The FHIR profiles used for the Observations Event Message Bundle

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

Observations 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 CareConnect-DCH-Encounter-1.period.start Mandatory  
ODS Site Code CareConnect-Location-1.identifier (ODS Site Code) Mandatory  
Professional Name CareConnect-DCH-Practitioner-1.name Mandatory  
SDS Job Role Name CareConnect-DCH-PractitionerRole-1.code (SDS Job Role Name) Mandatory  
Encounter Type CareConnect-DCH-Encounter-1.type (childHealthEncounterType) Mandatory  

Observation measurement data items are fulfilled as Observation.valueQuantity elements within separate instances of a FHIR Observation resource.

All Observations are Required

Profiles used by each Observation type are listed below.

DCH Data Item FHIR resource element Note
Birth Weight CareConnect-DCH-Weight-Observation-1.valueQuantity Observation.code SHALL use 364589006 | Birth weight |
Birth Head Circumference CareConnect-DCH-HeadCircumference-Observation-1.valueQuantity Observation.code SHALL use 169876006 | Birth head circumference |
Head Circumference CareConnect-DCH-HeadCircumference-Observation-1.valueQuantity Observation.code SHALL use 363812007 | Head circumference |
Weight CareConnect-DCH-Weight-Observation-1.valueQuantity Observation.code SHALL use 27113001 | Body weight |
Body Height CareConnect-DCH-Height-Observation-1.valueQuantity Observation.code SHALL use 50373000 | Body height |
Body Length CareConnect-DCH-Length-Observation-1.valueQuantity Observation.code SHALL use 248334005 | Body length |
BMI Centile CareConnect-DCH-BMICentile-Observation-1.valueQuantity Observation.code SHALL use 896691000000102 | Child body mass index centile |
Systolic Blood Pressure CareConnect-BloodPressure-Observation-1.component[systolicComponent].valueQuantity *
Diastolic Blood Pressure CareConnect-BloodPressure-Observation-1.component[diastolicComponent].valueQuantity *
Heart Rate CareConnect-HeartRate-Observation-1.valueQuantity  
Temperature CareConnect-BodyTemperature-Observation-1.valueQuantity For child health, a further Observation.code of 386725007 should be added, with userSelected set to true
Respiration Rate CareConnect-RespiratoryRate-Observation-1.valueQuantity  
O2 Saturation CareConnect-OxygenSaturation-Observation-1.valueQuantity For child health, a further Observation.code of 431314004 should be added, with userSelected set to true
NCMP Withdrawal Reason CareConnect-DCH-NCMPWithdrawal-Observation-1.valueCodeableConcept.Coding.code **

* Relevant blood pressure measurement SNOMED CT coding is fixed in the CareConnect-BloodPressure-Observation-1 profile.
Additional Blood Pressure observations may be reported using further Observation.component elements. For which, Observation.component.code SHALL be coded with the relevant SNOMED CT concept « 75367002 | Blood pressure | {i.e. descendant of}

** Observation.valueCodeableConcept SHALL be coded with the relevant SNOMED CT concept « 376251000000101 | Excluded from national child measurement programme | {i.e. descendant of}

Reference Linkage Diagram

This Linkage diagram defines the required references that SHALL be made between resources within the DCH Event Message bundle. It includes both Header and Payload resources (but omits the DCH-Bundle-1 wrapper).

Allowed Child Health Observations are:

Examples

This example models a post-partum Observations panel comprising Observations for:

  • Birth weight
  • Length of body
  • Birth head circumference
  • Heart rate
  • Respiratory rate
  • Blood pressure
  • Body temperature
  • Hemoglobin saturation with oxygen
Tags: fhir