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

: MODS FHIR Risk Observation - XML Representation

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<Observation xmlns="http://hl7.org/fhir">
  <id value="6991ebea-0599-444e-a81a-124a766cf4d7"/>
  <meta>
    <profile
             value="https://metadata.phase2.scip.synanetics.cloud/fhir/r4/StructureDefinition/MODS-RiskObservation"/>
    <tag>
      <system
              value="https://metadata.phase2.scip.synanetics.cloud/fhir/r4/CodeSystem/MODS-FhirStructureMapCatalog-1"/>
      <code
            value="https://metadata.phase2.scip.synanetics.cloud/fhir/r4/StructureMap/Observation-Risk-Risk"/>
    </tag>
  </meta>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Observation 6991ebea-0599-444e-a81a-124a766cf4d7</b></p><a name="6991ebea-0599-444e-a81a-124a766cf4d7"> </a><a name="hc6991ebea-0599-444e-a81a-124a766cf4d7"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-MODS-RiskObservation.html">MODS Risk Observation</a></p><p style="margin-bottom: 0px">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')</p></div><blockquote><p><b>Extension MODS Participant Care Actor</b></p><ul><li>participantRole: informed</li><li>participantReference: <a href="https://simplifier.net/resolve?scope=fhir.r4.ukcore.stu2@2.0.2&amp;canonical=http://fhir.org/packages/fhir.r4.ukcore.stu2/Practitioner/3f6c2e15-9c4b-45ee-9b57-1d9b2dff6a18">Daniel Morgan</a></li></ul></blockquote><blockquote><p><b>Extension MODS Participant Care Actor</b></p><ul><li>participantRole: informed</li><li>participantReference: <a href="https://simplifier.net/resolve?scope=fhir.r4.ukcore.stu2@2.0.2&amp;canonical=http://fhir.org/packages/fhir.r4.ukcore.stu2/Practitioner/b7c9b3fa-0b7e-49ab-9c3d-7d4ea5db8a21">Sophie Patel</a></li></ul></blockquote><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{https://metadata.phase2.synanetics.cloud/fhir/r4/CodeSystem/MODS-ObservationCategory-1 3}">Observations</span></p><p><b>code</b>: <span title="Codes:{https://metadata.phase2.synanetics.cloud/fhir/r4/CodeSystem/MODS-ObservationCode-1 6}">Risk</span></p><p><b>subject</b>: <a href="https://simplifier.net/resolve?scope=fhir.r4.ukcore.stu2@2.0.2&amp;canonical=http://fhir.org/packages/fhir.r4.ukcore.stu2/Patient/5662b4ad-b076-4239-8767-5ad625c9151a">Saura Swanimathan</a></p><p><b>effective</b>: 2025-01-01 --&gt; (ongoing)</p><p><b>performer</b>: <a href="https://simplifier.net/resolve?scope=fhir.r4.ukcore.stu2@2.0.2&amp;canonical=http://fhir.org/packages/fhir.r4.ukcore.stu2/Practitioner/800b48d8-5cd0-4f29-beaa-d34302efd8b5">Emma Wright</a></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{https://metadata.phase2.scip.synanetics.cloud/fhir/r4/CodeSystem/MODS-ObservationComponentCode-1 coded}">Coded</span></p><p><b>value</b>: <span title="Codes:{https://metadata.phase2.scip.synanetics.cloud/fhir/r4/CodeSystem/MODS-RiskCategory-1 Diabetes}">Diabetes</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{https://metadata.phase2.scip.synanetics.cloud/fhir/r4/CodeSystem/MODS-ObservationComponentCode-1 text}">Free-text</span></p><p><b>value</b>: Risk of hypoglycaemia or hyperglycaemia related to Type 2 diabetes, changes in routine, and transition to a new care environment.</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{https://metadata.phase2.scip.synanetics.cloud/fhir/r4/CodeSystem/MODS-RiskComponentCode-1 triggers}">Triggers</span></p><p><b>value</b>: 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.</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{https://metadata.phase2.scip.synanetics.cloud/fhir/r4/CodeSystem/MODS-RiskComponentCode-1 relapse-indicators}">Relapse Indicators</span></p><p><b>value</b>: 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.</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{https://metadata.phase2.scip.synanetics.cloud/fhir/r4/CodeSystem/MODS-RiskComponentCode-1 comment}">Comment</span></p><p><b>value</b>: 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.</p></blockquote></div>
