The FHIR profiles used for the PDS Birth Notification event message bundle
PDS Birth Notification event messages are generated by the Spine and published to the NEMS when a birth is registered on PDS. The event message will contain the details of the mothers, the details of the baby and some supporting information around the birth as per the guidance on this page.
FHIR Profiles
The PDS Birth Notification event message bundle is expected to include a combination of the following resources to support the event header and data item requirements:
Onward Delivery
The delivery of the PDS Birth Notification event messages to subscribers via MESH will use the following WorkflowID within the MESH control file. This WorkflowID will need to be added to the receiving MESH mailbox configuration before event messages can be received.
| MESH WorkflowID |
CHILDHEALTH_BIRTHNOTIFICATION_UPDATE |
Bundle structure
The focus of the PDS Birth Notification event message is the CareConnect-EMS-Patient-1 resource representing the mother, referenced from the event message Communication resource. The baby in this birth notification is linked to the mother through the EMS-PDS-RelatedPerson-1 resource which shows the relationship of mother to baby. Additional information about the birth is included in the bundle as observation resources which are either linked to the mother or the baby
PDS Birth Notification Event Message Life Cycle
The PDS Birth Notification event message is only ever sent once by the Spine and will be a new event. There is no concept of update or delete for the event message.
The birth notification event will be triggered by a birth being registered on the Spine.
Resource population requirements and guidance
The following requirements and resource population guidance should be followed in addition to the requirements and guidance outlined in the Events Management Service specification.
The MessageHeader resource included as part of the event message SHALL conform to the EMS-MessageHeader-1 constrained FHIR profile and the additional population guidance as per the table below:
| Element |
Cardinality |
Additional Guidance |
| extension(eventMessageType) |
1..1 |
Fixed value: new |
| event |
1..1 |
Fixed Value: PDS003 (PDS Birth Notification) |
| focus |
1..1 |
This will reference the “EMS-Communication-1” resource which contains information relating to the event message. |
EMS-Communication-1
The Communication resource included in the event message SHALL conform to the EMS-Communication-1 constrained FHIR profile and the additional population guidance as per the table below:
| Element |
Cardinality |
Additional Guidance |
| status |
1..1 |
Fixed value: completed |
| payload |
1..1 |
This will reference the patient resource representing the mother who is the focus of this event. |
CareConnect-EMS-Patient-1 (Mother)
This Patient resource included in the event message SHALL conform to the CareConnect-EMS-Patient-1 constrained FHIR profile and the additional population guidance as per the table below:
| Element |
Cardinality |
Additional Guidance |
| meta.versionId |
1..1 |
This element will contain the serial change number (SCN) of the mothers patient record within Spine at the time this event was published. |
| identifier |
1..1 |
Patient NHS Number SHALL be included within the nhsNumber identifier slice |
| name (official) |
1..1 |
Patients name as registered on PDS, included within the resource as the official name element slice |
| birthDate |
0..1 |
The patient birth date shall be included in the patient resource |
| generalPractitioner |
0..1 |
References to an organization representing the Mother’s Primary Care provider, the reference organization should contain the organization ODS Code, name and relevant contact details. |
| extension(registrationDetails).period.start |
0..1 |
Date when the mother was registered with the organization. |
| extension(registrationDetails).period.end |
0..1 |
Date when the mothers registration is scheduled to end if applicable. |
CareConnect-EMS-PDS-Baby-Patient-1 (Baby)
This Patient resource included in the event message SHALL conform to the CareConnect-EMS-PDS-Baby-Patient-1 constrained FHIR profile and the additional population guidance as per the table below:
| Element |
Cardinality |
Additional Guidance |
| meta.versionId |
1..1 |
This element will contain the serial change number (SCN) of the babies patient record within Spine at the time this event was published. |
| identifier |
1..1 |
Patient NHS Number SHALL be included within the nhsNumber identifier slice |
| name (official) |
1..1 |
The babys name as registered on PDS, included within the patient resource as the official name element slice |
| gender |
1..1 |
The gender of the baby |
| birthDate |
1..1 |
The birth date of the baby shall be included in the patient resource |
| extension(patient-birthTime) |
1..1 |
The delivery time for the birth |
| deceased |
0..1 |
Deceased dateTime of the baby has died |
| extension(deathNotificationStatus) |
0..1 |
The death notification status if the baby has died |
| address.line |
1..* |
The address for the baby. Note: the address lines SHALL appear in the the resource in order, i.e. Address line 1 first, line 2 second, etc. |
| address.postalcode |
0..1 |
address post code |
| multipleBirthInteger |
1..1 |
The multiple birth indicator will be an number indicating the position in the order of births, i.e. the first baby would be 1, a second baby for example in twins would be 2 |
| extension(birthPlace) |
0..1 |
The address of the place where the baby was born |
| extension(ethnicCategory) |
1..1 |
The ethnicity of the baby |
CareConnect-EMS-PDS-NumberOfBirths-Observation-1
| Element |
Cardinality |
Additional Guidance |
| valueQuantity |
1..1 |
Number of Births in Confinement |
| subject |
1..1 |
The number of births observation will reference the mother patient resource. |
CareConnect-EMS-PDS-BirthWeight-Observation-1
| Element |
Cardinality |
Additional Guidance |
| valueQuantity |
1..1 |
The birth weight of the baby |
| subject |
1..1 |
The birth weight observation will reference the baby patient resource. |
CareConnect-EMS-PDS-GestationAge-Observation-1
| Element |
Cardinality |
Additional Guidance |
| valueQuantity |
1..1 |
Gestation Age of the baby |
| subject |
1..1 |
The gestation age observation will reference the baby patient resource. |
CareConnect-EMS-PDS-StillbornIndicator-Observation-1
| Element |
Cardinality |
Additional Guidance |
| valueQuantity |
1..1 |
Will indicate if the baby was still born or not. |
| subject |
1..1 |
The stillborn indicator observation will reference the baby patient resource. |
CareConnect-EMS-PDS-SuspectedCongenitalAbnormalityIndicator-Observation-1
| Element |
Cardinality |
Additional Guidance |
| valueQuantity |
1..1 |
Suspected Congenital Abnormality Indicator, ‘code’ element uses SNOMED CT code ‘1097291000000101 - Suspected congenital abnormality (situation)’ |
| subject |
1..1 |
This observation will reference the baby patient resource. |
CareConnect-EMS-PDS-DeliveryPlace-Organization-1
| Element |
Cardinality |
Additional Guidance |
| type |
0..1 |
Delivery Place Type |
| identifier |
0..1 |
Delivery Place Code, using the ODS identifier slice |
| name |
0..1 |
Delivery Place Name |
CareConnect-EMS-PDS-RegisteringAuthority-Organization-1
| Element |
Cardinality |
Additional Guidance |
| type |
1..1 |
Registering Authority Type |
| identifier |
1..1 |
Organisation identifier using the ODS identifier slice |
CareConnect-Practitioner-1
The notifying person for this event message.
| Element |
Cardinality |
Additional Guidance |
| name.given |
1..* |
Practitioner given name(s) |
| name.family |
1..1 |
Practitioner family name |
CareConnect-Organization-1
| Element |
Cardinality |
Additional Guidance |
| identifier |
1..1 |
Organization identifier using the ODS identifier slice |
The Birth Notification event will contain organization resources containing additional information as per the table below. The organization resources will appear in the event message bundle in the same order as they appear in the table.
| Organization resource content |
Cardinality |
| Partner Child Health Organisation Code |
1..1 |
| Responsible Child Health Organisation Code |
0..1 |
PDS Birth Notification Bundle (open in new TAB)
