The FHIR profiles used for the Discharge details List
Heading Description
The details of the woman’s discharge.
The following FHIR profiles are used to form the Discharge details list structure:
- CareConnect-List-1
- CareConnect-Encounter-1
- CareConnect-Practitioner-1
- CareConnect-PractitionerRole-1
- CareConnect-Location-1
The following profiles are referenced from the Discharge details list structure:
Discharge Details Structure
Maternity Data Standard Mapping to FHIR profiles
Mapping Overview
| Data Standard Element | FHIR Resource Mapping | FHIR Element |
| Date and time of discharge | Encounter | period.end |
| ODS/ORD Site Code | Location | identifier |
| Responsible Clinician | Practitioner | name |
| Discharging Speciality/Department | PractitionerRole | specialty |
| Discharge method | Encounter | DischargeMethod extension |
| Discharge destination | Encounter | hospitalization.dischargeDisposition |
| Discharge address | Location | address/identifier |
Mapping for Discharge details List
| > | Level 1 | List Resource | > | Level 2 | CareConnect-List-1 | > | Level 3 | None |
| View Used FHIR Elements | View All FHIR Elements |
| Name | Card. | Conformance | Type | Description, Constraints and mapping for Implementation |
|---|---|---|---|---|
| List | Information summarized from a list of other resources Constraint (dom-2): If the resource is contained in another resource, it SHALL NOT contain nested Resources Constraint (dom-1): If the resource is contained in another resource, it SHALL NOT contain any narrative Constraint (dom-4): If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated Constraint (dom-3): If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource Constraint (lst-2): The deleted flag can only be used if the mode of the list is “changes” Constraint (lst-1): A list can only have an emptyReason if it is empty |
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| - 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 Discharge details List |
| - - system | 1..1 | Required | Uri | The namespace for the identifier value The system from which the identifier came |
| - - value | 1..1 | Mandatory | String | The value that is unique A value for the identifier |
| - - assigner | 0..1 | Optional | Reference | Organization that issued id (may be just text) Constraint (ref-1): SHALL have a contained resource if a local reference is provided |
| Optional | CareConnect-Organization-1 | |||
| - - - reference | 0..1 | Optional | String | Literal reference, Relative, internal or absolute URL |
| - - - identifier | 0..1 | Optional | Identifier | Logical reference, when literal reference is not known |
| - - - display | 0..1 | Optional | String | Text alternative for the resource |
| - 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 'Discharge details' Mapping to Maternity data item = 'PSRB Heading Discharge details' |
| - 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 'tbc' |
| - - - display | 0..1 | Mandatory | String | Representation defined by the system This MUST contain the value 'Discharge details' Mapping to Maternity data item = 'PSRB Heading Discharge 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 Discharge details List. This MUST use the CareConnect patient profile. See patient 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 |
| - - author[x] | 0..1 | Optional | Reference | Individual responsible for the annotation Constraint (ref-1): SHALL have a contained resource if a local reference is provided |
| Optional | CareConnect-Practitioner-1 | |||
| Optional | 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. |
| - - 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 A reference to an Encounter resource included in the list |
| - - - reference | 0..1 | Mandatory | String | Literal reference, Relative, internal or absolute URL |
Patient Reference
The Discharge details List has a mandated subject reference to the Patient resource. This means that any exchange of the Discharge details heading data must also include the Patient demographics List.
Mapping for Discharge details Encounter
| > | Level 1 | Encounter Resource | > | Level 2 | CareConnect-Encounter-1 | > | Level 3 | None |
| View Used FHIR Elements | View All FHIR Elements |
| Name | Card. | Conformance | Type | Description, Constraints and mapping for Implementation |
|---|---|---|---|---|
| Encounter | | An interaction during which services are provided to the patient Constraint (dom-2): If the resource is contained in another resource, it SHALL NOT contain nested Resources Constraint (dom-1): If the resource is contained in another resource, it SHALL NOT contain any narrative Constraint (dom-4): If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated Constraint (dom-3): If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource |
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| - 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-Encounter-1' |
| - identifier | 0..* | Required | Identifier | Identifier(s) by which this encounter is known An identifier for this Encounter |
| - - system | 1..1 | Mandatory | Uri | The namespace for the identifier value The system from which the identifier came |
| - - value | 1..1 | Mandatory | String | The value that is unique A value for the identifier |
| - - assigner | 0..1 | Optional | Reference | Organization that issued id (may be just text) Constraint (ref-1): SHALL have a contained resource if a local reference is provided |
| Optional | CareConnect-Organization-1 | |||
| - - - reference | 0..1 | Optional | String | Literal reference, Relative, internal or absolute URL |
| - - - identifier | 0..1 | Optional | Identifier | Logical reference, when literal reference is not known |
| - - - display | 0..1 | Optional | String | Text alternative for the resource |
| - status | 1..1 | Mandatory | Code | planned : arrived : triaged : in-progress : onleave : finished : cancelled + Binding (required): Current state of the encounter EncounterStatus |
