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:

The following profiles are referenced from the Admission details list structure:

Admission Details Structure

Admission details Encounter Resource Encounter Resource Encounter Resource Location Resource Location Resource Location Resource Practitioner Resource Practitioner Resource PractitionerResource 0..1 R entry.item 0..1 R entry.item 0..1 Rentry.item 0..1 R location 0..1 R location 0..1 Rlocation 0..1 R participant 0..1 R participant 0..1 Rparticipant RelatedPerson Resource RelatedPerson Resource RelatedPersonResource 0..1 R participant 0..1 R participant 0..1 Rparticipant Admission Details List Resource Admission Details List Resource Admission DetailsList Resource 1..1 M subject 1..1 M subject 1..1 Msubject Reference to Patient resource Reference to Patient resource Reference to Patient resource

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
- 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'
- implicitRules 0..1 Not Used Uri A set of rules under which this content was created
- language 0..1 Not Used Code Language of the resource content
Binding (extensible): A human language. Common Languages
- text 0..1 Not Used Narrative Text summary of the resource, for human interpretation
- contained 0..* Not Used Resource Contained, inline Resources
- extension (clinicalSetting) 0..1 Not Used Extension-CareConnect-ClinicalSetting-1 To record the clinical setting of a problem list
Constraint (ext-1): Must have either extensions or value[x], not both
- extension (warningCode) 0..1 Not Used Extension-CareConnect-ListWarningCode-1 To capture warnings that the list may be incomplete
Constraint (ext-1): Must have either extensions or value[x], not both
- modifierExtension 0..* Not Used Extension Extensions that cannot be ignored
Constraint (ext-1): Must have either extensions or value[x], not both
Slicing: Description: Extensions are always sliced by (at least) url, Discriminator: url, Ordering: false, Rules: Open
- identifier 0..* Required Identifier Business identifier
An identifier for this Admission details list
- - use 0..1 Not Used Code usual : official : temp : secondary (If known)
Binding (required): Identifies the purpose for this identifier, if known. IdentifierUse
- - type 0..1 Not Used CodeableConcept Description of identifier
Binding (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes
- - - coding 0..* Not Used Coding Code defined by a terminology system
- - - - system 0..1 Not Used Uri Identity of the terminology system
- - - - version 0..1 Not Used String Version of the system - if relevant
- - - - code 0..1 Not Used Code Symbol in syntax defined by the system
- - - - display 0..1 Not Used String Representation defined by the system
- - - - userSelected 0..1 Not Used Boolean If this coding was chosen directly by the user
- - - text 0..1 Not Used String Plain text representation of the concept
- - 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
- - period 0..1 Not Used Period A identifier'
- - - start 0..1 Not Used dateTime Starting time with inclusive boundary
- - - end 0..1 Not Used dateTime End time with inclusive boundary, if not ongoing
- - assigner 0..1 Not Used Reference Organization that issued id (may be just text)
Constraint (ref-1): SHALL have a contained resource if a local reference is provided
    Not Used CareConnect-Organization-1  
- - - reference 0..1 Not Used String Literal reference, Relative, internal or absolute URL
- - - identifier 0..1 Not Used Identifier Logical reference, when literal reference is not known
- - - 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'
- - - version 0..1 Not Used String Version of the system - if relevant
Mapping to Maternity Data item Not applicable
- - - 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'
- - - userSelected 0..1 Not Used Boolean If this coding was chosen directly by the user
- - text 0..1 Not Used String Plain text representation of the concept
- 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.
    Not Used Group  
    Not Used Device  
    Mandatory CareConnect-Patient-1 This is the subject of the Admission details List.
This MUST use the CareConnect patient profile.
Seepatient resource reference for information on how to populate the resource.
    Not Used CareConnect-Location-1  
- - 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.
- - identifier 0..1 Not Used Identifier Logical reference, when literal reference is not known
- - display 0..1 Not Used String Text alternative for the resource
- encounter 0..1 Not Used Reference Context in which list created
Constraint (ref-1): SHALL have a contained resource if a local reference is provided
A reference to the encounter resource within the Admission details list. </font/>
    Not Used CareConnect-Encounter-1 This is the context of the Admission details List.
