The FHIR profiles used for the Observations Bundle

Heading Description

The record of physiological observations, e.g., weight, height, heart rate, blood pressure, temperature, pulse, respiratory rate and oxygen saturation. Use of National Early Warning Score (NEWS) scores where appropriate.

The following FHIR profiles are used to form the https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Medication-1 details list structure:

The following profiles are referenced from the https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Medication-1 details list structure:

Observation Structure Details

Page-1 Dynamic connector.1970 Location Resource Location Resource LocationResource Dynamic connector.1972 Dynamic connector.1973 Dynamic connector.3011 PractitionerRole Resource PractitionerRole Resource PractitionerRoleResource Dynamic connector.3013 1..1 M subject 1..1 M subject 1..1 Msubject 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 performer 0..1 R performer 0..1 Rperformer 0..1 R location 0..1 R location 0..1 Rlocation 0..1 R practitioner 0..1 R practitioner 0..1 Rpractitioner Observation Resource Observation Resource ObservationResource Practitioner Resource Practitioner Resource PractitionerResource Encounter Resource Encounter Resource EncounterResource Observations List Resource Observations List Resource ObservationsList Resource 1..1 M subject 1..1 M subject 1..1 Msubject Reference to Patient resource Reference to Patient resource Reference to Patient resource Dynamic connector.1992

Mapping Overview

Data Standard Element FHIR Profile FHIR target
Date Encounter location
ODS/ORD Site Code Encounter location
Professional Name [Observation] Used by all Observation Instances performer
SDS Job Role Name PractitionerRole code
Weight Observation valuevalue.Quantity
Height /Length Observation valuevalue.Quantity
BMI Observation valuevalue.Quantity
Systolic Blood Pressure Observation component.value.valueQuantity
Diastolic Blood Pressure [Observation] component.value.valueQuantity
Heart Rate (bpm) Observation valuevalue.Quantity
Temperature Observation valuevalue.Quantity
Respiration rate Observation valuevalue.Quantity
Oxygen Saturation Observation valuevalue.Quantity

Mapping for Observation 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 Observtion 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 'Referralt'
Mapping to Maternity data item = 'PSRB Heading Observations'
- 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 'Observations'
- - - display 0..1 Mandatory String Representation defined by the system
Mapping to Maternity data item = 'PSRB Heading Referral'
- 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.
- - - reference 0..1 Mandatory String Literal reference, Relative, internal or absolute URL

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 Weight 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
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'
- 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)
Weight Observation
- - 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
SNOMED CT code 27113001
- - - display 1..1 Mandatory String Representation defined by the system
MUST be 'Body weight'
- - 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
- effective[x] 0..1 Required dateTime Clinically relevant time/time-period for observation
The date/time the obsrvation was recorded
- 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
This MUST use the CareConnect-Practitioner profile.See Practitioner resource reference for information on how to populate this resource.
- - reference 0..1 Required String Literal reference, Relative, internal or absolute URLA reference to the Practitioner resource included in the observation list
- valueQuantity 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 )
- - value 1..1 Mandatory Decimal Numerical value (with implicit precision)
- - unit 1..1 Mandatory String Unit representation
- - system 1..1 Mandatory Uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
- - code 1..1 Mandatory Code Coded form of the unit
Fixed Value: g

Mapping for Length 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
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'
- 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)
Weight Observation
- - 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
- - - extension (snomedCTDescriptionID) 0..1 Required 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
SNOMED CT code 50373000
- - - display 1..1 Mandatory String Representation defined by the system
MUST be 'Body height measure')
- - 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
- effective[x] 0..1 Required dateTime Clinically relevant time/time-period for observation
The date/time the obsrvation was recorded
- 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
This MUST use the CareConnect-Practitioner profile.See Practitioner resource reference for information on how to populate this resource.
- - reference 0..1 Required String Literal reference, Relative, internal or absolute URLA reference to the Practitioner resource included in the observation list
- valueQuantity 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 )
- - value 1..1 Mandatory Decimal Numerical value (with implicit precision)
- - unit 1..1 Mandatory String Unit representation
- - system 1..1 Mandatory Uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
- - code 1..1 Mandatory Code Coded form of the unit
Fixed Value: cm

