The FHIR profiles used for the Pregnancy episode details List

Heading Description

The details of the pregnancy episode status.

The following FHIR profiles are used to form the Pregnancy episode details List structure:

The following profiles are referenced from the Patient demographics list structure:

Pregnancy episode details list Structure

Page-1 EpisodeOfCare Resource EpisodeOfCare Resource EpisodeOfCareResource 0..* R entry.item 0..* R entry.item 0..* Rentry.item Pregnancy episode details List Resource Pregnancy episode details List Resource Pregnancy episode detailsList Resource 1..1 M subject 1..1 M subject 1..1 Msubject Reference to Patient resource Reference to Patient resource Reference to Patient resource Reference from Pregnancy episode details List to Patient Reference from EpisodeOfCare to Patient Patient Resource (baby) Patient Resource (baby) PatientResource(baby) Reference from Pregnancy episode details List to Patient (baby) Observation Resource Observation Resource ObservationResource Reference from Pregnancy episode details List to Observation 1..1 M context 1..1 M context 1..1 Mcontext 1..1 M patient 1..1 M patient 1..1 Mpatient 0..* R entry.item 0..* R entry.item 0..* Rentry.item Reference from Observation to EpisodeOfCare

Maternity data standard Mapping to FHIR profiles

Mapping Overview

Data Standard Element FHIR Resource Mapping FHIR Element
Pregnancy identifier Observation code/valueBoolean
Local Fetal Identifier Patient (Baby patient) identifier (local identifier)
Maternity Episode Start Date EpisodeOfCare period.start
Maternity Episode End Date EpisodeOfCare period.end
Reason for late booking   unmapped
Maternity Episode End Reason   unmapped

Mapping for Pregnancy episode details 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
- 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 Pregnancy episode details 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
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 'Pregnancy episode details'
Mapping to Maternity data item = 'PSRB Heading Pregnancy episode details'
- 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 'Pregnancy episode details'
Mapping to Maternity data item = 'Pregnancy episode details'
- 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 Pregnancy episode 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 Mandatory dateTime When the list was prepared
This MUST contain a system date to indicate when the list was 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 Observation and Patient (Baby patient) resources being the focal resources.
- - 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 the Observation or Patient (Baby patient) resources included in the list
- - - reference 0..1 Mandatory String Literal reference, Relative, internal or absolute URL

Patient Reference

The Pregnancy episode details 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 Pregnancy episode details Observation

> Level 1 Observation Resource > Level 2 CareConnect-Observation-1 > Level 3 None
View Used FHIR Elements View All FHIR Elements
Name Card. Conformance Type Description, Constraints and mapping for 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 Pregnancy episode details Observation
- - system 1..1 Mandatory Uri The namespace for the identifier value
The system from which the identifier came
- - value 1..1 Mandatory String The value that is unique The 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 registered : preliminary : final : amended +
Binding (required): Codes providing the status of an observation. ObservationStatus
This MUST contain the value 'final'
- code 1..1 Mandatory CodeableConcept Type of observation (code / type)
Binding (example): Codes identifying names of simple observations. LOINC Codes
Mapping to Digital Maternity data item='Pregnancy indicator'
- - coding 0..1 Optional Coding Code defined by a terminology system
Slicing: Discriminator: code, Ordering: false, Rules: Open
- - coding (snomedCT) 0..1 Optional 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 Optional 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
CodeSystem tbc
- - - code 1..1 Mandatory Code Symbol in syntax defined by the system
tbc
- - - display 1..1 Mandatory String Representation defined by the system
tbc
- - text 0..1 Optional String Plain text representation of the concept
- subject 0..1 Optional Reference Who and/or what this is about
Constraint (ref-1): SHALL have a contained resource if a local reference is provided
    Optional CareConnect-Patient-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
- effective[x] 0..1 Optional dateTime Clinically relevant time/time-period for observation
    Optional Period  
- performer 0..1 Optional Reference Who is responsible for the observation
Constraint (ref-1): SHALL have a contained resource if a local reference is provided
    Optional CareConnect-Practitioner-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
- value[x]   Required CodeableConcept The system element MUST contain the identity of the terminology system
Mapping to Digital Maternity data item='Reason for late booking (value)'
Valueset tbc

