The FHIR profiles used for the Individual requirements Bundle
Heading Description
The Individual requirements that a woman has, e.g. communication, cultural, cognitive or mobility needs.
The following profiles are referenced from the investigation results details list structure:
Individual Requirements Structure Details
Mapping Overview
| Date/Time | Observation | effective |
| GP opt Out Indicator | Flag | code and value |
| Individual Needs Person Indicator | Flag | code and value |
| Accessible Information - Communication Support | Observation | code and value |
| Accessible Information - Requires Communication Professional | component.code | |
| Accessible Information - Requires Specific Contact Method | component.code | |
| Accessible Information - Requires specific information format | component.code | |
| Mobility Needs | component.code | |
| Individual Requirement Narrative Comment | comment |
Mapping for Individual Requirements List
| > | Level 1 | List Resource | > | Level 2 | CareConnect-List-1 Profile | > | Level 3 | None |
| View Used FHIR Elements | View All FHIR Elements |
| Name | Card. | Conformance | Type | Description, Constraints and mapping for Digital Maternity Implementation |
|---|---|---|---|---|
| - 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.nhs.uk/STU3/StructureDefinition/CareConnect-List-1' |
| - identifier | 0..* | Required | Identifier | Business identifier An identifier for this Observation details list |
| - - system | 1..1 | Required | Uri | The namespace for the identifier value The system from which the identifier came from |
| - - value | 1..1 | Mandatory | String | The value that is unique An identifier for this Observation details list |
| - 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 'Observation' Mapping to Maternity data item = 'PSRB Heading Investigation Results' |
| - 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 '1078911000000106' |
| - - - display | 0..1 | Mandatory | String | Representation defined by the system This MUST contain the value 'Individual requirements' Mapping to Maternity data item = 'PSRB Heading Individual requirements' |
| - 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 Observations details List. This MUST use the CareConnect patient profile.See patient resource reference for information on how to populate the resource. | ||
| - - 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 | Required | dateTime | When the list was prepared This MUST contain a system date to indicate when the list was created or updated |
| - entry | 0..* | Required | 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 Observations with associated resources MAY be present |
| - - date | 0..1 | Required | dateTime | When item added to list The SHOULD contain a system time of when the item was added to the list. |
| - - item | 1..1 | Mandatory | 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. |
| - - - reference | 0..1 | Mandatory | String | Literal reference, Relative, internal or absolute URL The reference to the included Observation resource. |
Patient Reference
The Plan and requested actions List has a mandated subject reference to the Patient resource. This means that any exchange of the Plan and requested actions heading data must also include the Patient demographics List.
Mapping for Individual Requirements GP Opt Out Flag
| > | Level 1 | Flag Resource | > | Level 2 | CareConnect-Flag-1 Profile | > | Level 3 | None |
| View Used FHIR Elements | View All FHIR Elements |
| Name | Card. | Conformance | Type | Description/Constraints |
|---|---|---|---|---|
| - 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-Flag-1' |
| - identifier | 0..* | Required | Identifier | Business identifier |
| - - system | 1..1 | Required | Uri | The namespace for the identifier value |
| - - value | 1..1 | Mandatory | String | The value that is unique |
| - status | 1..1 | Mandatory | Code | active | inactive | entered-in-error Binding (required): Indicates whether this flag is active and needs to be displayed to a user, or whether it is no longer needed or entered in error. ( http://hl7.org/fhir/stu3/valueset-flag-status.html ) Status of the Flag |
| - code | 1..1 | Mandatory | CodeableConcept | Coded or textual message to display to user Binding (example): Detail codes identifying specific flagged issues. ( http://hl7.org/fhir/stu3/valueset-flag-code.html ) MUST use a code from the valueSet https://fhir.hl7.org.uk/STU3/ValueSet/CareConnect-OptOutReason-1 |
| - - coding | 0..* | Required | Coding | Code defined by a terminology system Slicing: Discriminator: system, Ordering: false, Rules: Open |
| - - coding (snomedCT) | 0..1 | Required | Coding | SNOMED CT representation identifying specific flagged issues |
| - - - system | 1..1 | Mandatory | Uri | Identity of the terminology system Fixed Value: http://snomed.info/sct |
| - - - code | 1..1 | Mandatory | Code | Symbol in syntax defined by the system |
| - - - display | 1..1 | Mandatory | String | Representation defined by the system |
| - - text | 0..1 | Optional | 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. |
| Mandatory | CareConnect-Patient-1 | This is the subject of the Observations details List. This MUST use the CareConnect patient profile.See patient resource reference for information on how to populate the resource. | ||
| - - 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 |
Mapping for Individual Needs Person Indicator Flag
| > | Level 1 | Flag Resource | > | Level 2 | CareConnect-Flag-1 Profile | > | Level 3 | None |
| View Used FHIR Elements | View All FHIR Elements |
| Name | Card. | Conformance | Type | Description/Constraints |
|---|---|---|---|---|
| - 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-Flag-1' |
| - identifier | 0..* | Required | Identifier | Business identifier |
| - - system | 1..1 | Required | Uri | The namespace for the identifier value |
| - - value | 1..1 | Mandatory | String | The value that is unique |
