| Name |
Details [‑] |
|
 test
prsb03-dataelement-10684
|
|
|
|
|
  Patient demographics
prsb03-dataelement-116
|
|
|
|
|
| Patient name
prsb03-dataelement-10016
|
|
|
| Id |
prsb03-dataelement-10016 (2018‑10‑31)
|
| Description |
The full name of the person. |
|
|
| Operationalization |
The legal name of the patient from the Patient Demographics Service (PDS), or the
name volunteered by the patient.
|
| Value Domain |
|
|
|
| Patient preferred name
prsb03-dataelement-10017
|
|
|
| Id |
prsb03-dataelement-10017 (2018‑10‑31)
|
| Description |
The name by which a patient wishes to be addressed. |
|
|
| Operationalization |
The preferred name volunteered by the patient and recorded on the Patient Administration
System (PAS), or a preferred name given by PDS that the patient has asked to be called
by.
|
| Value Domain |
|
|
|
| Date of birth
prsb03-dataelement-10018
|
|
|
| Id |
prsb03-dataelement-10018 (2018‑10‑31)
|
| Description |
The date of birth of the patient. |
|
|
| Operationalization |
The date of birth of the patient taken from PDS, or the date of birth volunteered
by the patient (as recorded on the PAS (Patient Administration System). The date of
birth will be as precise as possible, but should at least contain a year
|
| Value Domain |
|
|
|
| Gender
prsb03-dataelement-10019
|
|
|
| Id |
prsb03-dataelement-10019 (2018‑10‑31)
|
| Description |
The person's stated gender.
|
|
|
| Operationalization |
PERSON STATED GENDER CODE is self-declared or inferred by observation for those unable
to declare their PERSON STATED GENDER.1 Male2 Female9 Indeterminate (unable to be
classified as either male or female)X not known (not recorded)
or
Sent as per the ECDS Person Stated Gender code set:
1 Male
2 Female
9 Indeterminate
X Unknown
|
| Value Domain |
|
|
|
| Person alias
prsb03-dataelement-10020
|
|
|
| Id |
prsb03-dataelement-10020 (2018‑10‑31)
|
| Description |
Record details where a person is known to use assumed identities to access health
and care services.
|
| Operationalization |
Other name(s) associated with the person which may be recorded on the local PAS. |
| Value Domain |
|
|
|
| Ethnicity
prsb03-dataelement-10021
|
|
|
| Id |
prsb03-dataelement-10021 (2018‑10‑31)
|
| Description |
The ethnicity of a person as specified by the person. |
| Operationalization |
The ethnic cateogory codes defined in the 2001 national census or the Office for National
Statistics (ONS) ethnic category codes should be used.
|
| Value Domain |
|
|
|
| Religion
prsb03-dataelement-10022
|
|
|
| Id |
prsb03-dataelement-10022 (2018‑10‑31)
|
| Description |
The religious affiliation as specified by the person. |
| Operationalization |
The religious affiliation as volunteered by the person. Use SNOMED CT subset 10791000000130
or free text.
|
| Value Domain |
|
 Used by
|
0 transactions, 0 templates, inherited once |
| |
This concept is inherited by concept
Religion in dataset prsb03-dataelement-10875
|
|
|
| Religion
prsb03-dataelement-10875
|
|
|
| Id |
prsb03-dataelement-10875 (2019‑03‑27 19:12:11)
|
| Concept inherits from |
prsb03-dataelement-10022 (2018‑10‑31)
|
| Description |
The religious affiliation as specified by the person. |
| Operationalization |
The religious affiliation as volunteered by the person. Use SNOMED CT subset 10791000000130
or free text.
|
| Value Domain |
|
|
|
| Sex
prsb03-dataelement-10023
|
|
|
| Id |
prsb03-dataelement-10023 (2018‑10‑31)
|
| Description |
The person’s phenotypic sex. Determines how the person will be treated clinically. |
| Operationalization |
Sent as per the NHS Data Dictionary: person phenotypic sex classification |
| Value Domain |
|
|
|
| NHS number
prsb03-dataelement-10024
|
|
|
| Id |
prsb03-dataelement-10024 (2018‑10‑31)
|
| Description |
The unique identifier for a patient within the NHS in England and Wales. |
| FHIR |
Patient.identifier.nhsnumber |
|
| Operationalization |
Sent as per the NHS Data Dictionary NHS number. Traced and verified NHS Numbers only
should be used i.e. NHS
number status indicator code:
value 01. If there is no NHS number then this data item should be reported as null
and other unique identifiers will need to flow.
|
| Value Domain |
|
|
|
| Other identifier
prsb03-dataelement-10025
|
|
|
| Id |
prsb03-dataelement-10025 (2018‑10‑31)
|
| Description |
Country specific or local identifier, e.g., Community Health Index (CHI) in Scotland. |
| Operationalization |
Recorded as per NHS Data Dictionary: - Local patient identifier, -Local patient identified
(extended), -Health and Care number, -Community Health Index number
|
| Value Domain |
|
|
|
| Patient address
prsb03-dataelement-10026
|
|
|
| Id |
prsb03-dataelement-10026 (2018‑10‑31)
|
| Description |
Patient’s usual place of residence. |
|
|
| Operationalization |
Sent in accordance with the NHS Data Dictionary: patient usual address. May be auto
generated from PDS, GP referral record, or from the local PAS.
|
| Value Domain |
|
|
|
| Patient email address
prsb03-dataelement-10027
|
|
|
| Id |
prsb03-dataelement-10027 (2018‑10‑31)
|
| Description |
Email address of the patient |
|
|
| Operationalization |
Set in accordance with the NHS Data Dictionary: contact email address (patient or
lead contact). May be auto generated from PDS, GP referral record, or from the local
PAS.
|
| Value Domain |
|
|
|
| Patient telephone number
prsb03-dataelement-10028
|
|
|
| Id |
prsb03-dataelement-10028 (2018‑10‑31)
|
| Description |
Telephone contact details of the patient. To include, e.g., mobile, work and home
number if available.
|
|
|
| Operationalization |
Contact details may come from PDS, or those recorded on the local PAS. Both the actual
contact number and its use (work number, home number, mobile number etc).
|
| Value Domain |
|
|
|
| Relevant contacts
prsb03-dataelement-10029
|
|
|
| Id |
prsb03-dataelement-10029 (2018‑10‑31)
|
| Description |
Include the most important contacts including:
* Personal contacts e.g., next of kin, in case of emergency contact, lasting power
of attorney, dependents, informal carers etc.
* Health/care professional contacts e.g., social worker, hospital clinician, care
coordinator, key worker, Independent Mental Capacity Advocate (IMCA) etc.
Name, relationship, role (if formal role), contact details and availability, e.g.
out of hours.
|
|
|
| Operationalization |
Details of relevant contacts, such as carers or family members, as recorded on the
local system, or volunteered by the patient. This will be a free text list of relevant
contacts.
|
| Value Domain |
|
| Used by
|
0 transactions, 0 templates, inherited once |
| |
This concept is inherited by concept
Relevant contacts in dataset prsb03-dataelement-10773
|
|
|
| Communication preferences
prsb03-dataelement-10030
|
|
|
| Id |
prsb03-dataelement-10030 (2018‑10‑31)
|
| Description |
Preferred contact method, e.g., sign language, letter, phone, etc. Also preferred
written communication format, e.g., large print, braille.
|
| Operationalization |
Derived from the PDS - communication preferences |
| Value Domain |
|
|
|
| Place of birth
prsb03-dataelement-10031
|
|
|
|
|
| Marital status
prsb03-dataelement-10032
|
|
|
| Id |
prsb03-dataelement-10032 (2018‑10‑31)
|
| Description |
An indicator to identify the legal marital status of the patient |
| Value Domain |
|
|
|
| Date of death
prsb03-dataelement-10033
|
|
|
|
|
| Time of death
prsb03-dataelement-10034
|
|
|
|
|
| Educational establishment
prsb03-dataelement-10035
|
|
|
| Id |
prsb03-dataelement-10035 (2018‑10‑31)
|
| Description |
If the person is a child, name and address of where the child attends, eg play group,
nursery, school.
|
| Operationalization |
Free text or ODS code where available. |
| Value Domain |
|
| Used by
|
0 transactions, 0 templates, inherited once |
| |
|
|
|
| Person demographics
prsb03-dataelement-10868
|
|
|
| Id |
prsb03-dataelement-10868 (2019‑03‑27 19:02:25)
|
| Description |
The person's details and contact information. |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person name
prsb03-dataelement-10869
|
|
|
| Id |
prsb03-dataelement-10869 (2019‑03‑27 19:05:18)
|
| Description |
The full name of the person. |
|
|
| Relationship |
|
| Operationalization |
The legal name of the person from the Personal Demographics Service (PDS), or the
name volunteered by the person
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person preferred name
prsb03-dataelement-10870
|
|
|
| Id |
prsb03-dataelement-10870 (2019‑03‑27 19:06:43)
|
| Description |
The name by which a person wishes to be addressed. |
|
|
| Relationship |
|
| Operationalization |
The preferred name volunteered by the person or a preferred name given by PDS that
the person has asked to be called by.
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date of birth
prsb03-dataelement-10871
|
|
|
| Id |
prsb03-dataelement-10871 (2019‑03‑27 19:08:01)
|
| Description |
The date of birth of the person. |
|
|
| Relationship |
|
| Operationalization |
The date of birth of the person taken from PDS, or the date of birth volunteered by
the person. The date of birth will be as precise as possible, but should at least
contain a year
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Gender
prsb03-dataelement-10872
|
|
|
| Id |
prsb03-dataelement-10872 (2019‑03‑27 19:08:52)
|
| Description |
The person's stated gender. |
|
|
| Relationship |
|
| Operationalization |
PERSON STATED GENDER CODE is self-declared or inferred by observation for those unable
to declare their PERSON STATED GENDER.1 Male2 Female9 Indeterminate (unable to be
classified as either male or female)X not known (not recorded).
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person alias
prsb03-dataelement-10873
|
|
|
| Id |
prsb03-dataelement-10873 (2019‑03‑27 19:10:48)
|
| Description |
Other name(s) associated with the person. |
| Relationship |
|
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Ethnicity
prsb03-dataelement-10874
|
|
|
| Id |
prsb03-dataelement-10874 (2019‑03‑27 19:11:37)
|
| Description |
The ethnicity of the person as specified by the person. |
| Relationship |
|
| Operationalization |
NHS data dictionary ethnic category codes
http://www.datadictionary.nhs.uk/data_dictionary/attributes/e/end/ethnic_category_code_de.asp?shownav=1?query=%22ethnicity%22&rank=25&shownav=1.
Or equivalent as used in other nations.
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Religion
prsb03-dataelement-10876
|
|
|
| Id |
prsb03-dataelement-10876 (2019‑03‑27 19:15:05)
|
| Description |
The religious affiliation as specified by the person. |
| Relationship |
|
| Operationalization |
Use SNOMED CT subset 10791000000130 or free text.
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Sex
prsb03-dataelement-10877
|
|
|
|
|
| NHS number
prsb03-dataelement-10879
|
|
|
| Id |
prsb03-dataelement-10879 (2019‑03‑27 19:16:57)
|
| Description |
The unique identifier for a person within the NHS in England and Wales. |
| FHIR |
Patient.identifier.nhsnumber |
|
| Relationship |
|
| Operationalization |
Use as per the NHS Data Dictionary NHS number.
Traced and verified NHS numbers only should be used i.e. NHS number status indicator
code: value 01.
If there is no NHS number then this data item should be reported as null and other
unique identifiers will need to flow.
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Other identifier
prsb03-dataelement-10880
|
|
|
| Id |
prsb03-dataelement-10880 (2019‑03‑27 19:18:59)
|
| Description |
Country specific or local identifier, e.g. Community Health Index (CHI) in Scotland. |
| Relationship |
|
| Operationalization |
Recorded as per NHS Data Dictionary: - Local patient identifier, -Local patient identified
(extended), -Health and Care number, -Community Health Index number
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person's address
prsb03-dataelement-10881
|
|
|
| Id |
prsb03-dataelement-10881 (2019‑03‑27 19:19:27)
|
| Description |
Person’s usual place of residence, and where relevant temporary and correspondence
addresses.
|
|
|
| Relationship |
|
| Operationalization |
As defined per NHS Data dictionary definition of address.
Should include the type of address.
May be auto generated from PDS.
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person's email address
prsb03-dataelement-10882
|
|
|
| Id |
prsb03-dataelement-10882 (2019‑03‑27 19:20:19)
|
| Description |
Email address of the person |
|
|
| Relationship |
|
| Operationalization |
Set in accordance with the NHS Data Dictionary: contact email address (patient or
lead contact). May be auto generated from PDS.
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person's telephone number
prsb03-dataelement-10883
|
|
|
| Id |
prsb03-dataelement-10883 (2019‑03‑27 19:22:39)
|
| Description |
Telephone contact details of the person. To include, e.g. mobile, work and home number
if available.
|
|
|
| Relationship |
|
| Operationalization |
Contact details may come from PDS. Both the actual contact number and its use (work
number, home number, mobile number etc.).
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Communication preferences
prsb03-dataelement-10886
|
|
|
| Id |
prsb03-dataelement-10886 (2019‑03‑27 19:29:17)
|
| Description |
Preferred contact method, e.g. sign language, letter, phone, etc.
Also preferred written communication format, e.g. large print, braille.
|
| Relationship |
|
| Operationalization |
Derived from the PDS - communication preferences |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Place of birth
prsb03-dataelement-10884
|
|
|
| Id |
prsb03-dataelement-10884 (2019‑03‑27 19:25:07)
|
| Description |
The town and country of birth of the person. |
| Relationship |
|
| Operationalization |
Derived from PDS |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Marital status
prsb03-dataelement-10885
|
|
|
| Id |
prsb03-dataelement-10885 (2019‑03‑27 19:25:57)
|
| Description |
An indicator to identify the legal marital status of the person. |
| Relationship |
|
| Operationalization |
https://www.datadictionary.nhs.uk/data_dictionary/attributes/p/person/person_marital_status_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Overseas visitor status
prsb03-dataelement-10908
|
|
|
|
|
| Accommodation status
prsb03-dataelement-10909
|
|
|
| Id |
prsb03-dataelement-10909 (2019‑04‑02 13:25:31)
|
| Description |
An indication of the type of accommodation where the person lives. This should be
based on the main or temporary residence.
|
| Relationship |
|
| Operationalization |
Free text |
| Value Domain |
|
|
|
| Accommodation status
prsb03-dataelement-12473
|
|
|
|
|
| Relevant contacts
prsb03-dataelement-10910
|
|
|
| Id |
prsb03-dataelement-10910 (2019‑04‑02 13:27:59)
|
| Description |
Include the most important contacts including:
* Personal contacts e.g., next of kin, in case of emergency contact, lasting power
of attorney, dependents, informal carers etc.
* Health/care professional contacts e.g., social worker, hospital clinician, care
coordinator, key worker, Independent Mental Capacity Advocate (IMCA) etc.
Name, relationship, role (if formal role), contact details and availability, e.g.
out of hours.
|
|
|
| Relationship |
|
| Operationalization |
Details of relevant contacts, such as carers or family members, as recorded on the
local system, or volunteered by the person. This will be a free text list of relevant
contacts.
|
| Value Domain |
|
|
|
| Educational establishment
prsb03-dataelement-10911
|
|
|
| Id |
prsb03-dataelement-10911 (2019‑04‑02 13:30:05)
|
| Concept inherits from |
prsb03-dataelement-10035 (2018‑10‑31)
|
| Description |
If the person is a child, name and address of where the child attends, eg play group,
nursery, school.
|
| Operationalization |
Free text or ODS code where available. |
| Value Domain |
|
|
|
| NHS Number
prsb03-dataelement-10878
|
|
|
|
|
| GP practice
prsb03-dataelement-101
|
|
|
| Id |
prsb03-dataelement-101 (2018‑10‑31)
|
| Description |
Details of the person's GP practice. |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| GP practice record entry
prsb03-dataelement-10643
|
|
|
| Id |
prsb03-dataelement-10643 (2018‑11‑09 14:59:24)
|
| Description |
This is an GP practice record entry. There may be 0 to many record entries under a
section. Each record entry is made up of a number of elements or data items
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| GP name
prsb03-dataelement-10003
|
|
|
| Id |
prsb03-dataelement-10003 (2018‑10‑31)
|
| Description |
The name of the person's GP. |
| FHIR |
Practitioner.name, where PractitionerRole.code=GP |
|
| Operationalization |
Free text.
If the person is registered with a GP practice, their usual GP name will be something
volunteered by the person or their representative.
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| GP practice details
prsb03-dataelement-10002
|
|
|
| Id |
prsb03-dataelement-10002 (2018‑10‑31)
|
| Description |
Name and address of the person's registered GP practice. |
| FHIR |
PractitionerRole.organisation.Name (0..1) PractitionerRole.organisation.telcom (0..*)
PractitionerRole.organisation.Address (0..*)
|
|
| Operationalization |
Registered GP practice details are available from the Patient Demographics Service
(PDS), or volunteered from the person or their representative.
Include details of the practice name and address.
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| GP practice identifier
prsb03-dataelement-10001
|
|
|
| Id |
prsb03-dataelement-10001 (2018‑10‑31)
|
| Description |
The identifier of the registered GP practice. |
| FHIR |
Sliced into ODS and local identifier. PratitionerRole.organisation.identifier |
|
| Operationalization |
This should be the Organisation Data Services (ODS) identifier for the practice.
This includes codes to use where there is no registered GP practice.
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| GP opt out indicator
prsb03-dataelement-10004
|
|
|
| Id |
prsb03-dataelement-10004 (2018‑10‑31)
|
| Description |
Indication that the person has opted out of registering with a GP. |
| Operationalization |
SNOMED CT or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Alerts
prsb03-dataelement-10741
|
|
|
| Id |
prsb03-dataelement-10741 (2019‑03‑06 17:55:12)
|
| Description |
Details of alerts. |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Alerts record entry
prsb03-dataelement-10916
|
|
|
| Id |
prsb03-dataelement-10916 (2019‑04‑09 12:53:12)
|
| Description |
This is an alerts record entry. There may be 0 to many record entries under a section.
Each record entry is made up of a number of elements or data items
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date
prsb03-dataelement-10755
|
|
|
| Id |
prsb03-dataelement-10755 (2019‑03‑07 18:40:35)
|
| Description |
The date the alert was recorded. |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year |
|
|
|
| Location of alert
prsb03-dataelement-10756
|
|
|
| Id |
prsb03-dataelement-10756 (2019‑03‑07 18:40:55)
|
| Description |
The organisation raising the alert. |
| Operationalization |
ODS code or free text |
| Value Domain |
|
|
|
| Performing professional
prsb03-dataelement-10758
|
|
|
| Id |
prsb03-dataelement-10758 (2019‑03‑08 12:59:18)
|
| Description |
The professional raising the alert. |
| Operationalization |
Free text |
| Value Domain |
|
|
|
| Alert
prsb03-dataelement-10742
|
|
|
| Id |
prsb03-dataelement-10742 (2019‑03‑06 18:10:58)
|
| Description |
Any significant information meriting a specific and highly visible warning to any
user (e.g. metallic implant, potential dangerous pet).
|
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person completing record
prsb03-dataelement-12399
|
|
|
| Id |
prsb03-dataelement-12399 (2019‑06‑05 13:09:30)
|
| Concept inherits from |
prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
|
| Description |
Details of the person completing the record. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-12400
|
|
|
| Id |
prsb03-dataelement-12400 (2019‑06‑05 13:10:34)
|
| Concept inherits from |
prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
|
| Description |
The name of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisational role
prsb03-dataelement-12401
|
|
|
| Id |
prsb03-dataelement-12401 (2019‑06‑05 13:10:34)
|
| Concept inherits from |
prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
|
| Description |
The organisational role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Relationship |
|
| Operationalization |
NHS Data dictionary or free text.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-12402
|
|
|
| Id |
prsb03-dataelement-12402 (2019‑06‑05 13:10:34)
|
| Concept inherits from |
prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
|
| Description |
The grade of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Specialty
prsb03-dataelement-12403
|
|
|
|
|
| Organisation
prsb03-dataelement-12404
|
|
|
| Id |
prsb03-dataelement-12404 (2019‑06‑05 13:10:34)
|
| Concept inherits from |
prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
|
| Description |
The organisation the person completing the record works for. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-12405
|
|
|
| Id |
prsb03-dataelement-12405 (2019‑06‑05 13:10:34)
|
| Concept inherits from |
prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date completed
prsb03-dataelement-12406
|
|
|
| Id |
prsb03-dataelement-12406 (2019‑06‑05 13:10:34)
|
| Concept inherits from |
prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
|
| Description |
The date and time the record was completed. |
| Relationship |
|
| Operationalization |
Date and time. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-12407
|
|
|
| Id |
prsb03-dataelement-12407 (2019‑06‑05 13:10:34)
|
| Concept inherits from |
prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
|
| Description |
Contact details of the person completing the record (e.g. telephone number, email
address etc.).
|
| FHIR |
PractitionerRole.telecom |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Legal information
prsb03-dataelement-520
|
|
|
| Id |
prsb03-dataelement-520 (2018‑10‑31)
|
| Description |
The legal information relating to the person. |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Consent for information sharing
prsb03-dataelement-10421
|
|
|
| Id |
prsb03-dataelement-10421 (2018‑10‑31)
|
| Description |
This is a record of consent for information sharing under the common law duty of confidentiality.
