The FHIR profiles used for the Person concerns List
Heading Description
Details of the woman’s concerns, expectations and wishes.
The following FHIR profiles are used to form the Person concerns List structure:
The following profiles are referenced from the Patient demographics list structure:
Person concerns Structure
Maternity data standard Mapping to FHIR profiles
Mapping Overview
| Data Standard Element | FHIR Resource Mapping | FHIR Element |
| Date/time | CarePlan | period.start/note.time |
| Concern, wishes or goals details | CarePlan | goal/note |
| Maternity Care Plan Type | CarePlan | category |
| Planned delivery setting | Location | type |
| Reason for change of planned delivery setting | CarePlan | activity.detail.reasonCode |
| Advance Statement Date | Contract | meta.lastUpdated |
| Advance Statement Details | Contract | text |
| Location of Advance Statement Document | unmapped |
Mapping for Person concerns List
| > | Level 1 | List Resource | > | Level 2 | CareConnect-List-1 | > | Level 3 | None |
| View Used FHIR Elements | View All FHIR Elements |
| Name | Card. | Conformance | Type | Description, Constraints and mapping for Implementation |
|---|---|---|---|---|
| List | | Information summarized from a list of other resources 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 (lst-2): The deleted flag can only be used if the mode of the list is “changes” Constraint (lst-1): A list can only have an emptyReason if it is empty |
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| - 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 Person concerns List |
| - - system | 1..1 | Required | Uri | The namespace for the identifier value The system from which the identifier came |
| - - value | 1..1 | Mandatory | String | The value that is unique A value for the identifier |
| - - assigner | 0..1 | Optional | Reference | Organization that issued id (may be just text) Constraint (ref-1): SHALL have a contained resource if a local reference is provided |
| Optional | CareConnect-Organization-1 | |||
| - - - reference | 0..1 | Optional | String | Literal reference, Relative, internal or absolute URL |
| - - - identifier | 0..1 | Optional | Identifier | Logical reference, when literal reference is not known |
| - - - display | 0..1 | Optional | String | Text alternative for the resource |
| - status | 1..1 | Mandatory | Code | current : retired : entered-in-error Binding (required): The current state of the list ListStatus |
| - 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 'Person concerns' Mapping to Maternity data item = 'PSRB Heading Person concerns' |
| - 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 'tbc' |
| - - - display | 0..1 | Mandatory | String | Representation defined by the system This MUST contain the value 'Person concerns' Mapping to Maternity data item = 'PSRB Heading Person concerns' |
| - 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 Person concerns List. This MUST use the CareConnect patient profile. See patient resource reference for information on how to populate the resource. |
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| - - 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 | Mandatory | dateTime | When the list was prepared This MUST contain a system date to indicate when the list created or updated |
| - note | 0..* | Optional | Annotation | Comments about the list |
| - - author[x] | 0..1 | Optional | Reference | Individual responsible for the annotation Constraint (ref-1): SHALL have a contained resource if a local reference is provided |
| Optional | CareConnect-Practitioner-1 | |||
| Optional | String | Who authored the comment on the list. | ||
| - - time | 0..1 | Required | dateTime | When the annotation was made |
| - - text | 1..1 | Required | String | The annotation - text content |
| - entry | 0..* | Mandatory | BackboneElement | Entries in the list The entries MUST be as per the diagram for this PRSB headings list with the CarePlan resource being the focal resource. |
| - - 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 | Required | Reference | Actual entry Constraint (ref-1): SHALL have a contained resource if a local reference is provided A reference to a CarePlan resource included in the list |
| - - - reference | 0..1 | Mandatory | String | Literal reference, Relative, internal or absolute URL |
Patient Reference
The Person concerns 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 Person concerns CarePlan
| > | Level 1 | CarePlan Resource | > | Level 2 | CareConnect-CarePlan-1 | > | Level 3 | None |
| View Used FHIR Elements | View All FHIR Elements |
