UK Core Clinical and Technical Assurance Sprint 8 Documentation Pack

Please note:

This Documentation Pack for Clinical and Technical Assurance Sprint 8 is for review purposes.
Please follow the guidance on the "Contact Us" page if you need any assistance.

Please note:

This is a 'technical sprint'. The scope of this sprint only includes improvements and fixes. New FHIR assets are out of scope for this sprint.
The menu links for 'Use Cases', 'FHIR Assets' and 'Version Comparison' have been removed in this Documentation Pack.

Clinical Observations

Proposed derived profiles for clinical observations: ACVPU, Alcohol Consumption, Average blood Pressure, Blood Glucose, Inspired Oxygen and Tobacco Consumption. These will all be derived from UKCore-Observation, and do not have a LOINC "magic code".

All these derived profiles will share the following constraints to the UKCore-Observation:

`status`

The following value SHALL be used:

Observation.status = final

`subject`

The cardinality of this element is 1..1, and the resource being referenced SHALL conform to the UKCore-Patient profile.

`effective[x]`

The cardinality of this element is 1..1, and it SHALL be present.

ACVPU

The UKCore-Observation-ACVPU derives from UKCore-Observation, and this section only shows the differences between the two.

`Observation.code.coding`

The following SHALL be used for this profile:

Observation.code.coding.system = http://snomed.info/sct
Observation.code.coding.code = 1104441000000107
Observation.code.coding.display = Alert Confusion Voice Pain Unresponsive scale score

`Observation.value[x]`

A valueCodeableConcept SHALL be present, and the following used for this profile:

Observation.valueCodeableConcept.system = http://snomed.info/sct
Observation.valueCodeableConcept.code = A SNOMED CT concept Id from https://fhir.hl7.org.uk/ValueSet/UKCore-ACVPU
Observation.valueCodeableConcept.display = The “preferred term” associated with the SNOMED CT concept

Alcohol Consumption

The UKCore-Observation-AlcoholConsumption derives from UKCore-Observation, and this section only shows the differences between the two.

`Observation.category`

The following values SHALL be used:

Observation.category.coding.system = http://terminology.hl7.org/CodeSystem/observation-category
Observation.category.coding.code = social-history
Observation.category.coding.display = Social History

`Observation.code.coding`

The following SHALL be used for this profile:

Observation.code.coding.system = http://snomed.info/sct
Observation.code.coding.code = A SNOMED CT concept Id from https://fhir.hl7.org.uk/ValueSet/UKCore-AlcoholConsumption
Observation.code.coding.display = The “preferred term” associated with the SNOMED CT concept

`Observation.value[x]`

A valueQuantity SHALL be present, and the following used for this profile:

Observation.valueQuantity.system = http://unitsofmeasure.org
Observation.valueQuantity.code = {drinks}/d
Observation.valueQuantity.unit = drinks per day

Average Blood Pressure

The UKCore-Observation-AverageBloodPressure derives from UKCore-Observation, and this section only shows the differences between the two.

`Observation.code.coding`

The following SHALL be used for this profile:

Observation.code.coding.system = http://snomed.info/sct
Observation.code.coding.code = A SNOMED CT concept Id from https://fhir.hl7.org.uk/ValueSet/UKCore-BloodPressure-Average
Observation.code.coding.display = The “preferred term” associated with the SNOMED CT concept

`Observation.component:SystolicBP.code.coding`

The following SHALL be used for this profile:

Observation.component.code.coding.system = http://snomed.info/sct
Observation.component.code.coding.code = A SNOMED CT concept Id from https://fhir.hl7.org.uk/ValueSet/UKCore-BloodPressure-AverageSystolic
Observation.component.code.coding.display = The “preferred term” associated with the SNOMED CT concept

`Observation.component:SystolicBP.value[x]`

The following SHALL be a Quantity, and the following used for this profile:

Observation.component.valueQuantity.system = http://unitsofmeasure.org
Observation.component.valueQuantityg.code = mm[Hg]
Observation.component.valueQuantity.unit = millimeter of mercury

`Observation.component:DiastolicBP.code.coding`

The following SHALL be used for this profile:

Observation.component.code.coding.system = http://snomed.info/sct
Observation.component.code.coding.code = A SNOMED CT concept Id from https://fhir.hl7.org.uk/ValueSet/UKCore-BloodPressure-AverageDiastolic
Observation.component.code.coding.display = The “preferred term” associated with the SNOMED CT concept

`Observation.component:DiastolicBP.value[x]`

The following SHALL be a Quantity, and the following used for this profile:

Observation.component.valueQuantity.system = http://unitsofmeasure.org
Observation.component.valueQuantity.code = mm[Hg]
Observation.component.valueQuantity.unit = millimeter of mercury

Blood Glucose

The UKCore-Observation-BloodGlucose derives from UKCore-Observation, and this section only shows the differences between the two.

`Observation.code.coding`

The following SHALL be used for this profile:

Observation.code.coding.system = http://snomed.info/sct
Observation.code.coding.code = A SNOMED CT concept Id from https://fhir.hl7.org.uk/ValueSet/UKCore-BloodGlucose
Observation.code.coding.display = The “preferred term” associated with the SNOMED CT concept

`Observation.value[x]`

A valueQuantity SHALL be present, and the following used for this profile:

Observation.valueQuantity.system = http://unitsofmeasure.org
Observation.valueQuantity.code = mmol/L
Observation.valueQuantity.unit = millimoles per litre

Inspired Oxygen

The UKCore-Observation-InspiredOxygen derives from UKCore-Observation, and this section only shows the differences between the two.

`Observation.code.coding`

The following SHALL be used for this profile:

Observation.code.coding.system = http://snomed.info/sct
Observation.code.coding.code = A SNOMED CT concept Id from https://fhir.hl7.org.uk/ValueSet/UKCore-InspiredOxygen
Observation.code.coding.display = The “preferred term” associated with the SNOMED CT concept

`Observation.value[x]`

A valueQuantity SHOULD be present, and the following used for this profile:

Observation.valueQuantity.system = http://unitsofmeasure.org
Observation.valueQuantity.code = l/min
Observation.valueQuantity.unit = litre per minute

Tobacco Consumption

The UKCore-Observation-TobaccoConsumption derives from UKCore-Observation, and this section only shows the differences between the two.

`Observation.category`

The following values SHALL be used:

Observation.category.coding.system = http://terminology.hl7.org/CodeSystem/observation-category
Observation.category.coding.code = social-history
Observation.category.coding.display = Social History

`Observation.code.coding`

The following SHALL be used for this profile:

Observation.code.coding.system = http://snomed.info/sct
Observation.code.coding.code = A SNOMED CT concept Id from https://fhir.hl7.org.uk/ValueSet/UKCore-TobaccoConsumption
Observation.code.coding.display = The “preferred term” associated with the SNOMED CT concept

`Observation.value[x]`

A valueQuantity SHALL be present, and the following used for this profile:

Observation.valueQuantity.system = http://unitsofmeasure.org
Observation.valueQuantity.code = {#}/d
Observation.valueQuantity.unit = number smoked per day