This MUST use the CareConnect encounter profile. See encounter resource for information on how to populate the resource.
- - reference 0..1 Not Used String Literal reference, Relative, internal or absolute URL
- - identifier 0..1 Not Used Identifier Logical reference, when literal reference is not known
- - display 0..1 Not Used String Text alternative for the resource
- 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.
- source 0..1 Not Used Reference Who and/or what defined the list contents (aka Author)
Constraint (ref-1): SHALL have a contained resource if a local reference is provided
    Not Used Device  
    Not Used CareConnect-Patient-1  
    Not Used CareConnect-Practitioner-1  
- - reference 0..1 Not Used String Literal reference, Relative, internal or absolute URL
- - identifier 0..1 Not Used Identifier Logical reference, when literal reference is not known
- - display 0..1 Not Used String Text alternative for the resource
- orderedBy 0..1 Not Used CodeableConcept What order the list has
Binding (preferred): What order applies to the items in a list List Order Codes
- - coding 0..* Not Used Coding Code defined by a terminology system
- - - system 0..1 Not Used Uri Identity of the terminology system
- - - version 0..1 Not Used String Version of the system - if relevant
- - - code 0..1 Not Used Code Symbol in syntax defined by the system
- - - display 0..1 Not Used String Representation defined by the system
- - - userSelected 0..1 Not Used Boolean If this coding was chosen directly by the user
- - text 0..1 Not Used String Plain text representation of the concept
- 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
    Not Used RelatedPerson  
    Not Used CareConnect-Patient-1  
    Not Used CareConnect-Practitioner-1  
    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
- - modifierExtension 0..* Not Used Extension Extensions that cannot be ignored
Constraint (ext-1): Must have either extensions or value[x], not both
- - flag 0..1 Not Used CodeableConcept Status/Workflow information about this item
Binding (example): Codes that provide further information about the reason and meaning of the item in the list Patient Medicine Change Types
- - - coding 0..* Not Used Coding Code defined by a terminology system
- - - - system 0..1 Not Used Uri Identity of the terminology system
- - - - version 0..1 Not Used String Version of the system - if relevant
- - - - code 0..1 Not Used Code Symbol in syntax defined by the system
- - - - display 0..1 Not Used String Representation defined by the system
- - - - userSelected 0..1 Not Used Boolean If this coding was chosen directly by the user
- - - text 0..1 Not Used String Plain text representation of the concept
- - deleted 0..1 Not Used Boolean If this item is actually marked as deleted
Default Value: false
- - 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.
    Not Used Resource  
- - - reference 0..1 Mandatory String Literal reference, Relative, internal or absolute URL
The reference to the included Encounter resource.
- - - identifier 0..1 Not Used Identifier Logical reference, when literal reference is not known
- - - display 0..1 Not Used String Text alternative for the resource
- emptyReason 0..1 Not Used CodeableConcept Why list is empty
Binding (preferred): If a list is empty, why it is empty CareConnect-ListEmptyReasonCode-1
- - coding 0..* Not Used Coding Code defined by a terminology system
- - - system 0..1 Not Used Uri Identity of the terminology system
- - - version 0..1 Not Used String Version of the system - if relevant
- - - code 0..1 Not Used Code Symbol in syntax defined by the system
- - - display 0..1 Not Used String Representation defined by the system
- - - userSelected 0..1 Not Used Boolean If this coding was chosen directly by the user
- - text 0..1 Not Used String Plain text representation of the concept

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
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
- 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'
- implicitRules 0..1 Not Used Uri A set of rules under which this content was created
- language 0..1 Not Used Code Language of the resource content
Binding (extensible): A human language. Common Languages
- text 0..1 Not Used Narrative Text summary of the resource, for human interpretation
- contained 0..* Not Used Resource Contained, inline Resources
- extension (encounterTransport) 0..1 Not Used Extension-CareConnect-EncounterTransport-1 Encounter transport
Constraint (ext-1): Must have either extensions or value[x], not both
- extension (outcomeOfAttendance) 0..1 Not Used Extension-CareConnect-OutcomeOfAttendance-1 An extension to the Encounter resource to record the outcome of an Out-Patient attendance.