| Name | Card. | Conformance | Type | Description, Constraints and mapping for Implementation |
|---|---|---|---|---|
| CarePlan | | Healthcare plan for patient or group 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 |
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| - 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-CarePlan-1' |
| - identifier | 0..* | Required | Identifier | External Ids for this plan An identifier for this Plan and requested actions CarePlan |
| - - system | 0..1 | Required | Uri | The namespace for the identifier value The system from which the identifier came |
| - - value | 0..1 | Required | String | The value that is unique A value for the identifier for this Plan and requested actions CarePlan |
| - - assigner | 0..1 | Optional | Reference | Organization that issued id (may be just text) Constraint (ref-1): SHALL have a contained resource if a local reference is provided |
| Optional | CareConnect-Organization-1 | |||
| - - - reference | 0..1 | Optional | String | Literal reference, Relative, internal or absolute URL |
| - - - identifier | 0..1 | Optional | Identifier | Logical reference, when literal reference is not known |
| - - - display | 0..1 | Optional | String | Text alternative for the resource |
| - basedOn | 0..* | Optional | Reference | Fulfills care plan Constraint (ref-1): SHALL have a contained resource if a local reference is provided |
| Optional | CareConnect-CarePlan-1 | |||
| - - reference | 0..1 | Optional | String | Literal reference, Relative, internal or absolute URL |
| - - identifier | 0..1 | Optional | Identifier | Logical reference, when literal reference is not known |
| - - display | 0..1 | Optional | String | Text alternative for the resource |
| - replaces | 0..* | Optional | Reference | CarePlan replaced by this CarePlan Constraint (ref-1): SHALL have a contained resource if a local reference is provided |
| Optional | CareConnect-CarePlan-1 | |||
| - - reference | 0..1 | Optional | String | Literal reference, Relative, internal or absolute URL |
| - - identifier | 0..1 | Optional | Identifier | Logical reference, when literal reference is not known |
| - - display | 0..1 | Optional | String | Text alternative for the resource |
| - partOf | 0..* | Optional | Reference | Part of referenced CarePlan Constraint (ref-1): SHALL have a contained resource if a local reference is provided |
| Optional | CareConnect-CarePlan-1 | |||
| - - reference | 0..1 | Optional | String | Literal reference, Relative, internal or absolute URL |
| - - identifier | 0..1 | Optional | Identifier | Logical reference, when literal reference is not known |
| - - display | 0..1 | Optional | String | Text alternative for the resource |
| - status | 1..1 | Mandatory | Code | draft : active : suspended : completed : entered-in-error : cancelled : unknown Binding (required): Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record. CarePlanStatus |
| - intent | 1..1 | Mandatory | Code | proposal : plan : order : option Binding (required): Codes indicating the degree of authority/intentionality associated with a care plan CarePlanIntent |
| - category | 1..1 | Mandatory | CodeableConcept | Type of plan Binding (example): Identifies what “kind” of plan this is to support differentiation between multiple co-existing plans; e.g. “Home health”, “psychiatric”, “asthma”, “disease management”, etc. Care Plan Category Mapping to Digital Maternity data item 'Maternity care plan type' Valueset Care Plan Type |
| - - coding | 0..* | Mandatory | Coding | Code defined by a terminology system |
| - - - system | 0..1 | Mandatory | Uri | Identity of the terminology system |
| - - - code | 0..1 | Mandatory | Code | Symbol in syntax defined by the system |
| - - - display | 0..1 | Mandatory | String | Representation defined by the system |
| - - - userSelected | 0..1 | Optional | Boolean | If this coding was chosen directly by the user |
| - - text | 0..1 | Optional | String | Plain text representation of the concept |
| - title | 0..1 | Optional | String | Human-friendly name for the CarePlan |
| - description | 0..1 | Optional | String | Summary of nature of plan |
| - subject | 1..1 | Mandatory | Reference | Who care plan is for Constraint (ref-1): SHALL have a contained resource if a local reference is provided |
| Mandatory | CareConnect-Patient-1 | |||
| - - reference | 0..1 | Mandatory | String | Literal reference, Relative, internal or absolute URL |
| - - identifier | 0..1 | Optional | Identifier | Logical reference, when literal reference is not known |
