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:
- CareConnect-List-1
- CareConnect-Practitioner-1
- CareConnect-PractitionerRole-1
- CareConnect-Organization-1
- CareConnect-Observation-1
The following profiles are referenced from the https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Medication-1 details list structure:
Observation Structure Details
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