Constraint (ext-1): Must have either extensions or value[x], not both
- extension (emergencyCareDischargeStatus) 0..1 Not Used Extension-CareConnect-EmergencyCareDischargeStatus-1 An extension to the Encounter resource which is used indicate the status of the Patient on discharge from an Emergency Care Department.
Constraint (ext-1): Must have either extensions or value[x], not both
- modifierExtension 0..* Not Used Extension Extensions that cannot be ignored
Constraint (ext-1): Must have either extensions or value[x], not both
Slicing: Description: Extensions are always sliced by (at least) url, Discriminator: url, Ordering: false, Rules: Open
- identifier 0..* Required Identifier Identifier(s) by which this encounter is known
An identifier for this Encounter
- - use 0..1 Not Used Code usual : official : temp : secondary (If known)
Binding (required): Identifies the purpose for this identifier, if known. IdentifierUse
- - type 0..1 Not Used CodeableConcept Description of identifier
Binding (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes
- - - coding 0..* Not Used Coding Code defined by a terminology system
- - - - system 0..1 Not Used Uri Identity of the terminology system
- - - - version 0..1 Not Used String Version of the system - if relevant
- - - - code 0..1 Not Used Code Symbol in syntax defined by the system
- - - - display 0..1 Not Used String Representation defined by the system
- - - - userSelected 0..1 Not Used Boolean If this coding was chosen directly by the user
- - - text 0..1 Not Used String Plain text representation of the concept
- - 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'
- statusHistory 0..* Not Used BackboneElement List of past encounter statuses
- - modifierExtension 0..* Not Used Extension Extensions that cannot be ignored
Constraint (ext-1): Must have either extensions or value[x], not both
- - status 1..1 Not Used Code planned : arrived : triaged : in-progress : onleave : finished : cancelled +
Binding (required): Current state of the encounter EncounterStatus
- - period 1..1 Not Used Period The time that the episode was in the specified status
Constraint (per-1): If present, start SHALL have a lower value than end
- - - start 0..1 Not Used dateTime Starting time with inclusive boundary
- - - end 0..1 Not Used dateTime End time with inclusive boundary, if not ongoing
- class 0..1 Not Used Coding Classification of the encounter
Binding (extensible): Classification of the encounter ActEncounterCode
- - system 0..1 Not Used Uri Identity of the terminology system
- - version 0..1 Not Used String Version of the system - if relevant
- - code 0..1 Not Used Code Symbol in syntax defined by the system
- - display 0..1 Not Used String Representation defined by the system
- - userSelected 0..1 Not Used Boolean If this coding was chosen directly by the user
- classHistory 0..* Not Used BackboneElement List of past encounter classes
- - modifierExtension 0..* Not Used Extension Extensions that cannot be ignored
Constraint (ext-1): Must have either extensions or value[x], not both
- - class 1..1 Not Used Coding Classification of the encounter
Binding (extensible): Classification of the encounter ActEncounterCode
- - - system 0..1 Not Used Uri Identity of the terminology system
- - - version 0..1 Not Used String Version of the system - if relevant
- - - code 0..1 Not Used Code Symbol in syntax defined by the system
- - - display 0..1 Not Used String Representation defined by the system
- - - userSelected 0..1 Not Used Boolean If this coding was chosen directly by the user
- - period 1..1 Not Used Period The time that the episode was in the specified class
Constraint (per-1): If present, start SHALL have a lower value than end
- - - start 0..1 Not Used dateTime Starting time with inclusive boundary
- - - end 0..1 Not Used dateTime End time with inclusive boundary, if not ongoing
- type 0..* Not Used CodeableConcept Specific type of encounter
Binding (example): The type of encounter EncounterType
- - coding 0..1 Not Used Coding Code defined by a terminology system
Slicing: Discriminator: system, Ordering: false, Rules: Open
- - coding (snomedCT) 0..* Not Used Coding Code defined by a terminology system
Binding (extensible): A code from the SNOMED Clinical Terminology UK coding system that describes an encounter between a care professional and the patient (or patient’s record). CareConnect-EncounterType-1
- - - extension (snomedCTDescriptionID) 0..1 Not Used Extension-coding-sctdescid The SNOMED CT Description ID for the display
