Summary Care Record FHIR API (Release Candidate 1.3.2)

Finding Coded Entry

The Finding CMET covers 1240581000000104 | SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) RNA (ribonucleic acid) detection result positive.

The Finding CMET covers Observations for Blood Pressure, Weight, Height, Temerature, FindingOrganizer as well a general Finding class. As the COVID entry will only appear under the general Finding class, its is just this that class that is documented here.

The Finding class has an option to apply a ReferenceValue (a reference range). As the COVID entry is a statement, the reference range is not relevant, so is not documented here.

Finding is mapped to the FHIR Observation resource

Finding

	Mapping
Item	@classCode
HL7v3	UKCT_MT144043UK02.Finding@classCode
FHIR	no mapping
Notes	HL7v3: Fixed to "OBS" FHIR: no mapping

Item	@moodCode
HL7v3	UKCT_MT144043UK02.Finding@moodCode
FHIR	no mapping
Notes	Hl7v3: Fixed to "EVN" FHIR: no mapping

Item	id@root
HL7v3	UKCT_MT144043UK02.Finding.id@root
FHIR	Observation\identifier\value@value
Notes	HL7v3: a UUID

Item	code@code
HL7v3	UKCT_MT144043UK01.Finding\code@code
FHIR	Observation\code\coding\code@value
Notes	The only use case documented to to carry 1240581000000104 \| SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) RNA (ribonucleic acid) detection result positive

Item	code@codeSystem
HL7v3	UKCT_MT144043UK02.Finding\code@codeSystem
FHIR	Observation\code\coding\system@value
Notes	HL7v3: fixed to "2.16.840.1.113883.2.1.3.2.4.15" FHIR: fixed to "http://snomed.info/sct"

Item	code@displayName
HL7v3	UKCT_MT144043UK02.Finding\code\displayName
FHIR	Observation\code\coding\display@value
Notes	see item code@code above

Item	statusCode.code@value
HL7v3	UKCT_MT144043UK02.Finding.statusCode.code@value
FHIR	Observation\status\code@value
Notes	FHIR normal->final nullified->entered-in-error active->final completed->final Note that this cannot be round-tripped & may be clinically unsafe

Item	effectiveTime@value
HL7v3	UKCT_MT144043UK02.Finding.effectiveTime@value
FHIR	Observation\effective[x] - see Notes
Notes	Hl7v3: A date range shall be carried as follows: If both a start date and an end date are present the Date or Time Interval Complete datatype shall be used: The low attribute shall contain the start date The high attribute shall contain the end date. If only a start date is present the Date or Time Interval After datatype shall be used: The low attribute shall contain the start date. If only an end date is present the Date or Time Interval Before datatype shall be used: The high attribute shall contain the end date. The center attribute may be used if the exact start / end time is not known The center attribute shall contain a time stamp. FHIR:When mapping low or high, use effectivePeriod (low=start; high=end), when mapping centre then map to effectiveDateTime@value

Item	value
HL7v3	UKCT_MT144043UK02.Finding.value
FHIR	Observation\status\value[x]
Notes	FHIR:this is information in support of the coded value, using an appropriate data type from value[x]

HL7v3 example

<UKCT_MT144043UK02.Finding classCode="OBS" moodCode="EVN">
	<id root="0F582D92-8F89-11EA-8B2D-B741F13EFC47"/>
	<code code="1240581000000104" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) RNA (ribonucleic acid) detection result positive">
	</code>
	<statusCode code="completed"/>
	<effectiveTime>
		<low value="20200506104819"/>
	</effectiveTime>
</UKCT_MT144043UK02.Finding>

FHIR example

<Observation>
    <meta>
        <profile value="https://fhir.nhs.uk/StructureDefinition/UKCore-Observation" />
    </meta>    
	<identifier>
		<value value="0F582D92-8F89-11EA-8B2D-B741F13EFC47"/>
	</identifier>
	<status value="final"/>
	<code>
		<coding>
			<code value="1240581000000104"/>
			<display value="SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) RNA (ribonucleic acid) detection result positive"/>
			<system value="http://snomed.info/sct"/>
		</coding>
	</code>
	<effectivePeriod>
		<start value="2020-05-06T10:48:19+00:00"/>
	</effectivePeriod>
</Observation>

For an <effectiveTime><centre> mapping use Observation.effectiveDateTime

<Observation>
    <meta>
        <profile value="https://fhir.nhs.uk/StructureDefinition/UKCore-Observation" />
    </meta>    
	<identifier>
		<value value="0F582D92-8F89-11EA-8B2D-B741F13EFC47"/>
	</identifier>
	<status value="final"/>
	<code>
		<coding>
			<code value="1240581000000104"/>
			<display value="SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) RNA (ribonucleic acid) detection result positive"/>
			<system value="http://snomed.info/sct"/>
		</coding>
	</code>
	<effectiveDateTime value="2020-05-06T10:48:19+00:00"/>
</Observation>

**The relevant paticipants for Finding are author, informant and performer. For details on how to populate participants link classes see the ParticipantCodedEntry page. For the Role details see