The FHIR profiles used for the Admission Details List Structure
Heading Description
The details of the woman’s admission.
The following FHIR profiles are used to form the Admission details list structure:
- CareConnect-List-1
- CareConnect-Encounter-1
- CareConnect-RelatedPerson
- CareConnect-Practitioner-1
- CareConnect-Location-1
The following profiles are referenced from the Admission details list structure:
Admission Details Structure
Maternity Data Standard Mapping to FHIR profiles
Mapping Overview
| Data Standard Element | FHIR Profile Mapping | FHIR Element |
| Date and Time of admission | Encounter | period.start |
| ODS/ORD Site Code | Location | identifier |
| Responsible Clinician | Practitioner | identifier and name |
| Patient Location | Location | text |
| Reason for admission | Encounter | reason |
| Admission Method | Encounter | AdmissionMethod extension |
| Specialty admitted to | Location | type |
| Source of Admission | Encounter | admitSource |
| Person accompanying patient | RelatedPerson | name |
The following tables detail how to populate the FHIR resources and the mapping to the Maternity data standard.
Mapping for Admission Details List
| > | Level 1 | List Resource | > | Level 2 | CareConnect-List-1 | > | Level 3 | None |
| View Used FHIR Elements | View All FHIR Elements |
| Name | Card. | Conformance | Type | Description, Constraints and mapping for Implementation |
|---|---|---|---|---|
| List | | Information summarized from a list of other resources Constraint (dom-2): If the resource is contained in another resource, it SHALL NOT contain nested Resources Constraint (dom-1): If the resource is contained in another resource, it SHALL NOT contain any narrative Constraint (dom-4): If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated Constraint (dom-3): If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource Constraint (lst-2): The deleted flag can only be used if the mode of the list is “changes” Constraint (lst-1): A list can only have an emptyReason if it is empty |
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| - id | 0..1 | Optional | Id | Logical id of this artifact |
| - meta | 0..1 | Mandatory | Meta | Metadata about the resource The value attribute of the profile element MUST contain the value 'https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-List-1' |
| - identifier | 0..* | Required | Identifier | Business identifier An identifier for this Admission details list |
| - - system | 1..1 | Required | Uri | The namespace for the identifier value The system from which the identifier came from |
| - - value | 1..1 | Mandatory | String | The value that is unique Business identifier An identifier for this Admission details list |
| - - - display | 0..1 | Required | String | Text alternative for the resource The organization that allocated the identifier |
| - status | 1..1 | Mandatory | Code | current : retired : entered-in-error Binding (required): The current state of the list ListStatus The status of the list MUST contain the value 'current' |
| - mode | 1..1 | Mandatory | Code | working : snapshot : changes Binding (required): The processing mode that applies to this list ListMode The mode of the list MUST contain the value 'snapshot' |
| - title | 0..1 | Mandatory | String | Descriptive name for the list This MUST contain the value 'Admission details' Mapping to Maternity data item = 'PSRB Heading Admission details' |
| - code | 0..1 | Mandatory | CodeableConcept | What the purpose of this list is Binding (preferred): What the purpose of a list is CareConnect-ListCode-1 The PRSB heading for this list. Note: for Maternity the value stated below is used which is not from the preferred value set |
| - - coding | 0..* | Mandatory | Coding | Code defined by a terminology system The SNOMED CT concept for the PRSB heading type |
| - - - system | 0..1 | Mandatory | Uri | Identity of the terminology system This MUST contain the value 'http://snomed.info/sct' |
| - - - code | 0..1 | Mandatory | Code | Symbol in syntax defined by the system This MUST contain the value '886781000000108' |
| - - - display | 0..1 | Mandatory | String | Representation defined by the system This MUST contain the value 'Admission details' Mapping to Maternity data item = 'PSRB Heading Admission details' |
| - subject | 0..1 | Mandatory | Reference | If all resources have the same subject Constraint (ref-1): SHALL have a contained resource if a local reference is provided This is a reference to the Patient who is the subject of the list. |
| Mandatory | CareConnect-Patient-1 |
This is the subject of the Admission details List. This MUST use the CareConnect patient profile. See patient resource reference for information on how to populate the resource. |
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| - - reference | 0..1 | Mandatory | String | Literal reference, Relative, internal or absolute URL A reference to the patient resource included in the Patient demographics list within the FHIR Bundle. Note the Patient demographics list is mandatory in the FHIR bundle. |
| - date | 0..1 | Mandatory | dateTime | When the list was prepared This MUST contain a system date to indicate when the list was created or updated. |
| - note | 0..* | Optional | Annotation | Comments about the list |
| - - author[x] | 0..1 | Required | Reference | Individual responsible for the annotation Constraint (ref-1): SHALL have a contained resource if a local reference is provided |
| Required | String | Who authored the comment on the list. | ||
| - - time | 0..1 | Required | dateTime | When the annotation was made |
| - - text | 1..1 | Required | String | The annotation - text content |
| - entry | 0..* | Mandatory | BackboneElement | Entries in the list The entries MUST be as per the diagram for this PRSB headings list with the encounter resource being the focal resource. Multiple Encounters with associated resources MAY be present |
| - - date | 0..1 | Required | dateTime | When item added to list The SHOULD contain a system time of when the item was added to the list. |
| - - item | 1..1 | Required | Reference | Actual entry Constraint (ref-1): SHALL have a contained resource if a local reference is provided A reference to an Encounter resource included in the list This MUST use the CareConnect Encounter profile. See Encounter resource for information on how to populate the resource. |
| - - - reference | 0..1 | Mandatory | String | Literal reference, Relative, internal or absolute URL The reference to the included Encounter resource. |
Patient Reference
The Admission details list has a mandated subject reference to the Patient resource. This means that any exchange of the Admission details heading data must also include the Patient demographics List.