Constraint (ext-1): Must have either extensions or value[x], not both
- - - system 1..1 Not Used Uri Identity of the terminology system
- - - version 0..1 Not Used String Version of the system - if relevant
- - - code 1..1 Not Used Code Symbol in syntax defined by the system
- - - display 1..1 Not Used String Representation defined by the system
- - - userSelected 0..1 Not Used Boolean If this coding was chosen directly by the user
- - text 0..1 Not Used String Plain text representation of the concept
- priority 0..1 Not Used CodeableConcept Indicates the urgency of the encounter
Binding (example): Indicates the urgency of the encounter. v3 Code System ActPriority
- - coding 0..* Not Used Coding Code defined by a terminology system
- - - system 0..1 Not Used Uri Identity of the terminology system
- - - version 0..1 Not Used String Version of the system - if relevant
- - - code 0..1 Not Used Code Symbol in syntax defined by the system
- - - display 0..1 Not Used String Representation defined by the system
- - - userSelected 0..1 Not Used Boolean If this coding was chosen directly by the user
- - text 0..1 Not Used String Plain text representation of the concept
- subject 0..1 Not Used Reference The patient ro group present at the encounter
Constraint (ref-1): SHALL have a contained resource if a local reference is provided
    Not Used Group  
    Not Used CareConnect-Patient-1  
- - reference 0..1 Not Used String Literal reference, Relative, internal or absolute URL
- - identifier 0..1 Not Used Identifier Logical reference, when literal reference is not known
- - display 0..1 Not Used String Text alternative for the resource
- episodeOfCare 0..* Not Used Reference Episode(s) of care that this encounter should be recorded against
Constraint (ref-1): SHALL have a contained resource if a local reference is provided
    Not Used EpisodeOfCare  
- - reference 0..1 Not Used String Literal reference, Relative, internal or absolute URL
- - identifier 0..1 Not Used Identifier Logical reference, when literal reference is not known
- - display 0..1 Not Used String Text alternative for the resource
- incomingReferral 0..* Not Used Reference The ReferralRequest that initiated this encounter
Constraint (ref-1): SHALL have a contained resource if a local reference is provided
    Not Used ReferralRequest  
- - reference 0..1 Not Used String Literal reference, Relative, internal or absolute URL
- - identifier 0..1 Not Used Identifier Logical reference, when literal reference is not known
- - display 0..1 Not Used String Text alternative for the resource
- participant 0..* Required BackboneElement List of participants involved in the encounter
- - modifierExtension 0..* Not Used Extension Extensions that cannot be ignored
Constraint (ext-1): Must have either extensions or value[x], not both
- - 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 clinical 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'
- - - - version 0..1 Not Used String Version of the system - if relevant
- - - - 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'
- - - - userSelected 0..1 Not Used Boolean If this coding was chosen directly by the user
- - - text 0..1 Not Used String Plain text representation of the concept
- - period 0..1 Not Used Period Period of time during the encounter that the participant participated
Constraint (per-1): If present, start SHALL have a lower value than end
- - - start 0..1 Not Used dateTime Starting time with inclusive boundary
- - - end 0..1 Not Used dateTime End time with inclusive boundary, if not ongoing
- - 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.
    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.
- - - 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
- - - identifier 0..1 Not Used Identifier Logical reference, when literal reference is not known
- - - display 0..1 Not Used String Text alternative for the resource
- appointment 0..1 Not Used Reference The appointment that scheduled this encounter
Constraint (ref-1): SHALL have a contained resource if a local reference is provided
    Not Used Appointment  
- - reference 0..1 Not Used String Literal reference, Relative, internal or absolute URL
- - identifier 0..1 Not Used Identifier Logical reference, when literal reference is not known
- - display 0..1 Not Used String Text alternative for the resource
- 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'.
