Pregnancy Outcome List | Maternity-Record

The FHIR profiles used for the Pregnancy outcome List

Heading Description

Details of a pregnancy outcome and birth

The following FHIR profiles are used to form the Plan and requested actions List structure:

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

CareConnect-Patient-1

Pregnancy outcome Structure

Maternity data standard Mapping to FHIR profiles

Mapping Overview

Data Standard Element	FHIR Resource Mapping	FHIR Element
Date/time	Procedure	performedDateTime
ODS/ORD Site Code	Location	identifier
Professional Name	Practitioner	name
SDS Job Role Name	PractitionerRole	code
Pregnancy outcome	Observation	code/valueCodeableConcept
Date and time of Established Labour	Observation	effectiveDateTime
Labour onset method	Observation	code/value[x]
Date and time Fully Dilated	Observation	effectiveDateTime
Duration of 1st Stage	Observation	code/valueQuantity
Onset of 2nd Stage of Labour	Observation	effectivePeriod.start
Date and time pushing commenced	Observation	effectivePeriod.start
Location of birth	Location/Organization	name
Delivery place type	Location	type
Delivery place type comment	Location	type.coding.text
Birth attendants	RelatedPerson	name
Date and Time of Rupture of Membranes	Observation	code/valueDateTime
Duration of Rupture of Membranes	Observation	unmapped
Pain relief	Procedure	code
Anaesthesia Type	Procedure	code
Delivery decision Date/Time		unmapped
Delivery decision made by	Practitioner	name
Reason for Delivery decision		unmapped
Head delivered		unmapped
Delivery date/time	Observation	code/valueDateTime
Duration of second stage	Observation	code/valueQuantity
Attempted type of delivery	Condition	code
Type of delivery	Procedure	code
Length of labour	Observation	code/valueQuantity
Delayed cord clamping duration		unmapped
Delayed cord clamping details		unmapped
Cord clamping delayed reason		unmapped
Cord milked indicator		unmapped
Placenta delivery method	Procedure	unmapped
End of third stage	Observation	unmapped
Third stage duration	Observation	code/valueQuantity
Genital tract trauma	Condition	code
Examination of placenta and membranes		unmapped

Placenta disposal method	Procedure	unmapped
Placenta sent for histology	Procedure	unmapped
Total blood loss	Observation	code/valueQuantity

Mapping for Pregnancy outcome 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'
- implicitRules	0..1	Not Used	Uri	A set of rules under which this content was created
- language	0..1	Not Used	Code	Language of the resource content Binding (extensible): A human language. Common Languages
- text	0..1	Not Used	Narrative	Text summary of the resource, for human interpretation
- contained	0..*	Not Used	Resource	Contained, inline Resources
- extension (clinicalSetting)	0..1	Not Used	Extension-CareConnect-ClinicalSetting-1	To record the clinical setting of a problem list Constraint (ext-1): Must have either extensions or value[x], not both
- extension (warningCode)	0..1	Not Used	Extension-CareConnect-ListWarningCode-1	To capture warnings that the list may be incomplete Constraint (ext-1): Must have either extensions or value[x], not both
- modifierExtension	0..*	Not Used	Extension	Extensions that cannot be ignored Constraint (ext-1): Must have either extensions or value[x], not both Slicing: Description: Extensions are always sliced by (at least) url, Discriminator: url, Ordering: false, Rules: Open
- identifier	0..*	Required	Identifier	Business identifier An identifier for this Pregnancy outcome List
- - use	0..1	Not Used	Code	usual : official : temp : secondary (If known) Binding (required): Identifies the purpose for this identifier, if known. IdentifierUse
- - type	0..1	Not Used	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
- - - coding	0..*	Not Used	Coding	Code defined by a terminology system
- - - - system	0..1	Not Used	Uri	Identity of the terminology system
- - - - version	0..1	Not Used	String	Version of the system - if relevant
- - - - code	0..1	Not Used	Code	Symbol in syntax defined by the system
- - - - display	0..1	Not Used	String	Representation defined by the system
- - - - userSelected	0..1	Not Used	Boolean	If this coding was chosen directly by the user
- - - text	0..1	Not Used	String	Plain text representation of the concept
- - 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
- - period	0..1	Not Used	Period	Time period when id is/was valid for use
- - - start	0..1	Not Used	dateTime	Starting time with inclusive boundary
- - - end	0..1	Not Used	dateTime	End time with inclusive boundary, if not ongoing
- - 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 outcome' Mapping to Maternity data item = 'PSRB Heading Pregnancy outcome'
- 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'
- - - version	0..1	Not Used	String	Version of the system - if relevant Mapping to Maternity Data item Not applicable
- - - 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 outcome' Mapping to Maternity data item = 'Pregnancy outcome'
- - - userSelected	0..1	Not Used	Boolean	If this coding was chosen directly by the user
- - text	0..1	Not Used	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.
		Not Used	Group
		Not Used	Device
		Mandatory	CareConnect-Patient-1	This is the subject of the Pregnancy outcome List. This MUST use the CareConnect patient profile. See patient resource reference for information on how to populate the resource.
		Not Used	CareConnect-Location-1
- - 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	Not Used	Identifier	Logical reference, when literal reference is not known
- - display	0..1	Not Used	String	Text alternative for the resource
- encounter	0..1	Not Used	Reference	Context in which list created Constraint (ref-1): SHALL have a contained resource if a local reference is provided
		Not Used	CareConnect-Encounter-1
- - reference	0..1	Not Used	String	Literal reference, Relative, internal or absolute URL
- - identifier	0..1	Not Used	Identifier	Logical reference, when literal reference is not known
- - display	0..1	Not Used	String	Text alternative for the resource
- 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
- source	0..1	Not Used	Reference	Who and/or what defined the list contents (aka Author) Constraint (ref-1): SHALL have a contained resource if a local reference is provided
		Not Used	Device
		Not Used	CareConnect-Patient-1
		Not Used	CareConnect-Practitioner-1
- - reference	0..1	Not Used	String	Literal reference, Relative, internal or absolute URL
- - identifier	0..1	Not Used	Identifier	Logical reference, when literal reference is not known
- - display	0..1	Not Used	String	Text alternative for the resource
- orderedBy	0..1	Not Used	CodeableConcept	What order the list has Binding (preferred): What order applies to the items in a list List Order Codes
- - coding	0..*	Not Used	Coding	Code defined by a terminology system
- - - system	0..1	Not Used	Uri	Identity of the terminology system
- - - version	0..1	Not Used	String	Version of the system - if relevant
- - - code	0..1	Not Used	Code	Symbol in syntax defined by the system
- - - display	0..1	Not Used	String	Representation defined by the system
- - - userSelected	0..1	Not Used	Boolean	If this coding was chosen directly by the user
- - text	0..1	Not Used	String	Plain text representation of the concept
- 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
		Not Used	RelatedPerson
		Not Used	CareConnect-Patient-1
		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 Encounter, Condition, Observation and Procedure resources being the focal resources.
- - modifierExtension	0..*	Not Used	Extension	Extensions that cannot be ignored Constraint (ext-1): Must have either extensions or value[x], not both
- - flag	0..1	Not Used	CodeableConcept	Status/Workflow information about this item Binding (example): Codes that provide further information about the reason and meaning of the item in the list Patient Medicine Change Types
- - - coding	0..*	Not Used	Coding	Code defined by a terminology system
- - - - system	0..1	Not Used	Uri	Identity of the terminology system
- - - - version	0..1	Not Used	String	Version of the system - if relevant
- - - - code	0..1	Not Used	Code	Symbol in syntax defined by the system
- - - - display	0..1	Not Used	String	Representation defined by the system
- - - - userSelected	0..1	Not Used	Boolean	If this coding was chosen directly by the user
- - - text	0..1	Not Used	String	Plain text representation of the concept
- - deleted	0..1	Not Used	Boolean	If this item is actually marked as deleted Default Value: false
- - 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 Encounter, Condition, Observation and Procedure resources included in the list
		Not Used	Resource
- - - reference	0..1	Mandatory	String	Literal reference, Relative, internal or absolute URL
- - - identifier	0..1	Not Used	Identifier	Logical reference, when literal reference is not known
- - - display	0..1	Not Used	String	Text alternative for the resource
- emptyReason	0..1	Not Used	CodeableConcept	Why list is empty Binding (preferred): If a list is empty, why it is empty CareConnect-ListEmptyReasonCode-1
- - coding	0..*	Not Used	Coding	Code defined by a terminology system
- - - system	0..1	Not Used	Uri	Identity of the terminology system
- - - version	0..1	Not Used	String	Version of the system - if relevant
- - - code	0..1	Not Used	Code	Symbol in syntax defined by the system
- - - display	0..1	Not Used	String	Representation defined by the system
- - - userSelected	0..1	Not Used	Boolean	If this coding was chosen directly by the user
- - text	0..1	Not Used	String	Plain text representation of the concept

Patient Reference

The Pregnancy outcome 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 outcome Encounter