Mapping for Pregnancy episode details EpisodeOfCare

> Level 1 EpisodeOfCare Resource > Level 2 CareConnect-EpisodeOfCare-1 > Level 3 None
View Used FHIR Elements View All FHIR Elements
Name Card. Conformance Type Description, Constraints and mapping for Implementation
EpisodeOfCare     An association of a Patient with an Organization and Healthcare Provider(s) for a period of time that the Organization assumes some level of responsibility
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
- id 0..1 Optional Id Logical id of this artifact
- meta 1..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-EpisodeOfCare-1'
- identifier 0..* Required Identifier Business Identifier(s) relevant for this EpisodeOfCare
- - system 0..1 Required Uri The namespace for the identifier value
- - value 0..1 Required String The value that is unique
- - 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 planned : waitlist : active : onhold : finished : cancelled : entered-in-error
Binding (required): The status of the episode of care. EpisodeOfCareStatus
This MUST contain the value 'finished'
- type 0..* Optional CodeableConcept Type/class - e.g. specialist referral, disease management
Binding (example): The type of the episode of care EpisodeOfCareType
- - coding 0..* Optional Coding Code defined by a terminology system
- - - system 0..1 Optional Uri Identity of the terminology system
- - - version 0..1 Optional String Version of the system - if relevant
- - - 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
- patient 1..1 Mandatory Reference The patient who is the focus of this episode of care
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 EpisodeOfCare.
    Mandatory CareConnect-Patient-1 This is the subject of the Episode of Care.This MUST use the CareConnect patient profile.
- - 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.
- - identifier 0..1 Optional Identifier Logical reference, when literal reference is not known
- - display 0..1 Optional String Text alternative for the resource
- managingOrganization 0..1 Required Reference Organization that assumes care
Constraint (ref-1): SHALL have a contained resource if a local reference is provided
    Required CareConnect-Organization-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
- period 1..1 Mandatory Period Interval during responsibility is assumed
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='Maternity episode start date'
- - end 0..1 Required dateTime End time with inclusive boundary, if not ongoing Mapping to Digital Maternity data item='Maternity episode end date'

Mapping for Pregnancy episode details Baby patient

> Level 1 Patient Resource > Level 2 CareConnect-Patient-1 > Level 3 None
View Used FHIR Elements View All FHIR Elements
Name Card. Conformance Type Description, Constraints and mapping for Implementation
Patient     Information about an individual or animal receiving health care services
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
- 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-Patient-1'
- identifier 1..* Mandatory Identifier An identifier for this patient
Slicing: Discriminator: system, Ordering: false, Rules: Open at End
An identifier for this Pregnancy episode details Baby Patient
Mapping to Digital Maternity data item = 'Local identifier'
- - use 0..1 Optional Code usual : official : temp : secondary (If known)
Binding (required): Identifies the purpose for this identifier, if known. IdentifierUse
- - type 0..1 Optional CodeableConcept Description of identifier
Binding (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes
- - system 1..1 Mandatory Uri The namespace for the identifier value
- - value 1..1 Mandatory String The value that is unique
- - period 0..1 Optional Period Time period when id is/was valid for use
Constraint (per-1): If present, start SHALL have a lower value than end
- - 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  
- active 0..1 Optional Boolean Whether this patient’s record is in active use
Default Value: true
- name 1..* Mandatory HumanName A name associated with the patient
Slicing: Discriminator: use, Ordering: false, Rules: Open at End
- name (official) 1..1 Mandatory HumanName A name associated with the patient
- - use 1..1 Mandatory Code usual : official : temp : nickname : anonymous : old : maiden
The value attribute MUST contain the value 'official'
Binding (required): The use of a human name CareConnect-NameUse-1
- - text 0..1 Optional String Text representation of the full name
- - family 1..1 Mandatory String Family name (often called ‘Surname’)
- - given 0..* Optional String Given names (not always ‘first’). Includes middle names
- - prefix 0..* Optional String Parts that come before the name
- - suffix 0..* Optional String Parts that come after the name
- - period 0..1 Optional Period Time period when name was/is in use
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
- name (other) 0..* Optional HumanName A name associated with the patient
- - use 1..1 Mandatory Code usual : official : temp : nickname : anonymous : old : maiden
Binding (required): The use of a human name CareConnect-NameUse-1
- - text 0..1 Optional String Text representation of the full name
- - family 0..1 Optional String Family name (often called ‘Surname’)
- - given 0..* Optional String Given names (not always ‘first’). Includes middle names
- - prefix 0..* Optional String Parts that come before the name
- - suffix 0..* Optional String Parts that come after the name
- - period 0..1 Optional Period Time period when name was/is in use
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
- gender 0..1 Optional Code male : female : other : unknown
Binding (required): The gender of a person used for administrative purposes. CareConnect-AdministrativeGender-1
- deceased[x] 0..1 Optional Boolean Indicates if the individual is deceased or not
    Optional dateTime  
- multipleBirth[x] 0..1 Optional Boolean Whether patient is part of a multiple birth
    Optional Integer  

Mapping for Pregnancy episode details Location

The Pregnancy episode details 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

Pregnancy episode example

Tags: fhir