The FHIR profiles used for the Social context Bundle

Heading Description

The social setting in which the woman lives, such as their household, occupational history, and lifestyle factors.

Data Standard Element FHIR Profile FHIR target
Date/Time Observation  
Stage of Conception Observation  
Social Circumstances Observation  
Lifestyle Observation  
Smoking Status Observation  
Smoking Status- details Observation  
Type of Nicotine Replacement used Observation  
CO Screning Status Observation  
CO Screening Result Observation  
Date stopped smoking Observation  
Drug/substance use Observation  
Drug/substance use - details Observation  
Date stopped Observation  
Alcohol use Observation  
Alcohol use - details Observation  
Alcohol drinking status Observation  
Date stopped usual pattern of drinking Observation  
Education Level Observation  
Number of years in Education Observation  
Employment status Observation  
Occupation Observation  
Asylum 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 None > Level 3 CareConnect-List-1 Profile
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-Observation-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.

Mappings for Social Context Person List

> Level 1 List Resource > Level 2 None > Level 3 CareConnect-List-1 Profile
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-Observation-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 '163041000000100'
- - - display 0..1 Mandatory String Representation defined by the system
This MUST contain the value 'Lifestyle - care record element (record artifact)''
Mapping to Maternity data item = 'PSRB Heading Social Context Person 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 Observations 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.

Patient Reference

The social context (person) list has a mandated subject reference to the Patient resource. This means that any exchange of the spcial context (person) heading data must also include the Patient demographics List.

Generic Mappings for Social Context Person Observation

> Level 1 Observation Resource > Level 2 None > Level 3 CareConnect-Observation-1 Profile
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'
- 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
- category 0..* Required CodeableConcept Classification of type of observation
Binding (preferred): Codes for high level observation categories. Observation Category Codes
Stage of Conception
Field to indicate what stage of the conception process the social context fields are being recorded for
- - coding 0..* Mandatory Coding Code defined by a terminology system
- - - 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
A concept from SNOMED CT Termonology
- - - display 0..1 Mandatory String Representation defined by the system
A SNOMED CT description that MUST match the concept code used
SPECIFIC MAPPING SECTION (CODE)- START        
- subject 0..1 Mandatory Reference Who and/or what this is about
Constraint (ref-1): SHALL have a contained resource if a local reference is provided
    Mandatory CareConnect-Patient-1  
- - reference 0..1 Mandatory String Literal reference, Relative, internal or absolute URL
- effective[x] 0..1 Required dateTime Clinically relevant time/time-period for observation
Date and time the social context (person) information was recorded
    Mandatory Period  
SPECIFIC MAPPING SECTION (VALUE) - START        
- comment 0..1 Required String Comments about result

Data Item Specific Mappings

The following sections contain mappings for social context person 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 - Social Circumstances

> Level 1 Observation Resource > Level 2 None > Level 3 CareConnect-Observation-1 Profile
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 concept that represents the PRSB maternity data item 'Social Circumstances'
- - 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
TBA
- - - display 1..1 Mandatory String Representation defined by the system
TBA
- value[x] 0..1 Required Quantity Actual result
Constraint (qty-3): If a code for the unit is present, the system SHALL also be present
    Required String  

Social Context Observation Data Item - Lifestyle

> Level 1 Observation Resource > Level 2 None > Level 3 CareConnect-Observation-1 Profile
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 concept that represents the PRSB maternity data item 'Social Circumstances'
- - 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
TBA
- - - display 1..1 Mandatory String Representation defined by the system
TBA
- value[x] 0..1 Required Quantity Actual result
Constraint (qty-3): If a code for the unit is present, the system SHALL also be present
    Required String  

