UK Core Clinical and Technical Assurance Sprint 8 Documentation Pack

UK Core Clinical and Technical Assurance Sprint 8 Documentation Pack

Early Warning Scores

Proposed derived profiles for early warning scores: Early Warning Total Score. This will all be derived from UKCore-Observation, and does 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

category

The following values SHALL be used:

  • Observation.category.coding.system = http://terminology.hl7.org/CodeSystem/observation-category
  • Observation.category.coding.code = survey
  • Observation.category.coding.display = Survey

code

The following SHALL be used for this profile:

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.

value[x]

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

  • Observation.valueQuantity.system = http://unitsofmeasure.org
  • Observation.valueQuantity.code = {ScoreOf}

derivedFrom

This element SHOULD be populated with a referenced resources conforming to UKCore-Observation, and these resources should be the observations used to determine the Early warning Score component sub scores.

component

This element SHOULD be used to record the component sub scores used to determine the total score

The following values SHALL be used:

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

component.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 = {ScoreOf}
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