The FHIR profiles used for the Clinical risk factors List
Heading Description
Details of clinical risk factors to the woman, foetus or child after birth’.
The following FHIR profiles are used to form the Clinical risk factors list structure:
- CareConnect-List-1
- CareConnect-Encounter-1
- CareConnect-Observation-1
- CareConnect-Practitioner-1
- CareConnect-PractitionerRole-1
- CareConnect-Location-1
- CareConnect-RiskAssessemnt-1
The following profiles are referenced from the Clinical risk factors list structure:
Clinical Risk Factors Structure
Maternity Data Standard Mapping to FHIR profiles
Mapping Overview
| Data Standard Element | FHIR Profile Mapping | FHIR Element |
| Date/Time | RiskAssessement | period |
| ODS/ORD Site Code | Location | identifier |
| SDS Job Role Name | PractitionerRole | identifier |
| Professional Name | Practitioner | name |
| Relevant Clinical Risk Factor | Observation | code |
| Clinical Risk Assessment | RiskAssessment | method |
| Risk Mitigation | RiskAssessment | mitigation.string |
Mapping for Clinical Risk Factors List
| > | Level 1 | List Resource | > | Level 2 | CareConnect-List-1 | > | Level 3 | None |
| View Used FHIR Elements | View All FHIR Elements |
| Name | Card. | Conformance | Type | Description, Constraints and mapping for Implementation |
|---|---|---|---|---|
| List | | Information summarized from a list of other resources Constraint (dom-2): If the resource is contained in another resource, it SHALL NOT contain nested Resources Constraint (dom-1): If the resource is contained in another resource, it SHALL NOT contain any narrative Constraint (dom-4): If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated Constraint (dom-3): If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource Constraint (lst-2): The deleted flag can only be used if the mode of the list is “changes” Constraint (lst-1): A list can only have an emptyReason if it is empty |
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| - id | 0..1 | Optional | Id | Logical id of this artifact |
| - meta | 0..1 | Mandatory | Meta | Metadata about the resource The value attribute of the profile element MUST contain the value 'https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-List-1' |
| - identifier | 0..* | Required | Identifier | Business identifier An identifier for this Clinical risk factors list |
| - - system | 1..1 | Required | Uri | The namespace for the identifier value The system from which the identifier came from |
| - - value | 1..1 | Mandatory | String | The value that is unique Business identifier An identifier for this Clinical risk factors list |
| - - - display | 0..1 | Required | String | Text alternative for the resource The organization that allocated the identifier |
| - status | 1..1 | Mandatory | Code | current : retired : entered-in-error Binding (required): The current state of the list ListStatus The status of the list MUST contain the value 'current' |
| - mode | 1..1 | Mandatory | Code | working : snapshot : changes Binding (required): The processing mode that applies to this list ListMode The mode of the list MUST contain the value 'snapshot' |
| - title | 0..1 | Mandatory | String | Descriptive name for the list This MUST contain the value 'Clinical risk factors' Mapping to Maternity data item = 'PSRB Heading Clinical Risk Factors' |
| - code | 0..1 | Mandatory | CodeableConcept | What the purpose of this list is Binding (preferred): What the purpose of a list is CareConnect-ListCode-1 The PRSB heading for this list. Note: for Maternity the value stated below is used which is not from the preferred value set |
| - - coding | 0..* | Mandatory | Coding | Code defined by a terminology system The SNOMED CT concept for the PRSB heading type |
| - - - system | 0..1 | Mandatory | Uri | Identity of the terminology system This MUST contain the value 'http://snomed.info/sct' |
| - - - code | 0..1 | Mandatory | Code | Symbol in syntax defined by the system This MUST contain the value '886831000000103' |
| - - - display | 0..1 | Mandatory | String | Representation defined by the system This MUST contain the value 'Clinical risk factors' Mapping to Maternity data item = 'PSRB Heading Clinical risk factors' |
| - subject | 0..1 | Mandatory | Reference | If all resources have the same subject Constraint (ref-1): SHALL have a contained resource if a local reference is provided This is a reference to the Patient who is the subject of the list. |
| Mandatory | CareConnect-Patient-1 | This is the subject of the Clinical risk factors List. This MUST use the CareConnect patient profile. See patient resource reference for information on how to populate the resource. |