  </text>
  <extension
             url="https://metadata.phase2.scip.synanetics.cloud/fhir/r4/StructureDefinition/Extension-MODS-ParticipantCareActor">
    <extension url="participantRole">
      <valueCode value="informed"/>
    </extension>
    <extension url="participantReference">
      <valueReference>
        <reference value="Practitioner/3f6c2e15-9c4b-45ee-9b57-1d9b2dff6a18"/>
        <display value="Daniel Morgan"/>
      </valueReference>
    </extension>
  </extension>
  <extension
             url="https://metadata.phase2.scip.synanetics.cloud/fhir/r4/StructureDefinition/Extension-MODS-ParticipantCareActor">
    <extension url="participantRole">
      <valueCode value="informed"/>
    </extension>
    <extension url="participantReference">
      <valueReference>
        <reference value="Practitioner/b7c9b3fa-0b7e-49ab-9c3d-7d4ea5db8a21"/>
        <display value="Sophie Patel"/>
      </valueReference>
    </extension>
  </extension>
  <status value="final"/>
  <category>
    <coding>
      <system
              value="https://metadata.phase2.synanetics.cloud/fhir/r4/CodeSystem/MODS-ObservationCategory-1"/>
      <code value="3"/>
      <display value="Observations"/>
    </coding>
  </category>
  <code>
    <coding>
      <system
              value="https://metadata.phase2.synanetics.cloud/fhir/r4/CodeSystem/MODS-ObservationCode-1"/>
      <code value="6"/>
      <display value="Risk"/>
    </coding>
  </code>
  <subject>
    <reference value="Patient/5662b4ad-b076-4239-8767-5ad625c9151a"/>
    <display value="Saura Swanimathan"/>
  </subject>
  <effectivePeriod>
    <start value="2025-01-01"/>
  </effectivePeriod>
  <performer>
    <reference value="Practitioner/800b48d8-5cd0-4f29-beaa-d34302efd8b5"/>
    <display value="Emma Wright"/>
  </performer>
  <component>
    <code>
      <coding>
        <system
                value="https://metadata.phase2.scip.synanetics.cloud/fhir/r4/CodeSystem/MODS-ObservationComponentCode-1"/>
        <code value="coded"/>
        <display value="Coded"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system
                value="https://metadata.phase2.scip.synanetics.cloud/fhir/r4/CodeSystem/MODS-RiskCategory-1"/>
        <code value="Diabetes"/>
        <display value="Diabetes"/>
      </coding>
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <coding>
        <system
                value="https://metadata.phase2.scip.synanetics.cloud/fhir/r4/CodeSystem/MODS-ObservationComponentCode-1"/>
        <code value="text"/>
        <display value="Free-text"/>
      </coding>
    </code>
    <valueString
                 value="Risk of hypoglycaemia or hyperglycaemia related to Type 2 diabetes, changes in routine, and transition to a new care environment."/>
  </component>
  <component>
    <code>
      <coding>
        <system
                value="https://metadata.phase2.scip.synanetics.cloud/fhir/r4/CodeSystem/MODS-RiskComponentCode-1"/>
        <code value="triggers"/>
        <display value="Triggers"/>
      </coding>
    </code>
    <valueString
                 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>
  <component>
    <code>
      <coding>
        <system
                value="https://metadata.phase2.scip.synanetics.cloud/fhir/r4/CodeSystem/MODS-RiskComponentCode-1"/>
        <code value="relapse-indicators"/>
        <display value="Relapse Indicators"/>
      </coding>
    </code>
    <valueString
                 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>
  <component>
    <code>
      <coding>
        <system
                value="https://metadata.phase2.scip.synanetics.cloud/fhir/r4/CodeSystem/MODS-RiskComponentCode-1"/>
        <code value="comment"/>
        <display value="Comment"/>
      </coding>
    </code>
    <valueString
                 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."/>
  </component>
</Observation>