The FHIR profiles used for the Assessment Scales List structure

Heading Description

Details of the woman’s assessment scales.

The following FHIR profiles are used to form the Assessment scales list structure:

The following profiles are referenced from the Assessment scales list structure:

Assessment Scales Structure

Assessment scales Encounter Resource Encounter Resource Encounter Resource Practitioner Resource Practitioner Resource Practitioner Resource Observation Resource Observation Resource ObservationResource PractitionerRole Resource PractitionerRole Resource PractitionerRole Resource Location Resource Location Resource Location Resource 0..* R entry.item 0..* R entry.item 0..* Rentry.item 0..1 R context 0..1 R context 0..1 Rcontext 0..1 R location 0..1 R location 0..1 Rlocation 0..1 R performer 0..1 R performer 0..1 Rperformer 0..1 R practitioner 0..1 R practitioner 0..1 Rpractitioner Assessment Scales List Resource Assessment Scales List Resource Assessment ScalesList Resource Reference to Patient resource Reference to Patient resource Reference to Patient resource 1..1 M subject 1..1 M subject 1..1 Msubject

Maternity Data Standard Mapping to FHIR profiles

Mapping Overview

Data Standard Element FHIR Profile Mapping FHIR Element
Date/Time Recorded List entry.date
ODS/ORD Site Code Location identifier
Performing Professional Practitioner name
SDS Job Role Name PractitionerRole code
Coded Assessment Tool Type Observation code
value
component.code
component.value
Comment Observation comment

Mapping for Assessment Scales 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 Assessment scales 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 Assessment scales list
- - period 0..1 Not Used Period Time period when id is/was valid for use
- - - 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 'Assessment scales'
Mapping to Maternity data item = 'PSRB Heading Assessment scales'
- 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 '887141000000103'
- - - display 0..1 Mandatory String Representation defined by the system
This MUST contain the value 'Assessment scales'
Mapping to Maternity data item = 'PSRB Heading Assessment scales'
- - - 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 Assessment scales List.
This MUST use the CareConnect patient profile.
See patient 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.
    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 Not Used 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 Observation resource being the focal resource. Multiple 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 Observation resource included in the list
This MUST use the CareConnect Observation profile.
See Observation 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 Observation 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