| - status | 1..1 | Mandatory | Code | active | inactive | entered-in-error Binding (required): Indicates whether this flag is active and needs to be displayed to a user, or whether it is no longer needed or entered in error. ( http://hl7.org/fhir/stu3/valueset-flag-status.html ) Status of the Flag |
| - code | 1..1 | Mandatory | CodeableConcept | Coded or textual message to display to user Binding (example): Detail codes identifying specific flagged issues. ( http://hl7.org/fhir/stu3/valueset-flag-code.html ) MUST use a code from the valueSet https://fhir.hl7.org.uk/STU3/ValueSet/CareConnect-IndividualNeedsPerson-1 |
| - - coding | 0..* | Required | Coding | Code defined by a terminology system Slicing: Discriminator: system, Ordering: false, Rules: Open |
| - - - system | 1..1 | Mandatory | Uri | Identity of the terminology system MUST use https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-IndividualNeedsPerson-1 |
| - - - code | 1..1 | Mandatory | Code | Symbol in syntax defined by the system MUST use a value from https://fhir.hl7.org.uk/STU3/ValueSet/CareConnect-IndividualNeedsPerson-1 |
| - - - display | 1..1 | Mandatory | String | Representation defined by the system |
| - - text | 0..1 | Optional | 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. |
| Mandatory | CareConnect-Patient-1 | This is the subject of the Observations details List. This MUST use the CareConnect patient profile.See patient resource reference for information on how to populate the resource. | ||
| - - 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 |
Mapping for Individual Needs Person Observation
| > | Level 1 | Observation Resource | > | Level 2 | CareConnect-Observation-1 Profile | > | Level 3 | None |
| View Used FHIR Elements | View All FHIR Elements |
| Name | Card. | Conformance | Type | Description, Constraints and mapping for Digital Maternity Implementation |
|---|---|---|---|---|
| - 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.nhs.uk/STU3/StructureDefinition/CareConnect-Observation-1' |
| - identifier | 0..* | Required | Identifier | Business Identifier for observation An identifier for this Observation |
| - - system | 1..1 | Required | Uri | The namespace for the identifier value |
| - - value | 1..1 | Mandatory | String | The value that is unique |
| - - 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 |
| - - - display | 0..1 | Required | 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 |
| - code | 1..1 | Mandatory | CodeableConcept | Type of observation (code / type) The type of investigation performed |
| - - coding | 0..* | Mandatory | 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 |
| - - - system | 1..1 | Mandatory | Uri | Identity of the terminology system The value attribute of the profile element MUST contain the value 'http://snomed.info/sct' |
| - - - code | 1..1 | Mandatory | Code | Symbol in syntax defined by the system 1078911000000106 |
| - - - display | 1..1 | Mandatory | String | Representation defined by the system Individual requirements |
| - - text | 0..1 | Optional | 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. |
| Mandatory | CareConnect-Patient-1 | This is the subject of the Observations details List. This MUST use the CareConnect patient profile.See patient resource reference for information on how to populate the resource. | ||
| - - 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 |
| - comment | 0..1 | Required | String | Comments about result Individual requirements that a person has. These may be communication, cultural, learning or mobility needs related to themselves or their primary carer |
| - component | 0..* | Required | BackboneElement | Component results Component is used to carry multiple individual person needs information. Information MUST inlcude a code and value pair that is selected from the Individual Needs Reference sets table |
| - - code | 1..1 | Mandatory | CodeableConcept | Type of component observation (code / type) Binding (example): Codes identifying names of simple observations. LOINC Codes MUST be a code from one of the pre-defined reference sets |
| - - 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 |
| - - - system | 1..1 | Mandatory | Uri | Identity of the terminology system The value attribute of the profile element MUST contain the value 'http://snomed.info/sct' |
| - - - code | 1..1 | Mandatory | Code | Symbol in syntax defined by the system |
| - value[x] | 0..1 | Required | CodeableConcept | Actual component result Constraint (qty-3): If a code for the unit is present, the system SHALL also be present Specific information on the requirement |
Individual Needs Person Reference Sets
The observation resource supports multiple ‘component’ entries. The following component entries MAY be used with the Individual Needs person Observation.
| Element Name | Description | Reference Set Name | Reference Set Code |
| Accessible Information - Communication Support | Outlines capability and support required in order to provide accessibility, with regards to disability | Accessible information - requires communication professional simple reference set | 999002151000000104 |
| Accessible Information - Requires Communication Professional | Requirement that a communication professional to be present in order to provide accessibility, with regards to disability | Accessible information - requires communication professional simple reference set | 999002151000000104 |
| Accessible Information - Requires Specific Contact Method | Requirement for a specific contact method in order to provide accessibility, with regards to disability | Accessible information - requires specific contact method simple reference set | 999002131000000106 |
| Accessible Information - Requires specific information format | Requires information in a specific format in order to provide accessibility, with regards to disability | Accessible information - requires specific information format simple reference set | 999002141000000102 |
| Mobility Needs | A person/parent/carer/legal guardian personal physical movement between two spaces that achieves participation and a degree of independence | Mobility findings simple reference set | 999002551000000108 |