Where consent has not been obtained or sought, the reason why should be provided.
Include best interests decision where person lacks capacity.
This is a placeholder until the national guidance is published.
|
| Operationalization |
Free text.
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date
prsb03-dataelement-11713
|
|
|
| Id |
prsb03-dataelement-11713 (2019‑05‑31 13:15:18)
|
| Description |
The date when ... |
| Relationship |
|
| Operationalization |
Date and time |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Location
prsb03-dataelement-11714
|
|
|
| Id |
prsb03-dataelement-11714 (2019‑05‑31 13:15:54)
|
| Description |
The location where the ... |
| Relationship |
|
| Operationalization |
ODS code or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Performing professional
prsb03-dataelement-11715
|
|
|
| Id |
prsb03-dataelement-11715 (2019‑05‑31 13:16:35)
|
| Description |
The professional who ... |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-11716
|
|
|
| Id |
prsb03-dataelement-11716 (2019‑05‑31 13:17:18)
|
| Concept inherits from |
prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
|
| Description |
The name of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Role
prsb03-dataelement-11717
|
|
|
| Id |
prsb03-dataelement-11717 (2019‑05‑31 13:17:18)
|
| Concept inherits from |
prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
|
| Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
| Operationalization |
NHS Data dictionary or free text
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-11718
|
|
|
| Id |
prsb03-dataelement-11718 (2019‑05‑31 13:17:18)
|
| Concept inherits from |
prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
|
| Description |
The grade of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Speciality
prsb03-dataelement-11719
|
|
|
| Id |
prsb03-dataelement-11719 (2019‑05‑31 13:17:18)
|
| Concept inherits from |
prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
|
| Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-11720
|
|
|
| Id |
prsb03-dataelement-11720 (2019‑05‑31 13:17:18)
|
| Concept inherits from |
prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
|
| Description |
Professional identifier for the professional e.g. GMC number, HCPC number etc or the
personal identifier used by the local organisation.
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisation
prsb03-dataelement-11721
|
|
|
| Id |
prsb03-dataelement-11721 (2019‑05‑31 13:17:18)
|
| Concept inherits from |
prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
|
| Description |
The name of the organisation the professional works for. |
| Operationalization |
ODS code or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-11722
|
|
|
| Id |
prsb03-dataelement-11722 (2019‑05‑31 13:17:18)
|
| Concept inherits from |
prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
|
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person completing record
prsb03-dataelement-11723
|
|
|
| Id |
prsb03-dataelement-11723 (2019‑05‑31 13:17:29)
|
| Concept inherits from |
prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
|
| Description |
Details of the person completing the record. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-11724
|
|
|
| Id |
prsb03-dataelement-11724 (2019‑05‑31 13:17:58)
|
| Concept inherits from |
prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
|
| Description |
The name of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisational role
prsb03-dataelement-11725
|
|
|
| Id |
prsb03-dataelement-11725 (2019‑05‑31 13:17:58)
|
| Concept inherits from |
prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
|
| Description |
The organisational role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Relationship |
|
| Operationalization |
NHS Data dictionary or free text.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-11726
|
|
|
| Id |
prsb03-dataelement-11726 (2019‑05‑31 13:17:58)
|
| Concept inherits from |
prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
|
| Description |
The grade of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Specialty
prsb03-dataelement-11727
|
|
|
|
|
| Organisation
prsb03-dataelement-11728
|
|
|
| Id |
prsb03-dataelement-11728 (2019‑05‑31 13:17:58)
|
| Concept inherits from |
prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
|
| Description |
The organisation the person completing the record works for. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-11729
|
|
|
| Id |
prsb03-dataelement-11729 (2019‑05‑31 13:17:58)
|
| Concept inherits from |
prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date completed
prsb03-dataelement-11730
|
|
|
| Id |
prsb03-dataelement-11730 (2019‑05‑31 13:17:58)
|
| Concept inherits from |
prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
|
| Description |
The date and time the record was completed. |
| Relationship |
|
| Operationalization |
Date and time. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-11731
|
|
|
| Id |
prsb03-dataelement-11731 (2019‑05‑31 13:17:58)
|
| Concept inherits from |
prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
|
| Description |
Contact details of the person completing the record (e.g. telephone number, email
address etc.).
|
| FHIR |
PractitionerRole.telecom |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Consent relating to child
prsb03-dataelement-10422
|
|
|
| Id |
prsb03-dataelement-10422 (2018‑10‑31)
|
| Description |
The person with parental responsibility or appointed guardian where a child lacks
competency.
Consideration of age and competency, applying Gillick competency or Fraser guidelines.
|
| Operationalization |
Free text. |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date
prsb03-dataelement-11732
|
|
|
| Id |
prsb03-dataelement-11732 (2019‑05‑31 13:21:58)
|
| Description |
The date when the person with responsibility for the child was identified. |
| Relationship |
|
| Operationalization |
Date and time |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Location
prsb03-dataelement-11733
|
|
|
| Id |
prsb03-dataelement-11733 (2019‑05‑31 13:22:27)
|
| Description |
The location where the person with responsibility for the child was identified. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Performing professional
prsb03-dataelement-11734
|
|
|
| Id |
prsb03-dataelement-11734 (2019‑05‑31 13:23:06)
|
| Description |
The professional who identified the person responsible for the child. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-11735
|
|
|
| Id |
prsb03-dataelement-11735 (2019‑05‑31 13:23:55)
|
| Concept inherits from |
prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
|
| Description |
The name of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Role
prsb03-dataelement-11736
|
|
|
| Id |
prsb03-dataelement-11736 (2019‑05‑31 13:23:55)
|
| Concept inherits from |
prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
|
| Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
| Operationalization |
NHS Data dictionary or free text
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-11737
|
|
|
| Id |
prsb03-dataelement-11737 (2019‑05‑31 13:23:55)
|
| Concept inherits from |
prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
|
| Description |
The grade of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Speciality
prsb03-dataelement-11738
|
|
|
| Id |
prsb03-dataelement-11738 (2019‑05‑31 13:23:55)
|
| Concept inherits from |
prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
|
| Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-11739
|
|
|
| Id |
prsb03-dataelement-11739 (2019‑05‑31 13:23:55)
|
| Concept inherits from |
prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
|
| Description |
Professional identifier for the professional e.g. GMC number, HCPC number etc or the
personal identifier used by the local organisation.
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisation
prsb03-dataelement-11740
|
|
|
| Id |
prsb03-dataelement-11740 (2019‑05‑31 13:23:55)
|
| Concept inherits from |
prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
|
| Description |
The name of the organisation the professional works for. |
| Operationalization |
ODS code or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-11741
|
|
|
| Id |
prsb03-dataelement-11741 (2019‑05‑31 13:23:55)
|
| Concept inherits from |
prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
|
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person completing record
prsb03-dataelement-11742
|
|
|
| Id |
prsb03-dataelement-11742 (2019‑05‑31 13:23:59)
|
| Concept inherits from |
prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
|
| Description |
Details of the person completing the record. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-11743
|
|
|
| Id |
prsb03-dataelement-11743 (2019‑05‑31 13:24:18)
|
| Concept inherits from |
prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
|
| Description |
The name of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisational role
prsb03-dataelement-11744
|
|
|
| Id |
prsb03-dataelement-11744 (2019‑05‑31 13:24:18)
|
| Concept inherits from |
prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
|
| Description |
The organisational role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Relationship |
|
| Operationalization |
NHS Data dictionary or free text.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-11745
|
|
|
| Id |
prsb03-dataelement-11745 (2019‑05‑31 13:24:18)
|
| Concept inherits from |
prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
|
| Description |
The grade of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Specialty
prsb03-dataelement-11746
|
|
|
|
|
| Organisation
prsb03-dataelement-11747
|
|
|
| Id |
prsb03-dataelement-11747 (2019‑05‑31 13:24:18)
|
| Concept inherits from |
prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
|
| Description |
The organisation the person completing the record works for. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-11748
|
|
|
| Id |
prsb03-dataelement-11748 (2019‑05‑31 13:24:18)
|
| Concept inherits from |
prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date completed
prsb03-dataelement-11749
|
|
|
| Id |
prsb03-dataelement-11749 (2019‑05‑31 13:24:18)
|
| Concept inherits from |
prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
|
| Description |
The date and time the record was completed. |
| Relationship |
|
| Operationalization |
Date and time. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-11750
|
|
|
| Id |
prsb03-dataelement-11750 (2019‑05‑31 13:24:18)
|
| Concept inherits from |
prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
|
| Description |
Contact details of the person completing the record (e.g. telephone number, email
address etc.).
|
| FHIR |
PractitionerRole.telecom |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Mental capacity assessment
prsb03-dataelement-10424
|
|
|
| Id |
prsb03-dataelement-10424 (2018‑10‑31)
|
| Description |
Whether an assessment of the mental capacity of the (adult) person has been undertaken,
if so, what capacity the decision relates to and the outcome of the assessment.
Also record best interests decision if person lacks capacity.
|
| Operationalization |
Free text |
| Used by
|
one transaction, 0 templates, inherited 2 times |
| |
|
|
|
| Date
prsb03-dataelement-11688
|
|
|
| Id |
prsb03-dataelement-11688 (2019‑05‑31 11:50:22)
|
| Description |
The date when the mental capacity assessment was made. |
| Operationalization |
Date and time |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year |
|
| Used by
|
one transaction, 0 templates, inherited 3 times |
| |
This concept is inherited by concept
Date in dataset prsb03-dataelement-11693
This concept is inherited by concept
Date in dataset prsb03-dataelement-11695
This concept is inherited by concept
Date in dataset prsb03-dataelement-12343
|
|
|
| Location
prsb03-dataelement-11689
|
|
|
| Id |
prsb03-dataelement-11689 (2019‑05‑31 11:51:04)
|
| Description |
The location where the mental capacity assessment was made. |
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 3 times |
| |
This concept is inherited by concept
Location in dataset prsb03-dataelement-11694
This concept is inherited by concept
Location in dataset prsb03-dataelement-11696
This concept is inherited by concept
Location in dataset prsb03-dataelement-12344
|
|
|
| Performing professional
prsb03-dataelement-11281
|
|
|
| Id |
prsb03-dataelement-11281 (2019‑05‑30 11:53:30)
|
| Description |
The professional who made the mental capacity assessment. |
| Used by
|
one transaction, 0 templates, inherited 3 times |
| |
|
|
|
| Name
prsb03-dataelement-11282
|
|
|
| Id |
prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
|
| Description |
The name of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 59 times |
| |
This concept is inherited by concept
Name in dataset prsb03-dataelement-11716
This concept is inherited by concept
Name in dataset prsb03-dataelement-11735
This concept is inherited by concept
Name in dataset prsb03-dataelement-11299
This concept is inherited by concept
Name in dataset prsb03-dataelement-11316
This concept is inherited by concept
Name in dataset prsb03-dataelement-11333
This concept is inherited by concept
Name in dataset prsb03-dataelement-11359
This concept is inherited by concept
Name in dataset prsb03-dataelement-11403
This concept is inherited by concept
Name in dataset prsb03-dataelement-11420
This concept is inherited by concept
Name in dataset prsb03-dataelement-11437
This concept is inherited by concept
Name in dataset prsb03-dataelement-11454
This concept is inherited by concept
Name in dataset prsb03-dataelement-11471
This concept is inherited by concept
Name in dataset prsb03-dataelement-11488
This concept is inherited by concept
Name in dataset prsb03-dataelement-11505
This concept is inherited by concept
Name in dataset prsb03-dataelement-12185
This concept is inherited by concept
Name in dataset prsb03-dataelement-12134
This concept is inherited by concept
Name in dataset prsb03-dataelement-12151
This concept is inherited by concept
Name in dataset prsb03-dataelement-11649
This concept is inherited by concept
Name in dataset prsb03-dataelement-11657
This concept is inherited by concept
Name in dataset prsb03-dataelement-11777
This concept is inherited by concept
Name in dataset prsb03-dataelement-11787
This concept is inherited by concept
Name in dataset prsb03-dataelement-11797
This concept is inherited by concept
Name in dataset prsb03-dataelement-11807
This concept is inherited by concept
Name in dataset prsb03-dataelement-11817
This concept is inherited by concept
Name in dataset prsb03-dataelement-11827
This concept is inherited by concept
Name in dataset prsb03-dataelement-11847
This concept is inherited by concept
Name in dataset prsb03-dataelement-11857
This concept is inherited by concept
Name in dataset prsb03-dataelement-11867
This concept is inherited by concept
Name in dataset prsb03-dataelement-11886
This concept is inherited by concept
Name in dataset prsb03-dataelement-11837
This concept is inherited by concept
Name in dataset prsb03-dataelement-11641
This concept is inherited by concept
Name in dataset prsb03-dataelement-12100
This concept is inherited by concept
Name in dataset prsb03-dataelement-12082
This concept is inherited by concept
Name in dataset prsb03-dataelement-12117
This concept is inherited by concept
Name in dataset prsb03-dataelement-12383
This concept is inherited by concept
Name in dataset prsb03-dataelement-12391
This concept is inherited by concept
Name in dataset prsb03-dataelement-11672
This concept is inherited by concept
Name in dataset prsb03-dataelement-11897
This concept is inherited by concept
Name in dataset prsb03-dataelement-11917
This concept is inherited by concept
Name in dataset prsb03-dataelement-11937
This concept is inherited by concept
Name in dataset prsb03-dataelement-11957
This concept is inherited by concept
Name in dataset prsb03-dataelement-11977
This concept is inherited by concept
Name in dataset prsb03-dataelement-12011
This concept is inherited by concept
Name in dataset prsb03-dataelement-12003
This concept is inherited by concept
Name in dataset prsb03-dataelement-12168
This concept is inherited by concept
Name in dataset prsb03-dataelement-12028
This concept is inherited by concept
Name in dataset prsb03-dataelement-12046
This concept is inherited by concept
Name in dataset prsb03-dataelement-12063
This concept is inherited by concept
Name in dataset prsb03-dataelement-12213
This concept is inherited by concept
Name in dataset prsb03-dataelement-12232
This concept is inherited by concept
Name in dataset prsb03-dataelement-12251
This concept is inherited by concept
Name in dataset prsb03-dataelement-12270
This concept is inherited by concept
Name in dataset prsb03-dataelement-12289
This concept is inherited by concept
Name in dataset prsb03-dataelement-12308
This concept is inherited by concept
Name in dataset prsb03-dataelement-12327
This concept is inherited by concept
Name in dataset prsb03-dataelement-12346
This concept is inherited by concept
Name in dataset prsb03-dataelement-12365
This concept is inherited by concept
Name in dataset prsb03-dataelement-12423
This concept is inherited by concept
Name in dataset prsb03-dataelement-12453
This concept is inherited by concept
Name in dataset prsb03-dataelement-12440
|
|
|
| Role
prsb03-dataelement-11283
|
|
|
| Id |
prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
|
| Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
| Operationalization |
NHS Data dictionary or free text
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 58 times |
| |
This concept is inherited by concept
Role in dataset prsb03-dataelement-11717
This concept is inherited by concept
Role in dataset prsb03-dataelement-11736
This concept is inherited by concept
Role in dataset prsb03-dataelement-11300
This concept is inherited by concept
Role in dataset prsb03-dataelement-11317
This concept is inherited by concept
Role in dataset prsb03-dataelement-11334
This concept is inherited by concept
Role in dataset prsb03-dataelement-11360
This concept is inherited by concept
Role in dataset prsb03-dataelement-11404
This concept is inherited by concept
Role in dataset prsb03-dataelement-11421
This concept is inherited by concept
Role in dataset prsb03-dataelement-11438
This concept is inherited by concept
Role in dataset prsb03-dataelement-11455
This concept is inherited by concept
Role in dataset prsb03-dataelement-11472
This concept is inherited by concept
Role in dataset prsb03-dataelement-11489
This concept is inherited by concept
Role in dataset prsb03-dataelement-11506
This concept is inherited by concept
Role in dataset prsb03-dataelement-12135
This concept is inherited by concept
Role in dataset prsb03-dataelement-12152
This concept is inherited by concept
Role in dataset prsb03-dataelement-11650
This concept is inherited by concept
Role in dataset prsb03-dataelement-11658
This concept is inherited by concept
Role in dataset prsb03-dataelement-11778
This concept is inherited by concept
Role in dataset prsb03-dataelement-11788
This concept is inherited by concept
Role in dataset prsb03-dataelement-11798
This concept is inherited by concept
Role in dataset prsb03-dataelement-11808
This concept is inherited by concept
Role in dataset prsb03-dataelement-11818
This concept is inherited by concept
Role in dataset prsb03-dataelement-11828
This concept is inherited by concept
Role in dataset prsb03-dataelement-11848
This concept is inherited by concept
Role in dataset prsb03-dataelement-11858
This concept is inherited by concept
Role in dataset prsb03-dataelement-11868
This concept is inherited by concept
Role in dataset prsb03-dataelement-11887
This concept is inherited by concept
Role in dataset prsb03-dataelement-11838
This concept is inherited by concept
Role in dataset prsb03-dataelement-11642
This concept is inherited by concept
Role in dataset prsb03-dataelement-12101
This concept is inherited by concept
Role in dataset prsb03-dataelement-12083
This concept is inherited by concept
Role in dataset prsb03-dataelement-12118
This concept is inherited by concept
Role in dataset prsb03-dataelement-12384
This concept is inherited by concept
Role in dataset prsb03-dataelement-12392
This concept is inherited by concept
Role in dataset prsb03-dataelement-11673
This concept is inherited by concept
Role in dataset prsb03-dataelement-11898
This concept is inherited by concept
Role in dataset prsb03-dataelement-11918
This concept is inherited by concept
Role in dataset prsb03-dataelement-11938
This concept is inherited by concept
Role in dataset prsb03-dataelement-11958
This concept is inherited by concept
Role in dataset prsb03-dataelement-11978
This concept is inherited by concept
Role in dataset prsb03-dataelement-12012
This concept is inherited by concept
Role in dataset prsb03-dataelement-12004
This concept is inherited by concept
Role in dataset prsb03-dataelement-12169
This concept is inherited by concept
Role in dataset prsb03-dataelement-12029
This concept is inherited by concept
Role in dataset prsb03-dataelement-12047
This concept is inherited by concept
Role in dataset prsb03-dataelement-12064
This concept is inherited by concept
Role in dataset prsb03-dataelement-12214
This concept is inherited by concept
Role in dataset prsb03-dataelement-12233
This concept is inherited by concept
Role in dataset prsb03-dataelement-12252
This concept is inherited by concept
Role in dataset prsb03-dataelement-12271
This concept is inherited by concept
Role in dataset prsb03-dataelement-12290
This concept is inherited by concept
Role in dataset prsb03-dataelement-12309
This concept is inherited by concept
Role in dataset prsb03-dataelement-12328
This concept is inherited by concept
Role in dataset prsb03-dataelement-12347
This concept is inherited by concept
Role in dataset prsb03-dataelement-12366
This concept is inherited by concept
Role in dataset prsb03-dataelement-12424
This concept is inherited by concept
Role in dataset prsb03-dataelement-12454
This concept is inherited by concept
Role in dataset prsb03-dataelement-12441
|
|
|
| Grade
prsb03-dataelement-11288
|
|
|
| Id |
prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
|
| Description |
The grade of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 59 times |
| |
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11718
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11737
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11301
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11318
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11335
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11361
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11405
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11422
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11439
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11456
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11473
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11490
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11507
This concept is inherited by concept
Grade in dataset prsb03-dataelement-12187
This concept is inherited by concept
Grade in dataset prsb03-dataelement-12136
This concept is inherited by concept
Grade in dataset prsb03-dataelement-12153
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11651
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11659
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11779
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11789
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11799
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11809
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11819
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11829
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11849
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11859
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11869
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11888
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11839
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11643
This concept is inherited by concept
Grade in dataset prsb03-dataelement-12102
This concept is inherited by concept
Grade in dataset prsb03-dataelement-12084
This concept is inherited by concept
Grade in dataset prsb03-dataelement-12119
This concept is inherited by concept
Grade in dataset prsb03-dataelement-12385
This concept is inherited by concept
Grade in dataset prsb03-dataelement-12393
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11674
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11899
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11919
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11939
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11959
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11979
This concept is inherited by concept
Grade in dataset prsb03-dataelement-12013
This concept is inherited by concept
Grade in dataset prsb03-dataelement-12005
This concept is inherited by concept
Grade in dataset prsb03-dataelement-12170
This concept is inherited by concept
Grade in dataset prsb03-dataelement-12030
This concept is inherited by concept
Grade in dataset prsb03-dataelement-12048
This concept is inherited by concept
Grade in dataset prsb03-dataelement-12065
This concept is inherited by concept
Grade in dataset prsb03-dataelement-12215
This concept is inherited by concept
Grade in dataset prsb03-dataelement-12234
This concept is inherited by concept
Grade in dataset prsb03-dataelement-12253
This concept is inherited by concept
Grade in dataset prsb03-dataelement-12272
This concept is inherited by concept
Grade in dataset prsb03-dataelement-12291
This concept is inherited by concept
Grade in dataset prsb03-dataelement-12310
This concept is inherited by concept
Grade in dataset prsb03-dataelement-12329
This concept is inherited by concept
Grade in dataset prsb03-dataelement-12348
This concept is inherited by concept
Grade in dataset prsb03-dataelement-12367
This concept is inherited by concept
Grade in dataset prsb03-dataelement-12425
This concept is inherited by concept
Grade in dataset prsb03-dataelement-12455
This concept is inherited by concept
Grade in dataset prsb03-dataelement-12442
|
|
|
| Speciality
prsb03-dataelement-11284
|
|
|
| Id |
prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
|
| Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 58 times |
| |
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-11719
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-11738
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-11302
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-11319
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-11336
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-11362
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-11406
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-11423
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-11440
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-11457
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-11474
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-11491
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-11508
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-12137
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-12154
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-11652
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-11660
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-11780
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-11790
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-11800
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-11810
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-11820
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-11830
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-11850
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-11860
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-11870
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-11889
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-11840
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-11644
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-12103
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-12085
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-12120
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-12386
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-12394
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-11675
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-11900
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-11920
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-11940
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-11960
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-11980
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-12014
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-12006
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-12171
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-12031
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-12049
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-12066
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-12216
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-12235
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-12254
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-12273
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-12292
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-12311
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-12330
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-12349
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-12368
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-12426
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-12456
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-12443
|
|
|
| Professional identifier
prsb03-dataelement-11285
|
|
|
| Id |
prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
|
| Description |
Professional identifier for the professional e.g. GMC number, HCPC number etc or the
personal identifier used by the local organisation.
