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Investigation Results Bundle

The FHIR profiles used for the Investigation results Bundle

Heading Description

The details of the investigation results.

The following profiles are referenced from the investigation results details list structure:

Investigation Results Structure Details

Page-1 Dynamic connector.2820 Encounter Resource Encounter Resource EncounterResource Dynamic connector.2823 Observation Resource Observation Resource ObservationResource Practitioner Resource Practitioner Resource PractitionerResource Dynamic connector.2827 PractitionerRole Resource PractitionerRole Resource PractitionerRoleResource Dynamic connector.2829 Location Resource Location Resource LocationResource Dynamic connector.2831 0..* R entry.item 0..* R entry.item 0..* Rentry.item 0..1 R location 0..1 R location 0..1 Rlocation 0..1 R context 0..1 R context 0..1 Rcontext 0..1 R practitioner 0..1 R practitioner 0..1 Rpractitioner 0..1 R performer 0..1 R performer 0..1 Rperformer Investigation Results List Resource Investigation Results List Resource Investigation ResultsList Resource 1..1 M subject 1..1 M subject 1..1 Msubject Reference to Patient resource Reference to Patient resource Reference to Patient resource Dynamic connector.1784

Mapping Overview

Date/Time Encounter period.start
ODS/ORD Site Code Encounter location.[Location.identifier]
SDS Job Role Name Observation name.[practitionerRole]
Professional Name Observation performer.[practitioner]
Investigation Observation code
Investigation Results Observation value

Mapping for Investigation Results 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 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-List-1'
- identifier 0..* Required Identifier Business identifier
An identifier for this Observation 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
An identifier for this Observation details list
- 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 'Observation'
Mapping to Maternity data item = 'PSRB Heading Investigation Results'
- 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 '1082101000000102'
- - - display 0..1 Mandatory String Representation defined by the system
Mapping to Maternity data item = 'PSRB Heading Investigation results'
- 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 Observations details List. This MUST use the CareConnect patient profile.See patient 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 Required dateTime When the list was prepared
This MUST contain a system date to indicate when the list was created or updated
- entry 0..* Required 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 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 Mandatory Reference Actual entry
Constraint (ref-1): SHALL have a contained resource if a local reference is provided
A reference to an Observation resource included in the list. This MUST use the CareConnect Observation profile.See Observation resource for information on how to populate the resource.
- - - reference 0..1 Mandatory String Literal reference, Relative, internal or absolute URL The reference to the included Observation resource.

Patient Reference

The Plan and requested actions List has a mandated subject reference to the Patient resource. This means that any exchange of the Plan and requested actions heading data must also include the Patient demographics List.

Mapping for Investigation results 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
- - 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..* Required Identifier Business Identifier for observation
An identifier for this Observation
- - system 1..1 Required Uri The namespace for the identifier value
- - value 1..1 Mandatory String The value that is unique
- - assigner 0..1 Required Reference Organization that issued id (may be just text)
Constraint (ref-1): SHALL have a contained resource if a local reference is provided
- - - display 0..1 Required String Text alternative for the resource
- status 1..1 Mandatory Code registered : preliminary : final : amended +
Binding (required): Codes providing the status of an observation. ObservationStatus
- code 1..1 Mandatory CodeableConcept Type of observation (code / type)
The type of investigation performed
- - coding 0..* Mandatory 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
<71388002
- - - display 1..1 Mandatory String Representation defined by the system
Procedure (procedure)
- - text 0..1 Optional String Plain text representation of the concept
- 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 Observations details List. This MUST use the CareConnect patient profile.See patient 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
- context 0..1 Required Reference Healthcare event during which this observation is made
Constraint (ref-1): SHALL have a contained resource if a local reference is provided
This MUST be a reference to Encounter resource
    Required CareConnect-Encounter-1 The Encounter where the assessment was carried out.This MUST use the Encounter resource.See Encounter resource for information on how to populate the resource.
- performer 0..* Required Reference Who is responsible for the observation
Constraint (ref-1): SHALL have a contained resource if a local reference is provided
    Required CareConnect-Practitioner-1 Name of Professional recording the observation
- 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
Binding (required): Common UCUM units for recording Vital Signs ( http://hl7.org/fhir/stu3/valueset-ucum-vitals-common.html )
For each investigation, the result of the investigation (this includes the result value, with unit of observation and reference interval where applicable and date)
    Required CodeableConcept  
    Required String  
    Required Boolean  
    Required Range  
    Required Ratio  
    Required SampledData  
    Required Attachment  
    Required Time  
    Required dateTime  
    Required Period  

Mapping for Investigation Encounter

> Level 1 Encounter Resource > Level 2 CareConnect-Encounter-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
- - 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-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 from
- - value 1..1 Mandatory String The value that is unique
An identifier for this observation encounter
- status 1..1 Mandatory Code planned : arrived : triaged : in-progress : onleave : finished : cancelled +
Binding (required): Current state of the encounter EncounterStatus
- period 0..1 Mandatory Period The start and end time of the encounter
Constraint (per-1): If present, start SHALL have a lower value than end
The date on which the observation was recorded
- - start 0..1 Mandatory dateTime Starting time with inclusive boundary
- - end 0..1 Required dateTime End time with inclusive boundary, if not ongoing
- location 0..* 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
Where the observation took place
    Mandatory CareConnect-Location-1 This MUST use the CareConnect Location profile. See Location resource for information on how to populate the resource.
- - - reference 0..1 Required String Literal reference, Relative, internal or absolute URL
A reference to the Location resource included in the observation details list

Mapping for Investigation Results Practitioner

The investigation results has reference(s) to the Practitioner resource. This means that any exchange of the investigation results heading data must also include the Practitioner Details

Mapping for Investigation Results Role

The investigation results has reference(s) to the Practitioner Role resource. This means that any exchange of the investigation results heading data must also include the Practitioner Role Details

Mapping for Investigation Results Location

The investigation results details has reference(s) to the Location resource. This means that any exchange of the investigation results details heading data must also include the Location Details

Example of Investigation Result

Tags: fhir

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