Level 1

Encounter Resource

Level 2

CareConnect-Encounter-1

Level 3

None

View Used FHIR Elements

View All FHIR Elements

Name	Card.	Conformance	Type	Description, Constraints and mapping for Implementation
Encounter				An interaction during which services are provided to the patient 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-Encounter-1'
- implicitRules	0..1	Not Used	Uri	A set of rules under which this content was created
- language	0..1	Not Used	Code	Language of the resource content Binding (extensible): A human language. Common Languages
- text	0..1	Not Used	Narrative	Text summary of the resource, for human interpretation
- contained	0..*	Not Used	Resource	Contained, inline Resources
- extension (encounterTransport)	0..1	Not Used	Extension-CareConnect-EncounterTransport-1	Encounter transport Constraint (ext-1): Must have either extensions or value[x], not both
- extension (outcomeOfAttendance)	0..1	Not Used	Extension-CareConnect-OutcomeOfAttendance-1	An extension to the Encounter resource to record the outcome of an Out-Patient attendance. Constraint (ext-1): Must have either extensions or value[x], not both
- extension (emergencyCareDischargeStatus)	0..1	Not Used	Extension-CareConnect-EmergencyCareDischargeStatus-1	An extension to the Encounter resource which is used indicate the status of the Patient on discharge from an Emergency Care Department. Constraint (ext-1): Must have either extensions or value[x], not both
- modifierExtension	0..*	Not Used	Extension	Extensions that cannot be ignored Constraint (ext-1): Must have either extensions or value[x], not both Slicing: Description: Extensions are always sliced by (at least) url, Discriminator: url, Ordering: false, Rules: Open
- identifier	0..*	Required	Identifier	Identifier(s) by which this encounter is known An identifier for this Encounter
- - use	0..1	Not Used	Code	usual : official : temp : secondary (If known) Binding (required): Identifies the purpose for this identifier, if known. IdentifierUse
- - type	0..1	Not Used	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
- - - coding	0..*	Not Used	Coding	Code defined by a terminology system
- - - - system	0..1	Not Used	Uri	Identity of the terminology system
- - - - version	0..1	Not Used	String	Version of the system - if relevant
- - - - code	0..1	Not Used	Code	Symbol in syntax defined by the system
- - - - display	0..1	Not Used	String	Representation defined by the system
- - - - userSelected	0..1	Not Used	Boolean	If this coding was chosen directly by the user
- - - text	0..1	Not Used	String	Plain text representation of the concept
- - 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 A value for the identifier
- - period	0..1	Not Used	Period	Time period when id is/was valid for use Constraint (per-1): If present, start SHALL have a lower value than end
- - - start	0..1	Not Used	dateTime	Starting time with inclusive boundary
- - - end	0..1	Not Used	dateTime	End time with inclusive boundary, if not ongoing
- - 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 : arrived : triaged : in-progress : onleave : finished : cancelled + Binding (required): Current state of the encounter EncounterStatus
- statusHistory	0..*	Not Used	BackboneElement	List of past encounter statuses
- - modifierExtension	0..*	Not Used	Extension	Extensions that cannot be ignored Constraint (ext-1): Must have either extensions or value[x], not both
- - status	1..1	Not Used	Code	planned : arrived : triaged : in-progress : onleave : finished : cancelled + Binding (required): Current state of the encounter EncounterStatus
- - period	1..1	Not Used	Period	The time that the episode was in the specified status Constraint (per-1): If present, start SHALL have a lower value than end
- - - start	0..1	Not Used	dateTime	Starting time with inclusive boundary
- - - end	0..1	Not Used	dateTime	End time with inclusive boundary, if not ongoing
- class	0..1	Not Used	Coding	Classification of the encounter Binding (extensible): Classification of the encounter ActEncounterCode
- - system	0..1	Not Used	Uri	Identity of the terminology system
- - version	0..1	Not Used	String	Version of the system - if relevant
- - code	0..1	Not Used	Code	Symbol in syntax defined by the system
- - display	0..1	Not Used	String	Representation defined by the system
- - userSelected	0..1	Not Used	Boolean	If this coding was chosen directly by the user
- classHistory	0..*	Not Used	BackboneElement	List of past encounter classes
- - modifierExtension	0..*	Not Used	Extension	Extensions that cannot be ignored Constraint (ext-1): Must have either extensions or value[x], not both
- - class	1..1	Not Used	Coding	Classification of the encounter Binding (extensible): Classification of the encounter ActEncounterCode
- - - system	0..1	Not Used	Uri	Identity of the terminology system
- - - version	0..1	Not Used	String	Version of the system - if relevant
- - - code	0..1	Not Used	Code	Symbol in syntax defined by the system
- - - display	0..1	Not Used	String	Representation defined by the system
- - - userSelected	0..1	Not Used	Boolean	If this coding was chosen directly by the user
- - period	1..1	Not Used	Period	The time that the episode was in the specified class Constraint (per-1): If present, start SHALL have a lower value than end
- - - start	0..1	Not Used	dateTime	Starting time with inclusive boundary
- - - end	0..1	Not Used	dateTime	End time with inclusive boundary, if not ongoing
- type	0..*	Not Used	CodeableConcept	Specific type of encounter Binding (example): The type of encounter EncounterType
- - coding	0..1	Not Used	Coding	Code defined by a terminology system Slicing: Discriminator: system, Ordering: false, Rules: Open
- - coding (snomedCT)	0..*	Not Used	Coding	Code defined by a terminology system Binding (extensible): A code from the SNOMED Clinical Terminology UK coding system that describes an encounter between a care professional and the patient (or patient’s record). CareConnect-EncounterType-1
- - - extension (snomedCTDescriptionID)	0..1	Not Used	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	Not Used	Uri	Identity of the terminology system The value attribute of the profile element MUST contain the value 'http://snomed.info/sct'
- - - version	0..1	Not Used	String	Version of the system - if relevant
- - - code	1..1	Not Used	Code	Symbol in syntax defined by the system
- - - display	1..1	Not Used	String	Representation defined by the system
- - - userSelected	0..1	Not Used	Boolean	If this coding was chosen directly by the user
- - text	0..1	Not Used	String	Plain text representation of the concept
- priority	0..1	Not Used	CodeableConcept	Indicates the urgency of the encounter Binding (example): Indicates the urgency of the encounter. v3 Code System ActPriority
- - coding	0..*	Not Used	Coding	Code defined by a terminology system
- - - system	0..1	Not Used	Uri	Identity of the terminology system
- - - version	0..1	Not Used	String	Version of the system - if relevant
- - - code	0..1	Not Used	Code	Symbol in syntax defined by the system
- - - display	0..1	Not Used	String	Representation defined by the system
- - - userSelected	0..1	Not Used	Boolean	If this coding was chosen directly by the user
- - text	0..1	Not Used	String	Plain text representation of the concept
- subject	0..1	Optional	Reference	The patient ro group present at the encounter Constraint (ref-1): SHALL have a contained resource if a local reference is provided
		Not Used	Group
		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
- episodeOfCare	0..*	Not Used	Reference	Episode(s) of care that this encounter should be recorded against Constraint (ref-1): SHALL have a contained resource if a local reference is provided
		Not Used	EpisodeOfCare
- - reference	0..1	Not Used	String	Literal reference, Relative, internal or absolute URL
- - identifier	0..1	Not Used	Identifier	Logical reference, when literal reference is not known
- - display	0..1	Not Used	String	Text alternative for the resource
- incomingReferral	0..*	Not Used	Reference	The ReferralRequest that initiated this encounter Constraint (ref-1): SHALL have a contained resource if a local reference is provided
		Not Used	ReferralRequest
- - reference	0..1	Not Used	String	Literal reference, Relative, internal or absolute URL
- - identifier	0..1	Not Used	Identifier	Logical reference, when literal reference is not known
- - display	0..1	Not Used	String	Text alternative for the resource
- participant	0..1	Required	BackboneElement	List of participants involved in the encounter
- - modifierExtension	0..*	Not Used	Extension	Extensions that cannot be ignored Constraint (ext-1): Must have either extensions or value[x], not both
- - type	0..*	Optional	CodeableConcept	Role of participant in encounter Binding (extensible): Role of participant in encounter ParticipantType
- - - coding	0..*	Optional	Coding	Code defined by a terminology system
- - - - system	0..1	Optional	Uri	Identity of the terminology system
- - - - version	0..1	Not Used	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
- - period	0..1	Optional	Period	Period of time during the encounter that the participant participated 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
- - individual	0..1	Required	Reference	Persons involved in the encounter other than the patient Constraint (ref-1): SHALL have a contained resource if a local reference is provided
		Optional	RelatedPerson
		Optional	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	Required	String	Text alternative for the resource
- appointment	0..1	Not Used	Reference	The appointment that scheduled this encounter Constraint (ref-1): SHALL have a contained resource if a local reference is provided
		Not Used	Appointment
- - reference	0..1	Not Used	String	Literal reference, Relative, internal or absolute URL
- - identifier	0..1	Not Used	Identifier	Logical reference, when literal reference is not known
- - display	0..1	Not Used	String	Text alternative for the resource
- period	0..1	Optional	Period	The start and end time of the encounter 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
- length	0..1	Not Used	Duration	Quantity of time the encounter lasted (less time absent) Constraint (qty-3): If a code for the unit is present, the system SHALL also be present Constraint (drt-1): There SHALL be a code if there is a value and it SHALL be an expression of time. If system is present, it SHALL be UCUM.
- - value	0..1	Not Used	Decimal	Numerical value (with implicit precision)
- - comparator	0..1	Not Used	Code	< : <= : >= : > - how to understand the value Binding (required): How the Quantity should be understood and represented. QuantityComparator
- - unit	0..1	Not Used	String	Unit representation
- - system	0..1	Not Used	Uri	System that defines coded unit form
- - code	0..1	Not Used	Code	Coded form of the unit
- reason	0..*	Not Used	CodeableConcept	Reason the encounter takes place (code) Binding (preferred): Reason why the encounter takes place. Encounter Reason Codes
- - coding	0..*	Not Used	Coding	Code defined by a terminology system Slicing: Discriminator: system, Ordering: false, Rules: Open
- - coding (snomedCT)	0..1	Not Used	Coding	Code defined by a terminology system
- - - extension (snomedCTDescriptionID)	0..1	Not Used	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	Not Used	Uri	Identity of the terminology system The value attribute of the profile element MUST contain the value 'http://snomed.info/sct'
- - - version	0..1	Not Used	String	Version of the system - if relevant
- - - code	1..1	Not Used	Code	Symbol in syntax defined by the system
- - - display	1..1	Not Used	String	Representation defined by the system
- - - userSelected	0..1	Not Used	Boolean	If this coding was chosen directly by the user
- - text	0..1	Not Used	String	Plain text representation of the concept
