- Heading Description
- Investigation Results Structure Details
- Mapping Overview
- Mapping for Investigation Results List
- Patient Reference
- Mapping for Investigation results Observation
- Mapping for Investigation Encounter
- Mapping for Investigation Results Practitioner
- Mapping for Investigation Results Role
- Mapping for Investigation Results Location
- Example of Investigation Result
Heading Description
The details of the investigation results.
- CareConnect-List-1
- CareConnect-Practitioner-1
- CareConnect-PractitionerRole-1
- CareConnect-Observation-1
- CareConnect-Location-1
The following profiles are referenced from the investigation results details list structure:
Investigation Results Structure Details
Mapping Overview
Date/Time | Encounter | period.start |
ODS/ORD Site Code | Encounter | location.[Location.identifier] |
SDS Job Role Name | Observation | name.[practitionerRole] |
Professional Name | Observation | performer.[practitioner] |
Investigation | Observation | code |
Investigation Results | Observation | value |
Mapping for Investigation Results 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.hl7.org.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 '1082101000000102' |
- - - display | 0..1 | Mandatory | String | Representation defined by the system Mapping to Maternity data item = 'PSRB Heading Investigation results' |
- 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 Investigation results 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 |
- - profile | 1..1 | Mandatory | Uri | Profiles this resource claims to conform to The value attribute of the profile element MUST contain the value 'https://fhir.hl7.org.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 element MUST contain the value 'http://snomed.info/sct' |
- - - code | 1..1 | Mandatory | Code | Symbol in syntax defined by the system <71388002 |
- - - display | 1..1 | Mandatory | String | Representation defined by the system Procedure (procedure) |
- - 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 |
- 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 Encounter resource |
Required | CareConnect-Encounter-1 | The Encounter where the assessment was carried out.This MUST use the Encounter resource.See Encounter resource for information on how to populate the resource. | ||
- performer | 0..* | Required | Reference | Who is responsible for the observation Constraint (ref-1): SHALL have a contained resource if a local reference is provided |
Required | CareConnect-Practitioner-1 | Name of Professional recording the observation | ||
- 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 Binding (required): Common UCUM units for recording Vital Signs ( http://hl7.org/fhir/stu3/valueset-ucum-vitals-common.html ) For each investigation, the result of the investigation (this includes the result value, with unit of observation and reference interval where applicable and date) |
Required | CodeableConcept | |||
Required | String | |||
Required | Boolean | |||
Required | Range | |||
Required | Ratio | |||
Required | SampledData | |||
Required | Attachment | |||
Required | Time | |||
Required | dateTime | |||
Required | Period |
Mapping for Investigation Encounter
> | Level 1 | Encounter Resource | > | Level 2 | CareConnect-Encounter-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 |
- - profile | 1..1 | Mandatory | Uri | Profiles this resource claims to conform to 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 | Mandatory | 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 encounter |
- status | 1..1 | Mandatory | Code | planned : arrived : triaged : in-progress : onleave : finished : cancelled + Binding (required): Current state of the encounter EncounterStatus |
- period | 0..1 | Mandatory | Period | The start and end time of the encounter Constraint (per-1): If present, start SHALL have a lower value than end The date on which the observation was recorded |
- - start | 0..1 | Mandatory | dateTime | Starting time with inclusive boundary |
- - end | 0..1 | Required | dateTime | End time with inclusive boundary, if not ongoing |
- location | 0..* | 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 observation took place |
Mandatory | CareConnect-Location-1 | This MUST use the CareConnect Location profile. See Location 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 Location resource included in the observation details list |
Mapping for Investigation Results Practitioner
The investigation results has reference(s) to the Practitioner resource. This means that any exchange of the investigation results heading data must also include the Practitioner Details
Mapping for Investigation Results Role
The investigation results has reference(s) to the Practitioner Role resource. This means that any exchange of the investigation results heading data must also include the Practitioner Role Details
Mapping for Investigation Results Location
The investigation results details has reference(s) to the Location resource. This means that any exchange of the investigation results details heading data must also include the Location Details
Example of Investigation Result