Mapping for Assessment Scales Observation

> Level 1 Observation Resource > Level 2 CareConnect-Observation-1 > Level 3 None
View Used FHIR Elements View All FHIR Elements
Name Card. Conformance Type Description, Constraints and mapping for Implementation
Observation     Measurements and simple assertions
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 (obs-7): If code is the same as a component code then the value element associated with the code SHALL NOT be present
Constraint (obs-6): dataAbsentReason SHALL only be present if Observation.value[x] is not present
- 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-Observation-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
- 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 for observation
An identifier for this Assessment scales observation
- - 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 Required String Plain text representation of the concept
- - system 1..1 Mandatory Uri The namespace for the identifier value
- - value 1..1 Mandatory 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 Required 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
- basedOn 0..* Not Used Reference Fulfills plan, proposal or order.
Constraint (ref-1): SHALL have a contained resource if a local reference is provided
    Not Used CarePlan  
    Not Used DeviceRequest  
    Not Used ImmunizationRecommendation  
    Not Used NutritionOrder  
    Not Used ProcedureRequest  
    Not Used ReferralRequest  
    Not Used CareConnect-MedicationRequest-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
- status 1..1 Mandatory Code registered : preliminary : final : amended +
Binding (required): Codes providing the status of an observation. ObservationStatus
MUST contain the value 'final'.
- category 0..* Not Used CodeableConcept Classification of type of observation
Binding (preferred): Codes for high level observation categories. Observation Category 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
- code 1..1 Mandatory CodeableConcept Type of observation (code / type)
Binding (example): Codes identifying names of simple observations. LOINC Codes
This example ValueSet is not used by Maternity record. The following SNOMED reference is used Assessment scale observables simple reference set
- - coding 0..* Required Coding Code defined by a terminology system
Slicing: Discriminator: code, Ordering: false, Rules: Open
- - coding (snomedCT) 0..1 Required Coding Code defined by a terminology system
Binding (extensible): A code from the SNOMED Clinical Terminology UK coding system describing a type of observation CareConnect-ObservationType-1
This SNOMED ValueSet SHOULD be constrained to the ValueSet as indicated in the code element above.
- - - 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 Mandatory Uri Identity of the terminology system
The element MUST contain the value 'http://snomed.info/sct'
- - - code 1..1 Mandatory Code Symbol in syntax defined by the system
A SNOMED concept from the ValueSet indicated.
- - - display 1..1 Mandatory 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 Not Used String Plain text representation of the concept
- subject 0..1 Not Used Reference Who and/or what this is about
Constraint (ref-1): SHALL have a contained resource if a local reference is provided
    Not Used Group  
    Not Used Device  
    Not Used CareConnect-Patient-1  
    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
- context 0..1 Required Reference Healthcare event during which this observation is made
Constraint (ref-1): SHALL have a contained resource if a local reference is provided
This MUST be a reference to the Encounter resource
    Not Used EpisodeOfCare  
    Required CareConnect-Encounter-1 The Encounter where the assesment was carried out.
This MUST use the Encounter resource.
See Encounter resource for information on how to populate the resource.
- - reference 0..1 Required String Literal reference, Relative, internal or absolute URL
A reference to the Encounter resource included in the Assessment scales 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
- effective[x] 0..1 Required dateTime Clinically relevant time/time-period for observation
The date on which the assessment scale was recorded.
    Not Used Period  
- issued 0..1 Not Used Instant Date/Time this was made available
- performer 0..* Required Reference Who is responsible for the observation
Constraint (ref-1): SHALL have a contained resource if a local reference is provided
The professional performing the assessment scale.
    Not Used RelatedPerson  
    Not Used CareConnect-Patient-1  
    Not Used CareConnect-Organization-1  
    Mandatory CareConnect-Practitioner-1 The professional performing the Assessment. This MUST use the Practitioner resource.See Practitioner resource for information on how to populate the resource.”
- - reference 0..1 Required String Literal reference, Relative, internal or absolute URL
A reference to the Practitioner resource included in the Assessment scales 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
- value[x] 0..1 Required Quantity Actual result
Constraint (qty-3): If a code for the unit is present, the system SHALL also be present
The value of the assessment scales where one is required to be recorded.
    Required CodeableConcept  
    Required String  
    Required Boolean  
    Required Range  
    Not Used Ratio  
    Not Used SampledData  
    Not Used Attachment  
    Not Used Time  
    Not Used dateTime  
    Not Used Period  
- dataAbsentReason 0..1 Not Used CodeableConcept Why the result is missing
Binding (extensible): Codes specifying why the result (Observation.value[x]) is missing. Observation Value Absent Reason
- - 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
- interpretation 0..1 Not Used CodeableConcept High, low, normal, etc.
Binding (extensible): Codes identifying interpretations of observations. Observation Interpretation 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
- comment 0..1 Required String Comments about result
Supporting text may be given regarding the assessment scale as a whole or a subscale. code.text and component.code.text SHOULD be used when the scale cannot be coded using SNOMED, value.string and component.value.string should be used for the values where no suitable data type is available or applicable.
- bodySite 0..1 Not Used CodeableConcept Observed body part
Binding (example): Codes describing anatomical locations. May include laterality. SNOMED CT Body Structures
- - coding 0..* Not Used Coding Code defined by a terminology system
Slicing: Discriminator: code, 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'
