Guidance for populating and consuming investigations data in GP Connect
Introduction
The headings below list the elements of the Observation resource and describe how to populate and consume them.
Important: Any element not specifically listed below
MUST NOT be populated or consumed. A full list of elements not used is available
here.
id
Data type: Id |
Optionality: Mandatory |
Cardinality: 1..1 |
The logical identifier of the observation resource.
Data type: uri |
Optionality: Mandatory |
Cardinality: 1..1 |
The observation profile URL.
Fixed value https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1
identifier
Data type: Identifier |
Optionality: Mandatory |
Cardinality: 1..* |
This is for business identifiers.
This is sliced to include a cross-care setting identifier, which MUST be populated. The system identifier for this is https://fhir.nhs.uk/Id/cross-care-setting-identifier.
This MUST be a GUID.
Providing systems MUST ensure this GUID is globally unique and a persistent identifier (that is, it doesn’t change between requests and therefore is stored with the source data).
Where consuming systems are integrating data from this resource to their local system, they MUST also persist this GUID at the same time.
status
Data type: Code |
Optionality: Mandatory |
Cardinality: 1..1 |
For filing comments this is a set value of ‘unknown’.
code
Data type: CodableConcept |
Optionality: Mandatory |
Cardinality: 1..1 |
Fixed value of 37331000000100 for Comment note.
subject
Data type: Reference(Patient) |
Optionality: Mandatory |
Cardinality: 1..1 |
A reference to the patient who the observation is about.
effective[x]
Data type: dateTime/Period |
Optionality: Required |
Cardinality: 0..1 |
The dateTime when the ‘Test report’ or ‘Test group’ was filed into the patient record.
issued
Data type: instant |
Optionality: Mandatory |
Cardinality: 1..1 |
The date time that the time/comment was recorded in the GP system.
Data type: Reference (Practitioner/Organisation) |
Optionality: Mandatory |
Cardinality: 1..* |
Reference to the resource for the organisation and/or practitioner that filed the ‘Test report’ or ‘Test group’ was filed into the patient record.
value[x]
Data type: Many |
Optionality: Required |
Cardinality: 0..1 |
Where a ‘Test group’ has been filed the value should match the code from the ‘Test group header’ resource.
Data type: string |
Optionality: Required |
Cardinality: 0..* |
Notes added by the GP practice clinician about the ‘Test report’ or ‘Test group’ that has been filed into the patient record.
Data type: BackboneElement |
Optionality: Required |
Cardinality: 0..1 |
Reference to the test group header or test report that the filing comments resource relates to.
This MUST be qualified using the related.type ‘derived-from’.
Elements not in use
The following elements MUST NOT be populated:
basedOn
category
Data type: CodableConcept |
context
| Data type: BackboneElement |
dataAbsentReason
Data type: CodeableConcept |
interpretation
Data type: CodeableConcept |
bodysite
Data type: CodeableConcept |
method
Data type: CodeableConcept |
specimen
referenceRange
Data type: BackboneElement |
device
| Data type: BackboneElement |
component
| Data type: BackboneElement |
