The FHIR profiles used for the Safeguarding List

Heading Description

The safeguarding details of the woman.

The following profiles are referenced from the safety alerts details list structure:

Safeguarding Structure Details

Page-1 Practitioner Resource Practitioner Resource PractitionerResource PractitionerRole Resource PractitionerRole Resource PractitionerRoleResource Dynamic connector.3229 Observation Resource Observation Resource ObservationResource Dynamic connector.3233 Dynamic connector.3234 Organization Resource Organization Resource OrganizationResource 0..* R entry.item 0..* R entry.item 0..* Rentry.item 0..1 R performer 0..1 R performer 0..1 Rperformer 0..1 R practitioner 0..1 R practitioner 0..1 Rpractitioner 0..* R entry.item 0..* R entry.item 0..* Rentry.item Safeguarding List Resource Safeguarding List Resource SafeguardingList Resource Dynamic connector.2235 1..1 M subject 1..1 M subject 1..1 Msubject Reference to Patient resource Reference to Patient resource Reference to Patient resource Dynamic connector

Mapping Overview

Date/Time Observation period.start
ODS/ORD Site Code Observation author.[organization]
SDS Job Role Name Observation name.[practitionerRole]
Professional Name Observation performer.[practitioner]
Safeguarding Risk Observation valueCodeableConcept.coding
    valueCodeableConcept.text

Mapping for Safeguarding Details List

> Level 1 List Resource > Level 2 CareConnect-List-1 Profile > Level 3 None
View Used FHIR Elements View All FHIR Elements
Name Card. Conformance Type Description, Constraints and mapping for Implementation
- id 0..1 Optional Id Logical id of this artifact
- meta 0..1 Mandatory Meta Metadata about the resource
The value attribute of the profile element MUST contain the value 'https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-List-1'
- identifier 0..* Required Identifier Business identifier
An identifier for this Safeguarding list
- - system 1..1 Required Uri The namespace for the identifier value
The system from which the identifier came from
- - value 1..1 Mandatory String The value that is unique
Business identifier
An identifier for this Safeguarding details list
- - - display 0..1 Required String Text alternative for the resource
The organization that allocated the identifier
- 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 'Social Context'
Mapping to Maternity data item = 'PSRB Heading Safeguarding
- code 0..1 Mandatory CodeableConcept What the purpose of this list is
Binding (preferred): What the purpose of a list is CareConnect-ListCode-1
The PRSB heading for this list. Note: for Maternity the value stated below is used which is not from the preferred value set
- - coding 0..* Mandatory Coding Code defined by a terminology system
The SNOMED CT concept for the PRSB heading type
- - - system 0..1 Mandatory Uri Identity of the terminology system
This MUST contain the value 'http://snomed.info/sct'
- - - code 0..1 Mandatory Code Symbol in syntax defined by the system
This MUST contain the value '1077911000000105'
- - - display 0..1 Mandatory String Representation defined by the system
This MUST contain the value 'Safeguarding''
Mapping to Maternity data item = 'PSRB Heading ' Safeguarding'
- subject 0..1 Mandatory Reference If all resources have the same subject
Constraint (ref-1): SHALL have a contained resource if a local reference is provided
This is a reference to the Patient who is the subject of the list.
    Mandatory CareConnect-Patient-1 This is the subject of the Safeguarding List.
This MUST use the CareConnect patient profile.
Seepatient resource reference for information on how to populate the resource.
- - reference 0..1 Mandatory String Literal reference, Relative, internal or absolute URL
A reference to the patient resource included in the Patient demographics list within the FHIR Bundle. Note the Patient demographics list is mandatory in the FHIR bundle
- date 0..1 Mandatory dateTime When the list was prepared
This MUST contain a system date to indicate when the list created or updated
- note 0..* Optional Annotation Comments about the list
    Required String Who authored the comment on the list.
- - time 0..1 Required dateTime When the annotation was made
- - text 1..1 Required String The annotation - text content
- entry 0..* Mandatory BackboneElement Entries in the list
The entries MUST be as per the diagram for this PRSB headings list with the Observation resource being the focal resource.
- - date 0..1 Required dateTime When item added to list
The SHOULD contain a system time of when the item was added to the list.
- - item 1..1 Required Reference Actual entry
Constraint (ref-1): SHALL have a contained resource if a local reference is provided
- - - reference 0..1 Mandatory String Literal reference, Relative, internal or absolute URL
The reference to the Observation (Group) resource.