- diagnosis	0..*	Not Used	BackboneElement	The list of diagnosis relevant to this encounter
- - modifierExtension	0..*	Not Used	Extension	Extensions that cannot be ignored Constraint (ext-1): Must have either extensions or value[x], not both
- - condition	1..1	Not Used	Reference	Reason the encounter takes place (resource) Constraint (ref-1): SHALL have a contained resource if a local reference is provided
		Not Used	CareConnect-Procedure-1
		Not Used	CareConnect-Condition-1
- - - reference	0..1	Not Used	String	Literal reference, Relative, internal or absolute URL
- - - identifier	0..1	Not Used	Identifier	Logical reference, when literal reference is not known
- - - display	0..1	Not Used	String	Text alternative for the resource
- - role	0..1	Not Used	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding (preferred): The type of diagnosis this condition represents DiagnosisRole
- - - coding	0..*	Not Used	Coding	Code defined by a terminology system
- - - - system	0..1	Not Used	Uri	Identity of the terminology system
- - - - version	0..1	Not Used	String	Version of the system - if relevant
- - - - code	0..1	Not Used	Code	Symbol in syntax defined by the system
- - - - display	0..1	Not Used	String	Representation defined by the system
- - - - userSelected	0..1	Not Used	Boolean	If this coding was chosen directly by the user
- - - text	0..1	Not Used	String	Plain text representation of the concept
- - rank	0..1	Not Used	positiveInt	Ranking of the diagnosis (for each role type)
- account	0..*	Not Used	Reference	The set of accounts that may be used for billing for this Encounter Constraint (ref-1): SHALL have a contained resource if a local reference is provided
		Not Used	Account
- - reference	0..1	Not Used	String	Literal reference, Relative, internal or absolute URL
- - identifier	0..1	Not Used	Identifier	Logical reference, when literal reference is not known
- - display	0..1	Not Used	String	Text alternative for the resource
- hospitalization	0..1	Not Used	BackboneElement	Details about the admission to a healthcare service
- - extension (admissionMethod)	0..1	Not Used	Extension-CareConnect-AdmissionMethod-1	An extension to the Encounter resource to record how a Patient was admitted to hospital. Constraint (ext-1): Must have either extensions or value[x], not both
- - extension (dischargeMethod)	0..1	Not Used	Extension-CareConnect-DischargeMethod-1	An extension to the Encounter resource to record the method of discharge from hospital. Constraint (ext-1): Must have either extensions or value[x], not both
- - modifierExtension	0..*	Not Used	Extension	Extensions that cannot be ignored Constraint (ext-1): Must have either extensions or value[x], not both
- - preAdmissionIdentifier	0..1	Not Used	Identifier	Pre-admission identifier
- - - use	0..1	Not Used	Code	usual : official : temp : secondary (If known) Binding (required): Identifies the purpose for this identifier, if known . IdentifierUse
- - - type	0..1	Not Used	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
- - - - coding	0..*	Not Used	Coding	Code defined by a terminology system
- - - - - system	0..1	Not Used	Uri	Identity of the terminology system
- - - - - version	0..1	Not Used	String	Version of the system - if relevant
- - - - - code	0..1	Not Used	Code	Symbol in syntax defined by the system
- - - - - display	0..1	Not Used	String	Representation defined by the system
- - - - - userSelected	0..1	Not Used	Boolean	If this coding was chosen directly by the user
- - - - text	0..1	Not Used	String	Plain text representation of the concept
- - - system	1..1	Not Used	Uri	The namespace for the identifier value
- - - value	1..1	Not Used	String	The value that is unique
- - - period	0..1	Not Used	Period	Time period when id is/was valid for use Constraint (per-1): If present, start SHALL have a lower value than end
- - - - start	0..1	Not Used	dateTime	Starting time with inclusive boundary
- - - - end	0..1	Not Used	dateTime	End time with inclusive boundary, if not ongoing
- - - assigner	0..1	Not Used	Reference	Organization that issued id (may be just text) Constraint (ref-1): SHALL have a contained resource if a local reference is provided
		Not Used	CareConnect-Organization-1
- - - - reference	0..1	Not Used	String	Literal reference, Relative, internal or absolute URL
- - - - identifier	0..1	Not Used	Identifier	Logical reference, when literal reference is not known
- - - - display	0..1	Not Used	String	Text alternative for the resource
- - origin	0..1	Not Used	Reference	The location from which the patient came before admission Constraint (ref-1): SHALL have a contained resource if a local reference is provided
		Not Used	CareConnect-Location-1
- - - reference	0..1	Not Used	String	Literal reference, Relative, internal or absolute URL
- - - identifier	0..1	Not Used	Identifier	Logical reference, when literal reference is not known
- - - display	0..1	Not Used	String	Text alternative for the resource
- - admitSource	0..1	Not Used	CodeableConcept	From where patient was admitted (physician referral, transfer) Binding (preferred): The source of admission to a Hospital Provider Spell or a Nursing Episode when the Patient is in a Hospital Site or a Care Home. CareConnect-SourceOfAdmission-1
- - - coding	0..*	Not Used	Coding	Code defined by a terminology system
- - - - system	0..1	Not Used	Uri	Identity of the terminology system
- - - - version	0..1	Not Used	String	Version of the system - if relevant
- - - - code	0..1	Not Used	Code	Symbol in syntax defined by the system
- - - - display	0..1	Not Used	String	Representation defined by the system
- - - - userSelected	0..1	Not Used	Boolean	If this coding was chosen directly by the user
- - - text	0..1	Not Used	String	Plain text representation of the concept
- - reAdmission	0..1	Not Used	CodeableConcept	The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission Binding (example): The reason for re-admission of this hospitalization encounter. v2 Re-Admission Indicator
- - - coding	0..*	Not Used	Coding	Code defined by a terminology system Slicing: Discriminator: system, Ordering: false, Rules: Open
- - - coding (snomedCT)	0..1	Not Used	Coding	Code defined by a terminology system
- - - - extension (snomedCTDescriptionID)	0..1	Not Used	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	Not Used	Uri	Identity of the terminology system The value attribute of the profile element MUST contain the value 'http://snomed.info/sct'
- - - - version	0..1	Not Used	String	Version of the system - if relevant
- - - - code	1..1	Not Used	Code	Symbol in syntax defined by the system
- - - - display	1..1	Not Used	String	Representation defined by the system
- - - - userSelected	0..1	Not Used	Boolean	If this coding was chosen directly by the user
- - - text	0..1	Not Used	String	Plain text representation of the concept
- - dietPreference	0..*	Not Used	CodeableConcept	Diet preferences reported by the patient Binding (extensible): Medical, cultural or ethical food preferences to help with catering requirements. Diet
- - - coding	0..*	Not Used	Coding	Code defined by a terminology system
- - - - system	0..1	Not Used	Uri	Identity of the terminology system
- - - - version	0..1	Not Used	String	Version of the system - if relevant
- - - - code	0..1	Not Used	Code	Symbol in syntax defined by the system
- - - - display	0..1	Not Used	String	Representation defined by the system
- - - - userSelected	0..1	Not Used	Boolean	If this coding was chosen directly by the user
- - - text	0..1	Not Used	String	Plain text representation of the concept
- - specialCourtesy	0..*	Not Used	CodeableConcept	Special courtesies (VIP, board member) Binding (preferred): Special courtesies SpecialCourtesy
- - - coding	0..*	Not Used	Coding	Code defined by a terminology system
- - - - system	0..1	Not Used	Uri	Identity of the terminology system
- - - - version	0..1	Not Used	String	Version of the system - if relevant
- - - - code	0..1	Not Used	Code	Symbol in syntax defined by the system
- - - - display	0..1	Not Used	String	Representation defined by the system
- - - - userSelected	0..1	Not Used	Boolean	If this coding was chosen directly by the user
- - - text	0..1	Not Used	String	Plain text representation of the concept
- - specialArrangement	0..*	Not Used	CodeableConcept	Wheelchair, translator, stretcher, etc. Binding (preferred): Special arrangements SpecialArrangements
- - - coding	0..*	Not Used	Coding	Code defined by a terminology system
- - - - system	0..1	Not Used	Uri	Identity of the terminology system
- - - - version	0..1	Not Used	String	Version of the system - if relevant
- - - - code	0..1	Not Used	Code	Symbol in syntax defined by the system
- - - - display	0..1	Not Used	String	Representation defined by the system
- - - - userSelected	0..1	Not Used	Boolean	If this coding was chosen directly by the user
- - - text	0..1	Not Used	String	Plain text representation of the concept
- - destination	0..1	Not Used	Reference	Location to which the patient is discharged Constraint (ref-1): SHALL have a contained resource if a local reference is provided
		Not Used	CareConnect-Location-1
- - - reference	0..1	Not Used	String	Literal reference, Relative, internal or absolute URL
- - - identifier	0..1	Not Used	Identifier	Logical reference, when literal reference is not known
- - - display	0..1	Not Used	String	Text alternative for the resource
- - dischargeDisposition	0..1	Not Used	CodeableConcept	Category or kind of location after discharge Binding (example): The destination of a Patient on completion of a Hospital Provider Spell, or a note that the Patient died or was a still birth. CareConnect-DischargeDestination-1
- - - coding	0..1	Not Used	Coding	Code defined by a terminology system
- - - - system	0..1	Not Used	Uri	Identity of the terminology system
- - - - version	0..1	Not Used	String	Version of the system - if relevant
- - - - code	0..1	Not Used	Code	Symbol in syntax defined by the system
- - - - display	0..1	Not Used	String	Representation defined by the system
- - - - userSelected	0..1	Not Used	Boolean	If this coding was chosen directly by the user
- - - text	0..1	Not Used	String	Plain text representation of the concept
- location	1..*	Mandatory	BackboneElement	List of locations where the patient has been
- - modifierExtension	0..*	Not Used	Extension	Extensions that cannot be ignored Constraint (ext-1): Must have either extensions or value[x], not both
- - location	1..1	Mandatory	Reference	Location the encounter takes place Constraint (ref-1): SHALL have a contained resource if a local reference is provided
		Mandatory	CareConnect-Location-1
- - - reference	1..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
- - status	0..1	Optional	Code	planned : active : reserved : completed Binding (required): The status of the location. EncounterLocationStatus
- - period	0..1	Optional	Period	Time period during which the patient was present at the location 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
- serviceProvider	0..1	Not Used	Reference	The custodian organization of this Encounter record Constraint (ref-1): SHALL have a contained resource if a local reference is provided
		Not Used	CareConnect-Organization-1
- - reference	0..1	Not Used	String	Literal reference, Relative, internal or absolute URL
- - identifier	0..1	Not Used	Identifier	Logical reference, when literal reference is not known
- - display	0..1	Not Used	String	Text alternative for the resource
- partOf	0..1	Not Used	Reference	Another Encounter this encounter is part of Constraint (ref-1): SHALL have a contained resource if a local reference is provided
		Not Used	CareConnect-Encounter-1
- - reference	0..1	Not Used	String	Literal reference, Relative, internal or absolute URL
- - identifier	0..1	Not Used	Identifier	Logical reference, when literal reference is not known
- - display	0..1	Not Used	String	Text alternative for the resource