- - - 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
- method 0..1 Not Used CodeableConcept How it was done
Binding (example): Methods for simple observations. Observation Methods
- - coding 0..* Not Used Coding Code defined by a terminology system
Slicing: Discriminator: code, Ordering: false, Rules: Open
- - coding (snomedCT) 0..1 Not Used Coding Code defined by a terminology system
Binding (preferred): A code from SNOMED Clinical Terminology UK CareConnect-ObservationMethod-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
The element MUST contain the value 'http://snomed.info/sct'
- - - 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
- specimen 0..1 Not Used Reference Specimen used for this observation
Constraint (ref-1): SHALL have a contained resource if a local reference is provided
    Not Used Specimen  
- - 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
- device 0..1 Not Used Reference (Measurement) Device
Constraint (ref-1): SHALL have a contained resource if a local reference is provided
    Not Used Device  
    Not Used DeviceMetric  
- - 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
- referenceRange 0..* Not Used BackboneElement Provides guide for interpretation
Constraint (obs-3): Must have at least a low or a high or text
- - modifierExtension 0..* Not Used Extension Extensions that cannot be ignored
Constraint (ext-1): Must have either extensions or value[x], not both
- - low 0..1 Not Used Quantity ( SimpleQuantity ) Low Range, if relevant
Constraint (qty-3): If a code for the unit is present, the system SHALL also be present
Constraint (sqty-1): The comparator is not used on a SimpleQuantity
- - - value 0..1 Not Used Decimal Numerical value (with implicit precision)
- - - 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
- - high 0..1 Not Used Quantity ( SimpleQuantity ) High Range, if relevant
Constraint (qty-3): If a code for the unit is present, the system SHALL also be present
Constraint (sqty-1): The comparator is not used on a SimpleQuantity
- - - value 0..1 Not Used Decimal Numerical value (with implicit precision)
- - - 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
- - type 0..1 Not Used CodeableConcept Reference range qualifier
Binding (extensible): Code for the meaning of a reference range. Observation Reference Range Meaning 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
- - appliesTo 0..* Not Used CodeableConcept Reference range population
Binding (example): Codes identifying the population the reference range applies to. Observation Reference Range Applies To 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
- - age 0..1 Not Used Range Applicable age range, if relevant
Constraint (rng-2): If present, low SHALL have a lower value than high
- - - low 0..1 Not Used Quantity ( SimpleQuantity ) Low limit
Constraint (qty-3): If a code for the unit is present, the system SHALL also be present
Constraint (sqty-1): The comparator is not used on a SimpleQuantity
- - - - value 0..1 Not Used Decimal Numerical value (with implicit precision)
- - - - 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
- - - high 0..1 Not Used Quantity ( SimpleQuantity ) High limit
Constraint (qty-3): If a code for the unit is present, the system SHALL also be present
Constraint (sqty-1): The comparator is not used on a SimpleQuantity
- - - - value 0..1 Not Used Decimal Numerical value (with implicit precision)
- - - - 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
- - text 0..1 Not Used String Text based reference range in an observation
- related 0..* Not Used BackboneElement Resource related to this observation
- - modifierExtension 0..* Not Used Extension Extensions that cannot be ignored
Constraint (ext-1): Must have either extensions or value[x], not both
- - type 0..1 Not Used Code has-member : derived-from : sequel-to : replaces : qualified-by : interfered-by
Binding (required): Codes specifying how two observations are related. ObservationRelationshipType
- - target 1..1 Not Used Reference Resource that is related to this one
Constraint (ref-1): SHALL have a contained resource if a local reference is provided
    Not Used QuestionnaireResponse  
    Not Used Sequence  
    Not Used CareConnect-Observation-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
- component 0..* Required BackboneElement Component results. Component Assessment scales
- - modifierExtension 0..* Not Used Extension Extensions that cannot be ignored
Constraint (ext-1): Must have either extensions or value[x], not both
- - code 1..1 Required CodeableConcept Type of component observation (code / type)
Binding (example): Codes identifying names of simple observations. LOINC Codes
This example ValueSet is not used by Maternity record. The following SNOMED reference is used Assessment scale observables simple reference set
- - coding 0..* Required Coding Code defined by a terminology system
Slicing: Discriminator: code, Ordering: false, Rules: Open
- - coding (snomedCT) 0..1 Required Coding Code defined by a terminology system
Binding (extensible): A code from the SNOMED Clinical Terminology UK coding system describing a type of observation CareConnect-ObservationType-1
This SNOMED ValueSet SHOULD be constrained to the ValueSet as indicated in the code element above.
- - - 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'
- - - code 1..1 Required Code Symbol in syntax defined by the system
A SNOMED concept from the ValueSet indicated.
- - - 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 Not Used String Plain text representation of the concept
- value[x] 0..1 Required Quantity Actual component result
Constraint (qty-3): If a code for the unit is present, the system SHALL also be present
The value of the assessment scales where one is required to recorded.
    Required CodeableConcept  
    Required String  
    Required Range  
    Not Used Ratio  
    Not Used SampledData  
    Not Used Attachment  
    Not Used Time  
    Not Used dateTime  
    Not Used Period  
- dataAbsentReason 0..1 Not Used CodeableConcept Why the component result is missing
Binding (extensible): Codes specifying why the result (Observation.value[x]) is missing. Observation Value Absent Reason
- - 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
- interpretation 0..1 Not Used CodeableConcept High, low, normal, etc.
Binding (extensible): Codes identifying interpretations of observations. Observation Interpretation 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
- referenceRange 0..* Not Used see Observation.referenceRange Provides guide for interpretation of component result