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 59 times |
| |
|
|
|
| Organisation
prsb03-dataelement-11286
|
|
|
| Id |
prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
|
| Description |
The name of the organisation the professional works for. |
| Operationalization |
ODS code or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 59 times |
| |
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11721
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11740
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11304
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11321
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11338
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11364
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11408
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11425
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11442
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11459
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11476
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11493
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11510
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-12190
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-12139
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-12156
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11654
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11662
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11782
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11792
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11802
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11812
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11822
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11832
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11852
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11862
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11872
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11891
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11842
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11646
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-12105
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-12087
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-12122
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-12388
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-12396
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11677
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11902
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11922
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11942
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11962
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11982
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-12016
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-12008
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-12173
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-12033
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-12051
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-12068
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-12218
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-12237
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-12256
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-12275
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-12294
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-12313
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-12332
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-12351
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-12370
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-12428
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-12458
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-12445
|
|
|
| Contact details
prsb03-dataelement-11287
|
|
|
| Id |
prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
|
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 59 times |
| |
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11722
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11741
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11305
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11322
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11339
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11365
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11409
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11426
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11443
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11460
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11477
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11494
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11511
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-12191
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-12140
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-12157
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11655
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11663
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11783
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11793
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11803
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11813
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11823
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11833
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11853
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11863
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11873
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11892
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11843
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11647
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-12106
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-12088
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-12123
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-12389
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-12397
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11678
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11903
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11923
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11943
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11963
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11983
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-12017
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-12009
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-12174
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-12034
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-12052
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-12069
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-12219
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-12238
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-12257
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-12276
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-12295
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-12314
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-12333
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-12352
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-12371
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-12429
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-12459
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-12446
|
|
|
| Person completing record
prsb03-dataelement-11289
|
|
|
| Id |
prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
|
| Description |
Details of the person completing the record. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 64 times |
| |
|
|
|
| Name
prsb03-dataelement-11290
|
|
|
| Id |
prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
|
| Description |
The name of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 64 times |
| |
This concept is inherited by concept
Name in dataset prsb03-dataelement-12400
This concept is inherited by concept
Name in dataset prsb03-dataelement-11724
This concept is inherited by concept
Name in dataset prsb03-dataelement-11743
This concept is inherited by concept
Name in dataset prsb03-dataelement-11307
This concept is inherited by concept
Name in dataset prsb03-dataelement-11324
This concept is inherited by concept
Name in dataset prsb03-dataelement-11341
This concept is inherited by concept
Name in dataset prsb03-dataelement-11350
This concept is inherited by concept
Name in dataset prsb03-dataelement-11367
This concept is inherited by concept
Name in dataset prsb03-dataelement-11376
This concept is inherited by concept
Name in dataset prsb03-dataelement-11385
This concept is inherited by concept
Name in dataset prsb03-dataelement-11394
This concept is inherited by concept
Name in dataset prsb03-dataelement-11411
This concept is inherited by concept
Name in dataset prsb03-dataelement-11428
This concept is inherited by concept
Name in dataset prsb03-dataelement-11445
This concept is inherited by concept
Name in dataset prsb03-dataelement-11462
This concept is inherited by concept
Name in dataset prsb03-dataelement-11479
This concept is inherited by concept
Name in dataset prsb03-dataelement-11496
This concept is inherited by concept
Name in dataset prsb03-dataelement-11513
This concept is inherited by concept
Name in dataset prsb03-dataelement-12202
This concept is inherited by concept
Name in dataset prsb03-dataelement-12193
This concept is inherited by concept
Name in dataset prsb03-dataelement-12142
This concept is inherited by concept
Name in dataset prsb03-dataelement-12159
This concept is inherited by concept
Name in dataset prsb03-dataelement-11522
This concept is inherited by concept
Name in dataset prsb03-dataelement-11531
This concept is inherited by concept
Name in dataset prsb03-dataelement-11540
This concept is inherited by concept
Name in dataset prsb03-dataelement-11549
This concept is inherited by concept
Name in dataset prsb03-dataelement-11558
This concept is inherited by concept
Name in dataset prsb03-dataelement-11567
This concept is inherited by concept
Name in dataset prsb03-dataelement-11576
This concept is inherited by concept
Name in dataset prsb03-dataelement-11585
This concept is inherited by concept
Name in dataset prsb03-dataelement-11603
This concept is inherited by concept
Name in dataset prsb03-dataelement-11612
This concept is inherited by concept
Name in dataset prsb03-dataelement-11875
This concept is inherited by concept
Name in dataset prsb03-dataelement-11622
This concept is inherited by concept
Name in dataset prsb03-dataelement-11594
This concept is inherited by concept
Name in dataset prsb03-dataelement-11631
This concept is inherited by concept
Name in dataset prsb03-dataelement-12108
This concept is inherited by concept
Name in dataset prsb03-dataelement-12091
This concept is inherited by concept
Name in dataset prsb03-dataelement-12125
This concept is inherited by concept
Name in dataset prsb03-dataelement-11753
This concept is inherited by concept
Name in dataset prsb03-dataelement-11762
This concept is inherited by concept
Name in dataset prsb03-dataelement-11680
This concept is inherited by concept
Name in dataset prsb03-dataelement-11905
This concept is inherited by concept
Name in dataset prsb03-dataelement-11925
This concept is inherited by concept
Name in dataset prsb03-dataelement-11945
This concept is inherited by concept
Name in dataset prsb03-dataelement-11965
This concept is inherited by concept
Name in dataset prsb03-dataelement-11985
This concept is inherited by concept
Name in dataset prsb03-dataelement-12019
This concept is inherited by concept
Name in dataset prsb03-dataelement-11994
This concept is inherited by concept
Name in dataset prsb03-dataelement-12176
This concept is inherited by concept
Name in dataset prsb03-dataelement-12036
This concept is inherited by concept
Name in dataset prsb03-dataelement-12054
This concept is inherited by concept
Name in dataset prsb03-dataelement-12071
This concept is inherited by concept
Name in dataset prsb03-dataelement-12221
This concept is inherited by concept
Name in dataset prsb03-dataelement-12240
This concept is inherited by concept
Name in dataset prsb03-dataelement-12259
This concept is inherited by concept
Name in dataset prsb03-dataelement-12278
This concept is inherited by concept
Name in dataset prsb03-dataelement-12297
This concept is inherited by concept
Name in dataset prsb03-dataelement-12316
This concept is inherited by concept
Name in dataset prsb03-dataelement-12335
This concept is inherited by concept
Name in dataset prsb03-dataelement-12354
This concept is inherited by concept
Name in dataset prsb03-dataelement-12373
This concept is inherited by concept
Name in dataset prsb03-dataelement-12431
This concept is inherited by concept
Name in dataset prsb03-dataelement-12463
|
|
|
| Organisational role
prsb03-dataelement-11291
|
|
|
| Id |
prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
|
| Description |
The organisational role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Relationship |
|
| Operationalization |
NHS Data dictionary or free text.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 64 times |
| |
|
|
|
| Grade
prsb03-dataelement-11292
|
|
|
| Id |
prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
|
| Description |
The grade of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 64 times |
| |
This concept is inherited by concept
Grade in dataset prsb03-dataelement-12402
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11726
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11745
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11309
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11326
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11343
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11352
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11369
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11378
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11387
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11396
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11413
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11430
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11447
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11464
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11481
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11498
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11515
This concept is inherited by concept
Grade in dataset prsb03-dataelement-12204
This concept is inherited by concept
Grade in dataset prsb03-dataelement-12195
This concept is inherited by concept
Grade in dataset prsb03-dataelement-12144
This concept is inherited by concept
Grade in dataset prsb03-dataelement-12161
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11524
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11533
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11542
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11551
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11560
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11569
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11578
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11587
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11605
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11614
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11877
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11624
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11596
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11633
This concept is inherited by concept
Grade in dataset prsb03-dataelement-12110
This concept is inherited by concept
Grade in dataset prsb03-dataelement-12093
This concept is inherited by concept
Grade in dataset prsb03-dataelement-12127
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11755
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11764
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11682
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11907
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11927
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11947
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11967
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11987
This concept is inherited by concept
Grade in dataset prsb03-dataelement-12021
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11996
This concept is inherited by concept
Grade in dataset prsb03-dataelement-12178
This concept is inherited by concept
Grade in dataset prsb03-dataelement-12038
This concept is inherited by concept
Grade in dataset prsb03-dataelement-12056
This concept is inherited by concept
Grade in dataset prsb03-dataelement-12073
This concept is inherited by concept
Grade in dataset prsb03-dataelement-12223
This concept is inherited by concept
Grade in dataset prsb03-dataelement-12242
This concept is inherited by concept
Grade in dataset prsb03-dataelement-12261
This concept is inherited by concept
Grade in dataset prsb03-dataelement-12280
This concept is inherited by concept
Grade in dataset prsb03-dataelement-12299
This concept is inherited by concept
Grade in dataset prsb03-dataelement-12318
This concept is inherited by concept
Grade in dataset prsb03-dataelement-12337
This concept is inherited by concept
Grade in dataset prsb03-dataelement-12356
This concept is inherited by concept
Grade in dataset prsb03-dataelement-12375
This concept is inherited by concept
Grade in dataset prsb03-dataelement-12433
This concept is inherited by concept
Grade in dataset prsb03-dataelement-12465
|
|
|
| Specialty
prsb03-dataelement-11293
|
|
|
| Id |
prsb03-dataelement-11293 (2019‑05‑30 12:25:39)
|
| Description |
The main specialty of the person completing the record. |
| FHIR |
PractitionerRole.specialty |
|
| Relationship |
|
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 64 times |
| |
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-12403
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-11727
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-11746
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-11310
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-11327
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-11344
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-11353
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-11370
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-11379
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-11388
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-11397
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-11414
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-11431
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-11448
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-11465
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-11482
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-11499
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-11516
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-12205
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-12196
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-12145
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-12162
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-11525
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-11534
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-11543
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-11552
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-11561
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-11570
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-11579
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-11588
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-11606
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-11615
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-11878
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-11625
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-11597
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-11634
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-12111
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-12094
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-12128
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-11756
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-11765
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-11683
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-11908
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-11928
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-11948
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-11968
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-11988
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-12022
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-11997
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-12179
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-12039
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-12057
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-12074
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-12224
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-12243
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-12262
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-12281
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-12300
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-12319
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-12338
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-12357
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-12376
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-12434
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-12466
|
|
|
| Organisation
prsb03-dataelement-11294
|
|
|
| Id |
prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
|
| Description |
The organisation the person completing the record works for. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 64 times |
| |
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-12404
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11728
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11747
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11311
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11328
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11345
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11354
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11371
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11380
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11389
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11398
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11415
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11432
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11449
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11466
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11483
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11500
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11517
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-12206
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-12197
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-12146
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-12163
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11526
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11535
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11544
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11553
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11562
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11571
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11580
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11589
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11607
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11616
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11879
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11626
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11598
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11635
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-12112
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-12095
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-12129
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11757
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11766
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11684
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11909
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11929
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11949
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11969
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11989
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-12023
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11998
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-12180
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-12040
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-12058
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-12075
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-12225
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-12244
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-12263
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-12282
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-12301
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-12320
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-12339
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-12358
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-12377
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-12435
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-12467
|
|
|
| Professional identifier
prsb03-dataelement-11295
|
|
|
| Id |
prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 64 times |
| |
|
|
|
| Date completed
prsb03-dataelement-11296
|
|
|
| Id |
prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
|
| Description |
The date and time the record was completed. |
| Relationship |
|
| Operationalization |
Date and time. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 64 times |
| |
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-12406
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-11730
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-11749
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-11313
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-11330
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-11347
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-11356
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-11373
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-11382
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-11391
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-11400
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-11417
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-11434
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-11451
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-11468
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-11485
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-11502
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-11519
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-12208
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-12199
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-12148
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-12165
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-11528
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-11537
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-11546
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-11555
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-11564
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-11573
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-11582
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-11591
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-11609
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-11618
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-11881
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-11628
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-11600
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-11637
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-12114
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-12097
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-12131
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-11759
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-11768
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-11686
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-11911
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-11931
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-11951
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-11971
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-11991
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-12025
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-12000
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-12182
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-12042
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-12060
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-12077
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-12227
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-12246
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-12265
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-12284
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-12303
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-12322
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-12341
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-12360
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-12379
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-12437
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-12469
|
|
|
| Contact details
prsb03-dataelement-11297
|
|
|
| Id |
prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
|
| Description |
Contact details of the person completing the record (e.g. telephone number, email
address etc.).
|
| FHIR |
PractitionerRole.telecom |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 64 times |
| |
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-12407
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11731
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11750
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11314
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11331
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11348
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11357
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11374
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11383
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11392
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11401
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11418
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11435
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11452
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11469
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11486
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11503
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11520
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-12209
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-12200
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-12149
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-12166
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11529
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11538
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11547
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11556
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11565
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11574
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11583
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11592
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11610
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11619
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11882
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11629
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11601
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11638
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-12115
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-12098
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-12132
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11760
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11769
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11687
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11912
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11932
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11952
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11972
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11992
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-12026
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-12001
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-12183
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-12043
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-12061
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-12078
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-12228
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-12247
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-12266
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-12285
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-12304
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-12323
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-12342
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-12361
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-12380
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-12438
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-12470
|
|
|
| Lasting power of attorney for personal welfare or court-appointed deputy (or equivalent)
prsb03-dataelement-10425
|
|
|
| Id |
prsb03-dataelement-10425 (2018‑10‑31)
|
| Description |
Record of one or more people who have been given power (LPA) by the person when they
had capacity to make decisions about their health and welfare should they lose capacity
to make those decisions.
To be valid, an LPA must have been registered with the Court of Protection.
If life-sustaining treatment is being considered the LPA document must state specifically
that the attorney has been given power to consent to or refuse life-sustaining treatment.
Details of any person (deputy) appointed by the court to make decisions about the
person’s health and welfare.
A deputy does not have the power to refuse life-sustaining treatment.
|
| Operationalization |
The name of the LPA should be recorded.
The authority of the LPA should be recorded as SNOMED CT codes (see National Information
Standard (SCCI1580) and associated text must be displayed.
Where available a copy of the documentation may be appended to the record.
The contact details of the LPA should be recorded under the personal contacts heading.
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited once |
| |
|
|
|
| Deprivation of Liberty Safeguards or equivalent
prsb03-dataelement-10426
|
|
|
| Id |
prsb03-dataelement-10426 (2018‑10‑31)
|
| Description |
Record of Deprivation of Liberty Safeguards (DoLS) or equivalent, including the reason
for this.
|
| Operationalization |
Free text |
| Used by
|
one transaction, 0 templates, inherited once |
| |
|
|
|
| Date
prsb03-dataelement-11690
|
|
|
| Id |
prsb03-dataelement-11690 (2019‑05‑31 12:45:04)
|
| Description |
The date when the deprivation of liberty safeguard decision was made. |
| Relationship |
|
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year |
|
|
|
| Location
prsb03-dataelement-11691
|
|
|
| Id |
prsb03-dataelement-11691 (2019‑05‑31 12:47:02)
|
| Description |
The location where the deprivation of liberty safeguard decision was made. |
| Relationship |
|
| Value Domain |
|
|
|
| Performing professional
prsb03-dataelement-11298
|
|
|
| Id |
prsb03-dataelement-11298 (2019‑05‑30 12:50:51)
|
| Description |
The professional who made the deprivation of liberty safeguard decision. |
| Relationship |
|
|
|
| Name
prsb03-dataelement-11299
|
|
|
|
|
| Role
prsb03-dataelement-11300
|
|
|
| Id |
prsb03-dataelement-11300 (2019‑05‑30 12:51:19)
|
| Concept inherits from |
prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
|
| Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
| Operationalization |
NHS Data dictionary or free text
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
|
|
| Grade
prsb03-dataelement-11301
|
|
|
|
|
| Speciality
prsb03-dataelement-11302
|
|
|
| Id |
prsb03-dataelement-11302 (2019‑05‑30 12:51:19)
|
| Concept inherits from |
prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
|
| Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
|
|
| Professional identifier
prsb03-dataelement-11303
|
|
|
| Id |
prsb03-dataelement-11303 (2019‑05‑30 12:51:19)
|
| Concept inherits from |
prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
|
| Description |
Professional identifier for the professional e.g. GMC number, HCPC number etc or the
personal identifier used by the local organisation.
|
| Operationalization |
Free text. |
| Value Domain |
|
|
|
| Organisation
prsb03-dataelement-11304
|
|
|
| Id |
prsb03-dataelement-11304 (2019‑05‑30 12:51:19)
|
| Concept inherits from |
prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
|
| Description |
The name of the organisation the professional works for. |
| Operationalization |
ODS code or free text. |
| Value Domain |
|
|
|
| Contact details
prsb03-dataelement-11305
|
|
|
| Id |
prsb03-dataelement-11305 (2019‑05‑30 12:51:19)
|
| Concept inherits from |
prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
|
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text. |
| Value Domain |
|
|
|
| Person completing record
prsb03-dataelement-11306
|
|
|
|
|
| Name
prsb03-dataelement-11307
|
|
|
|
|
| Organisational role
prsb03-dataelement-11308
|
|
|
| Id |
prsb03-dataelement-11308 (2019‑05‑30 12:52:15)
|
| Concept inherits from |
prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
|
| Description |
The organisational role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Relationship |
|
| Operationalization |
NHS Data dictionary or free text.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
|
|
| Grade
prsb03-dataelement-11309
|
|
|
|
|
| Specialty
prsb03-dataelement-11310
|
|
|
|
|
| Organisation
prsb03-dataelement-11311
|
|
|
| Id |
prsb03-dataelement-11311 (2019‑05‑30 12:52:15)
|
| Concept inherits from |
prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
|
| Description |
The organisation the person completing the record works for. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
|
|
| Professional identifier
prsb03-dataelement-11312
|
|
|
| Id |
prsb03-dataelement-11312 (2019‑05‑30 12:52:15)
|
| Concept inherits from |
prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
|
|
| Date completed
prsb03-dataelement-11313
|
|
|
|
|
| Contact details
prsb03-dataelement-11314
|
|
|
| Id |
prsb03-dataelement-11314 (2019‑05‑30 12:52:15)
|
| Concept inherits from |
prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
|
| Description |
Contact details of the person completing the record (e.g. telephone number, email
address etc.).
|
| FHIR |
PractitionerRole.telecom |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
|
|
| Mental Health Act or equivalent status
prsb03-dataelement-10427
|
|
|
| Id |
prsb03-dataelement-10427 (2018‑10‑31)
|
| Description |
Record where a person diagnosed with a mental disorder is formally detained under
the Mental Health Act or equivalent, including the section number.