Mapping for Pregnancy outcome Observation

The following combination of Observation codes, value datatypes and other elements should be used for the Observations for the Pregnancy outcome structure:

Observation	Code	Value[x]	Conformance
Pregnancy outcome	SNOMED CT: 267013003 - Past pregnancy outcome	CodeableConcept: A code from NHS Data Dictionary - PREGNANCY OUTCOME CODE	Mandatory
Labour onset method	tbc	CodeableConcept: A code from a SNOMED valueset tbc	Mandatory
Date and time of rupture of membrane	Snomed CT: 289251005 - Time rupture of membranes detected	valueDateTime	Required
Delivery date/time	Snomed CT: 397836004 - Time of delivery	valueDateTime	Mandatory
Duration of second stage	Snomed CT: 169822006 - Duration of second stage of labour	valueQuantity	Required
Length of labour	SNOMED CT: 289248003 - Duration of labour	valueQuantity	Required
Third stage duration	SNOMED CT: 169823002 - Duration of third stage of labour	valueQuantity	Required
Total blood loss	Snomed CT: 250771004 - Actual blood loss	valueQuantity	Mandatory

Observation	Code	Element	Conformance
Date and time of established labour	SNOMED CT: 20236002 - Labour established	effectiveDateTime	Required
Date and time Fully Dilated	SNOMED CT: 62472004 - Cervix fully dilated	effectiveDateTime	Required
Onset of 2nd stage of labour	SNOMED CT: 249160009 - Onset of second stage of labour	effectivePeriod.start	Required
Date and time pushing commenced	SNOMED CT: 249163006 - Onset of pushing (in labor)	effectivePeriod.start	Required

