaireResponse-1.item(smokingStatusDetails) Optional Free text.
Drug/substance use CareConnect-QuestionnaireResponse-1.item(substanceStatus) Required Allow SNOMED CT only.
Drug/substance use - details CareConnect-QuestionnaireResponse-1.item(alcoholUseDetails) Optional Free text.
Alcohol intake CareConnect-QuestionnaireResponse-1.item(alchoholIntake) Required Allow SNOMED CT only.
Alcohol use - details CareConnect-QuestionnaireResponse-1.item(alcoholUseDetails) Optional Free text.

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: ‘social-context-1 | Social Context’
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 1..1
Element Cardinality Additional Guidance
status 1..1 Fixed Value: completed
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 Social Context items will be recorded as:

Social Circumstances

item (socialCircumstances) 0..1  
item.linkId 1..1 Fixed Value: socialCircumstances
item.text 1..1 Fixed Value: Social Circumstances
item.answer 1..1  
item.answer.valueString 1..1  

Lifestyle

item (lifestyle) 0..1  
item.linkId 1..1 Fixed Value: lifestyle
item.text 1..1 Fixed Value: Lifestyle
item.answer 1..1  
item.answer.valueString 1..1  

Smoking Status

item (smokingStatus) 0..1  
item.linkId 1..1 Fixed Value: smokingStatus
item.text 1..1 Fixed Value: Smoking Status
item.answer 1..1  
item.answer.valueCoding 1..1 item.answer.valueCoding SHOULD take a value from https://fhir.nhs.uk/STU3/ValueSet/DCH-PersonSmokingStatus-1

Smoking Status - Details

item (smokingStatusDetails) 0..1  
item.linkId 1..1 Fixed Value: smokingStatusDetails
item.text 1..1 Fixed Value: Smoking Status - Details
item.answer 1..1  
item.answer.valueString 1..1  

Drug/substance Use

item (drugSubstanceUse) 0..1  
item.linkId 1..1 Fixed Value: drugSubstanceUse
item.text 1..1 Fixed Value: Drug/substance Use
item.answer 1..1  
item.answer.valueCoding 1..1 item.answer.valueCoding SHALL take a value from https://fhir.nhs.uk/STU3/ValueSet/DCH-DrugOrSubstanceUse-1

Drug/substance use - Details

item (drugSubstanceUseDetails) 0..1  
item.linkId 1..1 Fixed Value: drugSubstanceUseDetails
item.text 1..1 Fixed Value: Drug/substance use - Details
item.answer 1..1  
item.answer.valueString 1..1  

Alcohol use

item (alcoholUse) 0..1  
item.linkId 1..1 Fixed Value: alcoholUse
item.text 1..1 Fixed Value: Alcohol use
item.answer 1..1  
item.answer.valueCoding 1..1 item.answer.valueCoding SHALL take a value from https://fhir.nhs.uk/STU3/ValueSet/DCH-AlcoholUse-1

Alcohol use - Details

item (alcoholUseDetails) 0..1  
item.linkId 1..1 Fixed Value: alcoholUseDetails
item.text 1..1 Fixed Value: Alcohol use - Details
item.answer 1..1  
item.answer.valueString 1..1  

Social Context Example

Profile Change Mappings for Social Context

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-SocialContextPerson-QuestionnaireResponse-1 CareConnect-QuestionnaireResponse-1
Tags: fhir