| - - display | 0..1 | Optional | String | Text alternative for the resource |
| context | 1..1 | Mandatory | Reference | Created in context of Constraint (ref-1): SHALL have a contained resource if a local reference is provided |
| Mandatory | CareConnect-Encounter-1 | |||
| - - reference | 0..1 | Mandatory | String | Literal reference, Relative, internal or absolute URL |
| - - identifier | 0..1 | Optional | Identifier | Logical reference, when literal reference is not known |
| - - display | 0..1 | Optional | String | Text alternative for the resource |
| - period | 1..1 | Mandatory | Period | Time period plan covers Constraint (per-1): If present, start SHALL have a lower value than end |
| - - start | 1..1 | Mandatory | dateTime | Starting time with inclusive boundary Mapping to Digital Maternity data item 'Date/time' |
| - - end | 0..1 | Optional | dateTime | End time with inclusive boundary, if not ongoing |
| - author | 0..* | Required | Reference | Who is responsible for contents of the plan Constraint (ref-1): SHALL have a contained resource if a local reference is provided |
| Required | CareConnect-Practitioner-1 | |||
| - - reference | 0..1 | Required | String | Literal reference, Relative, internal or absolute URL |
| - - identifier | 0..1 | Optional | Identifier | Logical reference, when literal reference is not known |
| - - display | 0..1 | Optional | String | Text alternative for the resource |
| - goal | 0..* | Required | Reference | Desired outcome of plan Constraint (ref-1): SHALL have a contained resource if a local reference is provided Mapping to Digital Maternity data item 'Concern, wishes or goal details' |
| Required | Goal | |||
| - - reference | 0..1 | Required | String | Literal reference, Relative, internal or absolute URL |
| - - identifier | 0..1 | Optional | Identifier | Logical reference, when literal reference is not known |
| - - display | 0..1 | Optional | String | Text alternative for the resource |
| - activity | 0..* | Required | BackboneElement | Action to occur as part of plan Constraint (cpl-3): Provide a reference or detail, not both |
| - - outcomeCodeableConcept | 0..* | Optional | CodeableConcept | Results of the activity Binding (example): Identifies the results of the activity Care Plan Activity Outcome |
| - - - coding | 0..* | Optional | Coding | Code defined by a terminology system |
| - - - - system | 0..1 | Optional | Uri | Identity of the terminology system |
| - - - - code | 0..1 | Optional | Code | Symbol in syntax defined by the system |
| - - - - display | 0..1 | Optional | String | Representation defined by the system |
| - - - - userSelected | 0..1 | Optional | Boolean | If this coding was chosen directly by the user |
| - - - text | 0..1 | Optional | String | Plain text representation of the concept |
| - - outcomeReference | 0..* | Optional | Reference | Appointment, Encounter, Procedure, etc. Constraint (ref-1): SHALL have a contained resource if a local reference is provided |
| Optional | Resource | |||
| - - - reference | 0..1 | Optional | String | Literal reference, Relative, internal or absolute URL |
| - - - identifier | 0..1 | Optional | Identifier | Logical reference, when literal reference is not known |
| - - - display | 0..1 | Optional | String | Text alternative for the resource |
| - - - category | 0..1 | Optional | CodeableConcept | diet : drug : encounter : observation : procedure : supply : other Binding (example): High-level categorization of the type of activity in a care plan. CarePlanActivityCategory |
| - - - - coding | 0..* | Optional | Coding | Code defined by a terminology system |
| - - - - - system | 0..1 | Optional | Uri | Identity of the terminology system |
| - - - - - code | 0..1 | Optional | Code | Symbol in syntax defined by the system |
| - - - - - display | 0..1 | Optional | String | Representation defined by the system |
| - - - - - userSelected | 0..1 | Optional | Boolean | If this coding was chosen directly by the user |
| - - - - text | 0..1 | Optional | String | Plain text representation of the concept |
| - - - code | 0..1 | Optional | CodeableConcept | Detail type of activity Binding (example): Detailed description of the type of activity; e.g. What lab test, what procedure, what kind of encounter. Care Plan Activity |
| - - - - coding | 0..* | Optional | Coding | Code defined by a terminology system |
| - - - - - system | 0..1 | Optional | Uri | Identity of the terminology system |
| - - - - - code | 0..1 | Optional | Code | Symbol in syntax defined by the system |
| - - - - - display | 0..1 | Optional | String | Representation defined by the system |