Mapping for BMI 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
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'
- 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)
Weight Observation
- - 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
- - - extension (snomedCTDescriptionID) 0..1 Required 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
SNOMED CT code 60621009
- - - display 1..1 Mandatory String Representation defined by the system
MUST be 'Body mass index')
- - 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
- effective[x] 0..1 Required dateTime Clinically relevant time/time-period for observation
The date/time the obsrvation was recorded
- 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
This MUST use the CareConnect-Practitioner profile.See Practitioner resource reference for information on how to populate this resource.
- - reference 0..1 Required String Literal reference, Relative, internal or absolute URLA reference to the Practitioner resource included in the observation list
- valueQuantity 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 )
- - value 1..1 Mandatory Decimal Numerical value (with implicit precision)
- - unit 1..1 Mandatory String Unit representation
- - system 1..1 Mandatory Uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
- - code 1..1 Mandatory Code Coded form of the unit
Fixed Value: cm

Mapping for Blood Pressure Observation Details

> Level 1 Observation Resource > Level 2 CareConnect-Observation-1 Profile > Level 3 CareConnect-BloodPressure-Observation-1 Profile
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-BloodPressure-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)
Type of Observation 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
- - - extension (snomedCTDescriptionID) 0..1 Required 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
MUSt contain code '75367002'
- - - display 1..1 Mandatory String Representation defined by the system
MUST be 'Blood pressure'
- - 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
- effective[x] 0..1 Required dateTime Clinically relevant time/time-period for observation
The date on which the observation was recorded
- 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
This MUST use the CareConnect-Practitioner profile.See Practitioner resource reference for information on how to populate this resource.
- - reference 0..1 Required String Literal reference, Relative, internal or absolute URLA reference to the Practitioner resource included in the observation list
- component 0..* Required BackboneElement Used when reporting systolic and diastolic blood pressure.
Slicing: Discriminator: code, Ordering: false, Rules: Open
- - code 1..1 Mandatory CodeableConcept Type of component observation (code / type)
Slice discriminator: Code
Binding (extensible): Codes identifying names of simple observations. ( http://hl7.org/fhir/stu3/valueset-observation-vitalsignresult.html )
- - - - system 1..1 Mandatory Uri Identity of the terminology system
Fixed Value: http://loinc.org
- - - - code 1..1 Mandatory Code Symbol in syntax defined by the system
Binding (extensible): http://hl7.org/fhir/stu3/valueset-observation-vitalsignresult.html
- component (systolicComponent) 0..* Required BackboneElement Component results
- - code 1..1 Mandatory CodeableConcept Type of component observation (code / type)
Binding (extensible): This value set indicates the allowed vital sign result types. (http://hl7.org/fhir/stu3/valueset-observation-vitalsignresult.html )
- - - coding 0..* Required Coding Code defined by a terminology system
Slicing: Discriminator: code, Ordering: false, Rules: Open
- - - coding (loinc) 1..1 Mandatory Coding Systolic Blood Pressure
- - - - system 1..1 Mandatory Uri Identity of the terminology system
Fixed Value: http://loinc.org
- - - coding (snomedCT) 1..1 Mandatory Coding Systolic Blood Pressure
- - - - 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
Fixed Value: 72313002
- - - - display 1..1 Mandatory String Representation defined by the system
Fixed Value: Systolic arterial pressure
- - - value 1..1 Mandatory Decimal Numerical value (with implicit precision)
- - - unit 1..1 Mandatory String Unit representation
- - - system 1..1 Mandatory Uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
- - - code 1..1 Mandatory Code Coded responses from the common UCUM units for vital signs value set.
Fixed Value: mm[Hg]
- - component (diastolicComponent) 0..* Required BackboneElement Component results
- - code 1..1 Mandatory CodeableConcept Type of component observation (code / type)
Binding (example): Codes identifying names of simple observations. ( http://hl7.org/fhir/stu3/valueset-observation-codes.html )
- - - coding 0..* Required Coding Code defined by a terminology system
Slicing: Discriminator: code, Ordering: false, Rules: Open
- - - coding (loinc) 1..1 Mandatory Coding Diastolic Blood Pressure
- - - - system 1..1 Mandatory Uri Identity of the terminology system
Fixed Value: http://loinc.org
- - - - code 1..1 Mandatory Code Symbol in syntax defined by the system
Fixed Value: 8462-4
- - - coding (snomedCT) 1..1 Mandatory Coding Diastolic Blood Pressure
- - - - 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
Fixed Value: 1091811000000102
- - - - display 1..1 Mandatory String Representation defined by the system
Fixed Value: Diastolic arterial pressure
- - - value 1..1 Mandatory Decimal Numerical value (with implicit precision)
- - - unit 1..1 Mandatory String Unit representation
- - - system 1..1 Mandatory Uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
- - - code 1..1 Mandatory Code Coded responses from the common UCUM units for vital signs value set.
Fixed Value: mm[Hg]