If person subject to Community Treatment Order or Conditional Discharge (or equivalent)
record here.
|
| Operationalization |
Free text |
| Used by
|
one transaction, 0 templates, inherited once |
| |
|
|
|
| Mental health act or equivalent status
prsb03-dataelement-10922
|
|
|
| Id |
prsb03-dataelement-10922 (2019‑04‑26 14:22:17)
|
| Description |
Record where a person diagnosed with a mental disorder is formally detained under
the Mental Health Act or equivalent, including the section number.
If person subject to Community Treatment Order or Conditional Discharge (or equivalent)
record here.
|
| Value Domain |
|
|
|
| Section start date
prsb03-dataelement-10920
|
|
|
| Id |
prsb03-dataelement-10920 (2019‑04‑26 14:17:19)
|
| Description |
The date the person was detained. |
| Operationalization |
Date and time |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Section end date
prsb03-dataelement-10921
|
|
|
| Id |
prsb03-dataelement-10921 (2019‑04‑26 14:19:05)
|
| Description |
The date the person was no longer detained. |
| Operationalization |
Date and time |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Location
prsb03-dataelement-11692
|
|
|
| Id |
prsb03-dataelement-11692 (2019‑05‑31 12:51:56)
|
| Description |
The location where the decision to detain the person was made under the mental health
act.
|
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Performing professional
prsb03-dataelement-11315
|
|
|
| Id |
prsb03-dataelement-11315 (2019‑05‑30 12:53:22)
|
| Description |
The professional who made the decision to detain the person under the mental health
act.
|
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-11316
|
|
|
| Id |
prsb03-dataelement-11316 (2019‑05‑30 12:53:54)
|
| Concept inherits from |
prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
|
| Description |
The name of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Role
prsb03-dataelement-11317
|
|
|
| Id |
prsb03-dataelement-11317 (2019‑05‑30 12:53:54)
|
| Concept inherits from |
prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
|
| Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
| Operationalization |
NHS Data dictionary or free text
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-11318
|
|
|
| Id |
prsb03-dataelement-11318 (2019‑05‑30 12:53:54)
|
| Concept inherits from |
prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
|
| Description |
The grade of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Speciality
prsb03-dataelement-11319
|
|
|
| Id |
prsb03-dataelement-11319 (2019‑05‑30 12:53:54)
|
| Concept inherits from |
prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
|
| Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-11320
|
|
|
| Id |
prsb03-dataelement-11320 (2019‑05‑30 12:53:54)
|
| Concept inherits from |
prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
|
| Description |
Professional identifier for the professional e.g. GMC number, HCPC number etc or the
personal identifier used by the local organisation.
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisation
prsb03-dataelement-11321
|
|
|
| Id |
prsb03-dataelement-11321 (2019‑05‑30 12:53:54)
|
| Concept inherits from |
prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
|
| Description |
The name of the organisation the professional works for. |
| Operationalization |
ODS code or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-11322
|
|
|
| Id |
prsb03-dataelement-11322 (2019‑05‑30 12:53:54)
|
| Concept inherits from |
prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
|
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person completing record
prsb03-dataelement-11323
|
|
|
| Id |
prsb03-dataelement-11323 (2019‑05‑30 12:54:57)
|
| Concept inherits from |
prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
|
| Description |
Details of the person completing the record. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-11324
|
|
|
| Id |
prsb03-dataelement-11324 (2019‑05‑30 12:55:19)
|
| Concept inherits from |
prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
|
| Description |
The name of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisational role
prsb03-dataelement-11325
|
|
|
| Id |
prsb03-dataelement-11325 (2019‑05‑30 12:55:19)
|
| Concept inherits from |
prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
|
| Description |
The organisational role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Relationship |
|
| Operationalization |
NHS Data dictionary or free text.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-11326
|
|
|
| Id |
prsb03-dataelement-11326 (2019‑05‑30 12:55:19)
|
| Concept inherits from |
prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
|
| Description |
The grade of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Specialty
prsb03-dataelement-11327
|
|
|
|
|
| Organisation
prsb03-dataelement-11328
|
|
|
| Id |
prsb03-dataelement-11328 (2019‑05‑30 12:55:19)
|
| Concept inherits from |
prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
|
| Description |
The organisation the person completing the record works for. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-11329
|
|
|
| Id |
prsb03-dataelement-11329 (2019‑05‑30 12:55:19)
|
| Concept inherits from |
prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date completed
prsb03-dataelement-11330
|
|
|
| Id |
prsb03-dataelement-11330 (2019‑05‑30 12:55:19)
|
| Concept inherits from |
prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
|
| Description |
The date and time the record was completed. |
| Relationship |
|
| Operationalization |
Date and time. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-11331
|
|
|
| Id |
prsb03-dataelement-11331 (2019‑05‑30 12:55:19)
|
| Concept inherits from |
prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
|
| Description |
Contact details of the person completing the record (e.g. telephone number, email
address etc.).
|
| FHIR |
PractitionerRole.telecom |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Advance decision to refuse treatment (ADRT)
prsb03-dataelement-10428
|
|
|
| Id |
prsb03-dataelement-10428 (2018‑10‑31)
|
| Description |
A record of an advance decision to refuse one or more specific types of future treatment,
made by a person who had capacity at the time of recording the decision.
The decision only applies when the person no longer has the capacity to consent to
or refuse the specific treatment being considered.
An ADRT must be in writing, signed and witnessed.
If the ADRT is refusing life-sustaining treatment it must state specifically that
the treatment is refused even if the person’s life is at risk.
|
| Operationalization |
SNOMED CT codes (see National Information Standard (SCCI1580) and associated text.
Where available a copy of the ADRT may be appended to the record.
Where there has been a change in the ADRT this should be noted in the record in free
text.
|
| Used by
|
one transaction, 0 templates, inherited once |
| |
|
|
|
| Date
prsb03-dataelement-11693
|
|
|
| Id |
prsb03-dataelement-11693 (2019‑05‑31 12:53:37)
|
| Concept inherits from |
prsb03-dataelement-11688 (2019‑05‑31 11:50:22)
|
| Description |
The date when the mental capacity assessment was made. |
| Operationalization |
Date and time |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year |
|
|
|
| Location
prsb03-dataelement-11694
|
|
|
| Id |
prsb03-dataelement-11694 (2019‑05‑31 12:54:52)
|
| Concept inherits from |
prsb03-dataelement-11689 (2019‑05‑31 11:51:04)
|
| Description |
The location where the mental capacity assessment was made. |
| Operationalization |
ODS code or free text |
| Value Domain |
|
|
|
| Performing professional
prsb03-dataelement-11332
|
|
|
|
|
| Name
prsb03-dataelement-11333
|
|
|
|
|
| Role
prsb03-dataelement-11334
|
|
|
| Id |
prsb03-dataelement-11334 (2019‑05‑30 12:57:23)
|
| Concept inherits from |
prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
|
| Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
| Operationalization |
NHS Data dictionary or free text
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
|
|
| Grade
prsb03-dataelement-11335
|
|
|
|
|
| Speciality
prsb03-dataelement-11336
|
|
|
| Id |
prsb03-dataelement-11336 (2019‑05‑30 12:57:23)
|
| Concept inherits from |
prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
|
| Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
|
|
| Professional identifier
prsb03-dataelement-11337
|
|
|
| Id |
prsb03-dataelement-11337 (2019‑05‑30 12:57:23)
|
| Concept inherits from |
prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
|
| Description |
Professional identifier for the professional e.g. GMC number, HCPC number etc or the
personal identifier used by the local organisation.
|
| Operationalization |
Free text. |
| Value Domain |
|
|
|
| Organisation
prsb03-dataelement-11338
|
|
|
| Id |
prsb03-dataelement-11338 (2019‑05‑30 12:57:23)
|
| Concept inherits from |
prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
|
| Description |
The name of the organisation the professional works for. |
| Operationalization |
ODS code or free text. |
| Value Domain |
|
|
|
| Contact details
prsb03-dataelement-11339
|
|
|
| Id |
prsb03-dataelement-11339 (2019‑05‑30 12:57:23)
|
| Concept inherits from |
prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
|
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text. |
| Value Domain |
|
|
|
| Person completing record
prsb03-dataelement-11340
|
|
|
|
|
| Name
prsb03-dataelement-11341
|
|
|
|
|
| Organisational role
prsb03-dataelement-11342
|
|
|
| Id |
prsb03-dataelement-11342 (2019‑05‑30 12:58:08)
|
| Concept inherits from |
prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
|
| Description |
The organisational role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Relationship |
|
| Operationalization |
NHS Data dictionary or free text.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
|
|
| Grade
prsb03-dataelement-11343
|
|
|
|
|
| Specialty
prsb03-dataelement-11344
|
|
|
|
|
| Organisation
prsb03-dataelement-11345
|
|
|
| Id |
prsb03-dataelement-11345 (2019‑05‑30 12:58:08)
|
| Concept inherits from |
prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
|
| Description |
The organisation the person completing the record works for. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
|
|
| Professional identifier
prsb03-dataelement-11346
|
|
|
| Id |
prsb03-dataelement-11346 (2019‑05‑30 12:58:08)
|
| Concept inherits from |
prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
|
|
| Date completed
prsb03-dataelement-11347
|
|
|
|
|
| Contact details
prsb03-dataelement-11348
|
|
|
| Id |
prsb03-dataelement-11348 (2019‑05‑30 12:58:08)
|
| Concept inherits from |
prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
|
| Description |
Contact details of the person completing the record (e.g. telephone number, email
address etc.).
|
| FHIR |
PractitionerRole.telecom |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
|
|
| Organ and tissue donation
prsb03-dataelement-10430
|
|
|
| Id |
prsb03-dataelement-10430 (2018‑10‑31)
|
| Description |
Whether the person has given consent for organ and/or tissue donation or opted out
of automatic donation where applicable.
This is information provided by the national register.
|
| Operationalization |
Free text. |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date
prsb03-dataelement-11695
|
|
|
| Id |
prsb03-dataelement-11695 (2019‑05‑31 12:56:56)
|
| Concept inherits from |
prsb03-dataelement-11688 (2019‑05‑31 11:50:22)
|
| Description |
The date when the mental capacity assessment was made. |
| Operationalization |
Date and time |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year |
|
|
|
| Location
prsb03-dataelement-11696
|
|
|
| Id |
prsb03-dataelement-11696 (2019‑05‑31 12:58:01)
|
| Concept inherits from |
prsb03-dataelement-11689 (2019‑05‑31 11:51:04)
|
| Description |
The location where the mental capacity assessment was made. |
| Operationalization |
ODS code or free text |
| Value Domain |
|
|
|
| Person completing record
prsb03-dataelement-11349
|
|
|
|
|
| Name
prsb03-dataelement-11350
|
|
|
|
|
| Organisational role
prsb03-dataelement-11351
|
|
|
| Id |
prsb03-dataelement-11351 (2019‑05‑30 13:37:40)
|
| Concept inherits from |
prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
|
| Description |
The organisational role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Relationship |
|
| Operationalization |
NHS Data dictionary or free text.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
|
|
| Grade
prsb03-dataelement-11352
|
|
|
|
|
| Specialty
prsb03-dataelement-11353
|
|
|
|
|
| Organisation
prsb03-dataelement-11354
|
|
|
| Id |
prsb03-dataelement-11354 (2019‑05‑30 13:37:40)
|
| Concept inherits from |
prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
|
| Description |
The organisation the person completing the record works for. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
|
|
| Professional identifier
prsb03-dataelement-11355
|
|
|
| Id |
prsb03-dataelement-11355 (2019‑05‑30 13:37:40)
|
| Concept inherits from |
prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
|
|
| Date completed
prsb03-dataelement-11356
|
|
|
|
|
| Contact details
prsb03-dataelement-11357
|
|
|
| Id |
prsb03-dataelement-11357 (2019‑05‑30 13:37:40)
|
| Concept inherits from |
prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
|
| Description |
Contact details of the person completing the record (e.g. telephone number, email
address etc.).
|
| FHIR |
PractitionerRole.telecom |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
|
|
| Legal information record entry
prsb03-dataelement-12381
|
|
|
| Id |
prsb03-dataelement-12381 (2019‑06‑03 12:32:21)
|
| Description |
This is the legal information record entry. There may be 0 to many record entries
under a section. Each record entry is made up of a number of elements or data items
|
|
|
| Consent for treatment record
prsb03-dataelement-10420
|
|
|
| Id |
prsb03-dataelement-10420 (2018‑10‑31)
|
| Description |
Whether consent has been obtained for the treatment. May include where record of consent
is located or record of consent.
|
| Operationalization |
A statement about the patient's consent to treatment. Text.
Or
This is a record of the person's consent to treatment/intervention and location of
the record of consent where available. Text
|
| Value Domain |
|
|
|
| Parental responsibility
prsb03-dataelement-10423
|
|
|
| Id |
prsb03-dataelement-10423 (2018‑10‑31)
|
| Description |
For children this is a record of person(s) with parental responsibility |
| Operationalization |
This is a record of the name as volunteered by the parents or recorded on local systems.
The contact information for these individuals should be included under the relevant
contacts heading.
|
| Value Domain |
|
|
|
| Safeguarding issues
prsb03-dataelement-10429
|
|
|
| Id |
prsb03-dataelement-10429 (2018‑10‑31)
|
| Description |
Any legal matters relating to safeguarding of a vulnerable child or adult, e.g., child
protection plan, protection of vulnerable adult.
|
| Operationalization |
Information obtained locally, Free Text. |
| Value Domain |
|
|
|
| Consent for creation of end of life care plan
prsb03-dataelement-10431
|
|
|
| Id |
prsb03-dataelement-10431 (2018‑10‑31)
|
| Description |
Separate explicit consent is required for creation of an end of life care record.
This records how this consent has been granted in order to differentiate between person’s
explicit consent, best interest decision, Lasting Power of Attorney decision and withdrawal
of consent.
|
| Operationalization |
End of life care plan use case only. This is a record of consent to create an end
of life care plan.
|
| Value Domain |
|
| Used by
|
0 transactions, 0 templates, inherited once |
| |
|
|
|
| Looked after child
prsb03-dataelement-10432
|
|
|
| Id |
prsb03-dataelement-10432 (2018‑10‑31)
|
| Description |
The details of whether the child is a 'Looked after child' |
| Value Domain |
|
|
|
| Child Protection Plan
prsb03-dataelement-10433
|
|
|
|
|
| Local Authority
prsb03-dataelement-10434
|
|
|
|
|
| Safeguarding
prsb03-dataelement-271
|
|
|
| Id |
prsb03-dataelement-271 (2018‑10‑31)
|
| Description |
The safeguarding details of the person. |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Safeguarding concerns
prsb03-dataelement-10821
|
|
|
| Id |
prsb03-dataelement-10821 (2019‑03‑21 12:14:49)
|
| Description |
Details of the safeguarding concerns |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Safeguarding concerns date
prsb03-dataelement-10172
|
|
|
| Id |
prsb03-dataelement-10172 (2018‑10‑31)
|
| Description |
The date the safeguarding concerns were identified. |
| Operationalization |
Date and time |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Safeguarding concerns end date
prsb03-dataelement-10766
|
|
|
| Id |
prsb03-dataelement-10766 (2019‑03‑18 17:51:29)
|
| Description |
The date safeguarding concerns ended. |
| Operationalization |
Date and time |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Location
prsb03-dataelement-10173
|
|
|
| Id |
prsb03-dataelement-10173 (2018‑10‑31)
|
| Description |
The location where the safeguarding concerns were identified. |
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Performing professional
prsb03-dataelement-10969
|
|
|
| Id |
prsb03-dataelement-10969 (2019‑05‑22 14:39:23)
|
| Description |
Details of the professional identifying the safeguarding concerns. |
| Relationship |
|
| Value Domain |
|
|
|
| Person completing record
prsb03-dataelement-10963
|
|
|
| Id |
prsb03-dataelement-10963 (2019‑05‑20 15:53:16)
|
| Description |
This is the person recording the safeguarding concerns.
Should include their name, role, grade, specialty, organisation, professional identifier,
date and time completed, contact details
|
| Relationship |
|
| Operationalization |
Free text. Name, Role, Grade, Specialty, Organisation, Professional identifier, Date
and time completed, Contact details
|
| Value Domain |
|
| Used by
|
0 transactions, 0 templates, inherited once |
| |
|
|
|
| Performing Professional
prsb03-dataelement-10174
|
|
|
| Id |
prsb03-dataelement-10174 (2018‑10‑31)
|
| Description |
Details of the professional recording the safeguarding details (including name and
role)
|
| Value Domain |
|
|
|
| Safeguarding concerns
prsb03-dataelement-10171
|
|
|
|
|
| Performing professional
prsb03-dataelement-11358
|
|
|
| Id |
prsb03-dataelement-11358 (2019‑05‑30 13:51:50)
|
| Description |
The professional who identified the safeguarding concerns. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-11359
|
|
|
| Id |
prsb03-dataelement-11359 (2019‑05‑30 13:52:16)
|
| Concept inherits from |
prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
|
| Description |
The name of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Role
prsb03-dataelement-11360
|
|
|
| Id |
prsb03-dataelement-11360 (2019‑05‑30 13:52:16)
|
| Concept inherits from |
prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
|
| Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
| Operationalization |
NHS Data dictionary or free text
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-11361
|
|
|
| Id |
prsb03-dataelement-11361 (2019‑05‑30 13:52:16)
|
| Concept inherits from |
prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
|
| Description |
The grade of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Speciality
prsb03-dataelement-11362
|
|
|
| Id |
prsb03-dataelement-11362 (2019‑05‑30 13:52:16)
|
| Concept inherits from |
prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
|
| Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-11363
|
|
|
| Id |
prsb03-dataelement-11363 (2019‑05‑30 13:52:16)
|
| Concept inherits from |
prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
|
| Description |
Professional identifier for the professional e.g. GMC number, HCPC number etc or the
personal identifier used by the local organisation.
