Heading Description
The social setting in which the woman lives
Data Standard Element | FHIR Profile | FHIR target |
Date/Time | Observation | |
Smoking Status | Observation | |
Smoking Status- details | Observation | |
Drug/substance use | Observation | |
Drug/substance use - details | Observation | |
Date stopped | Observation | |
Alcohol use | Observation | |
Alcohol use - details | Observation | |
Education Level | Observation | |
Number of years in Education | Observation | |
Employment status | Observation | |
Occupation | Observation | |
Social Service Support | Observation | |
Accomodation Status | Observation |
Social Context Details Structure
Mapping for Social Context 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 Social Context details 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 Social Context 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 Social Context' |
- 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 '163011000000101' |
- - - display | 0..1 | Mandatory | String | Representation defined by the system This MUST contain the value 'Social Context'' Mapping to Maternity data item = 'PSRB Heading Social Context details' |
- subject | 0..1 | Mandatory | Reference | If all resources have the same subject Constraint (ref-1): SHALL have a contained resource if a local reference is provided This is a reference to the Patient who is the subject of the list. |
Mandatory | CareConnect-Patient-1 | This is the subject of the Social Context details List. This MUST use the CareConnect patient profile. Seepatient resource reference for information on how to populate the resource. |
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- - 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 encounter resource being the focal resource. Multiple Encounters with associated resources MAY be present |
- - 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 Encounter resource. |
Mapping for Social Context Household 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 Social Context Household details 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 Social Context 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 Social Context' |
- 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 '163011000000101' |
- - - display | 0..1 | Mandatory | String | Representation defined by the system This MUST contain the value 'Social Context'' Mapping to Maternity data item = 'PSRB Heading Social Context details' |
- subject | 0..1 | Mandatory | Reference | If all resources have the same subject Constraint (ref-1): SHALL have a contained resource if a local reference is provided This is a reference to the Patient who is the subject of the list. |
Mandatory | CareConnect-Patient-1 | This is the subject of the Social Context details List. This MUST use the CareConnect patient profile. Seepatient resource reference for information on how to populate the resource. |
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- - 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. Multiple Observation with associated resources MAY be present |
- - 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 Observation resource. |
Patient Reference
The social context (household) list has a mandated subject reference to the Patient resource. This means that any exchange of the socail context (household) heading data must also include the Patient demographics List.
Generic Mappings for Social Context Household Observation
> | Level 1 | Observation 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 The value attribute of the profile element MUST contain the value 'https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Observation-1' |
- - profile | 1..1 | Mandatory | Uri | Profiles this resource claims to conform to The value attribute of the profile element MUST contain the value 'https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Observation-1' |
- identifier | 0..* | Optional | Identifier | Business Identifier for observation |
- - system | 1..1 | Required | Uri | The namespace for the identifier value |
- - value | 1..1 | Mandatory | String | The value that is unique |
- status | 1..1 | Mandatory | Code | registered : preliminary : final : amended + Binding (required): Codes providing the status of an observation. ObservationStatus |
SPECIFIC MAPPING SECTION (CODE)- START | ||||
- subject | 0..1 | Mandatory | Reference | Who the sensitivity is for Constraint (ref-1): SHALL have a contained resource if a local reference is provided |
Mandatory | CareConnect-Patient-1 | A reference to the Patient resource. | ||
- - reference | 0..1 | Mandatory | String | Literal reference, Relative, internal or absolute URL This MUST use the CareConnect Patient profile.See patient resource reference for information on how to populate the resource. |
- effective[x] | 0..1 | Required | dateTime | Clinically relevant time/time-period for observation Date/Time the social context household was recorded |
Mandatory | Period | |||
SPECIFIC MAPPING SECTION (VALUE) - START |
Data Item Specific Mappings
The following sections contain mappings for social context household data items. These should be used to create a data item specific observation entry. Each data item within social context is made up of an individual observation. The diagram below provides a basic visual indication of this process.