Mapping for Heart Rate Observation

> Level 1 Observation Resource > Level 2 CareConnect-Observation-1 Profile > Level 3 CareConnect-BloodPressure-Observation-1 Profile
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-HeartRate-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)
Binding (extensible): This value set indicates the allowed vital sign result types. (http://hl7.org/fhir/stu3/valueset-observation-vitalsignresult.html )
- -coding 1..* Mandatory Coding Code defined by a terminology system
Slicing: Discriminator: code, Ordering: false, Rules: Open
- - coding (loinc) 1..1 Mandatory Coding Code defined by a terminology system
Binding (extensible): This value set indicates the allowed vital sign result types (http://hl7.org/fhir/stu3/valueset-observation-vitalsignresult.html )
- - - system 1..1 Mandatory Uri Identity of the terminology system
Fixed Value: http://loinc.org
- - - code 1..1 Mandatory Code Symbol in syntax defined by the system
Fixed Value: 8867-4
- - coding (snomedCT) 1..1 Mandatory Coding Code defined by a terminology system
- - - 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
Fixed Value: 75367002
- - - display 0..1 Required Representation defined by the system
Fixed Value: Blood pressure
 
- 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
- effective[x] 0..1 Required dateTime Clinically relevant time/time-period for observation
The date on which the observation was recorded
- 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
This MUST use the CareConnect-Practitioner profile.See Practitioner resource reference for information on how to populate this resource.
- - reference 0..1 Required String Literal reference, Relative, internal or absolute URLA reference to the Practitioner resource included in the observation list
- valueQuantity 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 )
- - value 1..1 Mandatory Decimal Numerical value (with implicit precision)
- - unit 1..1 Mandatory String Unit representation
- - system 1..1 Mandatory Uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
- - code 1..1 Mandatory Code Coded responses from the common UCUM units for vital signs value set.
Fixed Value: /min

Mapping for Body Temperature Observation

> Level 1 Observation Resource > Level 2 CareConnect-Observation-1 Profile > Level 3 CareConnect-BodyTemperature-Observation-1 Profile
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-BodyTemperature-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)
Binding (extensible): This value set indicates the allowed vital sign result types. (http://hl7.org/fhir/stu3/valueset-observation-vitalsignresult.html )
- -coding 1..* Mandatory Coding Code defined by a terminology system
Slicing: Discriminator: code, Ordering: false, Rules: Open
- - coding (loinc) 1..1 Mandatory Coding Code defined by a terminology system
Binding (extensible): This value set indicates the allowed vital sign result types (http://hl7.org/fhir/stu3/valueset-observation-vitalsignresult.html )
- - - system 1..1 Mandatory Uri Identity of the terminology system
Fixed Value: http://loinc.org
- - - code 1..1 Mandatory Code Symbol in syntax defined by the system
Fixed Value: 8310-5
- - - display 0..1 Required String Representation defined by the system
Fixed Value: Core body temperature
- - coding (snomedCT) 1..1 Mandatory Coding Code defined by a terminology system
- - - 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
Fixed Value: 276885007
- - - display 1..1 Required String Representation defined by the system
Fixed Value: Blood pressure
- 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
- effective[x] 0..1 Required dateTime Clinically relevant time/time-period for observation
The date on which the observation was recorded
- 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
This MUST use the CareConnect-Practitioner profile.See Practitioner resource reference for information on how to populate this resource.
- - reference 0..1 Required String Literal reference, Relative, internal or absolute URLA reference to the Practitioner resource included in the observation list
- valueQuantity 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 )
- - value 1..1 Mandatory Decimal Numerical value (with implicit precision)
- - unit 1..1 Mandatory String Unit representation
- - system 1..1 Mandatory Uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
- - code 1..1 Mandatory Code Coded responses from the common UCUM units for vital signs value set.
Fixed Value: Cel
Binding (required): UCUM units for recording Body Temperature ( http://hl7.org/fhir/stu3/valueset-ucum-bodytemp.html )

