Summary release notes of the versions released in Digital Child Health (TEST) Implementation Guide

This site is under active development by NHS Digital and is intended to provide the FHIR messaging components for the Digital Child Health (TEST) event messages. This project is being developed using an agile methodology so iterative updates to content will be added on a regular basis, and remains subject to clinical review. Changes to this specification following the initial beta release will be documented here.

Beta 1.1.0

Following stakeholder feedback and INTEROPen curation, this implementation guidance has been updated as detailed below.

The Messaging Overview has been updated to align with the publish and subscribe functionality detailed by the Events Management Service. Additionally, the following messages have been removed from the specification as they are no longer within the scope of the publish and subscribe functionality:

  • Additional Demographics
  • Assessment Scales
  • Clinical Risk Factors
  • Developmental Skills
  • Early Years Progress
  • Educational History
  • Examination Findings
  • Family History
  • Feeding Status
  • Information and Advice Given
  • Parent Guardian or Personal Comment
  • Plan and Requested Actions
  • Professional Comment
  • Referral
  • Related Persons
  • Social Context (Household)
  • Social Context (Person)

An additional content section has been added for reference to FHIR profiles that have been developed to support these areas in child health, should this content prove useful locally. This is with the exception of Additional Demographics and Related Persons, which fall into a demographics scope and not Digital Child Health (TEST).

Digital Child Health (TEST) Events Model - a new page sharing Digital Child Health (TEST) Events Model mapping to Healthy Child Programme interventions

Admission Details - Patient Location clarified to use CareConnect-Maternity-Record-Location-1.type.text

Birth Details - Location of Birth changed to Required

Blood Spot Card Received - All items changed to Mandatory

Blood Spot Test Outcome - Optional Comment field added

Conditions - Added item Condition end date

Discharge Details - Encounter Type changed to Required

Immunisation Administration - Outcome Status and Dose Sequence changed to Optional

Measurements - Birth Weight changed to Required, updated to use generic profiles for HeadCircumference and Weight observations

Medication - Course status, Dose directions description, Dose Direction Duration and Additional instruction changed to Optional

Newborn Hearing - Procedure profiles for AABR and AOAE hearing tests and outcomes added - CareConnect-Maternity-Record-AABRHearingTest-Procedure-1 and CareConnect-Maternity-Record-AOAEHearingTest-Procedure-1 - Optional Comment field added

Physical Examination - Optional Comment field added

Changes following INTEROPen curation

  • Birth Details - Event remodelled to use CareConnect-Maternity-Record-Patient-1 and CareConnect-Maternity-Record-Encounter-1
  • Event header - Maternity-Record-HealthcareService-1 - the terminology binding for ‘type’ will now use the Care Connect Care Setting Type Value Set.
  • Immunisation Administration - Added FHIR profiles to support sharing of Information and Advice Given, and Allergies and Adverse Reactions
  • Professional Contacts - Event data item mapping clarified to detail team or care professional association requirements. The event has been redesigned as follows:
  • The following Level 3 profiles have been removed and replaced with Level 2 CareConnect profiles:
    • CareConnect-Maternity-Record-Organisation-1 replaced with CareConnect-Organization-1
    • CareConnect-Maternity-Record-Location-1 replaced with CareConnect-Location-1

All example instances, and the Maternity-Record-DSTU2-STU3-Map provided in the About section have been updated to reflect these changes.

Beta 1.0.1

This implementation guidance has been updated to:

  • include a guidance page for accessing example messages
  • apply a correction to the title for Blood Spot Test Outcome event

Beta 1.0.0

This Beta release includes implementation guidance to support the development of the Digital Child Health (TEST) Event Messages, supporting the following:

Tags: development