Social Context Observation Data Item - Smoking Details

Multiple Data Items in this Observation

Smoking Status Observation
Smoking Status- details Observation
Type of Nicotine Replacement used Observation
Date stopped smoking Observation
> Level 1 Observation Resource > Level 2 None > Level 3 CareConnect-Observation-1 Profile
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 from the Smoking simple reference set
- - 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 reference set '999000891000000102'
- - - display 1..1 Mandatory String Representation defined by the system
A description from the simple reference set that matches the given SNOMED CT code
- - reference 0..1 Mandatory String Literal reference, Relative, internal or absolute URL
- effective[x] 0..1 Required dateTime Clinically relevant time/time-period for observation
Date stopped smoking
- comment 0..1 Required String Comments about result
Smoking status details
- component 0..* Required BackboneElement Component results
The type of nicotine replacement product used if applicable
- - code 1..1 Required CodeableConcept Type of component observation (code / type)
Binding (example): Codes identifying names of simple observations. LOINC Codes
- - 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
- - - display 1..1 Mandatory String Representation defined by the system
- - text 0..1 Optional String Plain text representation of the concept

Social Context Observation Data Item - CO Screening Status

> Level 1 Observation Resource > Level 2 None > Level 3 CareConnect-Observation-1 Profile
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)
A code to describe the CO Screening Status
- - coding 0..* Required Coding Where a clinical coding terminology is available this MUST be used'
- - 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
Code for CO Screening Satus from a suitable Terminology
- - - display 1..1 Mandatory String Representation defined by the system
A description to match with the code provided by the terminology system used
- - text 0..1 Optional String Plain text representation of the concept
Where a termonology is unavailable, a text narrative MAY be used as an alternative
- value[x] 0..1 Mandatory String Actual result
Constraint (qty-3): If a code for the unit is present, the system SHALL also be present

Social Context Observation Data Item - CO Screening Result

> Level 1 Observation Resource > Level 2 None > Level 3 CareConnect-Observation-1 Profile
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)
A code to describe the CO Screening Result
- - coding 0..* Required Coding Where a clinical coding terminology is available this MUST be used'
- - 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
Code for CO Screening Result from a suitable Terminology
- - - display 1..1 Mandatory String Representation defined by the system
A description to match with the code provided by the terminology system used
- - text 0..1 Optional String Plain text representation of the concept
Where a termonology is unavailable, a text narrative MAY be used as an alternative
- value[x] 0..1 Mandatory String Actual result
Constraint (qty-3): If a code for the unit is present, the system SHALL also be present

Social Context Observation Data Item - Drug Substance Use

Multiple Data Items in this Observation

Drug/substance use Observation
Drug/substance use - details Observation
Date stopped Observation
> Level 1 Observation Resource > Level 2 None > Level 3 CareConnect-Observation-1 Profile
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 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 361055000 | Misuses drugs OR 371422002 | History of substance abuse OR 228368007 | Has never misused drugs OR 783241000000102 | Declined to give substance misuse history
- - - display 1..1 Mandatory String Representation defined by the system
This SHOULD be the preferred term for the SNOMED concept
- effective[x] 0..1 Required dateTime Clinically relevant time/time-period for observation
The date the person stopped using the drug/substance
- component 0..* Optional BackboneElement Component results
Detailed history of drug/substance use
- - text 0..1 Mandatory String Plain text representation of the concept

Social Context Observation Data Item - Alcohol Use

Multiple Data Items in Observation

Alcohol use Observation
Alcohol use - details Observation
Date stopped usual pattern of drinking Observation
> Level 1 Observation Resource > Level 2 None > Level 3 CareConnect-Observation-1 Profile
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 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 219006 | Current drinker of alcohol (finding) OR 105542008 | current non-drinker of alcohol OR 228274009 | Lifetime non-drinker OR 1104551000000109 | Declined to provide information about alcholol use OR 371434005 | History of alcohol abuse
- - - display 1..1 Mandatory String Representation defined by the system
This SHOULD be the preferred term for the SNOMED concept
- effective[x] 0..1 Required dateTime Clinically relevant time/time-period for observation
The date the person stopped usual pattern of drinking
- component 0..* Optional BackboneElement Component results
Detailed history of alcohol e use
- - text 0..1 Mandatory String Plain text representation of the concept