Mapping for Oxygen Saturation

> Level 1 Observation Resource > Level 2 CareConnect-Observation-1 Profile > Level 3 CareConnect-OxygenSaturation-Observation-1 Profile
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-OxygenSaturation-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)
Binding (extensible): This value set indicates the allowed vital sign result types. (http://hl7.org/fhir/stu3/valueset-observation-vitalsignresult.html )
- -coding 1..* Mandatory Coding Code defined by a terminology system
Slicing: Discriminator: code, Ordering: false, Rules: Open
- - coding (loinc) 1..1 Mandatory Coding Code defined by a terminology system
Binding (extensible): This value set indicates the allowed vital sign result types (http://hl7.org/fhir/stu3/valueset-observation-vitalsignresult.html )
- - - system 1..1 Mandatory Uri Identity of the terminology system
Fixed Value: http://loinc.org
- - - code 1..1 Mandatory Code Symbol in syntax defined by the system
Fixed Value: 59408-5
- - - display 0..1 Not Used String Representation defined by the system
Fixed Value: Core body temperature
- - coding (snomedCT) 1..1 Mandatory Coding Code defined by a terminology system
- - - 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
Fixed Value: 103228002
- - - display 1..1 Required String Representation defined by the system
Fixed Value: Blood oxygen saturation
- 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
- effective[x] 0..1 Required dateTime Clinically relevant time/time-period for observation
The date on which the observation was recorded
- 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
This MUST use the CareConnect-Practitioner profile.See Practitioner resource reference for information on how to populate this resource.
- - reference 0..1 Required String Literal reference, Relative, internal or absolute URLA reference to the Practitioner resource included in the observation list
- valueQuantity 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 )
- - value 1..1 Mandatory Decimal Numerical value (with implicit precision)
- - unit 1..1 Mandatory String Unit representation
- - system 1..1 Mandatory Uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
- - code 1..1 Mandatory Code Coded form of the unit
Fixed Value: %

Mapping for Respiratory Observation

> Level 1 Observation Resource > Level 2 CareConnect-Observation-1 Profile > Level 3 CareConnect-BloodPressure-Observation-1 Profile
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-RespiratoryRate-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)
Binding (extensible): This value set indicates the allowed vital sign result types. (http://hl7.org/fhir/stu3/valueset-observation-vitalsignresult.html )
- -coding 1..* Mandatory Coding Code defined by a terminology system
Slicing: Discriminator: code, Ordering: false, Rules: Open
- - coding (loinc) 1..1 Mandatory Coding Code defined by a terminology system
Binding (extensible): This value set indicates the allowed vital sign result types (http://hl7.org/fhir/stu3/valueset-observation-vitalsignresult.html )
- - - system 1..1 Mandatory Uri Identity of the terminology system
Fixed Value: http://loinc.org
- - - code 1..1 Mandatory Code Symbol in syntax defined by the system
Fixed Value: 9279-1
- - - display 0..1 Not Used String Representation defined by the system
Fixed Value: Core body temperature
- - coding (snomedCT) 1..1 Mandatory Coding Code defined by a terminology system
- - - 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
Fixed Value: 86290005
- - - display 1..1 Required String Representation defined by the system
Fixed Value: Respiratory rate
- 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
- effective[x] 0..1 Required dateTime Clinically relevant time/time-period for observation
The date on which the observation was recorded
- 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
This MUST use the CareConnect-Practitioner profile.See Practitioner resource reference for information on how to populate this resource.
- - reference 0..1 Required String Literal reference, Relative, internal or absolute URLA reference to the Practitioner resource included in the observation list
- valueQuantity 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 )
- - value 1..1 Mandatory Decimal Numerical value (with implicit precision)
- - unit 1..1 Mandatory String Unit representation
- - system 1..1 Mandatory Uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
- - code 1..1 Mandatory Code Coded responses from the common UCUM units for vital signs value set.
Fixed Value: /min
Binding (required): UCUM units for recording Body Temperature ( http://hl7.org/fhir/stu3/valueset-ucum-bodytemp.html )

Mapping for Observation 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
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. </font>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 Plan and Requested Actions Practitioner

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

Mapping for Plan and Requested Actions PractitionerRole

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

Mapping for Referral Request Organisation

The referral request details has reference(s) to the Organization resource. This means that any exchange of the referral request details heading data must also include the Organization Details

Mapping for Observation Location

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

Example of Observation

Tags: fhir