The FHIR profiles used for the Social context Household List

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

Page-1 Social Context List Resource Social Context List Resource Social ContextList Resource Family and Household List Resource Family and Household List Resource Family and Household List Resource Person List Resource Person List Resource Personal List Resource Dynamic connector.1051 Observation Resource Observation Resource ObservationResource Dynamic connector.18 Dynamic connector.3308 Dynamic connector.3309 0..* R entry.item 0..* R entry.item 0..* Rentry.item Sheet.25 0..* R entry.item 0..* Rentry.item 0..* R entry.item 0..* R entry.item 0..* Rentry.item 0..* R entry.item 0..* R entry.item 0..* Rentry.item 1..1 M subject 1..1 M subject 1..1 Msubject Snip and Round Corner Rectangle.2310 Reference to Patient resource Reference to Patient resource Dynamic connector.2311

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.
- - 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.
- - 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
View Used FHIR Elements View All FHIR Elements
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
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)
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
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)
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
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)
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.

Social Context Person Observation Details Heading Example

Tags: fhir