The FHIR profiles used for the Demographic history list
Heading Description
This heading holds all of the elements for each instance of a patient demographics history as provided by the PDS previous demographic history flag.
The following FHIR profiles are used to form the Demographics history list structure:
The following profiles are referenced from the Demographics history list structure:
Demographics History Structure
Maternity Data Standard Mapping to FHIR profiles
The following tables detail how to populate the FHIR resources and the mapping to the Maternity data standard.
Mapping for Demographic History 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 Demographic history 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 Demographics history 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 'Demographic history' Mapping to Maternity data item = 'PSRB Heading Demographics history' |
| - 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 'TBA' |
| - - - display | 0..1 | Mandatory | String | Representation defined by the system This MUST contain the value 'Demographic history' Mapping to Maternity data item = 'PSRB Heading Demographic history' |
| - subject | 1..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 Demographic history List. This MUST use the CareConnect patient profile. See patient resource reference for information on how to populate the resource. |
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| - 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 Patient resource being the focal resource. |
| - - date | 0..1 | Required | dateTime | Who authored the comment on 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 Patient resource included in the list This MUST use the CareConnect patient profile. See Patient 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 Patient resource. |
Mapping for Demographic History Patient
| > | Level 1 | Patient Resource | > | Level 2 | CareConnect-Patient-1 | > | Level 3 | None |
| View Used FHIR Elements | View All FHIR Elements |
| Name | Card. | Conformance | Type | Description, Constraints and mapping for Implementation |
|---|---|---|---|---|
| Patient | | Information about an individual or animal receiving health care services 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 | 1..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-Patient-1' |
| - identifier (nhsNumber) | 0..1 | Required | Identifier | The patient’s NHS number. The unique identifier for a patient within the NHS in England and Wales. Mapping to Maternity data item = 'NHS number'. |
| - - extension (nhsNumberVerificationStatus) | 1..1 | Mandatory | Extension-CareConnect-NHSNumberVerificationStatus-1 | NHS number verification status Constraint (ext-1): Must have either extensions or value[x], not both An extension to the Patient resource See NHS number vertification status extension for information on how to populate this extension to the resource. |
| - - system | 1..1 | Mandatory | Uri | The namespace for the identifier value The value attribute of the profile element MUST contain the value 'https://fhir.nhs.uk/Id/nhs-number' |
| - - value | 1..1 | Mandatory | String | The value that is unique The unique identifier for a patient within the NHS in England and Wales. |
| - name | 1..* | Mandatory | HumanName | A name associated with the patient Slicing: Discriminator: use, Ordering: false, Rules: Open at End |
| - name (other) | 0..* | Required | HumanName | A name associated with the patient |
| - - use | 1..1 | Required | Code | usual : official : temp : nickname : anonymous : old : maiden Binding (required): The use of a human name CareConnect-NameUse-1 This MUST contain either the value 'old' or 'maiden'. |
| - - text | 0..1 | Required | String | Text representation of the full name |
| - - family | 0..1 | Required | String | Family name (often called ‘Surname’) |
| - - given | 0..* | Required | String | Given names (not always ‘first’). Includes middle names |
| - - prefix | 0..* | Required | String | Parts that come before the name |
| - - suffix | 0..* | Required | String | Parts that come after the name |
| - telecom | 0..* | Required | ContactPoint | A contact detail for the individual Constraint (cpt-2): A system is required if a value is provided. Telephone contact details of the patient. To include, e.g. mobile, work and home number if available and/or the email address of the patient Mapping to Maternity data item = 'Patient telephone number' and/or 'Patient email address' |
| - - system | 1..1 | Required | Code | phone : fax : email : pager : url : sms : other Binding (required): Telecommunications form for contact point ContactPointSystem |
| - - value | 1..1 | Required | String | The actual contact point details |
| - - use | 0..1 | Required | Code | home : work : temp : old : mobile - purpose of this contact point Binding (required): Use of contact point ContactPointUse |
| - - rank | 0..1 | Required | positiveInt | Specify preferred order of use (1 = highest) |
| - gender | 0..1 | Required | Code | male : female : other : unknown Binding (required): The gender of a person used for administrative purposes. CareConnect-AdministrativeGender-1 As the patient wishes to portray themselves. Mapping to Maternity data item = 'Gender' |
| - birthDate | 0..1 | Required | Date | The date of birth for the individual Mapping to Maternity data item ='Date of Birth' |
| Required | dateTime | The date and time when the patient died Mapping to Maternity data item = 'Date of Death and Time of Date' |
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| - address | 0..* | Required | Address | Addresses for the individual. Patient’s usual place of residence.as per PDS five address line + postcode format Mapping to Maternity data item ='Patient address' |
| - - use | 0..1 | Required | Code | home : work : temp : old - purpose of this address Binding (required): The use of an address AddressUse |
| - - line | 0..* | Required | String | Street name, number, direction & P.O. Box etc. Patient’s usual place of residence.as per PDS five address line format |
| - - postalCode | 0..1 | Required | String | Postal code for area Patient’s postcode PDS format |
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.