{ "resourceType" : "Observation", "id" : "d7c2bbea-efd6-4b10-8e67-3f4bfc9fad38", "meta" : { "profile" : ["https://metadata.phase2.scip.synanetics.cloud/fhir/r4/StructureDefinition/MODS-SocialCircumstanceObservation"], "tag" : [{ "system" : "https://metadata.phase2.scip.synanetics.cloud/fhir/r4/CodeSystem/MODS-FhirStructureMapCatalog-1", "code" : "https://metadata.phase2.scip.synanetics.cloud/fhir/r4/StructureMap/Observation-SocialCircumstance-SocialCircumstance" }] }, "text" : { "status" : "extensions", "div" : "

Generated Narrative: Observation d7c2bbea-efd6-4b10-8e67-3f4bfc9fad38

Profile: MODS Social Circumstance Observation

Tag: Structure Map for transforming FHIR SocialCircumstance Observation to MODS SocialCircumstance (Details: MODS FHIR Resource Structure Map Catalog code https://metadata.phase2.scip.synanetics.cloud/fhir/r4/StructureMap/Observation-SocialCircumstance-SocialCircumstance = 'Structure Map for transforming FHIR SocialCircumstance Observation to MODS SocialCircumstance')

Extension MODS Participant Care Actor

Extension MODS Participant Care Actor

status: Final

category: Observations

code: Social Circumstance

subject: Saura Swanimathan

effective: 2025-05-04 08:45:00+0100

Components

-CodeValue[x]
*Free-textSaura is a widowed lady who previously lived with her husband prior to his passing several years ago. She reports a stable and settled home life during her working years. Following retirement, Saura remained living independently in her own accommodation, which she managed without formal support for a significant period of time.\r\nSaura describes having a small but meaningful social network, including friends from her nursing career and some contact with neighbours. Family support is limited but present to a degree, with occasional contact reported. She values her independence and has been accustomed to managing her own affairs, including finances, household tasks, and healthcare needs.\r\nSaura is not a carer and does not have any current caring responsibilities. She identifies primarily as someone who has been professionally focused throughout her life, with strong ties to her previous career rather than large social or family networks.\r\nOverall, Saura’s social background reflects a stable, independent lifestyle, with modest social connections and a history of professional engagement within the healthcare sector.
" }, "extension" : [{ "extension" : [{ "url" : "participantRole", "valueCode" : "performer" }, { "url" : "participantReference", "valueReference" : { "reference" : "Practitioner/3f6c2e15-9c4b-45ee-9b57-1d9b2dff6a18", "display" : "Daniel Morgan" } }], "url" : "https://metadata.phase2.scip.synanetics.cloud/fhir/r4/StructureDefinition/Extension-MODS-ParticipantCareActor" }, { "extension" : [{ "url" : "participantRole", "valueCode" : "performer" }, { "url" : "participantReference", "valueReference" : { "reference" : "Practitioner/b7c9b3fa-0b7e-49ab-9c3d-7d4ea5db8a21", "display" : "Sophie Patel" } }], "url" : "https://metadata.phase2.scip.synanetics.cloud/fhir/r4/StructureDefinition/Extension-MODS-ParticipantCareActor" }], "status" : "final", "category" : [{ "coding" : [{ "system" : "https://metadata.phase2.scip.synanetics.cloud/fhir/r4/CodeSystem/MODS-ObservationCategory-1", "code" : "3", "display" : "Observations" }] }], "code" : { "coding" : [{ "system" : "https://metadata.phase2.scip.synanetics.cloud/fhir/r4/CodeSystem/MODS-ObservationCode-1", "code" : "11", "display" : "Social Circumstance" }] }, "subject" : { "reference" : "Patient/5662b4ad-b076-4239-8767-5ad625c9151a", "display" : "Saura Swanimathan" }, "effectiveDateTime" : "2025-05-04T08:45:00+01:00", "component" : [{ "code" : { "coding" : [{ "system" : "https://metadata.phase2.scip.synanetics.cloud/fhir/r4/CodeSystem/MODS-ObservationComponentCode-1", "code" : "text", "display" : "Free-text" }] }, "valueString" : "Saura is a widowed lady who previously lived with her husband prior to his passing several years ago. She reports a stable and settled home life during her working years. Following retirement, Saura remained living independently in her own accommodation, which she managed without formal support for a significant period of time.\r\nSaura describes having a small but meaningful social network, including friends from her nursing career and some contact with neighbours. Family support is limited but present to a degree, with occasional contact reported. She values her independence and has been accustomed to managing her own affairs, including finances, household tasks, and healthcare needs.\r\nSaura is not a carer and does not have any current caring responsibilities. She identifies primarily as someone who has been professionally focused throughout her life, with strong ties to her previous career rather than large social or family networks.\r\nOverall, Saura’s social background reflects a stable, independent lifestyle, with modest social connections and a history of professional engagement within the healthcare sector." }] }