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'
- implicitRules	0..1	Not Used	Uri	A set of rules under which this content was created
- language	0..1	Not Used	Code	Language of the resource content Binding (extensible): A human language. Common Languages
- text	0..1	Not Used	Narrative	Text summary of the resource, for human interpretation
- contained	0..*	Not Used	Resource	Contained, inline Resources
- modifierExtension	0..*	Not Used	Extension	Extensions that cannot be ignored Constraint (ext-1): Must have either extensions or value[x], not both Slicing: Description: Extensions are always sliced by (at least) url, Discriminator: url, Ordering: false, Rules: Open
- identifier	0..*	Required	Identifier	Business Identifier for observation An identifier for this Pregnancy outcome Observation
- - use	0..1	Not Used	Code	usual : official : temp : secondary (If known) Binding (required): Identifies the purpose for this identifier, if known. IdentifierUse
- - type	0..1	Not Used	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
- - - coding	0..*	Not Used	Coding	Code defined by a terminology system
- - - - system	0..1	Not Used	Uri	Identity of the terminology system
- - - - version	0..1	Not Used	String	Version of the system - if relevant
- - - - code	0..1	Not Used	Code	Symbol in syntax defined by the system
- - - - display	0..1	Not Used	String	Representation defined by the system
- - - - userSelected	0..1	Not Used	Boolean	If this coding was chosen directly by the user
- - - text	0..1	Not Used	String	Plain text representation of the concept
- - 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
- - period	0..1	Not Used	Period	Time period when id is/was valid for use Constraint (per-1): If present, start SHALL have a lower value than end
- - - start	0..1	Not Used	dateTime	Starting time with inclusive boundary
- - - end	0..1	Not Used	dateTime	End time with inclusive boundary, if not ongoing
- - 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..*	Not Used	Reference	Fulfills plan, proposal or order. Constraint (ref-1): SHALL have a contained resource if a local reference is provided
		Not Used	CarePlan
		Not Used	DeviceRequest
		Not Used	ImmunizationRecommendation
		Not Used	NutritionOrder
		Not Used	ProcedureRequest
		Not Used	ReferralRequest
		Not Used	CareConnect-MedicationRequest-1
- - reference	0..1	Not Used	String	Literal reference, Relative, internal or absolute URL
- - identifier	0..1	Not Used	Identifier	Logical reference, when literal reference is not known
- - display	0..1	Not Used	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'
- category	0..*	Not Used	CodeableConcept	Classification of type of observation Binding (preferred): Codes for high level observation categories. Observation Category Codes
- - coding	0..*	Not Used	Coding	Code defined by a terminology system
- - - system	0..1	Not Used	Uri	Identity of the terminology system
- - - version	0..1	Not Used	String	Version of the system - if relevant
- - - code	0..1	Not Used	Code	Symbol in syntax defined by the system
- - - display	0..1	Not Used	String	Representation defined by the system
- - - userSelected	0..1	Not Used	Boolean	If this coding was chosen directly by the user
- - text	0..1	Not Used	String	Plain text representation of the concept
- code	1..1	Mandatory	CodeableConcept	Type of observation (code / type) Binding (example): Codes identifying names of simple observations. LOINC Codes
- - 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
- - - userSelected	0..1	Not Used	Boolean	If this coding was chosen directly by the user
- - 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
		Not Used	Group
		Not Used	Device
		Optional	CareConnect-Patient-1
		Not Used	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
- context	0..1	Optional	Reference	Healthcare event during which this observation is made Constraint (ref-1): SHALL have a contained resource if a local reference is provided
		Not Used	EpisodeOfCare
		Optional	CareConnect-Encounter-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	Required	dateTime	Clinically relevant time/time-period for observation
		Required	Period
- issued	0..1	Optional	Instant	Date/Time this was made available
- performer	0..1	Required	Reference	Who is responsible for the observation Constraint (ref-1): SHALL have a contained resource if a local reference is provided
		Not Used	RelatedPerson
		Not Used	CareConnect-Patient-1
		Not Used	CareConnect-Organization-1
		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
- value[x]	0..1	Required	Quantity	Actual result Constraint (qty-3): If a code for the unit is present, the system SHALL also be present
- value[x]		Required	CodeableConcept	The system element MUST contain the identity of the terminology system
- value[x]		Optional	String
- value[x]		Optional	Boolean
- value[x]		Not Used	Range
- value[x]		Not Used	Ratio
- value[x]		Not Used	SampledData
- value[x]		Not Used	Attachment
- value[x]		Optional	Time
- value[x]		Required	dateTime
- value[x]		Required	Period
- dataAbsentReason	0..1	Not Used	CodeableConcept	Why the result is missing Binding (extensible): Codes specifying why the result (Observation.value[x]) is missing. Observation Value Absent Reason
- - coding	0..*	Not Used	Coding	Code defined by a terminology system
- - - system	0..1	Not Used	Uri	Identity of the terminology system
- - - version	0..1	Not Used	String	Version of the system - if relevant
- - - code	0..1	Not Used	Code	Symbol in syntax defined by the system
- - - display	0..1	Not Used	String	Representation defined by the system
- - - userSelected	0..1	Not Used	Boolean	If this coding was chosen directly by the user
- - text	0..1	Not Used	String	Plain text representation of the concept
- interpretation	0..1	Not Used	CodeableConcept	High, low, normal, etc. Binding (extensible): Codes identifying interpretations of observations. Observation Interpretation Codes
- - coding	0..*	Not Used	Coding	Code defined by a terminology system
- - - system	0..1	Not Used	Uri	Identity of the terminology system
- - - version	0..1	Not Used	String	Version of the system - if relevant
- - - code	0..1	Not Used	Code	Symbol in syntax defined by the system
- - - display	0..1	Not Used	String	Representation defined by the system
- - - userSelected	0..1	Not Used	Boolean	If this coding was chosen directly by the user
- - text	0..1	Not Used	String	Plain text representation of the concept
- comment	0..1	Optional	String	Comments about result
- bodySite	0..1	Optional	CodeableConcept	Observed body part Binding (example): Codes describing anatomical locations. May include laterality. SNOMED CT Body Structures
- - coding	0..*	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
- - - 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
- - - code	1..1	Mandatory	Code	Symbol in syntax defined by the system
- - - display	1..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
- method	0..1	Optional	CodeableConcept	How it was done Binding (example): Methods for simple observations. Observation Methods
- - coding	0..*	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 (preferred): A code from SNOMED Clinical Terminology UK CareConnect-ObservationMethod-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
- - - code	1..1	Mandatory	Code	Symbol in syntax defined by the system
- - - display	1..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
- specimen	0..1	Not Used	Reference	Specimen used for this observation Constraint (ref-1): SHALL have a contained resource if a local reference is provided
		Not Used	Specimen
- - reference	0..1	Not Used	String	Literal reference, Relative, internal or absolute URL
- - identifier	0..1	Not Used	Identifier	Logical reference, when literal reference is not known
- - display	0..1	Not Used	String	Text alternative for the resource
- device	0..1	Not Used	Reference	(Measurement) Device Constraint (ref-1): SHALL have a contained resource if a local reference is provided
		Not Used	Device
		Not Used	DeviceMetric
- - reference	0..1	Not Used	String	Literal reference, Relative, internal or absolute URL
- - identifier	0..1	Not Used	Identifier	Logical reference, when literal reference is not known
- - display	0..1	Not Used	String	Text alternative for the resource
- referenceRange	0..*	Not Used	BackboneElement	Provides guide for interpretation Constraint (obs-3): Must have at least a low or a high or text
- - modifierExtension	0..*	Not Used	Extension	Extensions that cannot be ignored Constraint (ext-1): Must have either extensions or value[x], not both
- - low	0..1	Not Used	Quantity ( SimpleQuantity )	Low Range, if relevant 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	Not Used	Decimal	Numerical value (with implicit precision)
- - - unit	0..1	Not Used	String	Unit representation
- - - system	0..1	Not Used	Uri	System that defines coded unit form
- - - code	0..1	Not Used	Code	Coded form of the unit
- - high	0..1	Not Used	Quantity ( SimpleQuantity )	High Range, if relevant 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	Not Used	Decimal	Numerical value (with implicit precision)
- - - unit	0..1	Not Used	String	Unit representation
- - - system	0..1	Not Used	Uri	System that defines coded unit form
- - - code	0..1	Not Used	Code	Coded form of the unit
- - type	0..1	Not Used	CodeableConcept	Reference range qualifier Binding (extensible): Code for the meaning of a reference range. Observation Reference Range Meaning Codes
- - - coding	0..*	Not Used	Coding	Code defined by a terminology system
- - - - system	0..1	Not Used	Uri	Identity of the terminology system
- - - - version	0..1	Not Used	String	Version of the system - if relevant
- - - - code	0..1	Not Used	Code	Symbol in syntax defined by the system
- - - - display	0..1	Not Used	String	Representation defined by the system
- - - - userSelected	0..1	Not Used	Boolean	If this coding was chosen directly by the user
- - - text	0..1	Not Used	String	Plain text representation of the concept
- - appliesTo	0..*	Not Used	CodeableConcept	Reference range population Binding (example): Codes identifying the population the reference range applies to. Observation Reference Range Applies To Codes
- - - coding	0..*	Not Used	Coding	Code defined by a terminology system
- - - - system	0..1	Not Used	Uri	Identity of the terminology system
- - - - version	0..1	Not Used	String	Version of the system - if relevant
- - - - code	0..1	Not Used	Code	Symbol in syntax defined by the system
- - - - display	0..1	Not Used	String	Representation defined by the system
- - - - userSelected	0..1	Not Used	Boolean	If this coding was chosen directly by the user
- - - text	0..1	Not Used	String	Plain text representation of the concept
- - age	0..1	Not Used	Range	Applicable age range, if relevant Constraint (rng-2): If present, low SHALL have a lower value than high
- - - low	0..1	Not Used	Quantity ( SimpleQuantity )	Low limit 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	Not Used	Decimal	Numerical value (with implicit precision)
- - - - unit	0..1	Not Used	String	Unit representation
- - - - system	0..1	Not Used	Uri	System that defines coded unit form
- - - - code	0..1	Not Used	Code	Coded form of the unit
- - - high	0..1	Not Used	Quantity ( SimpleQuantity )	High limit 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	Not Used	Decimal	Numerical value (with implicit precision)
- - - - unit	0..1	Not Used	String	Unit representation
- - - - system	0..1	Not Used	Uri	System that defines coded unit form
- - - - code	0..1	Not Used	Code	Coded form of the unit
- - text	0..1	Not Used	String	Text based reference range in an observation
- related	0..*	Not Used	BackboneElement	Resource related to this observation
- - modifierExtension	0..*	Not Used	Extension	Extensions that cannot be ignored Constraint (ext-1): Must have either extensions or value[x], not both
- - type	0..1	Not Used	Code	has-member : derived-from : sequel-to : replaces : qualified-by : interfered-by Binding (required): Codes specifying how two observations are related. ObservationRelationshipType
- - target	1..1	Not Used	Reference	Resource that is related to this one Constraint (ref-1): SHALL have a contained resource if a local reference is provided
		Not Used	QuestionnaireResponse
		Not Used	Sequence
		Not Used	CareConnect-Observation-1
- - - reference	0..1	Not Used	String	Literal reference, Relative, internal or absolute URL
- - - identifier	0..1	Not Used	Identifier	Logical reference, when literal reference is not known
- - - display	0..1	Not Used	String	Text alternative for the resource
- component	0..*	Not Used	BackboneElement	Component results
- - modifierExtension	0..*	Not Used	Extension	Extensions that cannot be ignored Constraint (ext-1): Must have either extensions or value[x], not both
- - code	1..1	Not Used	CodeableConcept	Type of component observation (code / type) Binding (example): Codes identifying names of simple observations. LOINC Codes
- - coding	0..*	Not Used	Coding	Code defined by a terminology system Slicing: Discriminator: code, Ordering: false, Rules: Open
- - coding (snomedCT)	0..1	Not Used	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	Not Used	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	Not Used	Uri	Identity of the terminology system
- - - code	1..1	Not Used	Code	Symbol in syntax defined by the system
- - - display	1..1	Not Used	String	Representation defined by the system
- - - userSelected	0..1	Not Used	Boolean	If this coding was chosen directly by the user
- - text	0..1	Not Used	String	Plain text representation of the concept
- value[x]	0..1	Not Used	Quantity	Actual component result Constraint (qty-3): If a code for the unit is present, the system SHALL also be present
- value[x]		Not Used	CodeableConcept
- value[x]		Not Used	String
- value[x]		Not Used	Range
- value[x]		Not Used	Ratio
- value[x]		Not Used	SampledData
- value[x]		Not Used	Attachment
- value[x]		Not Used	Time
- value[x]		Not Used	dateTime
- value[x]		Not Used	Period
- dataAbsentReason	0..1	Not Used	CodeableConcept	Why the component result is missing Binding (extensible): Codes specifying why the result (Observation.value[x]) is missing. Observation Value Absent Reason
- - coding	0..*	Not Used	Coding	Code defined by a terminology system
- - - system	0..1	Not Used	Uri	Identity of the terminology system
- - - version	0..1	Not Used	String	Version of the system - if relevant
- - - code	0..1	Not Used	Code	Symbol in syntax defined by the system
- - - display	0..1	Not Used	String	Representation defined by the system
- - - userSelected	0..1	Not Used	Boolean	If this coding was chosen directly by the user
- - text	0..1	Not Used	String	Plain text representation of the concept
- interpretation	0..1	Not Used	CodeableConcept	High, low, normal, etc. Binding (extensible): Codes identifying interpretations of observations. Observation Interpretation Codes
- - coding	0..*	Not Used	Coding	Code defined by a terminology system
- - - system	0..1	Not Used	Uri	Identity of the terminology system
- - - version	0..1	Not Used	String	Version of the system - if relevant
- - - code	0..1	Not Used	Code	Symbol in syntax defined by the system
- - - display	0..1	Not Used	String	Representation defined by the system
- - - userSelected	0..1	Not Used	Boolean	If this coding was chosen directly by the user
- - text	0..1	Not Used	String	Plain text representation of the concept
- referenceRange	0..*	Not Used	see Observation.referenceRange	Provides guide for interpretation of component result

