Atomic Unit to capture the demographics for a patient.

Demographics

The following FHIR profiles are used to form the Demographics Atomic Unit:

Demographics data item mapping to FHIR profiles

The demographics data items are fulfilled by elements within the FHIR resources listed below:

EOL Data Item FHIR resource element Mandatory/Required/Optional
NHS Number EOL-Patient-1.identifier.nhsNumber Mandatory
Surname EOL-Patient-1.name.family Mandatory
Forename EOL-Patient-1.name.given Mandatory
Date of Birth EOL-Patient-1.birthDate Mandatory
Contact Name EOL-Patient-1.contact.name Mandatory
Contact Role EOL-Patient-1.relationship.text Optional
Contact Type EOL-Patient-1.contact.telecom.system Optional
Contact Detail EOL-Patient-1.contact.telecom.value Mandatory
Organisation Name EOL-Patient-1.contact.organization Optional
Additional Information About Contact EOL-Patient-1.contact.additionalContactInformation (Extension) Optional
Languages Spoken EOL-Patient-1.nhsCommunication (Extension) Optional
Language Spoken Code nhsCommunication.language.code Optional
Language Spoken Text nhsCommunication.language.code.text Mandatory
Language Comment nhsCommunication.languageComment Optional
Type of Interpretation Code nhsCommunication.modeofCommunication.code Optional
Type of Interpretation Text nhsCommunication.modeofCommunication.code.text Optional
Interpreter Required nhsCommunication.interpreterRequired Optional

Demographics Example XML

Care Connect Profiles

Where possible, Care Connect profiles have been used to develop the End of Life API. On this occasion it has not been possible to do this. The table below highlights the Care Connect profile(s) replaced with a bespoke version and the rationale behind this.

Care Connect Profile Rationale for Change New Component Required
CareConnect-Patient-1 Addition to nhsCommunication complex extension nhsCommunication.languageComment
  Add extension to Contact element Contact.AdditionalContactInformation
  Additional code adding to LanguageAbilityMode valueste Add code ‘TSGN’ and display of ‘Tactile Signing’

End of Life will engage with the healthcare community and INTEROPen in the future to propose these changes to the Care Connect profiles(s).