| - - - - - userSelected | 0..1 | Optional | Boolean | If this coding was chosen directly by the user |
| - - - - text | 0..1 | Optional | String | Plain text representation of the concept |
| - - - reasonCode | 0..* | Required | CodeableConcept | Why activity should be done or why activity was prohibited Binding (example): Identifies why a care plan activity is needed. Can include any health condition codes as well as such concepts as “general wellness”, prophylaxis, surgical preparation, etc. Activity Reason Mapping to Digital Maternity data item 'Reason for change of planned delivery setting' |
| - - - - coding | 0..* | Optional | Coding | Code defined by a terminology system |
| - - - - - system | 0..1 | Optional | Uri | Identity of the terminology system |
| - - - - - code | 0..1 | Optional | Code | Symbol in syntax defined by the system |
| - - - - - display | 0..1 | Optional | String | Representation defined by the system |
| - - - - - userSelected | 0..1 | Optional | Boolean | If this coding was chosen directly by the user |
| - - - - text | 0..1 | Optional | String | Plain text representation of the concept |
| - - - reasonReference | 0..* | Optional | Reference | Condition triggering need for activity Constraint (ref-1): SHALL have a contained resource if a local reference is provided |
| Optional | CareConnect-Condition-1 | |||
| - - - - reference | 0..1 | Optional | String | Literal reference, Relative, internal or absolute URL |
| - - - - identifier | 0..1 | Optional | Identifier | Logical reference, when literal reference is not known |
| - - - - display | 0..1 | Optional | String | Text alternative for the resource |
| - - - status | 1..1 | Optional | Code | not-started : scheduled : in-progress : on-hold : completed : cancelled : unknown Binding (required): Indicates where the activity is at in its overall life cycle. CarePlanActivityStatus |
| - - - statusReason | 0..1 | Optional | String | Reason for current status |
| - - - prohibited | 0..1 | Optional | Boolean | Do NOT do Default Value: false |
| Mandatory | Period | |||
| - - - location | 0..1 | Optional | Reference | Where it should happen Constraint (ref-1): SHALL have a contained resource if a local reference is provided |
| Optional | CareConnect-Location-1 | |||
| - - - - reference | 0..1 | Optional | String | Literal reference, Relative, internal or absolute URL |
| - - - - identifier | 0..1 | Optional | Identifier | Logical reference, when literal reference is not known |
| - - - - display | 0..1 | Optional | String | Text alternative for the resource |
| - - - performer | 0..* | Optional | Reference | Who will be responsible? Constraint (ref-1): SHALL have a contained resource if a local reference is provided |
| Optional | CareConnect-Organization-1 | |||
| Optional | CareConnect-Patient-1 | |||
| Optional | CareConnect-Practitioner-1 | |||
| Optional | CareConnect-CareTeam-1 | |||
| Optional | CareConnect-RelatedPerson-1 | |||
| - - - - reference | 0..1 | Optional | String | Literal reference, Relative, internal or absolute URL |
| - - - - identifier | 0..1 | Optional | Identifier | Logical reference, when literal reference is not known |
| - - - - display | 0..1 | Optional | String | Text alternative for the resource |
| - - - product[x] | 0..1 | Optional | CodeableConcept | What is to be administered/supplied Binding (example): A product supplied or administered as part of a care plan activity. SNOMED CT Medication Codes |
| Optional | Reference | |||
| Optional | Substance | |||
| Optional | CareConnect-Medication-1 | |||
| - - - dailyAmount | 0..1 | Optional | Quantity (SimpleQuantity) | How to consume/day? Constraint (qty-3): If a code for the unit is present, the system SHALL also be present Constraint (sqty-1): The comparator is not used on a SimpleQuantity |
| - - - - value | 0..1 | Optional | Decimal | Numerical value (with implicit precision) |
| - - - - unit | 0..1 | Optional | String | Unit representation |
| - - - - system | 0..1 | Optional | Uri | System that defines coded unit form |
| - - - - code | 0..1 | Optional | Code | Coded form of the unit |
| - - - quantity | 0..1 | Optional | Quantity (SimpleQuantity) | How much to administer/supply/consume Constraint (qty-3): If a code for the unit is present, the system SHALL also be present Constraint (sqty-1): The comparator is not used on a SimpleQuantity |
| - - - - value | 0..1 | Optional | Decimal | Numerical value (with implicit precision) |
| - - - - unit | 0..1 | Optional | String | Unit representation |
| - - - - system | 0..1 | Optional | Uri | System that defines coded unit form |