Mapping for Pregnancy outcome Procedure

View Used FHIR Elements

View All FHIR Elements

Name	Card.	Conformance	Type	Description/Constraints
Procedure				An action that is being or was performed on a patient 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 (pro-1): Reason not done is only permitted if notDone indicator is true
- id	0..1	Optional	Id	Logical id of this artifact
- meta	0..1	Required	Meta	Metadata about the resource
- - versionId	0..1	Not Used	Id	Version specific identifier
- - lastUpdated	0..1	Not Used	Instant	When the resource version last changed
- - profile	1..1	Mandatory	Uri	Profiles this resource claims to conform to The value attribute of the profile element MUST contain the value 'https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Procedure-1'
- - security	0..*	Not Used	Coding	Security Labels applied to this resource Binding (extensible): Security Labels from the Healthcare Privacy and Security Classification System. All Security Labels
- - - system	0..1	Not Used	Uri	Identity of the terminology system
- - - version	0..1	Not Used	String	Version of the system - if relevant
- - - code	0..1	Not Used	Code	Symbol in syntax defined by the system
- - - display	0..1	Not Used	String	Representation defined by the system
- - - userSelected	0..1	Not Used	Boolean	If this coding was chosen directly by the user
- - tag	0..*	Not Used	Coding	Tags applied to this resource Binding (example): Codes that represent various types of tags, commonly workflow-related; e.g. “Needs review by Dr. Jones” Common Tags
- - - system	0..1	Not Used	Uri	Identity of the terminology system
- - - version	0..1	Not Used	String	Version of the system - if relevant
- - - code	0..1	Not Used	Code	Symbol in syntax defined by the system
- - - display	0..1	Not Used	String	Representation defined by the system
- - - userSelected	0..1	Not Used	Boolean	If this coding was chosen directly by the user
- implicitRules	0..1	Not Used	Uri	A set of rules under which this content was created
- language	0..1	Not Used	Code	Language of the resource content Binding (extensible): A human language. Common Languages
- text	0..1	Not Used	Narrative	Text summary of the resource, for human interpretation
- - status	1..1	Not Used	Code	generated	extensions	additional	empty Binding (required): The status of a resource narrative NarrativeStatus
- - div	1..1	Not Used	Xhtml	Limited xhtml content Constraint (txt-1): The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, elements (either name or href), images and internally contained style attributes Constraint (txt-2): The narrative SHALL have some non-whitespace content
- contained	0..*	Not Used	Resource	Contained, inline Resources
- extension (anaestheticIssues)	0..1	Not Used	Extension-CareConnect-AnaestheticIssues-1	Details of any adverse reaction to any anaesthetic agents Constraint (ext-1): Must have either extensions or value[x], not both
- modifierExtension	0..*	Not Used	Extension	Extensions that cannot be ignored Constraint (ext-1): Must have either extensions or value[x], not both Slicing: Description: Extensions are always sliced by (at least) url, Discriminator: url, Ordering: false, Rules: Open
- identifier	0..*	Required	Identifier	External Identifiers for this procedure An identifier for this Procedure
- - use	0..1	Not Used	Code	usual : official : temp : secondary (If known) Binding (required): Identifies the purpose for this identifier, if known. IdentifierUse
- - type	0..1	Not Used	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
- - - coding	0..*	Not Used	Coding	Code defined by a terminology system
- - - - system	0..1	Not Used	Uri	Identity of the terminology system
- - - - version	0..1	Not Used	String	Version of the system - if relevant
- - - - code	0..1	Not Used	Code	Symbol in syntax defined by the system
- - - - display	0..1	Not Used	String	Representation defined by the system
- - - - userSelected	0..1	Not Used	Boolean	If this coding was chosen directly by the user
- - - text	0..1	Not Used	String	Plain text representation of the concept
- - 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 A value for the identifier
- - period	0..1	Not Used	Period	Time period when id is/was valid for use Constraint (per-1): If present, start SHALL have a lower value than end
- - - start	0..1	Not Used	dateTime	Starting time with inclusive boundary
- - - end	0..1	Not Used	dateTime	End time with inclusive boundary, if not ongoing
- - 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
- definition	0..*	Not Used	Reference	Instantiates protocol or definition Constraint (ref-1): SHALL have a contained resource if a local reference is provided
		Not Used	PlanDefinition
		Not Used	ActivityDefinition
		Not Used	HealthcareService
- - reference	0..1	Not Used	String	Literal reference, Relative, internal or absolute URL
- - identifier	0..1	Not Used	Identifier	Logical reference, when literal reference is not known
- - display	0..1	Not Used	String	Text alternative for the resource
- basedOn	0..*	Not Used	Reference	A request for this procedure Constraint (ref-1): SHALL have a contained resource if a local reference is provided
		Not Used	CarePlan
		Not Used	ProcedureRequest
		Not Used	ReferralRequest
- - reference	0..1	Not Used	String	Literal reference, Relative, internal or absolute URL
- - identifier	0..1	Not Used	Identifier	Logical reference, when literal reference is not known
- - display	0..1	Not Used	String	Text alternative for the resource
- partOf	0..*	Required	Reference	Part of referenced event Constraint (ref-1): SHALL have a contained resource if a local reference is provided
		Not Used	MedicationAdministration
		Not Used	CareConnect-Procedure-1
		Required	CareConnect-Observation-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
- status	1..1	Mandatory	Code	preparation	in-progress	suspended	aborted	completed	entered-in-error	unknown Binding (required): A code specifying the state of the procedure. EventStatus
- notDone	0..1	Optional	Boolean	True if procedure was not performed as scheduled Default Value: false
- notDoneReason	0..1	Optional	CodeableConcept	Reason procedure was not performed Binding (example): A code that identifies the reason a procedure was not performed. Procedure Not Performed Reason (SNOMED-CT)
- - coding	0..*	Optional	Coding	Code defined by a terminology system
- - - system	0..1	Optional	Uri	Identity of the terminology system
- - - version	0..1	Not Used	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
- category	0..1	Optional	CodeableConcept	Classification of the procedure Binding (example): A code that classifies a procedure for searching, sorting and display purposes. Procedure Category Codes (SNOMED CT)
- - coding	0..*	Optional	Coding	Code defined by a terminology system
- - - system	0..1	Optional	Uri	Identity of the terminology system
- - - version	0..1	Not Used	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
- code	0..1	Required	CodeableConcept	Identification of the procedure Binding (preferred): A code to identify a specific procedure. Procedure Codes (SNOMED CT)
- - coding	0..*	Optional	Coding	Code defined by a terminology system Slicing: Discriminator: system, 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. CareConnect-ProcedureCode-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 The value attribute of the profile element MUST contain the value 'http://snomed.info/sct'
- - - version	0..1	Not Used	String	Version of the system - if relevant
- - - code	1..1	Mandatory	Code	Symbol in syntax defined by the system
- - - display	1..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	Not Used	String	Plain text representation of the concept
- subject	1..1	Mandatory	Reference	Who the procedure was performed on Constraint (ref-1): SHALL have a contained resource if a local reference is provided
		Not Used	Group
		Mandatory	CareConnect-Patient-1
- - reference	1..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	0..1	Optional	Reference	Encounter or episode associated with the procedure Constraint (ref-1): SHALL have a contained resource if a local reference is provided
		Not Used	EpisodeOfCare
		Optional	CareConnect-Encounter-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
- performed[x]	1..1	Mandatory	dateTime	Date/Period the procedure was performed Mapping to Digital Maternity data item='Date/time'
		Optional	Period
- performer	0..1	Required	BackboneElement	The people who performed the procedure
- - modifierExtension	0..*	Not Used	Extension	Extensions that cannot be ignored Constraint (ext-1): Must have either extensions or value[x], not both
- - role	0..1	Optional	CodeableConcept	The role the actor was in Binding (example): A code that identifies the role of a performer of the procedure. Procedure Performer Role Codes
- - - coding	0..*	Optional	Coding	Code defined by a terminology system
- - - - system	0..1	Optional	Uri	Identity of the terminology system
- - - - version	0..1	Not Used	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
- - actor	1..1	Mandatory	Reference	The reference to the practitioner Constraint (ref-1): SHALL have a contained resource if a local reference is provided
		Not Used	RelatedPerson
		Optional	Device
		Not Used	CareConnect-Organization-1
		Not Used	CareConnect-Patient-1
		Required	CareConnect-Practitioner-1
- - - reference	1..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
- - onBehalfOf	0..1	Optional	Reference	Organization the device or practitioner was acting for 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
- location	0..1	Required	Reference	Where the procedure happened Constraint (ref-1): SHALL have a contained resource if a local reference is provided
		Required	CareConnect-Location-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
- reasonCode	0..*	Not Used	CodeableConcept	Coded reason procedure performed Binding (example): A code that identifies the reason a procedure is required. Procedure Reason Codes
- - coding	0..*	Not Used	Coding	Code defined by a terminology system
- - - system	0..1	Not Used	Uri	Identity of the terminology system
- - - version	0..1	Not Used	String	Version of the system - if relevant
- - - code	0..1	Not Used	Code	Symbol in syntax defined by the system
- - - display	0..1	Not Used	String	Representation defined by the system
- - - userSelected	0..1	Not Used	Boolean	If this coding was chosen directly by the user
- - text	0..1	Not Used	String	Plain text representation of the concept
- reasonReference	0..*	Not Used	Reference	Condition that is the reason the procedure performed Constraint (ref-1): SHALL have a contained resource if a local reference is provided
		Not Used	CareConnect-Observation-1
		Not Used	CareConnect-Condition-1
- - reference	0..1	Not Used	String	Literal reference, Relative, internal or absolute URL
- - identifier	0..1	Not Used	Identifier	Logical reference, when literal reference is not known
- - display	0..1	Not Used	String	Text alternative for the resource
- bodySite	0..*	Optional	CodeableConcept	Target body sites Binding (example): Codes describing anatomical locations. May include laterality. SNOMED CT Body Structures
- - coding	0..*	Not Used	Coding	Code defined by a terminology system Slicing: Discriminator: system, Ordering: false, Rules: Open
- - coding (snomedCT)	1..1	Mandatory	Coding	Code defined by a terminology system Binding (extensible): A code from the SNOMED Clinical Terminology UK. CareConnect-BodySite-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 The value attribute of the profile element MUST contain the value 'http://snomed.info/sct'
- - - version	0..1	Not Used	String	Version of the system - if relevant
- - - code	1..1	Mandatory	Code	Symbol in syntax defined by the system
- - - display	1..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
- outcome	0..1	Optional	CodeableConcept	The result of procedure Binding (example): An outcome of a procedure - whether it was resolved or otherwise. Procedure Outcome Codes (SNOMED CT)
- - coding	0..*	Optional	Coding	Code defined by a terminology system
- - - system	0..1	Optional	Uri	Identity of the terminology system
- - - version	0..1	Not Used	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
- report	0..*	Not Used	Reference	Any report resulting from the procedure Constraint (ref-1): SHALL have a contained resource if a local reference is provided
		Not Used	DiagnosticReport
- - reference	0..1	Not Used	String	Literal reference, Relative, internal or absolute URL
- - identifier	0..1	Not Used	Identifier	Logical reference, when literal reference is not known
- - display	0..1	Not Used	String	Text alternative for the resource
- complication	0..*	Not Used	CodeableConcept	Complication following the procedure Binding (example): Codes describing complications that resulted from a procedure. Condition/Problem/Diagnosis Codes
- - coding	0..*	Not Used	Coding	Code defined by a terminology system Slicing: Discriminator: system, Ordering: false, Rules: Open
- - coding (snomedCT)	0..1	Not Used	Coding	Code defined by a terminology system Binding (required): A code from the SNOMED Clinical Terminology UK. CareConnect-ConditionCode-1
- - extension (snomedCTDescriptionID)	0..1	Not Used	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	Not Used	Uri	Identity of the terminology system The value attribute of the profile element MUST contain the value 'http://snomed.info/sct'
- - - version	0..1	Not Used	String	Version of the system - if relevant
- - - code	1..1	Not Used	Code	Symbol in syntax defined by the system
- - - display	1..1	Not Used	String	Representation defined by the system
- - - userSelected	0..1	Not Used	Boolean	If this coding was chosen directly by the user
- - text	0..1	Not Used	String	Plain text representation of the concept
- complicationDetail	0..*	Not Used	Reference	A condition that is a result of the procedure Constraint (ref-1): SHALL have a contained resource if a local reference is provided
		Not Used	CareConnect-Condition-1
- - reference	0..1	Not Used	String	Literal reference, Relative, internal or absolute URL
- - identifier	0..1	Not Used	Identifier	Logical reference, when literal reference is not known
- - display	0..1	Not Used	String	Text alternative for the resource
- followUp	0..*	Not Used	CodeableConcept	Instructions for follow up Binding (example): Specific follow up required for a procedure e.g. removal of sutures. Procedure Follow up Codes (SNOMED CT)
- - coding	0..*	Not Used	Coding	Code defined by a terminology system
- - - system	0..1	Not Used	Uri	Identity of the terminology system
- - - version	0..1	Not Used	String	Version of the system - if relevant
- - - code	0..1	Not Used	Code	Symbol in syntax defined by the system
- - - display	0..1	Not Used	String	Representation defined by the system
- - - userSelected	0..1	Not Used	Boolean	If this coding was chosen directly by the user
- - text	0..1	Not Used	String	Plain text representation of the concept
- note	0..*	Not Used	Annotation	Additional information about the procedure
- - author[x]	0..1	Not Used	Reference	Individual responsible for the annotation Constraint (ref-1): SHALL have a contained resource if a local reference is provided
		Not Used	RelatedPerson
		Not Used	CareConnect-Patient-1
		Not Used	CareConnect-Practitioner-1
		Not Used	String
- - time	0..1	Not Used	dateTime	When the annotation was made
- - text	1..1	Not Used	String	The annotation - text content
- focalDevice	0..*	Not Used	BackboneElement	Device changed in procedure
- - modifierExtension	0..*	Not Used	Extension	Extensions that cannot be ignored Constraint (ext-1): Must have either extensions or value[x], not both
- - action	0..1	Not Used	CodeableConcept	Kind of change to device Binding (preferred): A kind of change that happened to the device during the procedure. Procedure Device Action Codes
- - - coding	0..*	Not Used	Coding	Code defined by a terminology system
- - - - system	0..1	Not Used	Uri	Identity of the terminology system
- - - - version	0..1	Not Used	String	Version of the system - if relevant
- - - - code	0..1	Not Used	Code	Symbol in syntax defined by the system
- - - - display	0..1	Not Used	String	Representation defined by the system
- - - - userSelected	0..1	Not Used	Boolean	If this coding was chosen directly by the user
- - - text	0..1	Not Used	String	Plain text representation of the concept
- - manipulated	1..1	Not Used	Reference	Device that was changed Constraint (ref-1): SHALL have a contained resource if a local reference is provided
		Not Used	Device
- - - reference	0..1	Not Used	String	Literal reference, Relative, internal or absolute URL
- - - identifier	0..1	Not Used	Identifier	Logical reference, when literal reference is not known
- - - display	0..1	Not Used	String	Text alternative for the resource
- usedReference	0..*	Not Used	Reference	Items used during procedure Constraint (ref-1): SHALL have a contained resource if a local reference is provided
		Not Used	Device
		Not Used	Substance
		Not Used	CareConnect-Medication-1
- - reference	0..1	Not Used	String	Literal reference, Relative, internal or absolute URL
- - identifier	0..1	Not Used	Identifier	Logical reference, when literal reference is not known
- - display	0..1	Not Used	String	Text alternative for the resource
- usedCode	0..*	Not Used	CodeableConcept	Coded items used during the procedure Binding (example): Codes describing items used during a procedure FHIR Device Types
- - coding	0..*	Not Used	Coding	Code defined by a terminology system
- - - system	0..1	Not Used	Uri	Identity of the terminology system
- - - version	0..1	Not Used	String	Version of the system - if relevant
- - - code	0..1	Not Used	Code	Symbol in syntax defined by the system
- - - display	0..1	Not Used	String	Representation defined by the system
- - - userSelected	0..1	Not Used	Boolean	If this coding was chosen directly by the user
- - text	0..1	Not Used	String	Plain text representation of the concept