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisation
prsb03-dataelement-11364
|
|
|
| Id |
prsb03-dataelement-11364 (2019‑05‑30 13:52:16)
|
| Concept inherits from |
prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
|
| Description |
The name of the organisation the professional works for. |
| Operationalization |
ODS code or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-11365
|
|
|
| Id |
prsb03-dataelement-11365 (2019‑05‑30 13:52:16)
|
| Concept inherits from |
prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
|
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person completing record
prsb03-dataelement-11366
|
|
|
| Id |
prsb03-dataelement-11366 (2019‑05‑30 13:53:06)
|
| Concept inherits from |
prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
|
| Description |
Details of the person completing the record. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-11367
|
|
|
| Id |
prsb03-dataelement-11367 (2019‑05‑30 13:53:34)
|
| Concept inherits from |
prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
|
| Description |
The name of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisational role
prsb03-dataelement-11368
|
|
|
| Id |
prsb03-dataelement-11368 (2019‑05‑30 13:53:34)
|
| Concept inherits from |
prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
|
| Description |
The organisational role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Relationship |
|
| Operationalization |
NHS Data dictionary or free text.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-11369
|
|
|
| Id |
prsb03-dataelement-11369 (2019‑05‑30 13:53:34)
|
| Concept inherits from |
prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
|
| Description |
The grade of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Specialty
prsb03-dataelement-11370
|
|
|
|
|
| Organisation
prsb03-dataelement-11371
|
|
|
| Id |
prsb03-dataelement-11371 (2019‑05‑30 13:53:34)
|
| Concept inherits from |
prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
|
| Description |
The organisation the person completing the record works for. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-11372
|
|
|
| Id |
prsb03-dataelement-11372 (2019‑05‑30 13:53:34)
|
| Concept inherits from |
prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date completed
prsb03-dataelement-11373
|
|
|
| Id |
prsb03-dataelement-11373 (2019‑05‑30 13:53:34)
|
| Concept inherits from |
prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
|
| Description |
The date and time the record was completed. |
| Relationship |
|
| Operationalization |
Date and time. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-11374
|
|
|
| Id |
prsb03-dataelement-11374 (2019‑05‑30 13:53:34)
|
| Concept inherits from |
prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
|
| Description |
Contact details of the person completing the record (e.g. telephone number, email
address etc.).
|
| FHIR |
PractitionerRole.telecom |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Comment
prsb03-dataelement-10175
|
|
|
| Id |
prsb03-dataelement-10175 (2018‑10‑31)
|
| Description |
Further details on safeguarding concerns. |
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Performing professional
prsb03-dataelement-11148
|
|
|
| Id |
prsb03-dataelement-11148 (2019‑05‑24 11:51:30)
|
| Description |
The professional identifying the safeguarding concern. |
| Used by
|
0 transactions, 0 templates, inherited 5 times |
| |
|
|
|
| Name
prsb03-dataelement-11149
|
|
|
| Id |
prsb03-dataelement-11149 (2019‑05‑24 11:51:53)
|
| Concept inherits from |
prsb03-dataelement-11045 (2019‑05‑24 11:18:10)
|
| Description |
The name of the professional with responsibility for the care of the person. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
0 transactions, 0 templates, inherited 5 times |
| |
This concept is inherited by concept
Name in dataset prsb03-dataelement-11179
This concept is inherited by concept
Name in dataset prsb03-dataelement-11199
This concept is inherited by concept
Name in dataset prsb03-dataelement-11219
This concept is inherited by concept
Name in dataset prsb03-dataelement-11239
This concept is inherited by concept
Name in dataset prsb03-dataelement-11261
|
|
|
| Role
prsb03-dataelement-11150
|
|
|
| Id |
prsb03-dataelement-11150 (2019‑05‑24 11:51:53)
|
| Concept inherits from |
prsb03-dataelement-11046 (2019‑05‑24 11:18:10)
|
| Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
| Operationalization |
NHS Data dictionary or free text if code is not available.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
0 transactions, 0 templates, inherited 5 times |
| |
This concept is inherited by concept
Role in dataset prsb03-dataelement-11180
This concept is inherited by concept
Role in dataset prsb03-dataelement-11200
This concept is inherited by concept
Role in dataset prsb03-dataelement-11220
This concept is inherited by concept
Role in dataset prsb03-dataelement-11240
This concept is inherited by concept
Role in dataset prsb03-dataelement-11262
|
|
|
| Speciality
prsb03-dataelement-11151
|
|
|
| Id |
prsb03-dataelement-11151 (2019‑05‑24 11:51:53)
|
| Concept inherits from |
prsb03-dataelement-11047 (2019‑05‑24 11:18:10)
|
| Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
| Used by
|
0 transactions, 0 templates, inherited 5 times |
| |
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-11181
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-11201
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-11221
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-11241
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-11263
|
|
|
| Team
prsb03-dataelement-11152
|
|
|
| Id |
prsb03-dataelement-11152 (2019‑05‑24 11:51:53)
|
| Concept inherits from |
prsb03-dataelement-11048 (2019‑05‑24 11:18:10)
|
| Description |
The name of the team. |
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
0 transactions, 0 templates, inherited 5 times |
| |
This concept is inherited by concept
Team in dataset prsb03-dataelement-11182
This concept is inherited by concept
Team in dataset prsb03-dataelement-11202
This concept is inherited by concept
Team in dataset prsb03-dataelement-11222
This concept is inherited by concept
Team in dataset prsb03-dataelement-11242
This concept is inherited by concept
Team in dataset prsb03-dataelement-11264
|
|
|
| Organisation
prsb03-dataelement-11153
|
|
|
| Id |
prsb03-dataelement-11153 (2019‑05‑24 11:51:53)
|
| Concept inherits from |
prsb03-dataelement-11049 (2019‑05‑24 11:18:10)
|
| Description |
The name of the organisation. |
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
0 transactions, 0 templates, inherited 5 times |
| |
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11183
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11203
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11223
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11243
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11265
|
|
|
| Contact details
prsb03-dataelement-11154
|
|
|
| Id |
prsb03-dataelement-11154 (2019‑05‑24 11:51:53)
|
| Concept inherits from |
prsb03-dataelement-11050 (2019‑05‑24 11:18:10)
|
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
0 transactions, 0 templates, inherited 5 times |
| |
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11184
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11204
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11224
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11244
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11266
|
|
|
| Professional identifier
prsb03-dataelement-11167
|
|
|
| Id |
prsb03-dataelement-11167 (2019‑05‑28 17:18:30)
|
| Concept inherits from |
prsb03-dataelement-10223 (2018‑10‑31)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Value Domain |
|
| Used by
|
0 transactions, 0 templates, inherited 5 times |
| |
|
|
|
| Start date
prsb03-dataelement-11155
|
|
|
| Id |
prsb03-dataelement-11155 (2019‑05‑24 11:51:53)
|
| Concept inherits from |
prsb03-dataelement-11051 (2019‑05‑24 11:18:10)
|
| Description |
The start date of the professional relationship with the person. |
| Operationalization |
Date and time |
| Value Domain |
|
| Used by
|
0 transactions, 0 templates, inherited 5 times |
| |
This concept is inherited by concept
Start date in dataset prsb03-dataelement-11186
This concept is inherited by concept
Start date in dataset prsb03-dataelement-11206
This concept is inherited by concept
Start date in dataset prsb03-dataelement-11226
This concept is inherited by concept
Start date in dataset prsb03-dataelement-11246
This concept is inherited by concept
Start date in dataset prsb03-dataelement-11268
|
|
|
| End date
prsb03-dataelement-11156
|
|
|
| Id |
prsb03-dataelement-11156 (2019‑05‑24 11:51:53)
|
| Concept inherits from |
prsb03-dataelement-11052 (2019‑05‑24 11:18:10)
|
| Description |
The end date of the professional relationship with the person. |
| Operationalization |
Date and time |
| Value Domain |
|
| Used by
|
0 transactions, 0 templates, inherited 5 times |
| |
This concept is inherited by concept
End date in dataset prsb03-dataelement-11187
This concept is inherited by concept
End date in dataset prsb03-dataelement-11207
This concept is inherited by concept
End date in dataset prsb03-dataelement-11227
This concept is inherited by concept
End date in dataset prsb03-dataelement-11247
This concept is inherited by concept
End date in dataset prsb03-dataelement-11269
|
|
|
| Professional contacts record entry
prsb03-dataelement-11157
|
|
|
| Id |
prsb03-dataelement-11157 (2019‑05‑24 11:51:53)
|
| Description |
This is a professional contacts record entry. There may be 0 to many record entries
under a section. Each record entry is made up of a number of elements or data items.
|
| Relationship |
|
| Used by
|
0 transactions, 0 templates, inherited 5 times |
| |
|
|
|
| Person completing record
prsb03-dataelement-319
|
|
|
| Id |
prsb03-dataelement-319 (2018‑10‑31)
|
| Description |
Details of the person completing the record. |
| Used by
|
0 transactions, 0 templates, inherited 14 times |
| |
|
|
|
| Name
prsb03-dataelement-10219
|
|
|
| Id |
prsb03-dataelement-10219 (2018‑10‑31)
|
| Description |
The name of the person completing the record, preferably in a structured format. |
| Operationalization |
The person name as held on the source system. Where possible this should be broken
down into its constituent parts (prefix, given name, family name, and suffix).
|
| Value Domain |
|
| Used by
|
0 transactions, 0 templates, inherited 15 times |
| |
This concept is inherited by concept
Name in dataset prsb03-dataelement-11170
This concept is inherited by concept
Name in dataset prsb03-dataelement-10997
This concept is inherited by concept
Name in dataset prsb03-dataelement-11006
This concept is inherited by concept
Name in dataset prsb03-dataelement-11015
This concept is inherited by concept
Name in dataset prsb03-dataelement-11190
This concept is inherited by concept
Name in dataset prsb03-dataelement-11024
This concept is inherited by concept
Name in dataset prsb03-dataelement-11210
This concept is inherited by concept
Name in dataset prsb03-dataelement-11064
This concept is inherited by concept
Name in dataset prsb03-dataelement-11230
This concept is inherited by concept
Name in dataset prsb03-dataelement-11083
This concept is inherited by concept
Name in dataset prsb03-dataelement-11250
This concept is inherited by concept
Name in dataset prsb03-dataelement-11102
This concept is inherited by concept
Name in dataset prsb03-dataelement-11121
This concept is inherited by concept
Name in dataset prsb03-dataelement-11140
This concept is inherited by concept
Name in dataset prsb03-dataelement-11272
|
|
|
| Role
prsb03-dataelement-10220
|
|
|
| Id |
prsb03-dataelement-10220 (2018‑10‑31)
|
| Description |
The role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Operationalization |
The role may be held on the source system, be from an authoritative source such as
SDS, or use an existing vocabulary such as the job role title (from the national workforce
dataset).
|
| Value Domain |
|
| Used by
|
0 transactions, 0 templates, inherited 15 times |
| |
This concept is inherited by concept
Role in dataset prsb03-dataelement-11171
This concept is inherited by concept
Role in dataset prsb03-dataelement-10998
This concept is inherited by concept
Role in dataset prsb03-dataelement-11007
This concept is inherited by concept
Role in dataset prsb03-dataelement-11016
This concept is inherited by concept
Role in dataset prsb03-dataelement-11191
This concept is inherited by concept
Role in dataset prsb03-dataelement-11025
This concept is inherited by concept
Role in dataset prsb03-dataelement-11211
This concept is inherited by concept
Role in dataset prsb03-dataelement-11065
This concept is inherited by concept
Role in dataset prsb03-dataelement-11231
This concept is inherited by concept
Role in dataset prsb03-dataelement-11084
This concept is inherited by concept
Role in dataset prsb03-dataelement-11251
This concept is inherited by concept
Role in dataset prsb03-dataelement-11103
This concept is inherited by concept
Role in dataset prsb03-dataelement-11122
This concept is inherited by concept
Role in dataset prsb03-dataelement-11141
This concept is inherited by concept
Role in dataset prsb03-dataelement-11273
|
|
|
| Grade
prsb03-dataelement-10221
|
|
|
| Id |
prsb03-dataelement-10221 (2018‑10‑31)
|
| Description |
The grade of the person completing the record |
| Operationalization |
The grade of the person completing the record held on the source system or from an
authoritative source
|
| Value Domain |
|
| Used by
|
0 transactions, 0 templates, inherited 15 times |
| |
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11172
This concept is inherited by concept
Grade in dataset prsb03-dataelement-10999
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11008
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11017
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11192
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11026
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11212
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11066
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11232
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11085
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11252
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11104
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11123
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11142
This concept is inherited by concept
Grade in dataset prsb03-dataelement-11274
|
|
|
| Specialty
prsb03-dataelement-10222
|
|
|
| Id |
prsb03-dataelement-10222 (2018‑10‑31)
|
| Description |
The main specialty of the person completing the record. |
| FHIR |
PractitionerRole.specialty |
|
| Operationalization |
The main clinical specialty as held on the source system. |
| Value Domain |
|
| Used by
|
0 transactions, 0 templates, inherited 15 times |
| |
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-11173
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-11000
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-11009
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-11018
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-11193
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-11027
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-11213
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-11067
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-11233
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-11086
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-11253
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-11105
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-11124
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-11143
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-11275
|
|
|
| Organisation
prsb03-dataelement-10226
|
|
|
| Id |
prsb03-dataelement-10226 (2018‑10‑31)
|
| Description |
The organisation the person completing the record works for. |
| Operationalization |
An ODS identifier for the organisation or site, the name of the organisation or site,
and a postal address (if available).
|
| Value Domain |
|
| Used by
|
0 transactions, 0 templates, inherited 15 times |
| |
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11174
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11004
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11013
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11022
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11194
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11031
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11214
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11071
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11234
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11090
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11254
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11109
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11128
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11147
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11276
|
|
|
| Professional identifier
prsb03-dataelement-10223
|
|
|
| Id |
prsb03-dataelement-10223 (2018‑10‑31)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Value Domain |
|
| Used by
|
0 transactions, 0 templates, inherited 16 times |
| |
|
|
|
| Date completed
prsb03-dataelement-10224
|
|
|
| Id |
prsb03-dataelement-10224 (2018‑10‑31)
|
| Description |
The date and time the record was updated. |
| Operationalization |
The date/time the record was updated. |
| Value Domain |
|
| Used by
|
0 transactions, 0 templates, inherited 15 times |
| |
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-11176
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-11002
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-11011
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-11020
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-11196
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-11029
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-11216
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-11069
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-11236
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-11088
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-11256
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-11107
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-11126
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-11145
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-11278
|
|
|
| Contact details
prsb03-dataelement-10225
|
|
|
| Id |
prsb03-dataelement-10225 (2018‑10‑31)
|
| Description |
Contact details of the person completing the record. For example a phone number, email
address. Contact details are used to resolve queries about the record entry.
|
| FHIR |
PractitionerRole.telecom |
|
| Operationalization |
The contact details may be for the individual completing the record, or wider team
details (for example a phone number for a hospital department).
|
| Value Domain |
|
| Used by
|
0 transactions, 0 templates, inherited 15 times |
| |
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11177
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11003
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11012
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11021
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11197
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11030
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11217
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11070
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11237
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11089
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11257
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11108
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11127
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11146
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11279
|
|
|
| Looked after child
prsb03-dataelement-10797
|
|
|
| Id |
prsb03-dataelement-10797 (2019‑03‑20 13:08:45)
|
| Description |
Details of the looked after child |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Looked after child start date
prsb03-dataelement-10746
|
|
|
| Id |
prsb03-dataelement-10746 (2019‑03‑07 11:47:56)
|
| Description |
The date the child became a looked after child. |
| Relationship |
|
| Operationalization |
Date and time |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Looked after child end date
prsb03-dataelement-10761
|
|
|
| Id |
prsb03-dataelement-10761 (2019‑03‑08 18:36:16)
|
| Description |
The date the child ceased to be a looked after child. |
| Operationalization |
Date and time |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Local authority
prsb03-dataelement-10799
|
|
|
| Id |
prsb03-dataelement-10799 (2019‑03‑20 13:14:32)
|
| Description |
The named local authority. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person completing record
prsb03-dataelement-11375
|
|
|
| Id |
prsb03-dataelement-11375 (2019‑05‑30 13:54:10)
|
| Concept inherits from |
prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
|
| Description |
Details of the person completing the record. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-11376
|
|
|
| Id |
prsb03-dataelement-11376 (2019‑05‑30 13:54:40)
|
| Concept inherits from |
prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
|
| Description |
The name of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisational role
prsb03-dataelement-11377
|
|
|
| Id |
prsb03-dataelement-11377 (2019‑05‑30 13:54:40)
|
| Concept inherits from |
prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
|
| Description |
The organisational role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Relationship |
|
| Operationalization |
NHS Data dictionary or free text.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-11378
|
|
|
| Id |
prsb03-dataelement-11378 (2019‑05‑30 13:54:40)
|
| Concept inherits from |
prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
|
| Description |
The grade of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Specialty
prsb03-dataelement-11379
|
|
|
|
|
| Organisation
prsb03-dataelement-11380
|
|
|
| Id |
prsb03-dataelement-11380 (2019‑05‑30 13:54:40)
|
| Concept inherits from |
prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
|
| Description |
The organisation the person completing the record works for. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-11381
|
|
|
| Id |
prsb03-dataelement-11381 (2019‑05‑30 13:54:40)
|
| Concept inherits from |
prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date completed
prsb03-dataelement-11382
|
|
|
| Id |
prsb03-dataelement-11382 (2019‑05‑30 13:54:40)
|
| Concept inherits from |
prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
|
| Description |
The date and time the record was completed. |
| Relationship |
|
| Operationalization |
Date and time. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-11383
|
|
|
| Id |
prsb03-dataelement-11383 (2019‑05‑30 13:54:40)
|
| Concept inherits from |
prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
|
| Description |
Contact details of the person completing the record (e.g. telephone number, email
address etc.).
|
| FHIR |
PractitionerRole.telecom |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person completing record
prsb03-dataelement-11169
|
|
|
|
|
| Name
prsb03-dataelement-11170
|
|
|
| Id |
prsb03-dataelement-11170 (2019‑05‑28 17:43:26)
|
| Concept inherits from |
prsb03-dataelement-10219 (2018‑10‑31)
|
| Description |
The name of the person completing the record, preferably in a structured format. |
| Operationalization |
The person name as held on the source system. Where possible this should be broken
down into its constituent parts (prefix, given name, family name, and suffix).
|
| Value Domain |
|
|
|
| Role
prsb03-dataelement-11171
|
|
|
| Id |
prsb03-dataelement-11171 (2019‑05‑28 17:43:26)
|
| Concept inherits from |
prsb03-dataelement-10220 (2018‑10‑31)
|
| Description |
The role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Operationalization |
The role may be held on the source system, be from an authoritative source such as
SDS, or use an existing vocabulary such as the job role title (from the national workforce
dataset).
|
| Value Domain |
|
|
|
| Grade
prsb03-dataelement-11172
|
|
|
| Id |
prsb03-dataelement-11172 (2019‑05‑28 17:43:26)
|
| Concept inherits from |
prsb03-dataelement-10221 (2018‑10‑31)
|
| Description |
The grade of the person completing the record |
| Operationalization |
The grade of the person completing the record held on the source system or from an
authoritative source
|
| Value Domain |
|
|
|
| Specialty
prsb03-dataelement-11173
|
|
|
| Id |
prsb03-dataelement-11173 (2019‑05‑28 17:43:26)
|
| Concept inherits from |
prsb03-dataelement-10222 (2018‑10‑31)
|
| Description |
The main specialty of the person completing the record. |
| FHIR |
PractitionerRole.specialty |
|
| Operationalization |
The main clinical specialty as held on the source system. |
| Value Domain |
|
|
|
| Organisation
prsb03-dataelement-11174
|
|
|
| Id |
prsb03-dataelement-11174 (2019‑05‑28 17:43:26)
|
| Concept inherits from |
prsb03-dataelement-10226 (2018‑10‑31)
|
| Description |
The organisation the person completing the record works for. |
| Operationalization |
An ODS identifier for the organisation or site, the name of the organisation or site,
and a postal address (if available).
|
| Value Domain |
|
|
|
| Professional identifier
prsb03-dataelement-11175
|
|
|
| Id |
prsb03-dataelement-11175 (2019‑05‑28 17:43:26)
|
| Concept inherits from |
prsb03-dataelement-10223 (2018‑10‑31)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Value Domain |
|
|
|
| Date completed
prsb03-dataelement-11176
|
|
|
|
|
| Contact details
prsb03-dataelement-11177
|
|
|
| Id |
prsb03-dataelement-11177 (2019‑05‑28 17:43:26)
|
| Concept inherits from |
prsb03-dataelement-10225 (2018‑10‑31)
|
| Description |
Contact details of the person completing the record. For example a phone number, email
address. Contact details are used to resolve queries about the record entry.
|
| FHIR |
PractitionerRole.telecom |
|
| Operationalization |
The contact details may be for the individual completing the record, or wider team
details (for example a phone number for a hospital department).
|
| Value Domain |
|
|
|
| Person completing record
prsb03-dataelement-11168
|
|
|
| Id |
prsb03-dataelement-11168 (2019‑05‑28 17:40:50)
|
| Concept inherits from |
prsb03-dataelement-10963 (2019‑05‑20 15:53:16)
|
| Description |
This is the person recording the safeguarding concerns.