| - subject | 0..1 | Optional | Reference | The patient ro group present at the encounter Constraint (ref-1): SHALL have a contained resource if a local reference is provided |
| Optional | CareConnect-Patient-1 | |||
| - - reference | 0..1 | Optional | String | Literal reference, Relative, internal or absolute URL |
| - - identifier | 0..1 | Optional | Identifier | Logical reference, when literal reference is not known |
| - - display | 0..1 | Optional | String | Text alternative for the resource |
| - participant | 0..1 | Required | BackboneElement | List of participants involved in the encounter |
| - - type | 0..* | Required | CodeableConcept | Role of participant in encounter Binding (extensible): Role of participant in encounter ParticipantType |
| - - - coding | 0..* | Required | Coding | Code defined by a terminology system |
| - - - - system | 0..1 | Required | Uri | Identity of the terminology system |
| - - - - code | 0..1 | Required | Code | Symbol in syntax defined by the system |
| - - - - display | 0..1 | Required | String | Representation defined by the system |
| - - - - userSelected | 0..1 | Optional | Boolean | If this coding was chosen directly by the user |
| - - - text | 0..1 | Optional | String | Plain text representation of the concept |
| - - period | 0..1 | Optional | Period | Period of time during the encounter that the participant participated Constraint (per-1): If present, start SHALL have a lower value than end |
| - - - start | 0..1 | Optional | dateTime | Starting time with inclusive boundary |
| - - - end | 0..1 | Optional | dateTime | End time with inclusive boundary, if not ongoing |
| - - individual | 0..1 | Required | Reference | Persons involved in the encounter other than the patient Constraint (ref-1): SHALL have a contained resource if a local reference is provided |
| Required | RelatedPerson | |||
| Optional | CareConnect-Practitioner-1 | |||
| - - - reference | 0..1 | Required | String | Literal reference, Relative, internal or absolute URL |
| - - - identifier | 0..1 | Optional | Identifier | Logical reference, when literal reference is not known |
| - - - display | 0..1 | Required | String | Text alternative for the resource |
| - period | 0..1 | Required | Period | The start and end time of the encounter Constraint (per-1): If present, start SHALL have a lower value than end |
| - - start | 0..1 | Optional | dateTime | Starting time with inclusive boundary |
| - - end | 0..1 | Required | dateTime | End time with inclusive boundary, if not ongoing Mapping to Digital Maternity data item='Date and time of discharge' |
| - - extension (dischargeMethod) | 0..1 | Required | Extension-CareConnect-DischargeMethod-1 | An extension to the Encounter resource to record the method of discharge from hospital. Constraint (ext-1): Must have either extensions or value[x], not both Mapping to Digital Maternity data item='Discharge method' |
| - - dischargeDisposition | 0..1 | Required | CodeableConcept | Category or kind of location after discharge Binding (example): The destination of a Patient on completion of a Hospital Provider Spell, or a note that the Patient died or was a still birth. CareConnect-DischargeDestination-1 Mapping to Digital Maternity data item='Discharge disposition' |
| - - - coding | 0..1 | Required | Coding | Code defined by a terminology system |
| - - - - system | 0..1 | Required | Uri | Identity of the terminology system |
| - - - - code | 0..1 | Required | Code | Symbol in syntax defined by the system |
| - - - - display | 0..1 | Required | String | Representation defined by the system |
| - - - - userSelected | 0..1 | Optional | Boolean | If this coding was chosen directly by the user |
| - - - text | 0..1 | Optional | String | Plain text representation of the concept |
| - location | 0..1 | Required | BackboneElement | List of locations where the patient has been |
| - - location | 1..1 | Mandatory | Reference | Location the encounter takes place Constraint (ref-1): SHALL have a contained resource if a local reference is provided |
| Mandatory | CareConnect-Location-1 | |||
| - - - reference | 0..1 | Mandatory | String | Literal reference, Relative, internal or absolute URL |
| - - - identifier | 0..1 | Optional | Identifier | Logical reference, when literal reference is not known |
| - - - display | 0..1 | Optional | String | Text alternative for the resource |
Mapping for Discharge Details Discharge Method Extension
| > | Level 1 | Extension | > | Level 2 | Extension-CareConnect-DischargeMethod-1 | > | Level 3 | None |
| View Used FHIR Elements | View All FHIR Elements |
| Name | Card. | Conformance | Type | Description, Constraints and mapping for Implementation |
|---|---|---|---|---|
| Extension | | An extension to the Encounter resource to record the method of discharge from hospital. Constraint (ele-1): All FHIR elements must have a @value or children Constraint (ext-1): Must have either extensions or value[x], not both |
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| - id | 0..1 | Optional | String | xml:id (or equivalent in JSON) |
| - url | 1..1 | Mandatory | Uri | Identifies The Meaning Of The Extension Fixed Value = ‘https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-DischargeMethod-1’ |
| - valueCodeableConcept | 1..1 | Mandatory | CodeableConcept | The method of discharge from a Hospital Provider Spell. Binding (required): The method of discharge from a Hospital Provider Spell. Discharge Method |
Mapping for Discharge details Location
The Discharge details List has reference(s) to the Location resource. This means that any exchange of the Discharge details details heading data must also include the Location Details
Mapping for Discharge details Practitioner
The Discharge details List has reference(s) to the Practitioner resource. This means that any exchange of the Discharge details details heading data must also include the Practitioner Details
Mapping for Discharge details PractitionerRole
The Discharge details List has reference(s) to the PractitionerRole resource. This means that any exchange of the Discharge details details heading data must also include the PractitionerRole Details