Mapping for Pregnancy outcome Condition

View Used FHIR Elements

View All FHIR Elements

Name	Card.	Conformance	Type	Description, Constraints and mapping for Implementation
Condition				Detailed information about conditions, problems or diagnoses 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 (con-4): If condition is abated, then clinicalStatus must be either inactive, resolved, or remission Constraint (con-3): Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error
- 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-Condition-1'
- implicitRules	0..1	Not Used	Uri	A set of rules under which this content was created
- language	0..1	Not Used	Code	Language of the resource content Binding (extensible): A human language. Common Languages
- text	0..1	Not Used	Narrative	Text summary of the resource, for human interpretation
- contained	0..*	Not Used	Resource	Contained, inline Resources
- extension (episodisity)	0..*	Not Used	Extension-CareConnect-ConditionEpisode-1	Episodicity of condition Constraint (ext-1): Must have either extensions or value[x], not both
- modifierExtension	0..*	Not Used	Extension	Extensions that cannot be ignored Constraint (ext-1): Must have either extensions or value[x], not both Slicing: Description: Extensions are always sliced by (at least) url, Discriminator: url, Ordering: false, Rules: Open
- identifier	0..*	Required	Identifier	External Ids for this condition An identifier for this Pregnancy outcome Condition
- - use	0..1	Not Used	Code	usual : official : temp : secondary (If known) Binding (required): Identifies the purpose for this identifier, if known. IdentifierUse
- - type	0..1	Not Used	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
- - - coding	0..*	Not Used	Coding	Code defined by a terminology system
- - - - system	0..1	Not Used	Uri	Identity of the terminology system
- - - - version	0..1	Not Used	String	Version of the system - if relevant
- - - - code	0..1	Not Used	Code	Symbol in syntax defined by the system
- - - - display	0..1	Not Used	String	Representation defined by the system
- - - - userSelected	0..1	Not Used	Boolean	If this coding was chosen directly by the user
- - - text	0..1	Not Used	String	Plain text representation of the concept
- - 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 A value for the identifier
- - period	0..1	Not Used	Period	Time period when id is/was valid for use Constraint (per-1): If present, start SHALL have a lower value than end
- - - start	0..1	Not Used	dateTime	Starting time with inclusive boundary
- - - end	0..1	Not Used	dateTime	End time with inclusive boundary, if not ongoing
- - 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
- clinicalStatus	0..1	Optional	Code	active : recurrence : inactive : remission : resolved Binding (required): The clinical status of the condition or diagnosis. Condition Clinical Status Codes
- category	0..*	Optional	CodeableConcept	problem-list-item : encounter-diagnosis : presenting-complaint Binding (extensible): A category assigned to the condition. CareConnect-ConditionCategory-1
- - coding	0..*	Optional	Coding	Code defined by a terminology system
- - - system	1..1	Optional	Uri	Identity of the terminology system
- - - version	0..1	Not Used	String	Version of the system - if relevant
- - - code	1..1	Mandatory	Code	Symbol in syntax defined by the system
- - - display	1..1	Mandatory	String	Representation defined by the system
- - - userSelected	0..1	Not Used	Boolean	If this coding was chosen directly by the user
- - text	0..1	Not Used	String	Plain text representation of the concept
- severity	0..1	Not Used	CodeableConcept	Subjective severity of condition Binding (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician. Condition/Diagnosis Severity
- - coding	0..*	Not Used	Coding	Code defined by a terminology system
- - - system	0..1	Not Used	Uri	Identity of the terminology system
- - - version	0..1	Not Used	String	Version of the system - if relevant
- - - code	0..1	Not Used	Code	Symbol in syntax defined by the system
- - - display	0..1	Not Used	String	Representation defined by the system
- - - userSelected	0..1	Not Used	Boolean	If this coding was chosen directly by the user
- - text	0..1	Not Used	String	Plain text representation of the concept
- code	0..1	Required	CodeableConcept	Identification of the condition, problem or diagnosis Binding (example): Identification of the condition or diagnosis. Condition/Problem/Diagnosis Codes
- - coding	0..*	Optional	Coding	Code defined by a terminology system Slicing: Discriminator: system, Ordering: false, Rules: Open
- - coding (snomedCT)	0..1	Optional	Coding	Code defined by a terminology system Binding (required): A code from the SNOMED Clinical Terminology UK CareConnect-ConditionCode-1
- - - extension (snomedCTDescriptionID)	0..1	Optional	Extension-coding-sctdescid	Optional Extensions Element Constraint (ext-1): Must have either extensions or value[x], not both
- - - system	1..1	Mandatory	Uri	Identity of the terminology system The value attribute of the profile element MUST contain the value 'http://snomed.info/sct'
- - - version	0..1	Not Used	String	Version of the system - if relevant
- - - code	1..1	Mandatory	Code	Symbol in syntax defined by the system
- - - display	1..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
- bodySite	0..*	Optional	CodeableConcept	Anatomical location, if relevant Binding (example): Codes describing anatomical locations. May include laterality. SNOMED CT Body Structures
- - coding	0..*	Optional	Coding	Code defined by a terminology system Slicing: Discriminator: system, Ordering: false, Rules: Open
- - coding (snomedCT)	0..1	Optional	Coding	Code defined by a terminology system Binding (required): A code from SNOMED Clinical Terminology UK CareConnect-BodySite-1
- - - extension (snomedCTDescriptionID)	0..1	Optional	Extension-coding-sctdescid	Optional Extensions Element Constraint (ext-1): Must have either extensions or value[x], not both
- - - system	1..1	Mandatory	Uri	Identity of the terminology system The value attribute of the profile element MUST contain the value 'http://snomed.info/sct'
- - - version	0..1	Not Used	String	Version of the system - if relevant
- - - code	1..1	Mandatory	Code	Symbol in syntax defined by the system
- - - display	1..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	Not Used	String	Plain text representation of the concept
- subject	1..1	Mandatory	Reference	Who has the condition? Constraint (ref-1): SHALL have a contained resource if a local reference is provided
		Not Used	Group
		Mandatory	CareConnect-Patient-1
- - reference	1..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	0..1	Optional	Reference	Encounter or episode when condition first asserted Constraint (ref-1): SHALL have a contained resource if a local reference is provided
		Not Used	EpisodeOfCare
		Optional	CareConnect-Encounter-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
- onset[x]	0..1	Optional	dateTime	Estimated or actual date, date-time, or age
		Not Used	Age
		Not Used	Period
		Not Used	Range
		Not Used	String
- abatement[x]	0..1	Optional	dateTime	If/when in resolution/remission
		Not Used	Age
		Not Used	Boolean
		Not Used	Period
		Not Used	Range
		Not Used	String
- assertedDate	0..1	Optional	dateTime	Date record was believed accurate
- asserter	0..1	Optional	Reference	Person who asserts this condition Constraint (ref-1): SHALL have a contained resource if a local reference is provided
		Not Used	RelatedPerson
		Not Used	CareConnect-Patient-1
		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
- stage	0..1	Not Used	BackboneElement	Stage/grade, usually assessed formally Constraint (con-1): Stage SHALL have summary or assessment
- - modifierExtension	0..*	Not Used	Extension	Extensions that cannot be ignored Constraint (ext-1): Must have either extensions or value[x], not both
- - summary	0..1	Not Used	CodeableConcept	Simple summary (disease specific) Binding (example): Codes describing condition stages (e.g. Cancer stages). Condition Stage
- - - coding	0..*	Not Used	Coding	Code defined by a terminology system Slicing: Discriminator: system, Ordering: false, Rules: Open
- - - coding (snomedCT)	0..1	Not Used	Coding	Code defined by a terminology system
- - - - extension (snomedCTDescriptionID)	0..1	Not Used	Extension-coding-sctdescid	Optional Extensions Element Constraint (ext-1): Must have either extensions or value[x], not both
- - - - system	1..1	Not Used	Uri	Identity of the terminology system The value attribute of the profile element MUST contain the value 'http://snomed.info/sct'
- - - - version	0..1	Not Used	String	Version of the system - if relevant
- - - - code	1..1	Not Used	Code	Symbol in syntax defined by the system
- - - - display	1..1	Not Used	String	Representation defined by the system
- - - - userSelected	0..1	Not Used	Boolean	If this coding was chosen directly by the user
- - - text	0..1	Not Used	String	Plain text representation of the concept
- - assessment	0..*	Not Used	Reference	Formal record of assessment Constraint (ref-1): SHALL have a contained resource if a local reference is provided
		Not Used	ClinicalImpression
		Not Used	DiagnosticReport
		Not Used	CareConnect-Observation-1
- - - reference	0..1	Not Used	String	Literal reference, Relative, internal or absolute URL
- - - identifier	0..1	Not Used	Identifier	Logical reference, when literal reference is not known
- - - display	0..1	Not Used	String	Text alternative for the resource
- evidence	0..*	Not Used	BackboneElement	Supporting evidence Constraint (con-2): evidence SHALL have code or details
- - modifierExtension	0..*	Not Used	Extension	Extensions that cannot be ignored Constraint (ext-1): Must have either extensions or value[x], not both
- - code	0..*	Not Used	CodeableConcept	Manifestation/symptom Binding (example): Codes that describe the manifestation or symptoms of a condition. Manifestation and Symptom Codes
- - - coding	0..*	Not Used	Coding	Code defined by a terminology system
- - - - system	0..1	Not Used	Uri	Identity of the terminology system
- - - - version	0..1	Not Used	String	Version of the system - if relevant
- - - - code	0..1	Not Used	Code	Symbol in syntax defined by the system
- - - - display	0..1	Not Used	String	Representation defined by the system
- - - - userSelected	0..1	Not Used	Boolean	If this coding was chosen directly by the user
- - - text	0..1	Not Used	String	Plain text representation of the concept
- - detail	0..*	Not Used	Reference	Supporting information found elsewhere Constraint (ref-1): SHALL have a contained resource if a local reference is provided
		Not Used	Resource
- - - reference	0..1	Not Used	String	Literal reference, Relative, internal or absolute URL
- - - identifier	0..1	Not Used	Identifier	Logical reference, when literal reference is not known
- - - display	0..1	Not Used	String	Text alternative for the resource
- note	0..*	Optional	Annotation	Additional information about the Condition
- - 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	RelatedPerson
		Optional	CareConnect-Practitioner-1
		Optional	CareConnect-Patient-1
		Optional	String
- - time	0..1	Optional	dateTime	When the annotation was made
- - text	1..1	Mandatory	String	The annotation - text content

