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.

Derived Profiles

Proposed derived profiles for vital signs: Blood Pressure, BMI, Head Circumference, Heart Rate, Height, Oxygen Saturation Respiratory Rate, Temperature, and Weight. These will all be derived from UKCore-Observation-VitalSigns, and SHALL have a LOINC "magic code".

Blood Pressure

The UKCore-Observation-VitalSigns-BloodPressure will further derive from UKCore-Observation-VitalSigns, and this section only shows the differences between the two.

`Observation.code.coding:loinc`

The following SHALL be used for this profile:

Observation.code.coding.system = http://loinc.org
Observation.code.coding.code = 85354-9
Observation.code.coding.display = Blood pressure panel with all children optional

`Observation.code.coding:snomedCT`

The following SHALL be used for this profile:

Observation.code.coding.system = http://snomed.info/sct
Observation.code.coding.code = 75367002
Observation.code.coding.display = Blood pressure

`Observation.value[x]`

This element has a cardinality of 0..0, and SHALL NOT be present.

`Observation.component:SystolicBP.code.coding:loinc`

The following SHALL be used for this profile:

Observation.code.coding.system = http://loinc.org
Observation.code.coding.code = 8480-6
Observation.code.coding.display = Systolic blood pressure

`Observation.component:SystolicBP.code.coding:snomedCT`

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-Systolic
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:loinc`

The following SHALL be used for this profile:

Observation.component.code.coding.system = http://loinc.org
Observation.component.code.coding.code = 8462-4
Observation.component.code.coding.display = Diastolic blood pressure

`Observation.component:DiastolicBP.code.coding:snomedCT`

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-Diastolic
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

BMI

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

`Observation.code.coding:loinc`

The following SHALL be used for this profile:

Observation.code.coding.system = http://loinc.org
Observation.code.coding.code = 39156-5
Observation.code.coding.display = Body mass index (BMI) [Ratio]

`Observation.code.coding:snomedCT`

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-BMI
Observation.code.coding.display = The “preferred term” associated with the SNOMED CT concept

`Observation.value[x]`

For Adult BMI measurements, a valueQuantity SHALL be present, and the following used for this profile:

Observation.valueQuantity.system = http://unitsofmeasure.org
Observation.valueQuantity.code = kg/m2
Observation.valueQuantity.unit = kilogram / (meter ^ 2)

For Child BMI measurements, a valueQuantity SHALL be present, and the following used for this profile:

Observation.valueQuantity.system = http://unitsofmeasure.org
Observation.valueQuantity.code = {percentile}
Observation.valueQuantity.unit = 'Percentile`

Head Circumference

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

`Observation.code.coding:loinc`

The following SHALL be used for this profile:

Observation.code.coding.system = http://loinc.org
Observation.code.coding.code = 9843-4
Observation.code.coding.display = Head Occipital-frontal circumference

`Observation.code.coding:snomedCT`

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-HeadCircumference
Observation.code.coding.display = The “preferred term” associated with the SNOMED CT concept

`Observation.value[x]`

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

Observation.valueQuantity.system = http://unitsofmeasure.org
Observation.valueQuantityg.code = cm
Observation.valueQuantity.unit = centimeter

Heart Rate

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

`Observation.code.coding:loinc`

The following SHALL be used for this profile:

Observation.code.coding.system = http://loinc.org
Observation.code.coding.code = 8867-4
Observation.code.coding.display = Heart rate

`Observation.code.coding:snomedCT`

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-HeartRate
Observation.code.coding.display = The “preferred term” associated with the SNOMED CT concept

`Observation.value[x]`

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

Observation.valueQuantity.system = http://unitsofmeasure.org
Observation.valueQuantity.code = {beats}/min
Observation.valueQuantity.unit = heart beats per minute

Height

he UKCore-Observation-VitalSigns-Height will further derive from UKCore-Observation-VitalSigns, and this section only shows the differences between the two.

`Observation.code.coding:loinc`

The following SHALL be used for this profile:

Observation.code.coding.system = http://loinc.org
Observation.code.coding.code = 8302-2
Observation.code.coding.display = Body height

`Observation.code.coding:snomedCT`

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-LengthMeasurments
Observation.code.coding.display = The “preferred term” associated with the SNOMED CT concept

`Observation.value[x]`

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

Observation.valueQuantity.system = http://unitsofmeasure.org
Observation.valueQuantityg.code = m
Observation.valueQuantity.unit = meter

Oxygen Saturation

he UKCore-Observation-VitalSigns-Height will further derive from UKCore-Observation-VitalSigns, and this section only shows the differences between the two.

`Observation.code.coding:loinc`

The following SHALL be used for this profile:

Observation.code.coding.system = http://loinc.org
Observation.code.coding.code = 2708-6
Observation.code.coding.display = Oxygen saturation in Arterial blood

`Observation.code.coding:snomedCT`

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-OxygenSaturation
Observation.code.coding.display = The “preferred term” associated with the SNOMED CT concept

`Observation.value[x]`

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

Observation.valueQuantity.system = http://unitsofmeasure.org
Observation.valueQuantity.code = %
Observation.valueQuantity.unit = percentage

Respiratory Rate

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

`Observation.code.coding:loinc`

The following SHALL be used for this profile:

Observation.code.coding.system = http://loinc.org
Observation.code.coding.code = 9279-1
Observation.code.coding.display = Respiratory Rate

`Observation.code.coding:snomedCT`

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-RespiratoryRate
Observation.code.coding.display = The “preferred term” associated with the SNOMED CT concept

`Observation.value[x]`

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

Observation.valueQuantity.system = http://unitsofmeasure.org
Observation.valueQuantity.code = {breaths}/min
Observation.valueQuantity.unit = breaths per minute

Temperature

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

`Observation.code.coding:loinc`

The following SHALL be used for this profile:

Observation.code.coding.system = http://loinc.org
Observation.code.coding.code = 8310-5
Observation.code.coding.display = Body temperature

`Observation.code.coding:snomedCT`

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-Temperature
Observation.code.coding.display = The “preferred term” associated with the SNOMED CT concept

`Observation.value[x]`

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

Observation.valueQuantity.system = http://unitsofmeasure.org
Observation.valueQuantity.code = Cel
Observation.valueQuantity.unit = degree Celsius

Weight

The UKCore-Observation-VitalSigns-Weight will further derive from UKCore-Observation-VitalSigns, and this section only shows the differences between the two.

`Observation.code.coding:loinc`

The following SHALL be used for this profile:

Observation.code.coding.system = http://loinc.org
Observation.code.coding.code = 29463-7
Observation.code.coding.display = Body weight

`Observation.code.coding:snomedCT`

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-WeightMeasurments
Observation.code.coding.display = The “preferred term” associated with the SNOMED CT concept

`Observation.value[x]`

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

Observation.valueQuantity.system = http://unitsofmeasure.org
Observation.valueQuantityg.code = kg
Observation.valueQuantity.unit = kilogram