Should include their name, role, grade, specialty, organisation, professional identifier,
date and time completed, contact details
|
| Relationship |
|
| Operationalization |
Free text. Name, Role, Grade, Specialty, Organisation, Professional identifier, Date
and time completed, Contact details
|
| Value Domain |
|
|
|
| Person completing record
prsb03-dataelement-10996
|
|
|
|
|
| Name
prsb03-dataelement-10997
|
|
|
| Id |
prsb03-dataelement-10997 (2019‑05‑24 10:56:48)
|
| Concept inherits from |
prsb03-dataelement-10219 (2018‑10‑31)
|
| Description |
The name of the person completing the record, preferably in a structured format. |
| Operationalization |
The person name as held on the source system. Where possible this should be broken
down into its constituent parts (prefix, given name, family name, and suffix).
|
| Value Domain |
|
|
|
| Role
prsb03-dataelement-10998
|
|
|
| Id |
prsb03-dataelement-10998 (2019‑05‑24 10:56:48)
|
| Concept inherits from |
prsb03-dataelement-10220 (2018‑10‑31)
|
| Description |
The role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Operationalization |
The role may be held on the source system, be from an authoritative source such as
SDS, or use an existing vocabulary such as the job role title (from the national workforce
dataset).
|
| Value Domain |
|
|
|
| Grade
prsb03-dataelement-10999
|
|
|
| Id |
prsb03-dataelement-10999 (2019‑05‑24 10:56:48)
|
| Concept inherits from |
prsb03-dataelement-10221 (2018‑10‑31)
|
| Description |
The grade of the person completing the record |
| Operationalization |
The grade of the person completing the record held on the source system or from an
authoritative source
|
| Value Domain |
|
|
|
| Specialty
prsb03-dataelement-11000
|
|
|
| Id |
prsb03-dataelement-11000 (2019‑05‑24 10:56:48)
|
| Concept inherits from |
prsb03-dataelement-10222 (2018‑10‑31)
|
| Description |
The main specialty of the person completing the record. |
| FHIR |
PractitionerRole.specialty |
|
| Operationalization |
The main clinical specialty as held on the source system. |
| Value Domain |
|
|
|
| Professional identifier
prsb03-dataelement-11001
|
|
|
| Id |
prsb03-dataelement-11001 (2019‑05‑24 10:56:48)
|
| Concept inherits from |
prsb03-dataelement-10223 (2018‑10‑31)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Value Domain |
|
|
|
| Date completed
prsb03-dataelement-11002
|
|
|
|
|
| Contact details
prsb03-dataelement-11003
|
|
|
| Id |
prsb03-dataelement-11003 (2019‑05‑24 10:56:48)
|
| Concept inherits from |
prsb03-dataelement-10225 (2018‑10‑31)
|
| Description |
Contact details of the person completing the record. For example a phone number, email
address. Contact details are used to resolve queries about the record entry.
|
| FHIR |
PractitionerRole.telecom |
|
| Operationalization |
The contact details may be for the individual completing the record, or wider team
details (for example a phone number for a hospital department).
|
| Value Domain |
|
|
|
| Organisation
prsb03-dataelement-11004
|
|
|
| Id |
prsb03-dataelement-11004 (2019‑05‑24 10:56:48)
|
| Concept inherits from |
prsb03-dataelement-10226 (2018‑10‑31)
|
| Description |
The organisation the person completing the record works for. |
| Operationalization |
An ODS identifier for the organisation or site, the name of the organisation or site,
and a postal address (if available).
|
| Value Domain |
|
|
|
| Person completing record
prsb03-dataelement-10964
|
|
|
| Id |
prsb03-dataelement-10964 (2019‑05‑20 15:56:51)
|
| Description |
This is the person recording the details of the looked after child.
Should include their name, role, grade, specialty, organisation, professional identifier,
date and time completed, contact details
|
| Relationship |
|
| Operationalization |
Free text. Name, Role, Grade, Specialty, Organisation, Professional identifier, Date
and time completed, Contact details
|
| Value Domain |
|
|
|
| Child protection plan
prsb03-dataelement-10798
|
|
|
| Id |
prsb03-dataelement-10798 (2019‑03‑20 13:12:02)
|
| Description |
Details of the child protection plan |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Child protection plan start date
prsb03-dataelement-10747
|
|
|
| Id |
prsb03-dataelement-10747 (2019‑03‑07 11:48:25)
|
| Description |
The start date of the child protection plan |
| Relationship |
|
| Operationalization |
Date and time |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Child protection plan end date
prsb03-dataelement-10762
|
|
|
| Id |
prsb03-dataelement-10762 (2019‑03‑08 18:36:48)
|
| Description |
The end date of the child protection plan |
| Operationalization |
Date and time |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Local authority
prsb03-dataelement-10748
|
|
|
| Id |
prsb03-dataelement-10748 (2019‑03‑07 11:48:45)
|
| Description |
The named local authority. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person completing record
prsb03-dataelement-11384
|
|
|
| Id |
prsb03-dataelement-11384 (2019‑05‑30 13:55:02)
|
| Concept inherits from |
prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
|
| Description |
Details of the person completing the record. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-11385
|
|
|
| Id |
prsb03-dataelement-11385 (2019‑05‑30 13:55:35)
|
| Concept inherits from |
prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
|
| Description |
The name of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisational role
prsb03-dataelement-11386
|
|
|
| Id |
prsb03-dataelement-11386 (2019‑05‑30 13:55:35)
|
| Concept inherits from |
prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
|
| Description |
The organisational role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Relationship |
|
| Operationalization |
NHS Data dictionary or free text.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-11387
|
|
|
| Id |
prsb03-dataelement-11387 (2019‑05‑30 13:55:35)
|
| Concept inherits from |
prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
|
| Description |
The grade of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Specialty
prsb03-dataelement-11388
|
|
|
|
|
| Organisation
prsb03-dataelement-11389
|
|
|
| Id |
prsb03-dataelement-11389 (2019‑05‑30 13:55:35)
|
| Concept inherits from |
prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
|
| Description |
The organisation the person completing the record works for. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-11390
|
|
|
| Id |
prsb03-dataelement-11390 (2019‑05‑30 13:55:35)
|
| Concept inherits from |
prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date completed
prsb03-dataelement-11391
|
|
|
| Id |
prsb03-dataelement-11391 (2019‑05‑30 13:55:35)
|
| Concept inherits from |
prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
|
| Description |
The date and time the record was completed. |
| Relationship |
|
| Operationalization |
Date and time. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-11392
|
|
|
| Id |
prsb03-dataelement-11392 (2019‑05‑30 13:55:35)
|
| Concept inherits from |
prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
|
| Description |
Contact details of the person completing the record (e.g. telephone number, email
address etc.).
|
| FHIR |
PractitionerRole.telecom |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person completing record
prsb03-dataelement-11005
|
|
|
|
|
| Name
prsb03-dataelement-11006
|
|
|
| Id |
prsb03-dataelement-11006 (2019‑05‑24 10:57:52)
|
| Concept inherits from |
prsb03-dataelement-10219 (2018‑10‑31)
|
| Description |
The name of the person completing the record, preferably in a structured format. |
| Operationalization |
The person name as held on the source system. Where possible this should be broken
down into its constituent parts (prefix, given name, family name, and suffix).
|
| Value Domain |
|
|
|
| Role
prsb03-dataelement-11007
|
|
|
| Id |
prsb03-dataelement-11007 (2019‑05‑24 10:57:52)
|
| Concept inherits from |
prsb03-dataelement-10220 (2018‑10‑31)
|
| Description |
The role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Operationalization |
The role may be held on the source system, be from an authoritative source such as
SDS, or use an existing vocabulary such as the job role title (from the national workforce
dataset).
|
| Value Domain |
|
|
|
| Grade
prsb03-dataelement-11008
|
|
|
| Id |
prsb03-dataelement-11008 (2019‑05‑24 10:57:52)
|
| Concept inherits from |
prsb03-dataelement-10221 (2018‑10‑31)
|
| Description |
The grade of the person completing the record |
| Operationalization |
The grade of the person completing the record held on the source system or from an
authoritative source
|
| Value Domain |
|
|
|
| Specialty
prsb03-dataelement-11009
|
|
|
| Id |
prsb03-dataelement-11009 (2019‑05‑24 10:57:52)
|
| Concept inherits from |
prsb03-dataelement-10222 (2018‑10‑31)
|
| Description |
The main specialty of the person completing the record. |
| FHIR |
PractitionerRole.specialty |
|
| Operationalization |
The main clinical specialty as held on the source system. |
| Value Domain |
|
|
|
| Professional identifier
prsb03-dataelement-11010
|
|
|
| Id |
prsb03-dataelement-11010 (2019‑05‑24 10:57:52)
|
| Concept inherits from |
prsb03-dataelement-10223 (2018‑10‑31)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Value Domain |
|
|
|
| Date completed
prsb03-dataelement-11011
|
|
|
|
|
| Contact details
prsb03-dataelement-11012
|
|
|
| Id |
prsb03-dataelement-11012 (2019‑05‑24 10:57:52)
|
| Concept inherits from |
prsb03-dataelement-10225 (2018‑10‑31)
|
| Description |
Contact details of the person completing the record. For example a phone number, email
address. Contact details are used to resolve queries about the record entry.
|
| FHIR |
PractitionerRole.telecom |
|
| Operationalization |
The contact details may be for the individual completing the record, or wider team
details (for example a phone number for a hospital department).
|
| Value Domain |
|
|
|
| Organisation
prsb03-dataelement-11013
|
|
|
| Id |
prsb03-dataelement-11013 (2019‑05‑24 10:57:52)
|
| Concept inherits from |
prsb03-dataelement-10226 (2018‑10‑31)
|
| Description |
The organisation the person completing the record works for. |
| Operationalization |
An ODS identifier for the organisation or site, the name of the organisation or site,
and a postal address (if available).
|
| Value Domain |
|
|
|
| Person completing record
prsb03-dataelement-10965
|
|
|
| Id |
prsb03-dataelement-10965 (2019‑05‑20 15:58:45)
|
| Description |
This is the person recording the details of the child protection plan.
Should include their name, role, grade, specialty, organisation, professional identifier,
date and time completed, contact details
|
| Relationship |
|
| Operationalization |
Free text. Name, Role, Grade, Specialty, Organisation, Professional identifier, Date
and time completed, Contact details
|
| Value Domain |
|
|
|
| Unborn child protection plan
prsb03-dataelement-10923
|
|
|
| Id |
prsb03-dataelement-10923 (2019‑04‑26 17:54:37)
|
| Description |
Details of the unborn child protection plan. |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Unborn child protection plan start date
prsb03-dataelement-10924
|
|
|
| Id |
prsb03-dataelement-10924 (2019‑04‑26 17:55:45)
|
| Description |
Start date of the unborn child protection plan. |
| Operationalization |
Date and time |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Unborn child protection plan end date
prsb03-dataelement-10925
|
|
|
| Id |
prsb03-dataelement-10925 (2019‑04‑26 17:56:43)
|
| Description |
End date of the unborn child protection plan. |
| Operationalization |
Date and time |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Local authority
prsb03-dataelement-10926
|
|
|
| Id |
prsb03-dataelement-10926 (2019‑04‑26 17:58:25)
|
| Description |
The named local authority. |
| Operationalization |
ODS code and free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person completing record
prsb03-dataelement-11393
|
|
|
| Id |
prsb03-dataelement-11393 (2019‑05‑30 13:56:01)
|
| Concept inherits from |
prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
|
| Description |
Details of the person completing the record. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-11394
|
|
|
| Id |
prsb03-dataelement-11394 (2019‑05‑30 13:56:18)
|
| Concept inherits from |
prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
|
| Description |
The name of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisational role
prsb03-dataelement-11395
|
|
|
| Id |
prsb03-dataelement-11395 (2019‑05‑30 13:56:18)
|
| Concept inherits from |
prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
|
| Description |
The organisational role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Relationship |
|
| Operationalization |
NHS Data dictionary or free text.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-11396
|
|
|
| Id |
prsb03-dataelement-11396 (2019‑05‑30 13:56:18)
|
| Concept inherits from |
prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
|
| Description |
The grade of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Specialty
prsb03-dataelement-11397
|
|
|
|
|
| Organisation
prsb03-dataelement-11398
|
|
|
| Id |
prsb03-dataelement-11398 (2019‑05‑30 13:56:18)
|
| Concept inherits from |
prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
|
| Description |
The organisation the person completing the record works for. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-11399
|
|
|
| Id |
prsb03-dataelement-11399 (2019‑05‑30 13:56:18)
|
| Concept inherits from |
prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date completed
prsb03-dataelement-11400
|
|
|
| Id |
prsb03-dataelement-11400 (2019‑05‑30 13:56:18)
|
| Concept inherits from |
prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
|
| Description |
The date and time the record was completed. |
| Relationship |
|
| Operationalization |
Date and time. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-11401
|
|
|
| Id |
prsb03-dataelement-11401 (2019‑05‑30 13:56:18)
|
| Concept inherits from |
prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
|
| Description |
Contact details of the person completing the record (e.g. telephone number, email
address etc.).
|
| FHIR |
PractitionerRole.telecom |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person completing record
prsb03-dataelement-11014
|
|
|
|
|
| Name
prsb03-dataelement-11015
|
|
|
| Id |
prsb03-dataelement-11015 (2019‑05‑24 10:58:56)
|
| Concept inherits from |
prsb03-dataelement-10219 (2018‑10‑31)
|
| Description |
The name of the person completing the record, preferably in a structured format. |
| Operationalization |
The person name as held on the source system. Where possible this should be broken
down into its constituent parts (prefix, given name, family name, and suffix).
|
| Value Domain |
|
|
|
| Role
prsb03-dataelement-11016
|
|
|
| Id |
prsb03-dataelement-11016 (2019‑05‑24 10:58:56)
|
| Concept inherits from |
prsb03-dataelement-10220 (2018‑10‑31)
|
| Description |
The role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Operationalization |
The role may be held on the source system, be from an authoritative source such as
SDS, or use an existing vocabulary such as the job role title (from the national workforce
dataset).
|
| Value Domain |
|
|
|
| Grade
prsb03-dataelement-11017
|
|
|
| Id |
prsb03-dataelement-11017 (2019‑05‑24 10:58:56)
|
| Concept inherits from |
prsb03-dataelement-10221 (2018‑10‑31)
|
| Description |
The grade of the person completing the record |
| Operationalization |
The grade of the person completing the record held on the source system or from an
authoritative source
|
| Value Domain |
|
|
|
| Specialty
prsb03-dataelement-11018
|
|
|
| Id |
prsb03-dataelement-11018 (2019‑05‑24 10:58:56)
|
| Concept inherits from |
prsb03-dataelement-10222 (2018‑10‑31)
|
| Description |
The main specialty of the person completing the record. |
| FHIR |
PractitionerRole.specialty |
|
| Operationalization |
The main clinical specialty as held on the source system. |
| Value Domain |
|
|
|
| Professional identifier
prsb03-dataelement-11019
|
|
|
| Id |
prsb03-dataelement-11019 (2019‑05‑24 10:58:56)
|
| Concept inherits from |
prsb03-dataelement-10223 (2018‑10‑31)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Value Domain |
|
|
|
| Date completed
prsb03-dataelement-11020
|
|
|
|
|
| Contact details
prsb03-dataelement-11021
|
|
|
| Id |
prsb03-dataelement-11021 (2019‑05‑24 10:58:56)
|
| Concept inherits from |
prsb03-dataelement-10225 (2018‑10‑31)
|
| Description |
Contact details of the person completing the record. For example a phone number, email
address. Contact details are used to resolve queries about the record entry.
|
| FHIR |
PractitionerRole.telecom |
|
| Operationalization |
The contact details may be for the individual completing the record, or wider team
details (for example a phone number for a hospital department).
|
| Value Domain |
|
|
|
| Organisation
prsb03-dataelement-11022
|
|
|
| Id |
prsb03-dataelement-11022 (2019‑05‑24 10:58:56)
|
| Concept inherits from |
prsb03-dataelement-10226 (2018‑10‑31)
|
| Description |
The organisation the person completing the record works for. |
| Operationalization |
An ODS identifier for the organisation or site, the name of the organisation or site,
and a postal address (if available).
|
| Value Domain |
|
|
|
| Person completing record
prsb03-dataelement-10966
|
|
|
| Id |
prsb03-dataelement-10966 (2019‑05‑20 16:00:34)
|
| Description |
This is the person recording the details of the unborn child protection plan.
Should include their name, role, grade, specialty, organisation, professional identifier,
date and time completed, contact details
|
| Relationship |
|
| Operationalization |
Free text. Name, Role, Grade, Specialty, Organisation, Professional identifier, Date
and time completed, Contact details
|
| Value Domain |
|
|
|
| Safeguarding record entry
prsb03-dataelement-10656
|
|
|
| Id |
prsb03-dataelement-10656 (2018‑11‑13 12:19:53)
|
| Description |
This is a Safeguarding record entry. There may be 0 to many record entries under a
section. Each record entry is made up of a number of elements or data items.
|
|
|
| Referrer Details
prsb03-dataelement-10714
|
|
|
|
|
| Date and time of referral
prsb03-dataelement-10717
|
|
|
| Id |
prsb03-dataelement-10717 (2018‑12‑04 15:39:07)
|
| Description |
Date and time the patient was referred to the service. |
| Value Domain |
|
|
|
| Reason for referral
prsb03-dataelement-10716
|
|
|
| Id |
prsb03-dataelement-10716 (2018‑12‑04 15:38:52)
|
| Description |
A clear statement of the purpose of the person making the referral e.g. diagnosis,
treatment, transfer of care due to relocation, investigation, second opinion, management
of the patient (e.g. palliative care), provide referrer with advice / guidance. This
may include referral because of carers' concerns.
|
| Value Domain |
|
|
|
| Referrer details
prsb03-dataelement-10715
|
|
|
| Id |
prsb03-dataelement-10715 (2018‑12‑04 15:38:38)
|
| Description |
Details of the source of the referral. Name, role, grade, organisation and contact
details of referrer, or details of the person making the contact for ambulance or
urgent care services. If not an individual, this could be e.g. GP surgery, department,
specialty, sub-specialty, educational institution, mental health team etc. Also needs
to include self-referral.
|
| Operationalization |
Sent as per the ECDS Emergency Care Attendance Source code set (SNOMED CT). |
| Value Domain |
|
|
|
| Consent
prsb03-dataelement-10702
|
|
|
| Id |
prsb03-dataelement-10702 (2018‑12‑04 15:27:12)
|
| Description |
Legal information captured relating to patient care, such as consent. |
|
|
| Consent relating to child
prsb03-dataelement-10705
|
|
|
| Id |
prsb03-dataelement-10705 (2018‑12‑04 15:28:03)
|
| Description |
Consideration of age and competency, applying Gillick competency or Fraser guidelines.
Record of person with parental responsibility or appointed guardian where child lacks
competency. Record if there is disagreement between patient and parent.
|
| Operationalization |
Free text |
| Value Domain |
|
|
|
| Consent for information sharing
prsb03-dataelement-10704
|
|
|
| Id |
prsb03-dataelement-10704 (2018‑12‑04 15:27:48)
|
| Description |
This is a record of consent for information sharing under the common law duty of confidentiality.