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| - - reference | 0..1 | Mandatory | String | Literal reference, Relative, internal or absolute URL A reference to the patient resource included in the Patient demographics list within the FHIR Bundle. Note the Patient demographics list is mandatory in the FHIR bundle |
| - date | 0..1 | Mandatory | dateTime | When the list was prepared This MUST contain a system date to indicate when the list was created or updated |
| - note | 0..* | Optional | Annotation | Comments about the list |
| 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 resources MAY be present |
| - - date | 0..1 | Required | dateTime | When item added to list This SHOULD contain a system time of when the item was added to the list. |
| - - item | 1..1 | Required | Reference | Actual entry Constraint (ref-1): SHALL have a contained resource if a local reference is provided A reference to an Encounter resource included in the list This MUST use the CareConnect Encounter profile. See Encounter resource for information on how to populate the resource. |
| - - - reference | 0..1 | Mandatory | String | Literal reference, Relative, internal or absolute URL The reference to the included Encounter resource. |
Mapping for Clinical Risk Factors Encounter
| > | Level 1 | Encounter Resource | > | Level 2 | CareConnect-Encounter-1 | > | Level 3 | None |
| View Used FHIR Elements | View All FHIR Elements |
| Name | Card. | Conformance | Type | Description, Constraints and mapping for Implementation |
|---|---|---|---|---|
| Encounter | | An interaction during which services are provided to the patient Constraint (dom-2): If the resource is contained in another resource, it SHALL NOT contain nested Resources Constraint (dom-1): If the resource is contained in another resource, it SHALL NOT contain any narrative Constraint (dom-4): If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated Constraint (dom-3): If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource |
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| - id | 0..1 | Optional | Id | Logical id of this artifact |
| - meta | 0..1 | Mandatory | Meta | Metadata about the resource The value attribute of the profile element MUST contain the value 'https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Encounter-1' |
| - identifier | 0..* | Required | Identifier | Identifier(s) by which this encounter is known An identifier for this Encounter |
| - - system | 1..1 | Required | Uri | The namespace for the identifier value The system from which the identifier came from |
| - - value | 1..1 | Required | String | The value that is unique An identifier for this Clinical risk factors encounter |
| - - - display | 0..1 | Required | 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' |
| - location | 0..1 | Required | BackboneElement | List of locations where the patient has been |
| - - location | 1..1 | Mandatory | Reference | Location the encounter takes place Constraint (ref-1): SHALL have a contained resource if a local reference is provided Where the risk assessment took place |
| Mandatory | CareConnect-Location-1 | The location This MUST use the CareConnect Location profile. See Location resource for information on how to populate the resource. |
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| - - - reference | 1..1 | Mandatory | String | Literal reference, Relative, internal or absolute URL A reference to the Location resource included in the Clinical risk factors list |
Mapping for Clinical Risk Factors RiskAssessment
| > | Level 1 | RiskAssessment Resource | > | Level 2 | CareConnect-RiskAssessment-1 | > | Level 3 | None |
| View Used FHIR Elements | View All FHIR Elements |
| Name | Card. | Conformance | Type | Description, Constraints and mapping for Implementation |
|---|---|---|---|---|
| RiskAssessment | | Potential outcomes for a subject with likelihood Constraint (dom-2): If the resource is contained in another resource, it SHALL NOT contain nested Resources Constraint (dom-1): If the resource is contained in another resource, it SHALL NOT contain any narrative Constraint (dom-4): If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated Constraint (dom-3): If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource |
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| - id | 0..1 | Optional | Id | Logical id of this artifact |
| - meta | 0..1 | Mandatory | Meta | Metadata about the resource The value attribute of the profile element MUST contain the value 'https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-RiskAssessment-1' |
| - identifier | 0..1 | Required | Identifier | Unique identifier for the assessment |
| - - system | 0..1 | Required | Uri | The namespace for the identifier value |
| - - value | 0..1 | Required | String | The value that is unique |
