NEMS Extract FHIR Mapping

Some stuff in here....

Care Connect Observation-1

There are several observation types that provide several different values, they have been separated into their own tables for readability.

Birth Weight

Publisher		DDS Core	CollapseCompass V2
Elements	Description	FHIR	Table	Field
category.coding.system	Fixed value: http://hl7.org/fhir/observation-category	Observation.category.coding.display
category.coding.value	Fixed value: vital-signs	Observation.category.coding.system
category.coding.display	Fixed value: Vital Signs
code	Loinc and SNOMED codes
code.coding.system	Fixed value: http://loinc.org
code.coding.code	Fixed value: 29463-7
code.coding.system	Fixed value: http://snomed.info/sct	Observation.code.coding.system
code.coding.code	Fixed value: 364589006	Observation.code.coding.code	observation	core_concept_id non_core_concept_id
code.coding.display	Fixed value: Birth weight	Observation.code.coding.display Observation.code.text
subject	The birth weight observation will reference the baby patient resource.	Observation.subject	observation	patient_id
valueQuantity	The birth weight of the baby	Observation.valueQuantity	observation	result_value result_value_units

Gestation Age

Publisher		DDS Core	CollapseCompass V2
Elements	Description	FHIR	Table	Field
code.coding.system	Fixed value: http://snomed.info/sct	Observation.code.coding.system
code.coding.code	Fixed value: 412726003	Observation.code.coding.code	observation	core_concept_id non_core_concept_id
code.coding.display	Fixed value: Length of gestation at birth	Observation.code.coding.display Observation.code.text
subject	The gestation age observation will reference the baby patient resource.	Observation.subject	observation	patient_id
valueQuantity	Gestation Age of the baby	Observation.valueQuantity	observation	result_value result_value_units

Stillborn Indicator

Publisher		DDS Core	CollapseCompass V2
Elements	Description	FHIR	Table	Field
code.coding.system	Fixed value: http://snomed.info/sct	Observation.code.coding.system
code.coding.code	Fixed value: 237364002	Observation.code.coding.code	observation	core_concept_id non_core_concept_id
code.coding.display	Fixed value: Stillbirth	Observation.code.coding.display Observation.code.text
subject	The stillborn indicator observation will reference the baby patient resource.	Observation.subject	observation	patient_id
valueCodeableConcept	Observation.valueCodeableConcept SHALL use a code from https://fhir.nhs.uk/STU3/CodeSystem/EMS-PDS-StillBornIndicator-1
valueCodeableConcept.coding.system	Fixed value: https://fhir.nhs.uk/STU3/CodeSystem/EMS-PDS-StillBornIndicator-1
valueCodeableConcept.coding.code	Relevant indicator code

Suspected Congenital Abnormality Indicator

Publisher		DDS Core	CollapseCompass V2
Elements	Description	FHIR	Table	Field
code.coding.system	Fixed value: http://snomed.info/sct	Observation.code.coding.system
code.coding.code	Fixed value: 1097291000000101	Observation.code.coding.code	observation	core_concept_id non_core_concept_id
code.coding.display	Fixed value: Suspected congenital abnormality	Observation.code.coding.display Observation.code.text
subject	This observation will reference the baby patient resource.	Observation.subject	observation	patient_id
valueCodeableConcept	Observation.valueCodeableConcept SHALL use a code from https://fhir.nhs.uk/STU3/CodeSystem/EMS-PDS-SuspectedCongenitalAbnormalityIndicator-1
valueCodeableConcept.coding.system	Fixed value: https://fhir.nhs.uk/STU3/CodeSystem/EMS-PDS-SuspectedCongenitalAbnormalityIndicator-1
valueCodeableConcept.coding.code	Relevant indicator code

Care Connect Related Person-1

The value in the link element of the mother patient is the ID of this resource. Giving us a way to link the baby to the mother.