Where consent has not been obtained or sought, the reason why should be provided.
Include best interests decision where person lacks capacity.
|
| Operationalization |
Free text. |
| Value Domain |
|
|
|
| Consent for treatment record
prsb03-dataelement-10703
|
|
|
| Id |
prsb03-dataelement-10703 (2018‑12‑04 15:27:26)
|
| Description |
Whether consent has been obtained for the treatment. May include where record of consent
is located or record of consent.
|
| Operationalization |
Free text |
| Value Domain |
|
|
|
| Eligibility Criteria
prsb03-dataelement-10700
|
|
|
|
|
| Eligibility criteria
prsb03-dataelement-10701
|
|
|
| Id |
prsb03-dataelement-10701 (2018‑12‑04 15:25:39)
|
| Description |
Records which specific eligibility criteria have been met in order to administer the
vaccine.
|
| Value Domain |
|
|
|
| Referral Details
prsb03-dataelement-10644
|
|
|
| Id |
prsb03-dataelement-10644 (2018‑11‑12 14:46:39)
|
| Description |
The details of the individual or team who referred the person. |
| Value Domain |
|
|
|
| Individual requirements
prsb03-dataelement-160
|
|
|
| Id |
prsb03-dataelement-160 (2018‑10‑31)
|
| Description |
The individual requirements of the person. |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Accessible information - requires specific information format
prsb03-dataelement-11032
|
|
|
| Id |
prsb03-dataelement-11032 (2019‑05‑24 11:06:51)
|
| Description |
The specific format the person requires in order for information to be accessible. |
| Operationalization |
SNOMED CT
refset ^999002151000000104
https://dd4c.hscic.gov.uk/dd4c/publishedmetadatas/intid/658
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date
prsb03-dataelement-11697
|
|
|
| Id |
prsb03-dataelement-11697 (2019‑05‑31 12:59:21)
|
| Description |
The date the accessible information requirement was identified. |
| Relationship |
|
| Operationalization |
Date and time |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Location
prsb03-dataelement-11698
|
|
|
| Id |
prsb03-dataelement-11698 (2019‑05‑31 12:59:49)
|
| Description |
The location where the accessible information requirement was identified. |
| Relationship |
|
| Operationalization |
ODS code and free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Performing professional
prsb03-dataelement-11402
|
|
|
| Id |
prsb03-dataelement-11402 (2019‑05‑30 14:04:34)
|
| Description |
The professional who identified the accessible information requirement. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-11403
|
|
|
| Id |
prsb03-dataelement-11403 (2019‑05‑30 14:04:54)
|
| Concept inherits from |
prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
|
| Description |
The name of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Role
prsb03-dataelement-11404
|
|
|
| Id |
prsb03-dataelement-11404 (2019‑05‑30 14:04:54)
|
| Concept inherits from |
prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
|
| Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
| Operationalization |
NHS Data dictionary or free text
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-11405
|
|
|
| Id |
prsb03-dataelement-11405 (2019‑05‑30 14:04:54)
|
| Concept inherits from |
prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
|
| Description |
The grade of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Speciality
prsb03-dataelement-11406
|
|
|
| Id |
prsb03-dataelement-11406 (2019‑05‑30 14:04:54)
|
| Concept inherits from |
prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
|
| Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-11407
|
|
|
| Id |
prsb03-dataelement-11407 (2019‑05‑30 14:04:54)
|
| Concept inherits from |
prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
|
| Description |
Professional identifier for the professional e.g. GMC number, HCPC number etc or the
personal identifier used by the local organisation.
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisation
prsb03-dataelement-11408
|
|
|
| Id |
prsb03-dataelement-11408 (2019‑05‑30 14:04:54)
|
| Concept inherits from |
prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
|
| Description |
The name of the organisation the professional works for. |
| Operationalization |
ODS code or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-11409
|
|
|
| Id |
prsb03-dataelement-11409 (2019‑05‑30 14:04:54)
|
| Concept inherits from |
prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
|
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person completing record
prsb03-dataelement-11410
|
|
|
| Id |
prsb03-dataelement-11410 (2019‑05‑30 14:05:15)
|
| Concept inherits from |
prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
|
| Description |
Details of the person completing the record. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-11411
|
|
|
| Id |
prsb03-dataelement-11411 (2019‑05‑30 14:06:19)
|
| Concept inherits from |
prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
|
| Description |
The name of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisational role
prsb03-dataelement-11412
|
|
|
| Id |
prsb03-dataelement-11412 (2019‑05‑30 14:06:19)
|
| Concept inherits from |
prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
|
| Description |
The organisational role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Relationship |
|
| Operationalization |
NHS Data dictionary or free text.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-11413
|
|
|
| Id |
prsb03-dataelement-11413 (2019‑05‑30 14:06:19)
|
| Concept inherits from |
prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
|
| Description |
The grade of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Specialty
prsb03-dataelement-11414
|
|
|
|
|
| Organisation
prsb03-dataelement-11415
|
|
|
| Id |
prsb03-dataelement-11415 (2019‑05‑30 14:06:19)
|
| Concept inherits from |
prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
|
| Description |
The organisation the person completing the record works for. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-11416
|
|
|
| Id |
prsb03-dataelement-11416 (2019‑05‑30 14:06:19)
|
| Concept inherits from |
prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date completed
prsb03-dataelement-11417
|
|
|
| Id |
prsb03-dataelement-11417 (2019‑05‑30 14:06:19)
|
| Concept inherits from |
prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
|
| Description |
The date and time the record was completed. |
| Relationship |
|
| Operationalization |
Date and time. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-11418
|
|
|
| Id |
prsb03-dataelement-11418 (2019‑05‑30 14:06:19)
|
| Concept inherits from |
prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
|
| Description |
Contact details of the person completing the record (e.g. telephone number, email
address etc.).
|
| FHIR |
PractitionerRole.telecom |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Performing professional
prsb03-dataelement-11178
|
|
|
|
|
| Name
prsb03-dataelement-11179
|
|
|
| Id |
prsb03-dataelement-11179 (2019‑05‑28 17:55:37)
|
| Concept inherits from |
prsb03-dataelement-11149 (2019‑05‑24 11:51:53)
|
| Description |
The name of the professional with responsibility for the care of the person. |
| Operationalization |
Free text. |
| Value Domain |
|
|
|
| Role
prsb03-dataelement-11180
|
|
|
| Id |
prsb03-dataelement-11180 (2019‑05‑28 17:55:37)
|
| Concept inherits from |
prsb03-dataelement-11150 (2019‑05‑24 11:51:53)
|
| Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
| Operationalization |
NHS Data dictionary or free text if code is not available.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
|
|
| Speciality
prsb03-dataelement-11181
|
|
|
| Id |
prsb03-dataelement-11181 (2019‑05‑28 17:55:37)
|
| Concept inherits from |
prsb03-dataelement-11151 (2019‑05‑24 11:51:53)
|
| Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
|
|
| Team
prsb03-dataelement-11182
|
|
|
|
|
| Organisation
prsb03-dataelement-11183
|
|
|
|
|
| Contact details
prsb03-dataelement-11184
|
|
|
| Id |
prsb03-dataelement-11184 (2019‑05‑28 17:55:37)
|
| Concept inherits from |
prsb03-dataelement-11154 (2019‑05‑24 11:51:53)
|
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text |
| Value Domain |
|
|
|
| Professional identifier
prsb03-dataelement-11185
|
|
|
| Id |
prsb03-dataelement-11185 (2019‑05‑28 17:55:37)
|
| Concept inherits from |
prsb03-dataelement-11167 (2019‑05‑28 17:18:30)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Value Domain |
|
|
|
| Start date
prsb03-dataelement-11186
|
|
|
| Id |
prsb03-dataelement-11186 (2019‑05‑28 17:55:37)
|
| Concept inherits from |
prsb03-dataelement-11155 (2019‑05‑24 11:51:53)
|
| Description |
The start date of the professional relationship with the person. |
| Operationalization |
Date and time |
| Value Domain |
|
|
|
| End date
prsb03-dataelement-11187
|
|
|
|
|
| Professional contacts record entry
prsb03-dataelement-11188
|
|
|
| Id |
prsb03-dataelement-11188 (2019‑05‑28 17:55:37)
|
| Concept inherits from |
prsb03-dataelement-11157 (2019‑05‑24 11:51:53)
|
| Description |
This is a professional contacts record entry. There may be 0 to many record entries
under a section. Each record entry is made up of a number of elements or data items.
|
| Relationship |
|
|
|
| Person completing record
prsb03-dataelement-11189
|
|
|
|
|
| Name
prsb03-dataelement-11190
|
|
|
| Id |
prsb03-dataelement-11190 (2019‑05‑28 17:58:01)
|
| Concept inherits from |
prsb03-dataelement-10219 (2018‑10‑31)
|
| Description |
The name of the person completing the record, preferably in a structured format. |
| Operationalization |
The person name as held on the source system. Where possible this should be broken
down into its constituent parts (prefix, given name, family name, and suffix).
|
| Value Domain |
|
|
|
| Role
prsb03-dataelement-11191
|
|
|
| Id |
prsb03-dataelement-11191 (2019‑05‑28 17:58:01)
|
| Concept inherits from |
prsb03-dataelement-10220 (2018‑10‑31)
|
| Description |
The role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Operationalization |
The role may be held on the source system, be from an authoritative source such as
SDS, or use an existing vocabulary such as the job role title (from the national workforce
dataset).
|
| Value Domain |
|
|
|
| Grade
prsb03-dataelement-11192
|
|
|
| Id |
prsb03-dataelement-11192 (2019‑05‑28 17:58:01)
|
| Concept inherits from |
prsb03-dataelement-10221 (2018‑10‑31)
|
| Description |
The grade of the person completing the record |
| Operationalization |
The grade of the person completing the record held on the source system or from an
authoritative source
|
| Value Domain |
|
|
|
| Specialty
prsb03-dataelement-11193
|
|
|
| Id |
prsb03-dataelement-11193 (2019‑05‑28 17:58:01)
|
| Concept inherits from |
prsb03-dataelement-10222 (2018‑10‑31)
|
| Description |
The main specialty of the person completing the record. |
| FHIR |
PractitionerRole.specialty |
|
| Operationalization |
The main clinical specialty as held on the source system. |
| Value Domain |
|
|
|
| Organisation
prsb03-dataelement-11194
|
|
|
| Id |
prsb03-dataelement-11194 (2019‑05‑28 17:58:01)
|
| Concept inherits from |
prsb03-dataelement-10226 (2018‑10‑31)
|
| Description |
The organisation the person completing the record works for. |
| Operationalization |
An ODS identifier for the organisation or site, the name of the organisation or site,
and a postal address (if available).
|
| Value Domain |
|
|
|
| Professional identifier
prsb03-dataelement-11195
|
|
|
| Id |
prsb03-dataelement-11195 (2019‑05‑28 17:58:01)
|
| Concept inherits from |
prsb03-dataelement-10223 (2018‑10‑31)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Value Domain |
|
|
|
| Date completed
prsb03-dataelement-11196
|
|
|
|
|
| Contact details
prsb03-dataelement-11197
|
|
|
| Id |
prsb03-dataelement-11197 (2019‑05‑28 17:58:01)
|
| Concept inherits from |
prsb03-dataelement-10225 (2018‑10‑31)
|
| Description |
Contact details of the person completing the record. For example a phone number, email
address. Contact details are used to resolve queries about the record entry.
|
| FHIR |
PractitionerRole.telecom |
|
| Operationalization |
The contact details may be for the individual completing the record, or wider team
details (for example a phone number for a hospital department).
|
| Value Domain |
|
|
|
| Performing professional
prsb03-dataelement-11043
|
|
|
| Id |
prsb03-dataelement-11043 (2019‑05‑24 11:17:33)
|
| Description |
The performing professional identifying the requirement. |
| Relationship |
|
| Used by
|
0 transactions, 0 templates, inherited 5 times |
| |
|
|
|
| Name
prsb03-dataelement-11045
|
|
|
| Id |
prsb03-dataelement-11045 (2019‑05‑24 11:18:10)
|
| Concept inherits from |
prsb03-dataelement-10352 (2018‑10‑31)
|
| Description |
The name of the professional with responsibility for the care of the person. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
0 transactions, 0 templates, inherited 6 times |
| |
This concept is inherited by concept
Name in dataset prsb03-dataelement-11149
This concept is inherited by concept
Name in dataset prsb03-dataelement-11054
This concept is inherited by concept
Name in dataset prsb03-dataelement-11073
This concept is inherited by concept
Name in dataset prsb03-dataelement-11092
This concept is inherited by concept
Name in dataset prsb03-dataelement-11111
This concept is inherited by concept
Name in dataset prsb03-dataelement-11130
|
|
|
| Role
prsb03-dataelement-11046
|
|
|
| Id |
prsb03-dataelement-11046 (2019‑05‑24 11:18:10)
|
| Concept inherits from |
prsb03-dataelement-10353 (2018‑10‑31)
|
| Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
| Operationalization |
NHS Data dictionary or free text if code is not available.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
0 transactions, 0 templates, inherited 6 times |
| |
This concept is inherited by concept
Role in dataset prsb03-dataelement-11150
This concept is inherited by concept
Role in dataset prsb03-dataelement-11055
This concept is inherited by concept
Role in dataset prsb03-dataelement-11074
This concept is inherited by concept
Role in dataset prsb03-dataelement-11093
This concept is inherited by concept
Role in dataset prsb03-dataelement-11112
This concept is inherited by concept
Role in dataset prsb03-dataelement-11131
|
|
|
| Speciality
prsb03-dataelement-11047
|
|
|
| Id |
prsb03-dataelement-11047 (2019‑05‑24 11:18:10)
|
| Concept inherits from |
prsb03-dataelement-10354 (2018‑10‑31)
|
| Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
| Used by
|
0 transactions, 0 templates, inherited 6 times |
| |
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-11151
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-11056
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-11075
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-11094
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-11113
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-11132
|
|
|
| Team
prsb03-dataelement-11048
|
|
|
| Id |
prsb03-dataelement-11048 (2019‑05‑24 11:18:10)
|
| Concept inherits from |
prsb03-dataelement-10355 (2018‑10‑31)
|
| Description |
The name of the team. |
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
0 transactions, 0 templates, inherited 6 times |
| |
This concept is inherited by concept
Team in dataset prsb03-dataelement-11152
This concept is inherited by concept
Team in dataset prsb03-dataelement-11057
This concept is inherited by concept
Team in dataset prsb03-dataelement-11076
This concept is inherited by concept
Team in dataset prsb03-dataelement-11095
This concept is inherited by concept
Team in dataset prsb03-dataelement-11114
This concept is inherited by concept
Team in dataset prsb03-dataelement-11133
|
|
|
| Organisation
prsb03-dataelement-11049
|
|
|
| Id |
prsb03-dataelement-11049 (2019‑05‑24 11:18:10)
|
| Concept inherits from |
prsb03-dataelement-10356 (2018‑10‑31)
|
| Description |
The name of the organisation. |
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
0 transactions, 0 templates, inherited 6 times |
| |
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11153
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11058
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11077
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11096
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11115
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11134
|
|
|
| Contact details
prsb03-dataelement-11050
|
|
|
| Id |
prsb03-dataelement-11050 (2019‑05‑24 11:18:10)
|
| Concept inherits from |
prsb03-dataelement-10357 (2018‑10‑31)
|
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
0 transactions, 0 templates, inherited 6 times |
| |
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11154
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11059
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11078
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11097
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11116
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11135
|
|
|
| Start date
prsb03-dataelement-11051
|
|
|
| Id |
prsb03-dataelement-11051 (2019‑05‑24 11:18:10)
|
| Concept inherits from |
prsb03-dataelement-10358 (2018‑10‑31)
|
| Description |
The start date of the professional relationship with the person. |
| Operationalization |
Date and time |
| Value Domain |
|
| Used by
|
0 transactions, 0 templates, inherited 6 times |
| |
This concept is inherited by concept
Start date in dataset prsb03-dataelement-11155
This concept is inherited by concept
Start date in dataset prsb03-dataelement-11060
This concept is inherited by concept
Start date in dataset prsb03-dataelement-11079
This concept is inherited by concept
Start date in dataset prsb03-dataelement-11098
This concept is inherited by concept
Start date in dataset prsb03-dataelement-11117
This concept is inherited by concept
Start date in dataset prsb03-dataelement-11136
|
|
|
| End date
prsb03-dataelement-11052
|
|
|
| Id |
prsb03-dataelement-11052 (2019‑05‑24 11:18:10)
|
| Concept inherits from |
prsb03-dataelement-10359 (2018‑10‑31)
|
| Description |
The end date of the professional relationship with the person. |
| Operationalization |
Date and time |
| Value Domain |
|
| Used by
|
0 transactions, 0 templates, inherited 6 times |
| |
This concept is inherited by concept
End date in dataset prsb03-dataelement-11156
This concept is inherited by concept
End date in dataset prsb03-dataelement-11061
This concept is inherited by concept
End date in dataset prsb03-dataelement-11080
This concept is inherited by concept
End date in dataset prsb03-dataelement-11099
This concept is inherited by concept
End date in dataset prsb03-dataelement-11118
This concept is inherited by concept
End date in dataset prsb03-dataelement-11137
|
|
|
| Professional contacts record entry
prsb03-dataelement-11044
|
|
|
| Id |
prsb03-dataelement-11044 (2019‑05‑24 11:18:10)
|
| Concept inherits from |
prsb03-dataelement-10767 (2019‑03‑18 18:07:16)
|
| Description |
This is a professional contacts record entry. There may be 0 to many record entries
under a section. Each record entry is made up of a number of elements or data items.
|
| Used by
|
0 transactions, 0 templates, inherited 5 times |
| |
|
|
|
| Performing professional
prsb03-dataelement-11033
|
|
|
| Id |
prsb03-dataelement-11033 (2019‑05‑24 11:12:34)
|
| Description |
The performing professional identifying the accessible information. |
| Relationship |
|
|
|
| Professional contacts record entry
prsb03-dataelement-11034
|
|
|
| Id |
prsb03-dataelement-11034 (2019‑05‑24 11:13:32)
|
| Concept inherits from |
prsb03-dataelement-10767 (2019‑03‑18 18:07:16)
|
| Description |
This is a professional contacts record entry. There may be 0 to many record entries
under a section. Each record entry is made up of a number of elements or data items.
|
|
|
| Name
prsb03-dataelement-11035
|
|
|
| Id |
prsb03-dataelement-11035 (2019‑05‑24 11:13:32)
|
| Concept inherits from |
prsb03-dataelement-10352 (2018‑10‑31)
|
| Description |
The name of the professional with responsibility for the care of the person. |
| Operationalization |
Free text. |
| Value Domain |
|
|
|
| Role
prsb03-dataelement-11036
|
|
|
| Id |
prsb03-dataelement-11036 (2019‑05‑24 11:13:32)
|
| Concept inherits from |
prsb03-dataelement-10353 (2018‑10‑31)
|
| Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
| Operationalization |
NHS Data dictionary or free text if code is not available.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
|
|
| Speciality
prsb03-dataelement-11037
|
|
|
| Id |
prsb03-dataelement-11037 (2019‑05‑24 11:13:32)
|
| Concept inherits from |
prsb03-dataelement-10354 (2018‑10‑31)
|
| Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
|
|
| Team
prsb03-dataelement-11038
|
|
|
|
|
| Organisation
prsb03-dataelement-11039
|
|
|
|
|
| Contact details
prsb03-dataelement-11040
|
|
|
| Id |
prsb03-dataelement-11040 (2019‑05‑24 11:13:32)
|
| Concept inherits from |
prsb03-dataelement-10357 (2018‑10‑31)
|
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text |
| Value Domain |
|
|
|
| Start date
prsb03-dataelement-11041
|
|
|
|
|
| End date
prsb03-dataelement-11042
|
|
|
|
|
| Person completing record
prsb03-dataelement-11023
|
|
|
|
|
| Name
prsb03-dataelement-11024
|
|
|
| Id |
prsb03-dataelement-11024 (2019‑05‑24 11:02:03)
|
| Concept inherits from |
prsb03-dataelement-10219 (2018‑10‑31)
|
| Description |
The name of the person completing the record, preferably in a structured format. |
| Operationalization |
The person name as held on the source system. Where possible this should be broken
down into its constituent parts (prefix, given name, family name, and suffix).