- - end 0..1 Not Used dateTime End time with inclusive boundary, if not ongoing
- length 0..1 Not Used Duration Quantity of time the encounter lasted (less time absent)
Constraint (qty-3): If a code for the unit is present, the system SHALL also be present
Constraint (drt-1): There SHALL be a code if there is a value and it SHALL be an expression of time. If system is present, it SHALL be UCUM.
- - value 0..1 Not Used Decimal Numerical value (with implicit precision)
- - comparator 0..1 Not Used Code < : <= : >= : > - how to understand the value
Binding (required): How the Quantity should be understood and represented. QuantityComparator
- - unit 0..1 Not Used String Unit representation
- - system 0..1 Not Used Uri System that defines coded unit form
- - code 0..1 Not Used Code Coded form of the unit
- 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 0..* Not Used Coding Code defined by a terminology system
Slicing: Discriminator: system, Ordering: false, Rules: Open
- - 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
- - - extension (snomedCTDescriptionID) 0..1 Not Used Extension-coding-sctdescid The SNOMED CT Description ID for the display
Constraint (ext-1): Must have either extensions or value[x], not both
- - - system 1..1 Required Uri Identity of the terminology system
The element MUST contain the value 'http://snomed.info/sct'
- - - version 0..1 Not Used String Version of the system - if relevant
- - - 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
- - - userSelected 0..1 Not Used Boolean If this coding was chosen directly by the user
- - 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
- diagnosis 0..* Not Used BackboneElement The list of diagnosis relevant to this encounter
- - modifierExtension 0..* Not Used Extension Extensions that cannot be ignored
Constraint (ext-1): Must have either extensions or value[x], not both
- - condition 1..1 Not Used Reference Reason the encounter takes place (resource)
Constraint (ref-1): SHALL have a contained resource if a local reference is provided
    Not Used CareConnect-Procedure-1  
    Not Used CareConnect-Condition-1  
- - - reference 0..1 Not Used String Literal reference, Relative, internal or absolute URL
- - - identifier 0..1 Not Used Identifier Logical reference, when literal reference is not known
- - - display 0..1 Not Used String Text alternative for the resource
- - role 0..1 Not Used CodeableConcept Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
Binding (preferred): The type of diagnosis this condition represents DiagnosisRole
- - - coding 0..* Not Used Coding Code defined by a terminology system
- - - - system 0..1 Not Used Uri Identity of the terminology system
- - - - version 0..1 Not Used String Version of the system - if relevant
- - - - code 0..1 Not Used Code Symbol in syntax defined by the system
- - - - display 0..1 Not Used String Representation defined by the system
- - - - userSelected 0..1 Not Used Boolean If this coding was chosen directly by the user
- - - text 0..1 Not Used String Plain text representation of the concept
- - rank 0..1 Not Used positiveInt Ranking of the diagnosis (for each role type)
- account 0..* Not Used Reference The set of accounts that may be used for billing for this Encounter
Constraint (ref-1): SHALL have a contained resource if a local reference is provided
    Not Used Account  
- - reference 0..1 Not Used String Literal reference, Relative, internal or absolute URL
- - identifier 0..1 Not Used Identifier Logical reference, when literal reference is not known
- - display 0..1 Not Used String Text alternative for the resource
- 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'.
- - extension (dischargeMethod) 0..1 Not Used Extension-CareConnect-DischargeMethod-1 An extension to the Encounter resource to record the method of discharge from hospital.