Social Context Observation Data Item - Alcohol Drinking Status

> Level 1 Observation Resource > Level 2 None > Level 3 CareConnect-Observation-1 Profile
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 Status 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 777651000000101 | Higher risk alcohol drinking (finding) OR 66590003 | Alcohol dependence (disorder) OR 105542008 | Current non-drinker of alcohol (finding) OR 160580001 |Alcohol consumption unknown (finding) OR 160593006 | Alcohol intake within recommended sensible limits (finding)
- - - display 1..1 Mandatory String Representation defined by the system
This SHOULD be the preferred term for the SNOMED concept
- effective[x] 0..1 Not Used dateTime Clinically relevant time/time-period for observation
The date the person stopped usual pattern of drinking
- component 0..* Not Used BackboneElement Component results
Detailed history of alcohol e use
- - text 0..1 Not Used String Plain text representation of the concept

Social Context Observation Data Item - Education

Multiple Data Items in Observation

Education Level Observation
Number of years in Education Observation
> Level 1 Observation Resource > Level 2 None > Level 3 CareConnect-Observation-1 Profile
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)
Education Details
- - coding 0..* Mandatory Coding Code defined by a terminology system
Slicing: Discriminator: code, Ordering: false, Rules: Open
- - - system 1..1 Mandatory Uri Identity of the terminology system
Codesystem TBA
- - - code 1..1 Mandatory Code Symbol in syntax defined by the system
Codes TBA
- - - display 1..1 Mandatory String Representation defined by the system
TBA
- - text 0..1 Mandatory String Plain text representation of the concept
- value[x] 0..1 Mandatory String Actual result
Constraint (qty-3): If a code for the unit is present, the system SHALL also be present
The number of years that the person spent in education

Social Context Observation Data Item - Employment Status

> Level 1 Observation Resource > Level 2 None > Level 3 CareConnect-Observation-1 Profile
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
- - coding 0..* Mandatory Coding Code defined by a terminology system
Slicing: Discriminator: code, Ordering: false, Rules: Open
- - - system 1..1 Mandatory Uri Identity of the terminology system
Codesystem TBA
- - - code 1..1 Mandatory Code Symbol in syntax defined by the system
Codes TBA
- - - display 1..1 Mandatory String Representation defined by the system
TBA
- - text 0..1 Mandatory String Plain text representation of the concept

Social Context Observation Data Item - Occupation

> Level 1 Observation Resource > Level 2 None > Level 3 CareConnect-Observation-1 Profile
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)
Occupation
- - coding 0..* Mandatory Coding Code defined by a terminology system
Slicing: Discriminator: code, Ordering: false, Rules: Open
- - - system 1..1 Mandatory Uri Identity of the terminology system
Codesystem TBA
- - - code 1..1 Mandatory Code Symbol in syntax defined by the system
Codes TBA
- - - display 1..1 Mandatory String Representation defined by the system
TBA
- - text 0..1 Mandatory String Plain text representation of the concept

Social Context Observation Data Item - Asylum Status

> Level 1 Observation Resource > Level 2 None > Level 3 CareConnect-Observation-1 Profile
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)
Asylum Status
- - 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 390790000 | Asylum seeker (person) OR 446654005 | Refugee (person) OR 729851000000109 | Asylum seeker with discretionary leave to remain (person) OR 729851000000109 |Asylum seeker with discretionary leave to remain (person) OR 160702009 | Illegal migrant (finding)(TBA) OR 224619008 | Migrant (person)(TBA)
- - - display 1..1 Mandatory String Representation defined by the system
This SHOULD be the preferred term for the SNOMED concept
- - text 0..1 Not Used String Plain text representation of the concept

Social Context Observation Data Item - Social Risk Factors

> Level 1 Observation Resource > Level 2 None > Level 3 CareConnect-Observation-1 Profile
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)
Social Risk Factors
- - 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
TBA
- - - display 1..1 Mandatory String Representation defined by the system
This SHOULD be the preferred term for the SNOMED concept
- - text 0..1 Not Used String Plain text representation of the concept

Patient Reference

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

Social Context Person Observation Details Heading Example

Tags: fhir