| - status | 1..1 | Mandatory | Code | registered : preliminary : final : amended + Binding (required): The status of the risk assessment; e.g. preliminary, final, amended, etc. ObservationStatus This SHOULD contain a value of 'final' |
| - method | 1..1 | Mandatory | CodeableConcept | Evaluation mechanism Binding (example): The mechanism or algorithm used to make the assessment; e.g. TIMI, PRISM, Cardiff Type 2 diabetes, etc. Mapping to Maternity data item = 'Clinical Risk Assessment' |
| - - coding | 0..* | Required | Coding | Code defined by a terminology system |
| - - text | 0..1 | Required | String | Plain text representation of the concept Specific assessments undertaken in relation to the risk Mapping to Maternity data item = 'Clinical Risk Assessment' |
| - context | 0..1 | Required | Reference | Where was assessment performed? Constraint (ref-1): SHALL have a contained resource if a local reference is provided |
| Required | CareConnect-Encounter-1 | This MUST use the CareConnect Encounter profile. See Encounter resource for information on how to populate the resource. | ||
| - - reference | 0..1 | Required | String | Literal reference, Relative, internal or absolute URL |
| - occurrence[x] | 0..1 | Required | dateTime | When was assessment made? Mapping to Maternity data item = 'Date/Time' |
| - performer | 0..1 | Required | Reference | Who did assessment? Constraint (ref-1): SHALL have a contained resource if a local reference is provided |
| Required | CareConnect-Practitioner-1 | This MUST use the CareConnect Practitioner profile. See Practitioner resource for information on how to populate the resource. | ||
| - - reference | 0..1 | Required | String | Literal reference, Relative, internal or absolute URL |
| - basis | 0..* | Required | Reference | Information used in assessment Constraint (ref-1): SHALL have a contained resource if a local reference is provided Factors that have been shown to be associated with the development of a medical condition being considered as a diagnosis. E.g. being overweight, smoker, enzyme deficiency. Mapping to Maternity data item = 'Relevant Clinical Risk Factor' |
| Required | Resource | The coded information used in an assessment This MUST use the CareConnect observation profile. See Observation resource for information on how to populate the resource. |
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| - - reference | 0..1 | Required | String | Literal reference, Relative, internal or absolute URL |
| - mitigation | 0..1 | Required | String | How to reduce risk |
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 Clinical Risk Factors 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 |
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| - id | 0..1 | Optional | Id | Logical id of this artifact |
| - meta | 0..1 | Mandatory | Meta | Metadata about the resource The value attribute of the profile element MUST contain the value 'https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Observation-1' |
| - status | 1..1 | Mandatory | Code | registered : preliminary : final : amended + Binding (required): Codes providing the status of an observation. ObservationStatus This MUST contain the value 'final' |
| - code | 1..1 | Mandatory | CodeableConcept | Type of observation (code / type) Binding (example): Codes identifying names of simple observations. LOINC Codes |
| - - coding | 0..1 | Required | Coding | Code defined by a terminology system Slicing: Discriminator: code, Ordering: false, Rules: Open |
| - - coding (snomedCT) | 0..1 | Mandatory | 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 uses a SNOMED CT concept to describe this observation as one related to clinical risk assessment Mapping to Maternity data item = 'Relevant Clinical Risk Factor' |
| - - - 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 This MUST contain a concept from 999000131000000105 |Care planning health issues simple reference set (foundation metadata concept)| |
| - - - display | 1..1 | Mandatory | String | Representation defined by the system This SHOULD contain the preferred term associated with the code |
Mapping for Clinical Risk Factors Location
The clinical risk factors has reference(s) to the Location resource. This means that any exchange of the clinical risk factors heading data must also include the Location Details.
Mapping for Clinical Risk Factors Practitioner
The clinical risk factors has reference(s) to the Practitioner resource. This means that any exchange of the clinical risk factors heading data must also include the Practitioner Details.
Mapping for Clinical Risk Factors PractitionerRole
The clinical risk factors has reference(s) to the Practitioner Role resource. This means that any exchange of the clinical risk factors heading data must also include the Practitioner Role Details.