Constraint (ext-1): Must have either extensions or value[x], not both
- - modifierExtension 0..* Not Used Extension Extensions that cannot be ignored
Constraint (ext-1): Must have either extensions or value[x], not both
- - preAdmissionIdentifier 0..1 Not Used Identifier Pre-admission identifier
- - - use 0..1 Not Used Code usual : official : temp : secondary (If known)
Binding (required): Identifies the purpose for this identifier, if known . IdentifierUse
- - - type 0..1 Not Used CodeableConcept Description of identifier
Binding (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes
- - - - coding 0..* Not Used Coding Code defined by a terminology system
- - - - - system 0..1 Not Used Uri Identity of the terminology system
- - - - - version 0..1 Not Used String Version of the system - if relevant
- - - - - code 0..1 Not Used Code Symbol in syntax defined by the system
- - - - - display 0..1 Not Used String Representation defined by the system
- - - - - userSelected 0..1 Not Used Boolean If this coding was chosen directly by the user
- - - - text 0..1 Not Used String Plain text representation of the concept
- - - system 1..1 Not Used Uri The namespace for the identifier value
- - - value 1..1 Not Used String The value that is unique
- - - period 0..1 Not Used Period Time period when id is/was valid for use
Constraint (per-1): If present, start SHALL have a lower value than end
- - - - start 0..1 Not Used dateTime Starting time with inclusive boundary
- - - - end 0..1 Not Used dateTime End time with inclusive boundary, if not ongoing
- - - assigner 0..1 Not Used Reference Organization that issued id (may be just text)
Constraint (ref-1): SHALL have a contained resource if a local reference is provided
    Not Used CareConnect-Organization-1  
- - - - reference 0..1 Not Used String Literal reference, Relative, internal or absolute URL
- - - - identifier 0..1 Not Used Identifier Logical reference, when literal reference is not known
- - - - display 0..1 Not Used String Text alternative for the resource
- - origin 0..1 Not Used Reference The location from which the patient came before admission
Constraint (ref-1): SHALL have a contained resource if a local reference is provided
    Not Used CareConnect-Location-1  
- - - reference 0..1 Not Used String Literal reference, Relative, internal or absolute URL
- - - identifier 0..1 Not Used Identifier Logical reference, when literal reference is not known
- - - display 0..1 Not Used String Text alternative for the resource
- - 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'
- - - - version 0..1 Not Used String Version of the system - if relevant
- - - - code 1..1 Mandatory Code Symbol in syntax defined by the system
This MUST contain the value 'https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-SourceOfAdmission-1'
- - - - display 1..1 Mandatory String Representation defined by the system
This MUST contain a code from the stated CodeSystem
- - - - userSelected 0..1 Not Used Boolean If this coding was chosen directly by the user
- - - text 0..1 Not Used String Plain text representation of the concept
- - reAdmission 0..1 Not Used CodeableConcept The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission
Binding (example): The reason for re-admission of this hospitalization encounter. v2 Re-Admission Indicator
- - - coding 0..* Not Used Coding Code defined by a terminology system
Slicing: Discriminator: system, Ordering: false, Rules: Open
- - - coding (snomedCT) 0..1 Not Used Coding Code defined by a terminology system
- - - - extension (snomedCTDescriptionID) 0..1 Not Used Extension-coding-sctdescid The SNOMED CT Description ID for the display
Constraint (ext-1): Must have either extensions or value[x], not both
- - - - system 1..1 Not Used Uri Identity of the terminology system
The element MUST contain the value 'http://snomed.info/sct'
- - - - version 0..1 Not Used String Version of the system - if relevant
- - - - code 1..1 Not Used Code Symbol in syntax defined by the system
- - - - display 1..1 Not Used String Representation defined by the system
- - - - userSelected 0..1 Not Used Boolean If this coding was chosen directly by the user
- - - text 0..1 Not Used String Plain text representation of the concept
- - dietPreference 0..* Not Used CodeableConcept Diet preferences reported by the patient
Binding (extensible): Medical, cultural or ethical food preferences to help with catering requirements. Diet
- - - coding 0..* Not Used Coding Code defined by a terminology system
- - - - system 0..1 Not Used Uri Identity of the terminology system
- - - - version 0..1 Not Used String Version of the system - if relevant
- - - - code 0..1 Not Used Code Symbol in syntax defined by the system
- - - - display 0..1 Not Used String Representation defined by the system
- - - - userSelected 0..1 Not Used Boolean If this coding was chosen directly by the user
- - - text 0..1 Not Used String Plain text representation of the concept
- - specialCourtesy 0..* Not Used CodeableConcept Special courtesies (VIP, board member)
Binding (preferred): Special courtesies SpecialCourtesy
- - - coding 0..* Not Used Coding Code defined by a terminology system
- - - - system 0..1 Not Used Uri Identity of the terminology system
- - - - version 0..1 Not Used String Version of the system - if relevant
- - - - code 0..1 Not Used Code Symbol in syntax defined by the system
- - - - display 0..1 Not Used String Representation defined by the system
- - - - userSelected 0..1 Not Used Boolean If this coding was chosen directly by the user
- - - text 0..1 Not Used String Plain text representation of the concept
- - specialArrangement 0..* Not Used CodeableConcept Wheelchair, translator, stretcher, etc.