Mapping for Pregnancy outcome 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'
- implicitRules	0..1	Not Used	Uri	A set of rules under which this content was created
- language	0..1	Not Used	Code	Language of the resource content Binding (extensible): A human language. Common Languages
- text	0..1	Not Used	Narrative	Text summary of the resource, for human interpretation
- contained	0..*	Not Used	Resource	Contained, inline Resources
- extension (ethnicCategory)	0..1	Not Used	Extension-CareConnect-EthnicCategory-1	Ethnic category Constraint (ext-1): Must have either extensions or value[x], not both
- extension (religiousAffiliation)	0..1	Not Used	Extension-CareConnect-ReligiousAffiliation-1	Religious affiliation Constraint (ext-1): Must have either extensions or value[x], not both
- extension (patient-cadavericDonor)	0..1	Not Used	patient-cadavericDonor	Flag indicating whether the patient authorized the donation of body parts after death Constraint (ext-1): Must have either extensions or value[x], not both
- extension (residentialStatus)	0..1	Not Used	Extension-CareConnect-ResidentialStatus-1	The residential status of the patient Constraint (ext-1): Must have either extensions or value[x], not both
- extension (treatmentCategory)	0..1	Not Used	Extension-CareConnect-TreatmentCategory-1	The treatment category for this patient Constraint (ext-1): Must have either extensions or value[x], not both
- extension (nhsCommunication)	0..*	Not Used	Extension-CareConnect-NHSCommunication-1	NHS communication preferences for a resource Constraint (ext-1): Must have either extensions or value[x], not both
- extension (birthPlace)	0..1	Not Used	birthPlace	Birth Place: The registered place of birth of the patient. Constraint (ext-1): Must have either extensions or value[x], not both
- extension (nominatedPharmacy)	0..1	Not Used	Extension-CareConnect-NominatedPharmacy-1	A patient’s nominated pharmacy Constraint (ext-1): Must have either extensions or value[x], not both
- extension (deathNotificationStatus)	0..1	Not Used	Extension-CareConnect-DeathNotificationStatus-1	Representation of a patient’s death notification status (as held on Personal Demographics Service (PDS)) Constraint (ext-1): Must have either extensions or value[x], not both
- modifierExtension	0..*	Not Used	Extension	Extensions that cannot be ignored Constraint (ext-1): Must have either extensions or value[x], not both Slicing: Description: Extensions are always sliced by (at least) url, Discriminator: url, Ordering: false, Rules: Open
- identifier	0..*	Optional	Identifier	An identifier for this patient Slicing: Discriminator: system, Ordering: false, Rules: Open at End An identifier for this Pregnancy outcome Baby Patient
- identifier (nhsNumber)	0..1	Not Used	Identifier	The patient’s NHS number
- - extension (nhsNumberVerificationStatus)	1..1	Not Used	Extension-CareConnect-NHSNumberVerificationStatus-1	NHS number verification status Constraint (ext-1): Must have either extensions or value[x], not both
- - 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
- telecom	0..*	Not Used	ContactPoint	A contact detail for the individual Constraint (cpt-2): A system is required if a value is provided.
- - system	1..1	Not Used	Code	phone : fax : email : pager : url : sms : other Binding (required): Telecommunications form for contact point ContactPointSystem
- - value	1..1	Not Used	String	The actual contact point details
- - use	0..1	Not Used	Code	home : work : temp : old : mobile - purpose of this contact point Binding (required): Use of contact point ContactPointUse
- - rank	0..1	Not Used	positiveInt	Specify preferred order of use (1 = highest)
- - period	0..1	Not Used	Period	Time period when the contact point was/is in use Constraint (per-1): If present, start SHALL have a lower value than end
- - - start	0..1	Not Used	dateTime	Starting time with inclusive boundary
- - - end	0..1	Not Used	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
- birthDate	0..1	Not Used	Date	The date of birth for the individual
- - extension (patient-birthTime)	0..1	Not Used	patient-birthTime	The time of day that the Patient was born. This includes the date to ensure that the timezone information can be communicated effectively. Constraint (ext-1): Must have either extensions or value[x], not both
- deceased[x]	0..1	Optional	Boolean	Indicates if the individual is deceased or not
		Optional	dateTime
- address	0..*	Not Used	Address	Addresses for the individual
- - use	0..1	Not Used	Code	home : work : temp : old - purpose of this address Binding (required): The use of an address AddressUse
- - type	0..1	Not Used	Code	postal : physical : both Binding (required): The type of an address (physical / postal) AddressType
- - text	0..1	Not Used	String	Text representation of the address
- - line	0..*	Not Used	String	Street name, number, direction & P.O. Box etc.
- - city	0..1	Not Used	String	Name of city, town etc.
- - district	0..1	Not Used	String	District name (aka county)
- - state	0..1	Not Used	String	Sub-unit of country (abbreviations ok)
- - postalCode	0..1	Not Used	String	Postal code for area
- - country	0..1	Not Used	String	Country (e.g. can be ISO 3166 2 or 3 letter code)
- - period	0..1	Not Used	Period	Time period when address was/is in use Constraint (per-1): If present, start SHALL have a lower value than end
- - - start	0..1	Not Used	dateTime	Starting time with inclusive boundary
- - - end	0..1	Not Used	dateTime	End time with inclusive boundary, if not ongoing
- maritalStatus	0..1	Not Used	CodeableConcept	Marital (civil) status of a patient Binding (required): The domestic partnership status of a person. CareConnect-MaritalStatus-1
- - coding	1..1	Not Used	Coding	Code defined by a terminology system
- - - system	1..1	Not Used	Uri	Identity of the terminology system
- - - version	0..1	Not Used	String	Version of the system - if relevant
- - - code	1..1	Not Used	Code	Symbol in syntax defined by the system
- - - display	1..1	Not Used	String	Representation defined by the system
- - - userSelected	0..1	Not Used	Boolean	If this coding was chosen directly by the user
- - text	0..1	Not Used	String	Plain text representation of the concept
- multipleBirth[x]	0..1	Optional	Boolean	Whether patient is part of a multiple birth
		Optional	Integer
- photo	0..*	Not Used	Attachment	Image of the patient Constraint (att-1): It the Attachment has data, it SHALL have a contentType
- - contentType	0..1	Not Used	Code	Mime type of the content, with charset etc. Binding (required): The mime type of an attachment. Any valid mime type is allowed. MimeType
- - language	0..1	Not Used	Code	Human language of the content (BCP-47) Binding (extensible): A human language. Common Languages
- - data	0..1	Not Used	base64Binary	Data inline, base64ed
- - url	0..1	Not Used	Uri	Uri where the data can be found
- - size	0..1	Not Used	unsignedInt	Number of bytes of content (if url provided)
- - hash	0..1	Not Used	base64Binary	Hash of the data (sha-1, base64ed)
- - title	0..1	Not Used	String	Label to display in place of the data
- - creation	0..1	Not Used	dateTime	Date attachment was first created
- contact	0..*	Not Used	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient Constraint (pat-1): SHALL at least contain a contact’s details or a reference to an organization
- - modifierExtension	0..*	Not Used	Extension	Extensions that cannot be ignored Constraint (ext-1): Must have either extensions or value[x], not both
- - relationship	0..*	Not Used	CodeableConcept	The kind of relationship Binding (extensible): The nature of the relationship between a patient and a contact person for that patient. v2 Contact Role
- - - coding	0..*	Not Used	Coding	Code defined by a terminology system
- - - - system	0..1	Not Used	Uri	Identity of the terminology system
- - - - version	0..1	Not Used	String	Version of the system - if relevant
- - - - code	0..1	Not Used	Code	Symbol in syntax defined by the system
- - - - display	0..1	Not Used	String	Representation defined by the system
- - - - userSelected	0..1	Not Used	Boolean	If this coding was chosen directly by the user
- - - text	0..1	Not Used	String	Plain text representation of the concept
- - name	1..1	Not Used	HumanName	A name associated with the contact person
- - - use	1..1	Not Used	Code	usual : official : temp : nickname : anonymous : old : maiden Binding (required): The use of a human name NameUse
- - - text	0..1	Not Used	String	Text representation of the full name
- - - family	0..1	Not Used	String	Family name (often called ‘Surname’)
- - - given	0..*	Not Used	String	Given names (not always ‘first’). Includes middle names
- - - prefix	0..*	Not Used	String	Parts that come before the name
- - - suffix	0..*	Not Used	String	Parts that come after the name
- - - period	0..1	Not Used	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	Not Used	dateTime	Starting time with inclusive boundary
- - - - end	0..1	Not Used	dateTime	End time with inclusive boundary, if not ongoing
- - telecom	0..*	Not Used	ContactPoint	A contact detail for the person Constraint (cpt-2): A system is required if a value is provided.
- - - system	0..1	Not Used	Code	phone : fax : email : pager : url : sms : other Binding (required): Telecommunications form for contact point ContactPointSystem
- - - value	0..1	Not Used	String	The actual contact point details
- - - use	0..1	Not Used	Code	home : work : temp : old : mobile - purpose of this contact point Binding (required): Use of contact point ContactPointUse
- - - rank	0..1	Not Used	positiveInt	Specify preferred order of use (1 = highest)
- - - period	0..1	Not Used	Period	Time period when the contact point was/is in use Constraint (per-1): If present, start SHALL have a lower value than end
- - - - start	0..1	Not Used	dateTime	Starting time with inclusive boundary
- - - - end	0..1	Not Used	dateTime	End time with inclusive boundary, if not ongoing
- - address	0..1	Not Used	Address	Address for the contact person
- - use	0..1	Not Used	Code	home : work : temp : old - purpose of this address Binding (required): The use of an address AddressUse
- - type	0..1	Not Used	Code	postal : physical : both Binding (required): The type of an address (physical / postal) AddressType
- - text	0..1	Not Used	String	Text representation of the address
- - line	0..*	Not Used	String	Street name, number, direction & P.O. Box etc.
- - city	0..1	Not Used	String	Name of city, town etc.
- - district	0..1	Not Used	String	District name (aka county)
- - state	0..1	Not Used	String	Sub-unit of country (abbreviations ok)
- - postalCode	0..1	Not Used	String	Postal code for area
- - country	0..1	Not Used	String	Country (e.g. can be ISO 3166 2 or 3 letter code)
- - period	0..1	Not Used	Period	Time period when address was/is in use Constraint (per-1): If present, start SHALL have a lower value than end
- - - start	0..1	Not Used	dateTime	Starting time with inclusive boundary
- - - end	0..1	Not Used	dateTime	End time with inclusive boundary, if not ongoing
- - gender	0..1	Not Used	Code	male : female : other : unknown Binding (required): The gender of a person used for administrative purposes. CareConnect-AdministrativeGender-1
- - organization	0..1	Not Used	Reference	Organization that is associated with the contact Constraint (ref-1): SHALL have a contained resource if a local reference is provided
		Not Used	CareConnect-Organization-1
- - - reference	0..1	Not Used	String	Literal reference, Relative, internal or absolute URL
- - - identifier	0..1	Not Used	Identifier	Logical reference, when literal reference is not known
- - - display	0..1	Not Used	String	Text alternative for the resource
- - period	0..1	Not Used	Period	The period during which this contact person or organization is valid to be contacted relating to this patient Constraint (per-1): If present, start SHALL have a lower value than end
- - - start	0..1	Not Used	dateTime	Starting time with inclusive boundary
- - - end	0..1	Not Used	dateTime	End time with inclusive boundary, if not ongoing
- generalPractitioner	0..*	Not Used	Reference	Patient’s nominated primary care provider Constraint (ref-1): SHALL have a contained resource if a local reference is provided
		Not Used	CareConnect-Organization-1
		Not Used	CareConnect-Practitioner-1
- - reference	0..1	Not Used	String	Literal reference, Relative, internal or absolute URL
- - identifier	0..1	Not Used	Identifier	Logical reference, when literal reference is not known
- - display	0..1	Not Used	String	Text alternative for the resource
- managingOrganization	0..1	Not Used	Reference	Organization that is the custodian of the patient record Constraint (ref-1): SHALL have a contained resource if a local reference is provided
		Not Used	CareConnect-Organization-1
- - reference	0..1	Not Used	String	Literal reference, Relative, internal or absolute URL
- - identifier	0..1	Not Used	Identifier	Logical reference, when literal reference is not known
- - display	0..1	Not Used	String	Text alternative for the resource
- link	0..*	Not Used	BackboneElement	Link to another patient resource that concerns the same actual person
- - modifierExtension	0..*	Not Used	Extension	Extensions that cannot be ignored Constraint (ext-1): Must have either extensions or value[x], not both
- - other	1..1	Not Used	Reference	The other patient or related person resource that the link refers to Constraint (ref-1): SHALL have a contained resource if a local reference is provided
		Not Used	RelatedPerson
		Not Used	CareConnect-Patient-1
- - - reference	0..1	Not Used	String	Literal reference, Relative, internal or absolute URL
- - - identifier	0..1	Not Used	Identifier	Logical reference, when literal reference is not known
- - - display	0..1	Not Used	String	Text alternative for the resource

Mapping for Pregnancy outcome Practitioner

The Pregnancy outcome List has reference(s) to the Practitioner resource. This means that any exchange of the Pregnancy outcome List heading data must also include the Practitioner Details

Mapping for Pregnancy outcome PractitionerRole

The Pregnancy outcome List has reference(s) to the PractitionerRole resource. This means that any exchange of the Pregnancy outcome List heading data must also include the PractitionerRole Details

Mapping for Pregnancy outcome RelatedPerson

The Pregnancy outcome List has reference(s) to the related person resource. This means that any exchange of the Pregnancy outcome List heading data must also include the Related Person Details

Mapping for Pregnancy outcome Location

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

Mapping for Pregnancy outcome Organization

The Pregnancy outcome List has reference(s) to the Organization resource. This means that any exchange of the Pregnancy outcome List heading data must also include the Organization Details

Pregnancy Outcome example

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