The FHIR profiles used for the Safety alerts List

Heading Description

Details of the concern, risk or issues in relation to safeguarding.

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

Safety Alerts Structure

Page-1 Organization Resource Organization Resource OrganizationResource Dynamic connector.3247 Flag Resource Flag Resource FlagResource Dynamic connector.1791 0..* R entry.item 0..* R entry.item 0..* Rentry.item Practitioner Resource Practitioner Resource PractitionerResource PractitionerRole Resource PractitionerRole Resource PractitionerRoleResource 0..1 R author 0..1 R author 0..1 Rauthor 0..1 R practitioner 0..1 R practitioner 0..1 Rpractitioner Dynamic connector.3256 Dynamic connector.3257 Safety Alerts List Resource Safety Alerts List Resource Safety AlertsList Resource 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.2252

Mappings Overview

Date/Time Flag period.start
ODS/ORD Site Code Organization author.[organization]
Performing Professional Practitioner performer.[practitioner]
SDS Job Role Name PractitionerRole identifier
Risk to self Flag code.text
End date (risk to self)   period.end
Risk to others   code.text
End date (risk to others)   period.end
Risk from others   code.text
End date (risk from others)   period.end
Additional Information   code.text

Mapping for Safety Alerts List

> Level 1 List Resource > Level 2 CareConnect-List-1 Profile > Level 3 None
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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 Screening Review 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 Screening Review 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 'Safety Alerts'
Mapping to Maternity data item = 'PSRB Heading Safety Alerts'
- 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 '886931000000107'
- - - display 0..1 Mandatory String Representation defined by the system
This MUST contain the value 'Safety alerts'
Mapping to Maternity data item = 'PSRB Heading ' Safety alerts'
- 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 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
- 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 Flag 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 included resources.

Patient Reference

The safety alerts list has a mandated subject reference to the Patient resource. This means that any exchange of the safety alerts heading data must also include the Patient demographics List.

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Mapping for Safety Alerts

> Level 1 Flag Resource > Level 2 CareConnect-Flag-1 Profile > Level 3 None
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Name Card. Conformance Type Description/Constraints
- 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-Flag-1'
- identifier 0..* Required Identifier Business identifier An identifier for this Allergies and adverse reactions 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 An identifier for this safety alerts list
- - period 0..1 Mandatory 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 Mandatory dateTime Starting time with inclusive boundary
The date on which the safety alert was recorded
- - - end 0..1 Required dateTime End time with inclusive boundary, if not ongoing
- - 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
- - - reference 0..1 Required Identifier Logical reference, when literal reference is not known
- status 1..1 Mandatory Code active | inactive | entered-in-error
Binding (required): Indicates whether this flag is active and needs to be displayed to a user, or whether it is no longer needed or entered in error. ( http://hl7.org/fhir/stu3/valueset-flag-status.html )
Status of the safety alert
- code 1..1 Mandatory CodeableConcept Coded or textual message to display to user
Binding (example): Detail codes identifying specific flagged issues. ( http://hl7.org/fhir/stu3/valueset-flag-code.html )
Data item maps to one of PRSB 'Risk to Self' OR 'Risk to Other' OR 'Risk from Others'. Not Coded therefore code.text MUST be used.
- - text 0..1 Optional String Plain text representation of the concept
Narative that describes the 'risk' being recorded. MUST prefix 'Risk to Self' OR 'Risk to Other' OR 'Risk from Others' to narrative to indicate type of risk.
- 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 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.
- period 0..1 Mandatory Period Time period when flag is active
Constraint (per-1): If present, start SHALL have a lower value than end
The date on which the safety alert was recorded
- - start 0..1 Mandatory dateTime Starting time with inclusive boundary
- - end 0..1 Required dateTime End time with inclusive boundary, if not ongoing
- author 0..1 Required Reference Flag creator
Constraint (ref-1): SHALL have a contained resource if a local reference is provided
    Mandatory CareConnect-Organization-1
This MUST use the CareConnect Organization profile.See Organization resource reference for information on how to populate these resources.
- - reference 0..1 Mandatory String Literal reference, Relative, internal or absolute URLA reference to the Practitioner resource included in the scan list

Mapping for Safety Alerts Practitioner

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

Mapping for Safety Alerts Practitioner Role

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

Mapping for Safety Alerts Organisation

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

Safety Alerts Example

Tags: fhir