Social Care Interoperability Platform FHIR Implementation Guide
Version: 0.1.0, Status: draft
Social Care Interoperability Platform FHIR Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
Profile: MODS Risk Observation
Tag: Structure Map for transforming FHIR Risk Observation to MODS Risk (Details: MODS FHIR Resource Structure Map Catalog code https://metadata.phase2.scip.synanetics.cloud/fhir/r4/StructureMap/Observation-Risk-Risk = 'Structure Map for transforming FHIR Risk Observation to MODS Risk')
Extension MODS Participant Care Actor
- participantRole: informed
- participantReference: Daniel Morgan
Extension MODS Participant Care Actor
- participantRole: informed
- participantReference: Sophie Patel
status: Final
category: Observations
code: Risk
subject: Saura Swanimathan
effective: 2025-01-01 --> (ongoing)
performer: Emma Wright
component
code: Coded
value: Diabetes
component
code: Free-text
value: Risk of hypoglycaemia or hyperglycaemia related to Type 2 diabetes, changes in routine, and transition to a new care environment.
component
code: Triggers
value: Missed or delayed meals; changes to usual breakfast routine; insulin or oral hypoglycaemic taken without food; infection or acute illness; increased agitation or reduced oral intake; overnight fasting beyond usual pattern.
component
code: Relapse Indicators
value: Early warning signs of low blood glucose: sweating, pallor, shakiness, dizziness, headache, confusion, irritability, drowsiness. Early signs of high blood glucose: increased thirst, frequent urination, fatigue, blurred vision.
component
code: Comment
value: Comfort benefits from predictable routines and is usually woken at 07:30 for breakfast and medications. Offer water regularly, confirm meal and medication timing, and keep a calm environment with familiar cues (e.g., soft gospel music, pink cardigan) to reduce stress. If hypoglycaemia is suspected, follow local protocol (fast‑acting carbohydrate then longer‑acting snack) and escalate per service guidance.