| - - - - code | 0..1 | Optional | Code | Coded form of the unit |
| - - - description | 0..1 | Optional | String | Extra info describing activity to perform |
| - note | 0..* | Required | Annotation | Comments about the plan Mapping to Digital Maternity data item 'Concern, wishes or goal details' |
| - - author[x] | 0..1 | Optional | String | Individual responsible for the annotation Constraint (ref-1): SHALL have a contained resource if a local reference is provided |
| Optional | Reference | |||
| Optional | CareConnect-Patient-1 | |||
| Optional | CareConnect-Practitioner-1 | |||
| Optional | CareConnect-RelatedPerson-1 | |||
| - - time | 1..1 | Mandatory | dateTime | When the annotation was made Mapping to Digital Maternity data item 'Date/time' |
| - - text | 1..1 | Mandatory | String | The annotation - text content |
Mapping for Person concerns Contract
| > | Level 1 | Contract Resource | > | Level 2 | CareConnect-Contract-1 | > | Level 3 | None |
| View Used FHIR Elements | View All FHIR Elements |
| Name | Card. | Conformance | Type | Description, Constraints and mapping for Implementation |
|---|---|---|---|---|
| Contract | | Legal Agreement 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 |
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| - 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-CarePlan-1' The lastUpdated element maps to Digital Maternity data item = 'Advance Statement date' |
| - text | 0..1 | Required | Narrative | Text summary of the resource, for human interpretation Mapping to Digital Maternity data item = 'Advance statement details' |
| - identifier | 0..1 | Required | Identifier | Contract number An identifier for this Person concerns Contract |
| - - assigner | 0..1 | Optional | Reference | Organization that issued id (may be just text) Constraint (ref-1): SHALL have a contained resource if a local reference is provided |
| Optional | CareConnect-Organization-1 | |||
| - - - reference | 0..1 | Optional | String | Literal reference, Relative, internal or absolute URL |
| - - - identifier | 0..1 | Optional | Identifier | Logical reference, when literal reference is not known |
| - - - display | 0..1 | Optional | String | Text alternative for the resource |
| - status | 0..1 | Optional | Code | amended : appended : cancelled : disputed : entered-in-error : executable : executed : negotiable : offered : policy : rejected : renewed : revoked : resolved : terminated Binding (required): A code specifying the state of the resource instance. Contract Resource Status Codes |
| - issued | 0..1 | Optional | dateTime | When this Contract was issued |
| - applies | 0..1 | Optional | Period | Effective time Constraint (per-1): If present, start SHALL have a lower value than end |
| - - start | 0..1 | Optional | dateTime | Starting time with inclusive boundary |
| - - end | 0..1 | Optional | dateTime | End time with inclusive boundary, if not ongoing |
| - subject | 0..* | Optional | Reference | Contract Target Entity Constraint (ref-1): SHALL have a contained resource if a local reference is provided |
| Optional | Resource | |||
| - - reference | 0..1 | Optional | String | Literal reference, Relative, internal or absolute URL |
| - - identifier | 0..1 | Optional | Identifier | Logical reference, when literal reference is not known |
| - - display | 0..1 | Optional | String | Text alternative for the resource |
| - topic | 0..* | Optional | Reference | Context of the Contract Constraint (ref-1): SHALL have a contained resource if a local reference is provided |
| Optional | Resource | |||
| - - reference | 0..1 | Optional | String | Literal reference, Relative, internal or absolute URL |
| - - identifier | 0..1 | Optional | Identifier | Logical reference, when literal reference is not known |
| - - display | 0..1 | Optional | String | Text alternative for the resource |
| - authority | 0..* | Optional | Reference | Authority under which this Contract has standing Constraint (ref-1): SHALL have a contained resource if a local reference is provided |
| Optional | CareConnect-Organization-1 | |||
| - - reference | 0..1 | Optional | String | Literal reference, Relative, internal or absolute URL |
| - - identifier | 0..1 | Optional | Identifier | Logical reference, when literal reference is not known |
| - - display | 0..1 | Optional | String | Text alternative for the resource |
Mapping for Person concerns Location
The Person concerns List has reference(s) to the Location resource. This means that any exchange of the plan and requested actions details heading data must also include the Location Details