Mapping for Assessment Scales 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
- 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 Assessment scales encounter
- - 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
- 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 or 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..* Not Used 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 Not Used 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 Not Used Coding Code defined by a terminology system
There will be one instance of the coding for each instance of type
- - - - system 1..1 Not Used 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 Not Used 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 Not Used 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 Not Used 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
    Not Used RelatedPerson The person accompanying the patient.
This MUST use the RelatedPerson resource.
See RelatedPerson resource for information on how to populate the resource.
    Not Used 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 Not Used String Literal reference, Relative, internal or absolute URL
A reference to the RelatedPerson resource or the Practitioner resource included in the Assessment scales 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 Not Used 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 Not Used 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 Not Used CodeableConcept Reason the encounter takes place (code)
Binding (preferred): Reason why the encounter takes place. Encounter Reason Codes
The Assessment scales encounter does not use the preferred value set but uses SNOMED CT concepts instead
- - 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
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 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
A SNOMED CT from the Care planning health issues simple reference set as defined above
- - - display 1..1 Not Used 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 Not Used 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 Not Used BackboneElement Details about the admission to a healthcare service
- - extension (admissionMethod) 0..1 Not Used 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 = 'Reason for Admission'.
- - 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 Not Used 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 Not Used Coding Code defined by a terminology system
- - - - 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
This MUST contain the value 'https://fhir.hl7.org.uk/STU3/ValueSet/CareConnect-SourceOfAdmission-1'
- - - - display 1..1 Not Used String Representation defined by the system
This MUST contain a code from the stated ValueSet
- - - - 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 Assessment scales 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

Patient Reference

The assessment scales details list has a mandated subject reference to the Patient resource. This means that any exchange of the assessment scales details heading data must also include the Patient demographics List.

Mapping for Assessment Scales Location

The assessment scales details has reference(s) to the Location resource. This means that any exchange of the assessment scales details heading data must also include the Location Details.

Mapping for Assessment Scales Practitioner

The assessment scales details has reference(s) to the Practitioner resource. This means that any exchange of the assessment scales details heading data must also include the Practitioner Details.

Mapping for Assessment Scales PractitionerRole

The assessment scales details has reference(s) to the Practitioner Role resource. This means that any exchange of the assessment scales details heading data must also include the Practitioner Role Details.

Assessment Scales Heading Example

Tags: fhir