Publisher		DDS Core	CollapseCompass V2
Elements	Description	FHIR	Table	Field
patient	This element will reference the Patient resource representing the baby.
relationship
relationship.coding
relationship.coding.system	Fixed value: http://hl7.org/fhir/v3/RoleCode
relationship.coding.code	Fixed value: NMTH	patient.contained.parameter.name	patient_additional	property_id
relationship.coding.display	Fixed value: natural mother

Care Connect Patient-1 (Mother)

Publisher		DDS Core	CollapseCompass V2
Elements	Description	FHIR	Table	Field
meta.versionId	This element will contain the serial change number (SCN) of the mothers patient record within Spine at the time this event was published.
identifier	The mothers NHS Number will be included within the nhsNumber identifier slice where the details were included in the birth registration.	patient.identifier.value (mother) patient.contained.parameter.valueReference.reference (baby) Encounter.patient EpisodeOfCare.patient Observation.subject	patient patient_additional encounter episode_of_care observation	nhs_number text_value patient_id patient_id patient_id
name (official)	patient’s name as registered on PDS, included within the resource as the official name element slice	patient.name	patient	first_names last name
birthDate	The mothers birth date as entered in the birth registration	patient.birthDate	patient	date_of_birth
generalPractitioner	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.	patient.careProvider	patient	registered_practice_organization_id
extension(registrationDetails).period.start	Date when the mother was registered with the organization.	episodeOfCare.period.start	episode_of_care	date_registered
extension(registrationDetails).period.end	Date when the mothers registration is scheduled to end if applicable.	episodeOfCare.period.end	episode_of_care	date_registered_end
link	This will reference the RelatedPerson resource representing the relationship between mother and bab

Care Connect Patient-1 (Baby)

Publisher		DDS Core	CollapseCompass V2
Elements	Description	FHIR	Table	Field
meta.versionId	This element will contain the serial change number (SCN) of the babies patient record within Spine at the time this event was published.
identifier	Patient NHS Number SHALL be included within the nhsNumber identifier slice	patient.identifier.value Encounter.patient EpisodeOfCare.patient Observation.subject	patient patient_additional encounter episode_of_care observation	nhs_number id patient_id patient_id patient_id
name (official)	The babys name as registered on PDS, included within the patient resource as the official name element slice	patient.name	patient	first_names last_name
gender	The gender of the baby	patient.gender	patient	gender_concept_id
birthDate	The birth date of the baby shall be included in the patient resource	patient.birthDate observation.effectiveDateTime	patient observation	date_of_birth clinical_effective_date
extension(patient-birthTime)	The delivery time for the birth
deceased	Deceased dateTime of the baby has died	patient.deceasedDate	patient	date_of_death
extension(deathNotificationStatus)	The death notification status if the baby has died
address.line	The address for the baby. Note: the address lines SHALL appear in the resource in order, i.e. Address line 1 first, line 2 second, etc.	patient.address.line	patient_address	address_line_1 address_line_2 address_line_3 address_line_4
address.postalcode	address post code	patient.address.postalCode	patient_address	postcode
multipleBirthInteger	The multiple birth indicator will be an number indicating the position in the order of births
extension(birthPlace)	The address of the place where the baby was born
extension(ethnicCategory)	The ethnicity of the baby	patient.extension.primarycare-ethnic-category-extension	patient	ethnic_code_concept_id

Care Connect Organization-1

Publisher		DDS Core	CollapseCompass V2
Elements	Description	FHIR	Table	Field
meta.versionId	This element will contain the serial change number (SCN) of the babies patient record within Spine at the time this event was published.
identifier	Patient NHS Number SHALL be included within the nhsNumber identifier slice	patient.identifier.value Encounter.patient EpisodeOfCare.patient Observation.subject	patient patient_additional encounter episode_of_care observation	nhs_number id patient_id patient_id patient_id
name (official)	The babys name as registered on PDS, included within the patient resource as the official name element slice	patient.name	patient	first_names last_name
gender	The gender of the baby	patient.gender	patient	gender_concept_id
birthDate	The birth date of the baby shall be included in the patient resource	patient.birthDate observation.effectiveDateTime	patient observation	date_of_birth clinical_effective_date
extension(patient-birthTime)	The delivery time for the birth
deceased	Deceased dateTime of the baby has died	patient.deceasedDate	patient	date_of_death
extension(deathNotificationStatus)	The death notification status if the baby has died
address.line	The address for the baby. Note: the address lines SHALL appear in the resource in order, i.e. Address line 1 first, line 2 second, etc.	patient.address.line	patient_address	address_line_1 address_line_2 address_line_3 address_line_4
address.postalcode	address post code	patient.address.postalCode	patient_address	postcode
multipleBirthInteger	The multiple birth indicator will be an number indicating the position in the order of births
extension(birthPlace)	The address of the place where the baby was born
extension(ethnicCategory)	The ethnicity of the baby	patient.extension.primarycare-ethnic-category-extension	patient	ethnic_code_concept_id