The FHIR profiles used for the Problems list List

Heading Description

A summary of the problems that require investigation or treatment.

The following FHIR profiles are used to form the Problems list Problem List structure:

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

Problems list Structure

Page-1 Practitioner Resource Practitioner Resource PractitionerResource Dynamic connector.3084 Reference from Observation to Practitioner Encounter Resource Encounter Resource EncounterResource PractitionerRole Resource PractitionerRole Resource PractitionerRoleResource Location Resource Location Resource LocationResource Reference from Condition to Practitioner Dynamic connector.1777 0..1 R context 0..1 R context 0..1 Rcontext 0..* R entry.item 0..* R entry.item 0..* Rentry.item 0..1 R practitioner 0..1 R practitioner 0..1 Rpractitioner 0..1 O performer 0..1 O performer 0..1 Rperformer 0..1 R location 0..1 R location 0..1 Rlocation Condition Resource Condition Resource ConditionResource Observation Resource Observation Resource ObservationResource Problems list List Resource Problems list List Resource Problems list List Resource 1..1 M subject 1..1 M subject 1..1 Msubject Reference to Patient resource Reference to Patient resource Reference to Patient resource Reference from Problems list to Patient Reference from Problems list to Observation 0..* O entry.item 0..* O entry.item 0..* Oentry.item 0..1 R context 0..1 R context 0..1 Rcontext Reference from Observation to Encounter Reference from Encounter to Location Reference from Problems List to Condition Reference from Practitioner to PractitionerRole Reference from Condition to Encounter 0..1 R context 0..1 R context 0..1 Rcontext 0..1 R asserter 0..1 R asserter 0..1 Rasserter

Maternity data standard Mapping to FHIR profiles

Mapping Overview

Data Standard Element FHIR Resource Mapping FHIR Element
Date/time Condition assertedDate
ODS/ORD Site Code Location identifier
SDS Job Role Name PractitionerRole code
Performing professional Practitioner name
Condition Condition code
Condition onset date Condition onsetDateTime
Condition end date Condition abatementDateTime
Fetal diagnosis Observation description
Comment Condition note

Mapping for Problems list Problem 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 Problems list 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 'Problems list'
Mapping to Maternity data item = 'PSRB Heading Problems list'
- 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 'Problems list'
Mapping to Maternity data item = 'PSRB Heading Problems list'
- - - 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 Problems list 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 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 Condition/Observation resource 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 a Condition/Observation resource 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 Problems List has a mandated subject reference to the Patient resource. This means that any exchange of the Problems list heading data must also include the Patient demographics List.

Mapping for Problems list 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 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..* Required CodeableConcept Role of participant in encounter
Binding (extensible): Role of participant in encounter ParticipantType
- - - coding 0..* Required Coding Code defined by a terminology system
- - - - system 0..1 Required Uri Identity of the terminology system
- - - - version 0..1 Not Used String Version of the system - if relevant
- - - - code 0..1 Required Code Symbol in syntax defined by the system
- - - - display 0..1 Required 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
    Required 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 Not Used 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 Not Used dateTime Starting time with inclusive boundary
- - end 0..1 Not Used 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 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 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..* 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 0..1 Required 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 0..1 Mandatory String Literal reference, Relative, internal or absolute URL
- - - identifier 0..1 Optional Identifier Logical reference, when literal reference is not known
- - - display 0..1 Optional String Text alternative for the resource
- - status 0..1 Not Used Code planned : active : reserved : completed
Binding (required): The status of the location. EncounterLocationStatus
- - period 0..1 Not Used 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 Not Used dateTime Starting time with inclusive boundary
- - - end 0..1 Not Used 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 Problems list Condition