Social Context Observation Data Item - Household Smoking Status
Multiple Data Items in this Observation
Smoking Status | Observation |
Smoking Status- details | Observation |
> | Level 1 | Observation Resource | > | Level 2 | CareConnect-Observation-1 Profile | > | Level 3 | None |
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Name | Card. | Conformance | Type | Description, Constraints and mapping for Digital Maternity Implementation |
---|---|---|---|---|
- code | 1..1 | Mandatory | CodeableConcept | Type of observation (code / type) Binding (example): Codes identifying names of simple observations. LOINC Codes A SNOMED CT concept that indiactes smoking status with the household |
- - coding | 0..* | Mandatory | Coding | Code defined by a terminology system Slicing: Discriminator: code, Ordering: false, Rules: Open |
- - coding (snomedCT) | 0..1 | Mandatory | 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 A code from the SNOMED CT |
- - - display | 1..1 | Mandatory | String | Representation defined by the system A description that matches the given SNOMED CT code |
- - reference | 0..1 | Mandatory | String | Literal reference, Relative, internal or absolute URL |
- comment | 0..1 | Required | String | Comments about result Smoking household status details |
Social Context Observation Data Item - Drug Substance Use
Multiple Data Items in this Observation
Drug/substance use | Observation |
Drug/substance use - details | Observation |
> | Level 1 | Observation 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 Maernity Implementation |
---|---|---|---|---|
- code | 1..1 | Mandatory | CodeableConcept | Type of observation (code / type) Drug / Substance usage with household details |
- - coding | 0..* | Required | 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 Coded text - SNOMED CT 1104261000000109 | Substance misuser in household (situation) OR 1102341000000107 | Ex-substance misuser in household (finding) OR 1104271000000102 | No history of substance misuse in household (finding) OR 1104381000000109 | Declined to provide information about substance misuse in household (situation) |
- - - display | 1..1 | Mandatory | String | Representation defined by the system This SHOULD be the preferred term for the SNOMED concept |
- comment | 0..1 | Required | String | Comments about result Brief commentary of any drug/substance use within the household |
Social Context Observation Data Item - Household Alcohol Use
Multiple Data Items in Observation
Alcohol use | Observation |
Alcohol use - details | Observation |
> | Level 1 | Observation Resource | > | Level 2 | CareConnect-Observation-1 Profile | > | Level 3 | None |
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Name | Card. | Conformance | Type | Description, Constraints and mapping for Digital Maernity Implementation |
---|---|---|---|---|
- code | 1..1 | Mandatory | CodeableConcept | Type of observation (code / type) Alcohol usage within the household details |
- - coding | 0..* | Required | 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 Coded text - SNOMED CT 713071004 | Alcohol misuser in household OR TBA | No history of alcohol use in household (situation) OR 1104401000000109 | Declined to provide information about alcohol use of household |
- - - display | 1..1 | Mandatory | String | Representation defined by the system This SHOULD be the preferred term for the SNOMED concept |
- comment | 0..1 | Required | String | Comments about result Brief commentary of any alcohol use within the household |
Social Context Observation Data Item - Employment Status (Main)
Multiple Data Items in Observation
Employment status (Main Carer) | Observation |
Occupation (Main Carer) | Observation |
> | Level 1 | Observation Resource | > | Level 2 | CareConnect-Observation-1 Profile | > | Level 3 | None |
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Name | Card. | Conformance | Type | Description, Constraints and mapping for Digital Maernity Implementation |
---|---|---|---|---|
- code | 1..1 | Mandatory | CodeableConcept | Type of observation (code / type) Employment status details (main care giver) |
- - coding | 0..* | Required | 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 |
- - - display | 1..1 | Mandatory | String | Representation defined by the system |
- value | 0..1 | Required | String | Actual result Constraint (qty-3): If a code for the unit is present, the system SHALL also be present The employment status of main care giver |
- component | 0..* | Required | BackboneElement | Component results The occupation of the main care giver |
- - value | 0..1 | Required | CodeableConcept | Actual component result Constraint (qty-3): If a code for the unit is present, the system SHALL also be present The occupation of the main care giver |
Social Context Observation Data Item - Employment Status (Additional)
Multiple Data Items in Observation
Employment status (Additional Carer) | Observation |
Occupation (Additional Carer) | Observation |
> | Level 1 | Observation Resource | > | Level 2 | CareConnect-Observation-1 Profile | > | Level 3 | None |
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Name | Card. | Conformance | Type | Description, Constraints and mapping for Digital Maernity Implementation |
---|---|---|---|---|
- code | 1..1 | Mandatory | CodeableConcept | Type of observation (code / type) Employment status details (additional care giver) |
- - coding | 0..* | Required | 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 |
- - - display | 1..1 | Mandatory | String | Representation defined by the system |
- value | 0..1 | Required | String | Actual result Constraint (qty-3): If a code for the unit is present, the system SHALL also be present The employment status of additional care giver |
- component | 0..* | Required | BackboneElement | Component results The occupation of the additional care giver |
- - value | 0..1 | Required | CodeableConcept | Actual component result Constraint (qty-3): If a code for the unit is present, the system SHALL also be present The occupation of the additional care giver |
Social Services Support Data Item
> | Level 1 | Observation 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 Maernity Implementation |
---|---|---|---|---|
- code | 1..1 | Mandatory | CodeableConcept | Type of observation (code / type) Drug / Substance usage with household details |
- - coding | 0..* | Required | 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 |
- - - display | 1..1 | Mandatory | String | Representation defined by the system This SHOULD be the preferred term for the SNOMED concept |
- value | 0..1 | Required | Boolean | Actual result Constraint (qty-3): If a code for the unit is present, the system SHALL also be present Indication that social services support has been offered to any household member |
Social Context Household Data Item - Accomodation Status
> | Level 1 | Observation 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 Maernity Implementation |
---|---|---|---|---|
- code | 1..1 | Mandatory | CodeableConcept | Type of observation (code / type) An indication of the type of accommodation that the person currently has. This should be based on the person's main or permanent residence. |
- - coding | 0..* | Required | 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 |
- - - display | 1..1 | Mandatory | String | Representation defined by the system |
- value | 0..1 | Mandatory | String | Actual result Constraint (qty-3): If a code for the unit is present, the system SHALL also be present An indication of the type of accommodation that the person currently has. This should be based on the person's main or permanent residence. |
Patient Reference
The social context household details list has a mandated subject reference to the Patient resource. This means that any exchange of the social context household details heading data must also include the Patient demographics List.