Patient Reference

The Plan and requested actions 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 Safeguarding Observation

> Level 1 List Resource > Level 2 CareConnect-Observation-1 Profile > Level 3 None
View Used FHIR Elements View All FHIR Elements
Name Card. Conformance Type Description, Constraints and mapping for Digital Maternity Implementation
- id 0..1 Optional Id Logical id of this artifact
- meta 0..1 Mandatory Meta Metadata about the resource
- - profile 1..1 Mandatory Uri Profiles this resource claims to conform to
- identifier 0..* Required Identifier Business Identifier for observation
An identifier for this Safeguarding Observation
- - system 1..1 Required Uri The namespace for the identifier value
- - value 1..1 Mandatory String The value that is unique
- - assigner 0..1 Required Reference Organization that issued id (may be just text)
Constraint (ref-1): SHALL have a contained resource if a local reference is provided
- - - display 0..1 Required 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
- code 1..1 Mandatory CodeableConcept Type of observation (code / type)
Safeguarding Observation
- - coding 0..* Mandatory Coding Code defined by a terminology system
Slicing: Discriminator: code, 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 coding system describing a type of observation CareConnect-ObservationType-1
- - - system 1..1 Mandatory Uri Identity of the terminology system
The element MUST contain the value 'http://snomed.info/sct'
- - - code 1..1 Mandatory Code Symbol in syntax defined by the system
SNOMED CT code 1077911000000105
- - - display 1..1 Mandatory String Representation defined by the system
MUST be 'Safeguarding')
- - text 0..1 Optional String Plain text representation of the concept
- patient 0..1 Mandatory Reference If all resources have the same subject
Constraint (ref-1): SHALL have a contained resource if a local reference is provided
This is a reference to the Patient who is the subject of the list.
    Mandatory CareConnect-Patient-1 This is the subject of the Social Context details List.
This MUST use the CareConnect patient profile.
Seepatient resource reference for information on how to populate the resource.
- - reference 0..1 Mandatory String Literal reference, Relative, internal or absolute URL
A reference to the patient resource included in the Patient demographics list within the FHIR Bundle. Note the Patient demographics list is mandatory in the FHIR bundle
- encounter 0..1 Mandatory Reference Encounter administered as part of
Constraint (ref-1): SHALL have a contained resource if a local reference is provided
This is a reference to the vaccination encounter.
- effective[x] 0..1 Required dateTime Clinically relevant time/time-period for observation
The date/time the safeguarding issue was recorded
- performer 0..* Mandatory Reference Who is responsible for the observation
Constraint (ref-1): SHALL have a contained resource if a local reference is provided
    Mandatory CareConnect-Organization-1
This MUST use the CareConnect Organization and/or CareConnect-Prctitioner profile.See Organization resource reference and Practitioner resource referencefor information on how to populate these resources.
    Mandatory CareConnect-Practitioner-1
This MUST use the CareConnect Organization and/or CareConnect-Prctitioner profile.See Organization resource reference and Practitioner resource referencefor information on how to populate these resources.
- - reference 0..1 Mandatory String Literal reference, Relative, internal or absolute URLA reference to the Practitioner or Organization resource included in the safegaurding list
- value[x] 0..1 Required CodeableConcept Actual result
Constraint (qty-3): If a code for the unit is present, the system SHALL also be present
The type of safeguarding risk recorded. 404684003 |Clinical finding (finding) OR |999002381000000108 OR |Safeguarding issues simple reference set (foundation metadata concept)
Where no SNOMED CT code is available, coding.text MUST be used.

Mapping for Safeguarding Practitioner

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

Mapping for safeguarding Practitioner Role

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

Mapping for Referral Request Organisation

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

Safeguarding Example

Tags: fhir