Binding (preferred): Special arrangements SpecialArrangements
- - - coding 0..* Not Used Coding Code defined by a terminology system
- - - - system 0..1 Not Used Uri Identity of the terminology system
- - - - version 0..1 Not Used String Version of the system - if relevant
- - - - code 0..1 Not Used Code Symbol in syntax defined by the system
- - - - display 0..1 Not Used String Representation defined by the system
- - - - userSelected 0..1 Not Used Boolean If this coding was chosen directly by the user
- - - text 0..1 Not Used String Plain text representation of the concept
- - destination 0..1 Not Used Reference Location to which the patient is discharged
Constraint (ref-1): SHALL have a contained resource if a local reference is provided
    Not Used CareConnect-Location-1  
- - - reference 0..1 Not Used String Literal reference, Relative, internal or absolute URL
- - - identifier 0..1 Not Used Identifier Logical reference, when literal reference is not known
- - - display 0..1 Not Used String Text alternative for the resource
- - dischargeDisposition 0..1 Not Used CodeableConcept Category or kind of location after discharge
Binding (example): The destination of a Patient on completion of a Hospital Provider Spell, or a note that the Patient died or was a still birth. CareConnect-DischargeDestination-1
- - - coding 0..* Not Used Coding Code defined by a terminology system
- - - - system 0..1 Not Used Uri Identity of the terminology system
- - - - version 0..1 Not Used String Version of the system - if relevant
- - - - code 0..1 Not Used Code Symbol in syntax defined by the system
- - - - display 0..1 Not Used String Representation defined by the system
- - - - userSelected 0..1 Not Used Boolean If this coding was chosen directly by the user
- - - text 0..1 Not Used String Plain text representation of the concept
- location 0..1 Required BackboneElement List of locations where the patient has been
- - modifierExtension 0..* Not Used Extension Extensions that cannot be ignored
Constraint (ext-1): Must have either extensions or value[x], not both
- - 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.”
- - - reference 1..1 Mandatory String Literal reference, Relative, internal or absolute URL
A reference to the Location resource included in the Admission details list
- - - identifier 0..1 Not Used Identifier Logical reference, when literal reference is not known
- - - display 0..1 Not Used String Text alternative for the resource
- - status 0..1 Not Used Code planned : active : reserved : completed
Binding (required): The status of the location. EncounterLocationStatus
- - period 0..1 Not Used Period Time period during which the patient was present at the location
Constraint (per-1): If present, start SHALL have a lower value than end
- - - start 0..1 Not Used dateTime Starting time with inclusive boundary
- - - end 0..1 Not Used dateTime End time with inclusive boundary, if not ongoing
- serviceProvider 0..1 Not Used Reference The custodian organization of this Encounter record
Constraint (ref-1): SHALL have a contained resource if a local reference is provided
    Not Used CareConnect-Organization-1  
- - reference 0..1 Not Used String Literal reference, Relative, internal or absolute URL
- - identifier 0..1 Not Used Identifier Logical reference, when literal reference is not known
- - display 0..1 Not Used String Text alternative for the resource
- partOf 0..1 Not Used Reference Another Encounter this encounter is part of
Constraint (ref-1): SHALL have a contained resource if a local reference is provided
    Not Used CareConnect-Encounter-1  
- - reference 0..1 Not Used String Literal reference, Relative, internal or absolute URL
- - identifier 0..1 Not Used Identifier Logical reference, when literal reference is not known
- - display 0..1 Not Used String Text alternative for the resource

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
- 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

Admission Details Heading Example

Tags: fhir