<?xml version="1.0" encoding="UTF-8"?> | |
<!-- Note the Bundle elements are included for validation pyurposes only and is not a complete Bundle structure--> | |
<Bundle xmlns="http://hl7.org/fhir"> | |
<type value="transaction"/> | |
<!-- The Screening Review List resource entry--> | |
<entry> | |
<fullUrl value="urn:uuid:0e3774d0-8e4e-4420-a5f5-f21cdb730696"/> | |
<resource> | |
<List> | |
<id value="0e3774d0-8e4e-4420-a5f5-f21cdb730696"/> | |
<meta> | |
<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-List-1"/> | |
</meta> | |
<identifier> | |
<system value="https://tools.ietf.org/html/rfc4122"/> | |
<value value="27274cba-3017-4e43-8e0d-bdd30e36494d"/> | |
</identifier> | |
<status value="current"/> | |
<mode value="snapshot"/> | |
<title value="Referral"/> | |
<code> | |
<coding> | |
<system value="http://snomed.info/sct"/> | |
<code value="933361000000108"/> | |
<display value="Medications and medical devices"/> | |
</coding> | |
</code> | |
<subject> | |
<reference value="urn:uuid:185e3f4c-4edd-11e9-8647-d663bd873d93"/> | |
</subject> | |
<date value="2019-02-17T12:00:00+00:00"/> | |
<entry> | |
<date value="2019-05-20T12:00:00+00:00"/> | |
<item> | |
<reference value="urn:uuid:35a1483b-4d04-4907-9f4e-c69ae409a1ea"/> | |
</item> | |
</entry> | |
</List> | |
</resource> | |
</entry> | |
<entry> | |
<fullUrl value="urn:uuid:10c47dfb-6810-4cc6-bfa1-671cf7492a4d"/> | |
<resource> | |
<!-- The Encounter resource entry --> | |
<Encounter> | |
<id value="10c47dfb-6810-4cc6-bfa1-671cf7492a4d"/> | |
<meta> | |
<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Encounter-1"/> | |
</meta> | |
<identifier> | |
<system value="https://tools.ietf.org/html/rfc4122"/> | |
<value value="cf4a57ac-5cfe-11e9-8647-d663bd873d93"/> | |
</identifier> | |
<status value="finished"/> | |
<period> | |
<start value="2019-02-17T11:00:00+00:00"/> | |
</period> | |
<location> | |
<location> | |
<reference value="urn:uuid:7d2bad70-f92d-43cc-affb-56e722e72dab"/> | |
</location> | |
</location> | |
</Encounter> | |
</resource> | |
</entry> | |
<entry> | |
<fullUrl value="urn:uuid:35a1483b-4d04-4907-9f4e-c69ae409a1ea"/> | |
<resource> | |
<Observation xmlns="http://hl7.org/fhir"> | |
<id value="35a1483b-4d04-4907-9f4e-c69ae409a1ea"/> | |
<meta> | |
<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Observation-1"/> | |
</meta> | |
<status value="final"/> | |
<category> | |
<coding> | |
<system value="http://hl7.org/fhir/observation-category"/> | |
<code value="vital-signs"/> | |
<display value="Vital Signs"/> | |
</coding> | |
</category> | |
<code> | |
<coding> | |
<system value="http://snomed.info/sct"/> | |
<code value="7922000"/> | |
<display value="General treatment"/> | |
</coding> | |
</code> | |
<subject> | |
<reference value="urn:uuid:185e3f4c-4edd-11e9-8647-d663bd873d93"/> | |
</subject> | |
<context> | |
<reference value="urn:uuid:10c47dfb-6810-4cc6-bfa1-671cf7492a4d"/> | |
</context> | |
<effectiveDateTime value="2018-10-04T14:17:59+01:00"/> | |
<performer> | |
<reference value="urn:uuid:075d186f-8e2a-48bd-8aa5-e1a7b8e79444"/> | |
</performer> | |
<valueString value="Test result goes here. TBC"/> | |
</Observation> | |
</resource> | |
</entry> | |
<entry> | |
<fullUrl value="urn:uuid:075d186f-8e2a-48bd-8aa5-e1a7b8e79444"/> | |
<resource> | |
<Practitioner> | |
<id value="075d186f-8e2a-48bd-8aa5-e1a7b8e79444"/> | |
<meta> | |
<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Practitioner-1"/> | |
</meta> | |
<identifier> | |
<system value="https://fhir.nhs.uk/Id/sds-user-id"/> | |
<value value="7123456"/> | |
</identifier> | |
<name> | |
<text value="Dr Thomas Jones"/> | |
<family value="Jones"/> | |
<given value="Thomas"/> | |
<prefix value="Dr"/> | |
</name> | |
</Practitioner> | |
</resource> | |
</entry> | |
<entry> | |
<fullUrl value="urn:uuid:7d2bad70-f92d-43cc-affb-56e722e72dab"/> | |
<resource> | |
<Location> | |
<id value="7d2bad70-f92d-43cc-affb-56e722e72dab"/> | |
<meta> | |
<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Location-1"/> | |
</meta> | |
<identifier> | |
<system value="https://fhir.nhs.uk/Id/ods-site-code"/> | |
<value value="YDD01"/> | |
</identifier> | |
</Location> | |
</resource> | |
</entry> | |
<entry> | |
<fullUrl value="urn:uuid:25094969-9934-40d8-a6ed-8fbf0f7b37a9"/> | |
<resource> | |
<PractitionerRole> | |
<id value="25094969-9934-40d8-a6ed-8fbf0f7b37a9"/> | |
<meta> | |
<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-PractitionerRole-1"/> | |
</meta> | |
<identifier> | |
<system value="https://fhir.nhs.uk/Id/ods-site-code"/> | |
<value value="PT2468"/> | |
</identifier> | |
<active value="true"/> | |
<period> | |
<start value="2018-01-23"/> | |
</period> | |
<practitioner> | |
<reference value="urn:uuid:075d186f-8e2a-48bd-8aa5-e1a7b8e79444"/> | |
</practitioner> | |
<code> | |
<coding> | |
<system value="https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-SDSJobRoleName-1"/> | |
<code value="R0260"/> | |
<display value="General Medical Practitioner"/> | |
</coding> | |
</code> | |
<location> | |
<reference value="urn:uuid:7d2bad70-f92d-43cc-affb-56e722e72dab"/> | |
</location> | |
</PractitionerRole> | |
</resource> | |
</entry> | |
</Bundle> |