Overview
The Maternity Record specification is the first by NHS Digital to use PRSB headings in a structured record, previously PRSB headings have only been used in document (composition) based exchanges. The Maternity Record is not document based and makes no use of the Composition resource. Points to note are:
- The PRSB headings do not map 1 to 1 with FHIR resources in majority of cases
- A heading will have multiple resources associated with it and these need to be identified
- Some method is required to carry the PRSB headings as a label or identifier
- FHIR has resources for the purpose of grouping (“Groupers”)
- The List resource has been chosen as a candidate for this purpose and is used in this specification
Basic Structure
This specification details the structure of the Maternity record to satisfy some overarching business requirements. These are:
- To group, maintain context, query and retrieve the data using PRSB headings in a FHIR based Maternity record at the PRSB heading level
- To group, maintain context, query and retrieve the data at Maternity record level.
Approach to Profiling
Maternity record will only use CareConnect level 2 profiles. There will be no level 3 profiles defined for the initial first of type implementations. If following consultation it is deemed necessary level 3 profiles may created.
The proposal is to use a FHIR Bundle resource which contains a number of FHIR List resources, one List resource per PRSB Heading.
This document details the options considered for the PRSB heading for the current Maternity Record approach
Bundle Structure Overview Diagram
This diagram illustrates the way the PRSB headings are structured using the FHIR List resource within the FHIR Bundle resource.