Mapping for Admission Details Encounter
| > | Level 1 | Encounter Resource | > | Level 2 | CareConnect-Encounter-1 | > | Level 3 | None |
| View Used FHIR Elements | View All FHIR Elements |
| Name | Card. | Conformance | Type | Description, Constraints and mapping for Implementation |
|---|---|---|---|---|
| Encounter | | An interaction during which services are provided to the patient Constraint (dom-2): If the resource is contained in another resource, it SHALL NOT contain nested Resources Constraint (dom-1): If the resource is contained in another resource, it SHALL NOT contain any narrative Constraint (dom-4): If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated Constraint (dom-3): If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource |
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| - id | 0..1 | Optional | Id | Logical id of this artifact |
| - meta | 0..1 | Mandatory | Meta | Metadata about the resource The value attribute of the profile element MUST contain the value 'https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Encounter-1' |
| - identifier | 0..* | Required | Identifier | Identifier(s) by which this encounter is known An identifier for this Encounter |
| - - system | 1..1 | Required | Uri | The namespace for the identifier value The system from which the identifier came from |
| - - value | 1..1 | Required | String | The value that is unique An identifier for this Encounter |
| - status | 1..1 | Mandatory | Code | planned : arrived : triaged : in-progress : onleave : finished : cancelled + Binding (required): Current state of the encounter EncounterStatus The status of the Encounter MUST contain the value 'finished' |
| - participant | 0..* | Required | BackboneElement | List of participants involved in the encounter |
| - - type | 0..2 | Required | CodeableConcept | Role of participant in encounter Binding (extensible): Role of participant in encounter ParticipantType There will be up to two instances of this element, the first carries a reference to the responsible clinician using the Practitioner resource and the second a reference to the person accompanying the patient using the RelatedPerson resource |
| - - - coding | 1..1 | Mandatory | Coding | Code defined by a terminology system There will be one instance of the coding for each instance of type |
| - - - - system | 1..1 | Mandatory | Uri | Identity of the terminology system This MUST contain the value 'http://hl7.org/fhir/ValueSet/encounter-participant-type' |
| - - - - code | 1..1 | Mandatory | Code | Symbol in syntax defined by the system The Responsible Clinician will use a code of 'CON' The Person accompanying patient will use a code of 'ESC' |
| - - - - display | 1..1 | Mandatory | String |
The Responsible Clinician will use a display of 'consultant' The Person accompanying patient will use a code of 'escort' |
| - - individual | 1..1 | Mandatory | Reference | Persons involved in the encounter other than the patient Constraint (ref-1): SHALL have a contained resource if a local reference is provided This MUST be a reference to either the Practitioner or RelatedPerson resource |
| Required | RelatedPerson |
The person accompanying the patient. This MUST use the RelatedPerson resource. See RelatedPerson resource for information on how to populate the resource. |
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| Required | CareConnect-Practitioner-1 |
The responsible clinician for the encounter. This MUST use the CareConnect Practitioner profile. See Practitioner resource for information on how to populate the resource. |
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| - - - reference | 1..1 | Mandatory | String | Literal reference, Relative, internal or absolute URL A reference to the RelatedPerson resource or the Practitioner resource included in the Admission details list |
| - period | 0..1 | Required | Period | The start and end time of the encounter Constraint (per-1): If present, start SHALL have a lower value than end |
| - - start | 0..1 | Required | dateTime | Starting time with inclusive boundary The date and time of admission Mapping to Maternity data item = 'Date and Time of admission'. |
| - reason | 0..1 | Required | CodeableConcept | Reason the encounter takes place (code) Binding (preferred): Reason why the encounter takes place. Encounter Reason Codes The Admission details encounter does not use the preferred value set but uses SNOMED CT concepts instead Mapping to Maternity data item = 'Reason for Admission'. |