> Level 1 Condition Resource > Level 2 CareConnect-Condition-1 > Level 3 None
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 Problem list 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..* Not Used CodeableConcept problem-list-item : encounter-diagnosis : presenting-complaint
Binding (extensible): A category assigned to the condition. CareConnect-ConditionCategory-1
- - coding 0..* 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
- 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 1..1 Mandatory CodeableConcept Identification of the condition, problem or diagnosis
Binding (example): Identification of the condition or diagnosis. Condition/Problem/Diagnosis Codes
Mapping to Digital Maternity data item ='Condition'
Binding to SNOMED SCTID 999000131000000105 (Care planning health issues simple reference set)
- - 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 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..* Not Used CodeableConcept Anatomical location, if relevant
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) 0..1 Not Used Coding Code defined by a terminology system
Binding (required): A code from SNOMED Clinical Terminology UK CareConnect-BodySite-1
- - - 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 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
- 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 Required 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  
    Required CareConnect-Encounter-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
- onset[x] 0..1 Required dateTime Estimated or actual date, date-time, or age
Mapping to Digital Maternity data item ='Condition onset date'
    Not Used Age  
    Not Used Period  
    Not Used Range  
    Not Used String  
- abatement[x] 0..1 Required dateTime If/when in resolution/remission
Mapping to Digital Maternity data item ='Condition end date'
    Not Used Age  
    Not Used Boolean  
    Not Used Period  
    Not Used Range  
    Not Used String  
- assertedDate 1..1 Mandatory dateTime Date record was believed accurate
Mapping to Digital Maternity data item ='Date/time'
- asserter 0..1 Required 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  
    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
- 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 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
Mapping to Digital Maternity data item ='Comment'
- - 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 Problems list Observation

> Level 1 Observation Resource > Level 2 CareConnect-Observation-1 > Level 3 None
View Used FHIR Elements View All FHIR Elements
Name Card. Conformance Type Description, Constraints and mapping for Implementation
Observation     Measurements and simple assertions
Constraint (dom-2): If the resource is contained in another resource, it SHALL NOT contain nested Resources
Constraint (dom-1): If the resource is contained in another resource, it SHALL NOT contain any narrative
Constraint (dom-4): If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
Constraint (dom-3): If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
Constraint (obs-7): If code is the same as a component code then the value element associated with the code SHALL NOT be present
Constraint (obs-6): dataAbsentReason SHALL only be present if Observation.value[x] is not present
- id 0..1 Optional Id Logical id of this artifact
- meta 0..1 Mandatory Meta Metadata about the resource
The value attribute of the profile element MUST contain the value 'https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Observation-1'
- 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..* Optional Identifier Business Identifier for observation
An identifier for this Problems list 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
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
- 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
Mapping to Digital Maternity data item = Fetal Diagnosis
- - coding 0..1 Required 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 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 Mandatory Uri Identity of the terminology system
This MUST contain the value 'http://snomed.info/sct'
- - - code 1..1 Mandatory Code Symbol in syntax defined by the system
699250000
- - - display 1..1 Mandatory String Representation defined by the system
Fetal diagnosis
- - - 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 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 Required 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  
    Required CareConnect-Encounter-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
- effective[x] 0..1 Not Used dateTime Clinically relevant time/time-period for observation
    Not Used Period  
- issued 0..1 Not Used 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 Not Used Quantity Actual result
Constraint (qty-3): If a code for the unit is present, the system SHALL also be present
- value[x]   Not Used CodeableConcept The system element MUST contain the identity of the terminology system
- value[x]   Not Used String  
- value[x]   Optional Boolean Value has mapping to Digital Maternity data item 'Fetal diagnosis'
- 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 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 Not Used String Comments about result
- bodySite 0..1 Not Used CodeableConcept Observed body part
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: code, 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
- - - 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
- method 0..1 Not Used CodeableConcept How it was done
Binding (example): Methods for simple observations. Observation Methods
- - 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 (preferred): A code from SNOMED Clinical Terminology UK CareConnect-ObservationMethod-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
- 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 Problems list Location

The Problems list details has reference(s) to the Location resource. This means that any exchange of the Problems list details heading data must also include the Location Details

Mapping for Problems list Practitioner

The Problems list details has reference(s) to the Practitioner resource. This means that any exchange of the Problems list details heading data must also include the Practitioner Details

Mapping for Problems list PractitionerRole

The Problems list details has reference(s) to the Practitioner Role resource. This means that any exchange of the Problems list details heading data must also include the Practitioner Role Details

Problems list Example

Tags: fhir