| - - coding (snomedCT) | 0..1 | Required | Coding | Code defined by a terminology system A concept from the Care planning health issues simple reference set See here for further information Note this reference set MAY be extended as required by the sending system |
| - - - system | 1..1 | Required | Uri | Identity of the terminology system The element MUST contain the value 'http://snomed.info/sct' |
| - - - code | 1..1 | Required | Code | Symbol in syntax defined by the system A SNOMED CT from the Care planning health issues simple reference set as defined above |
| - - - display | 1..1 | Required | String | Representation defined by the system The display associated with the SNOMED CT concept. This SHOULD be the preferred term |
| - - text | 0..1 | Required | String | Plain text representation of the concept This MAY be used where a suitable coded concept is not available to the sending system |
| - hospitalization | 0..1 | Required | BackboneElement | Details about the admission to a healthcare service |
| - - extension (admissionMethod) | 0..1 | Required | Extension-CareConnect-AdmissionMethod-1 | An extension to the Encounter resource to record how a Patient was admitted to hospital. Constraint (ext-1): Must have either extensions or value[x], not both An extension to the Encounter resource See Admission method extension for information on how to populate this extension to the resource. Mapping to Maternity data item = 'Admission Method'. |
| - - admitSource | 0..1 | Required | CodeableConcept | From where patient was admitted (physician referral, transfer) Binding (preferred): The source of admission to a Hospital Provider Spell or a Nursing Episode when the Patient is in a Hospital Site or a Care Home. CareConnect-SourceOfAdmission-1 Mapping to Maternity data item = 'Source of Admission'. |
| - - - coding | 0..1 | Required | Coding | Code defined by a terminology system |
| - - - - system | 1..1 | Mandatory | Uri | Identity of the terminology system This MUST contain the value 'https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-SourceOfAdmission-1' |
| - - - - code | 1..1 | Mandatory | Code | Symbol in syntax defined by the system This MUST contain a code from the stated CodeSystem. |
| - - - - display | 1..1 | Mandatory | String | Representation defined by the system |
| - location | 0..1 | Required | BackboneElement | List of locations where the patient has been |
| - - location | 1..1 | Mandatory | Reference | Location the encounter takes place Constraint (ref-1): SHALL have a contained resource if a local reference is provided The site code of the unit to which the person was admitted |
| Mandatory | CareConnect-Location-1 | The location This MUST use the CareConnect Location profile. See Location resource for information on how to populate the resource.” |
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| - - - reference | 1..1 | Mandatory | String | Literal reference, Relative, internal or absolute URL A reference to the Location resource included in the Admission details list |
Mapping for Admission Details RelatedPerson
The admission details has reference(s) to the related person resource. This means that any exchange of the admission details heading data must also include the Related Person Details.
Mapping for Admission Details Practitioner
The admission details has reference(s) to the Practitioner resource. This means that any exchange of the admission details heading data must also include the Practitioner Details.
Mapping for Admission Location
The admission details has reference(s) to the Location resource. This means that any exchange of the admission details heading data must also include the Location Details.
Mapping for Admission Details Admission Method Extension
| > | Level 1 | Extension | > | Level 2 | Extension-CareConnect-AdmissionMethod-1 | > | Level 3 | None |
| View Used FHIR Elements | View All FHIR Elements |
| Name | Card. | Conformance | Type | Description, Constraints and mapping for Implementation |
|---|---|---|---|---|
| Extension | | An extension to the Encounter resource to record how a Patient was admitted to hospital. Constraint (ele-1): All FHIR elements must have a @value or children Constraint (ext-1): Must have either extensions or value[x], not both |
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| - id | 0..1 | Optional | String | xml:id (or equivalent in JSON) |
| - url | 1..1 | Mandatory | Uri | Identifies The Meaning Of The Extension Fixed Value = ‘https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-AdmissionMethod-1’ |
| - valueCodeableConcept | 1..1 | Mandatory | CodeableConcept | The method of admission to a Hospital Provider Spell. Binding (required): The method of admission to a Hospital Provider Spell. Admission Method |