|
| Value Domain |
|
|
|
| Role
prsb03-dataelement-11025
|
|
|
| Id |
prsb03-dataelement-11025 (2019‑05‑24 11:02:03)
|
| Concept inherits from |
prsb03-dataelement-10220 (2018‑10‑31)
|
| Description |
The role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Operationalization |
The role may be held on the source system, be from an authoritative source such as
SDS, or use an existing vocabulary such as the job role title (from the national workforce
dataset).
|
| Value Domain |
|
|
|
| Grade
prsb03-dataelement-11026
|
|
|
| Id |
prsb03-dataelement-11026 (2019‑05‑24 11:02:03)
|
| Concept inherits from |
prsb03-dataelement-10221 (2018‑10‑31)
|
| Description |
The grade of the person completing the record |
| Operationalization |
The grade of the person completing the record held on the source system or from an
authoritative source
|
| Value Domain |
|
|
|
| Specialty
prsb03-dataelement-11027
|
|
|
| Id |
prsb03-dataelement-11027 (2019‑05‑24 11:02:03)
|
| Concept inherits from |
prsb03-dataelement-10222 (2018‑10‑31)
|
| Description |
The main specialty of the person completing the record. |
| FHIR |
PractitionerRole.specialty |
|
| Operationalization |
The main clinical specialty as held on the source system. |
| Value Domain |
|
|
|
| Professional identifier
prsb03-dataelement-11028
|
|
|
| Id |
prsb03-dataelement-11028 (2019‑05‑24 11:02:03)
|
| Concept inherits from |
prsb03-dataelement-10223 (2018‑10‑31)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Value Domain |
|
|
|
| Date completed
prsb03-dataelement-11029
|
|
|
|
|
| Contact details
prsb03-dataelement-11030
|
|
|
| Id |
prsb03-dataelement-11030 (2019‑05‑24 11:02:03)
|
| Concept inherits from |
prsb03-dataelement-10225 (2018‑10‑31)
|
| Description |
Contact details of the person completing the record. For example a phone number, email
address. Contact details are used to resolve queries about the record entry.
|
| FHIR |
PractitionerRole.telecom |
|
| Operationalization |
The contact details may be for the individual completing the record, or wider team
details (for example a phone number for a hospital department).
|
| Value Domain |
|
|
|
| Organisation
prsb03-dataelement-11031
|
|
|
| Id |
prsb03-dataelement-11031 (2019‑05‑24 11:02:03)
|
| Concept inherits from |
prsb03-dataelement-10226 (2018‑10‑31)
|
| Description |
The organisation the person completing the record works for. |
| Operationalization |
An ODS identifier for the organisation or site, the name of the organisation or site,
and a postal address (if available).
|
| Value Domain |
|
|
|
| Accessible information - requires specific contact method
prsb03-dataelement-10063
|
|
|
| Id |
prsb03-dataelement-10063 (2018‑10‑31)
|
| Description |
The contact method the person requires in order for information to be accessible. |
| Operationalization |
SNOMED CT
Requires specific contact method
Refset ^999002151000000104
https://dd4c.hscic.gov.uk/dd4c/publishedmetadatas/intid/658
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date
prsb03-dataelement-11699
|
|
|
| Id |
prsb03-dataelement-11699 (2019‑05‑31 13:00:44)
|
| Description |
The date the accessible information requirement was identified. |
| Relationship |
|
| Operationalization |
Date and time |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Location
prsb03-dataelement-11700
|
|
|
| Id |
prsb03-dataelement-11700 (2019‑05‑31 13:01:11)
|
| Description |
The location where the accessible information requirement was identified. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Performing professional
prsb03-dataelement-11419
|
|
|
| Id |
prsb03-dataelement-11419 (2019‑05‑30 14:08:28)
|
| Description |
The professional who identified the accessible information requirement. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-11420
|
|
|
| Id |
prsb03-dataelement-11420 (2019‑05‑30 14:08:48)
|
| Concept inherits from |
prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
|
| Description |
The name of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Role
prsb03-dataelement-11421
|
|
|
| Id |
prsb03-dataelement-11421 (2019‑05‑30 14:08:48)
|
| Concept inherits from |
prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
|
| Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
| Operationalization |
NHS Data dictionary or free text
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-11422
|
|
|
| Id |
prsb03-dataelement-11422 (2019‑05‑30 14:08:48)
|
| Concept inherits from |
prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
|
| Description |
The grade of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Speciality
prsb03-dataelement-11423
|
|
|
| Id |
prsb03-dataelement-11423 (2019‑05‑30 14:08:48)
|
| Concept inherits from |
prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
|
| Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-11424
|
|
|
| Id |
prsb03-dataelement-11424 (2019‑05‑30 14:08:48)
|
| Concept inherits from |
prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
|
| Description |
Professional identifier for the professional e.g. GMC number, HCPC number etc or the
personal identifier used by the local organisation.
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisation
prsb03-dataelement-11425
|
|
|
| Id |
prsb03-dataelement-11425 (2019‑05‑30 14:08:48)
|
| Concept inherits from |
prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
|
| Description |
The name of the organisation the professional works for. |
| Operationalization |
ODS code or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-11426
|
|
|
| Id |
prsb03-dataelement-11426 (2019‑05‑30 14:08:48)
|
| Concept inherits from |
prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
|
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person completing record
prsb03-dataelement-11427
|
|
|
| Id |
prsb03-dataelement-11427 (2019‑05‑30 14:09:00)
|
| Concept inherits from |
prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
|
| Description |
Details of the person completing the record. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-11428
|
|
|
| Id |
prsb03-dataelement-11428 (2019‑05‑30 14:09:25)
|
| Concept inherits from |
prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
|
| Description |
The name of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisational role
prsb03-dataelement-11429
|
|
|
| Id |
prsb03-dataelement-11429 (2019‑05‑30 14:09:25)
|
| Concept inherits from |
prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
|
| Description |
The organisational role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Relationship |
|
| Operationalization |
NHS Data dictionary or free text.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-11430
|
|
|
| Id |
prsb03-dataelement-11430 (2019‑05‑30 14:09:25)
|
| Concept inherits from |
prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
|
| Description |
The grade of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Specialty
prsb03-dataelement-11431
|
|
|
|
|
| Organisation
prsb03-dataelement-11432
|
|
|
| Id |
prsb03-dataelement-11432 (2019‑05‑30 14:09:25)
|
| Concept inherits from |
prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
|
| Description |
The organisation the person completing the record works for. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-11433
|
|
|
| Id |
prsb03-dataelement-11433 (2019‑05‑30 14:09:25)
|
| Concept inherits from |
prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date completed
prsb03-dataelement-11434
|
|
|
| Id |
prsb03-dataelement-11434 (2019‑05‑30 14:09:25)
|
| Concept inherits from |
prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
|
| Description |
The date and time the record was completed. |
| Relationship |
|
| Operationalization |
Date and time. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-11435
|
|
|
| Id |
prsb03-dataelement-11435 (2019‑05‑30 14:09:25)
|
| Concept inherits from |
prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
|
| Description |
Contact details of the person completing the record (e.g. telephone number, email
address etc.).
|
| FHIR |
PractitionerRole.telecom |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Performing professional
prsb03-dataelement-11198
|
|
|
|
|
| Name
prsb03-dataelement-11199
|
|
|
| Id |
prsb03-dataelement-11199 (2019‑05‑28 18:02:55)
|
| Concept inherits from |
prsb03-dataelement-11149 (2019‑05‑24 11:51:53)
|
| Description |
The name of the professional with responsibility for the care of the person. |
| Operationalization |
Free text. |
| Value Domain |
|
|
|
| Role
prsb03-dataelement-11200
|
|
|
| Id |
prsb03-dataelement-11200 (2019‑05‑28 18:02:55)
|
| Concept inherits from |
prsb03-dataelement-11150 (2019‑05‑24 11:51:53)
|
| Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
| Operationalization |
NHS Data dictionary or free text if code is not available.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
|
|
| Speciality
prsb03-dataelement-11201
|
|
|
| Id |
prsb03-dataelement-11201 (2019‑05‑28 18:02:55)
|
| Concept inherits from |
prsb03-dataelement-11151 (2019‑05‑24 11:51:53)
|
| Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
|
|
| Team
prsb03-dataelement-11202
|
|
|
|
|
| Organisation
prsb03-dataelement-11203
|
|
|
|
|
| Contact details
prsb03-dataelement-11204
|
|
|
| Id |
prsb03-dataelement-11204 (2019‑05‑28 18:02:55)
|
| Concept inherits from |
prsb03-dataelement-11154 (2019‑05‑24 11:51:53)
|
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text |
| Value Domain |
|
|
|
| Professional identifier
prsb03-dataelement-11205
|
|
|
| Id |
prsb03-dataelement-11205 (2019‑05‑28 18:02:55)
|
| Concept inherits from |
prsb03-dataelement-11167 (2019‑05‑28 17:18:30)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Value Domain |
|
|
|
| Start date
prsb03-dataelement-11206
|
|
|
| Id |
prsb03-dataelement-11206 (2019‑05‑28 18:02:55)
|
| Concept inherits from |
prsb03-dataelement-11155 (2019‑05‑24 11:51:53)
|
| Description |
The start date of the professional relationship with the person. |
| Operationalization |
Date and time |
| Value Domain |
|
|
|
| End date
prsb03-dataelement-11207
|
|
|
|
|
| Professional contacts record entry
prsb03-dataelement-11208
|
|
|
| Id |
prsb03-dataelement-11208 (2019‑05‑28 18:02:55)
|
| Concept inherits from |
prsb03-dataelement-11157 (2019‑05‑24 11:51:53)
|
| Description |
This is a professional contacts record entry. There may be 0 to many record entries
under a section. Each record entry is made up of a number of elements or data items.
|
| Relationship |
|
|
|
| Person completing record
prsb03-dataelement-11209
|
|
|
|
|
| Name
prsb03-dataelement-11210
|
|
|
| Id |
prsb03-dataelement-11210 (2019‑05‑28 18:05:50)
|
| Concept inherits from |
prsb03-dataelement-10219 (2018‑10‑31)
|
| Description |
The name of the person completing the record, preferably in a structured format. |
| Operationalization |
The person name as held on the source system. Where possible this should be broken
down into its constituent parts (prefix, given name, family name, and suffix).
|
| Value Domain |
|
|
|
| Role
prsb03-dataelement-11211
|
|
|
| Id |
prsb03-dataelement-11211 (2019‑05‑28 18:05:50)
|
| Concept inherits from |
prsb03-dataelement-10220 (2018‑10‑31)
|
| Description |
The role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Operationalization |
The role may be held on the source system, be from an authoritative source such as
SDS, or use an existing vocabulary such as the job role title (from the national workforce
dataset).
|
| Value Domain |
|
|
|
| Grade
prsb03-dataelement-11212
|
|
|
| Id |
prsb03-dataelement-11212 (2019‑05‑28 18:05:50)
|
| Concept inherits from |
prsb03-dataelement-10221 (2018‑10‑31)
|
| Description |
The grade of the person completing the record |
| Operationalization |
The grade of the person completing the record held on the source system or from an
authoritative source
|
| Value Domain |
|
|
|
| Specialty
prsb03-dataelement-11213
|
|
|
| Id |
prsb03-dataelement-11213 (2019‑05‑28 18:05:50)
|
| Concept inherits from |
prsb03-dataelement-10222 (2018‑10‑31)
|
| Description |
The main specialty of the person completing the record. |
| FHIR |
PractitionerRole.specialty |
|
| Operationalization |
The main clinical specialty as held on the source system. |
| Value Domain |
|
|
|
| Organisation
prsb03-dataelement-11214
|
|
|
| Id |
prsb03-dataelement-11214 (2019‑05‑28 18:05:50)
|
| Concept inherits from |
prsb03-dataelement-10226 (2018‑10‑31)
|
| Description |
The organisation the person completing the record works for. |
| Operationalization |
An ODS identifier for the organisation or site, the name of the organisation or site,
and a postal address (if available).
|
| Value Domain |
|
|
|
| Professional identifier
prsb03-dataelement-11215
|
|
|
| Id |
prsb03-dataelement-11215 (2019‑05‑28 18:05:50)
|
| Concept inherits from |
prsb03-dataelement-10223 (2018‑10‑31)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Value Domain |
|
|
|
| Date completed
prsb03-dataelement-11216
|
|
|
|
|
| Contact details
prsb03-dataelement-11217
|
|
|
| Id |
prsb03-dataelement-11217 (2019‑05‑28 18:05:50)
|
| Concept inherits from |
prsb03-dataelement-10225 (2018‑10‑31)
|
| Description |
Contact details of the person completing the record. For example a phone number, email
address. Contact details are used to resolve queries about the record entry.
|
| FHIR |
PractitionerRole.telecom |
|
| Operationalization |
The contact details may be for the individual completing the record, or wider team
details (for example a phone number for a hospital department).
|
| Value Domain |
|
|
|
| Performing professional
prsb03-dataelement-11053
|
|
|
|
|
| Name
prsb03-dataelement-11054
|
|
|
| Id |
prsb03-dataelement-11054 (2019‑05‑24 11:28:02)
|
| Concept inherits from |
prsb03-dataelement-11045 (2019‑05‑24 11:18:10)
|
| Description |
The name of the professional with responsibility for the care of the person. |
| Operationalization |
Free text. |
| Value Domain |
|
|
|
| Role
prsb03-dataelement-11055
|
|
|
| Id |
prsb03-dataelement-11055 (2019‑05‑24 11:28:02)
|
| Concept inherits from |
prsb03-dataelement-11046 (2019‑05‑24 11:18:10)
|
| Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
| Operationalization |
NHS Data dictionary or free text if code is not available.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
|
|
| Speciality
prsb03-dataelement-11056
|
|
|
| Id |
prsb03-dataelement-11056 (2019‑05‑24 11:28:02)
|
| Concept inherits from |
prsb03-dataelement-11047 (2019‑05‑24 11:18:10)
|
| Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
|
|
| Team
prsb03-dataelement-11057
|
|
|
|
|
| Organisation
prsb03-dataelement-11058
|
|
|
|
|
| Contact details
prsb03-dataelement-11059
|
|
|
| Id |
prsb03-dataelement-11059 (2019‑05‑24 11:28:02)
|
| Concept inherits from |
prsb03-dataelement-11050 (2019‑05‑24 11:18:10)
|
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text |
| Value Domain |
|
|
|
| Start date
prsb03-dataelement-11060
|
|
|
| Id |
prsb03-dataelement-11060 (2019‑05‑24 11:28:02)
|
| Concept inherits from |
prsb03-dataelement-11051 (2019‑05‑24 11:18:10)
|
| Description |
The start date of the professional relationship with the person. |
| Operationalization |
Date and time |
| Value Domain |
|
|
|
| End date
prsb03-dataelement-11061
|
|
|
|
|
| Professional contacts record entry
prsb03-dataelement-11062
|
|
|
| Id |
prsb03-dataelement-11062 (2019‑05‑24 11:28:02)
|
| Concept inherits from |
prsb03-dataelement-11044 (2019‑05‑24 11:18:10)
|
| Description |
This is a professional contacts record entry. There may be 0 to many record entries
under a section. Each record entry is made up of a number of elements or data items.
|
|
|
| Person completing record
prsb03-dataelement-11063
|
|
|
|
|
| Name
prsb03-dataelement-11064
|
|
|
| Id |
prsb03-dataelement-11064 (2019‑05‑24 11:28:43)
|
| Concept inherits from |
prsb03-dataelement-10219 (2018‑10‑31)
|
| Description |
The name of the person completing the record, preferably in a structured format. |
| Operationalization |
The person name as held on the source system. Where possible this should be broken
down into its constituent parts (prefix, given name, family name, and suffix).
|
| Value Domain |
|
|
|
| Role
prsb03-dataelement-11065
|
|
|
| Id |
prsb03-dataelement-11065 (2019‑05‑24 11:28:43)
|
| Concept inherits from |
prsb03-dataelement-10220 (2018‑10‑31)
|
| Description |
The role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Operationalization |
The role may be held on the source system, be from an authoritative source such as
SDS, or use an existing vocabulary such as the job role title (from the national workforce
dataset).
|
| Value Domain |
|
|
|
| Grade
prsb03-dataelement-11066
|
|
|
| Id |
prsb03-dataelement-11066 (2019‑05‑24 11:28:43)
|
| Concept inherits from |
prsb03-dataelement-10221 (2018‑10‑31)
|
| Description |
The grade of the person completing the record |
| Operationalization |
The grade of the person completing the record held on the source system or from an
authoritative source
|
| Value Domain |
|
|
|
| Specialty
prsb03-dataelement-11067
|
|
|
| Id |
prsb03-dataelement-11067 (2019‑05‑24 11:28:43)
|
| Concept inherits from |
prsb03-dataelement-10222 (2018‑10‑31)
|
| Description |
The main specialty of the person completing the record. |
| FHIR |
PractitionerRole.specialty |
|
| Operationalization |
The main clinical specialty as held on the source system. |
| Value Domain |
|
|
|
| Professional identifier
prsb03-dataelement-11068
|
|
|
| Id |
prsb03-dataelement-11068 (2019‑05‑24 11:28:43)
|
| Concept inherits from |
prsb03-dataelement-10223 (2018‑10‑31)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Value Domain |
|
|
|
| Date completed
prsb03-dataelement-11069
|
|
|
|
|
| Contact details
prsb03-dataelement-11070
|
|
|
| Id |
prsb03-dataelement-11070 (2019‑05‑24 11:28:43)
|
| Concept inherits from |
prsb03-dataelement-10225 (2018‑10‑31)
|
| Description |
Contact details of the person completing the record. For example a phone number, email
address. Contact details are used to resolve queries about the record entry.
|
| FHIR |
PractitionerRole.telecom |
|
| Operationalization |
The contact details may be for the individual completing the record, or wider team
details (for example a phone number for a hospital department).
|
| Value Domain |
|
|
|
| Organisation
prsb03-dataelement-11071
|
|
|
| Id |
prsb03-dataelement-11071 (2019‑05‑24 11:28:43)
|
| Concept inherits from |
prsb03-dataelement-10226 (2018‑10‑31)
|
| Description |
The organisation the person completing the record works for. |
| Operationalization |
An ODS identifier for the organisation or site, the name of the organisation or site,
and a postal address (if available).
|
| Value Domain |
|
|
|
| Accessible information - requires communication support
prsb03-dataelement-10062
|
|
|
| Id |
prsb03-dataelement-10062 (2018‑10‑31)
|
| Description |
The communication support the person requires in order for information to be accessible. |
| Operationalization |
SNOMED CT
Refset ^999002151000000104
https://dd4c.hscic.gov.uk/dd4c/publishedmetadatas/intid/658
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date
prsb03-dataelement-11701
|
|
|
| Id |
prsb03-dataelement-11701 (2019‑05‑31 13:03:10)
|
| Description |
The date the accessible information requirement was identified. |
| Relationship |
|
| Operationalization |
Date and time |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Location
prsb03-dataelement-11702
|
|
|
| Id |
prsb03-dataelement-11702 (2019‑05‑31 13:03:39)
|
| Description |
The location where the accessible information requirement was identified. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Performing professional
prsb03-dataelement-11436
|
|
|
| Id |
prsb03-dataelement-11436 (2019‑05‑30 14:13:49)
|
| Description |
The professional who identified the accessible information requirement. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-11437
|
|
|
| Id |
prsb03-dataelement-11437 (2019‑05‑30 14:18:52)
|
| Concept inherits from |
prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
|
| Description |
The name of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Role
prsb03-dataelement-11438
|
|
|
| Id |
prsb03-dataelement-11438 (2019‑05‑30 14:18:52)
|
| Concept inherits from |
prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
|
| Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
| Operationalization |
NHS Data dictionary or free text
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-11439
|
|
|
| Id |
prsb03-dataelement-11439 (2019‑05‑30 14:18:52)
|
| Concept inherits from |
prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
|
| Description |
The grade of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Speciality
prsb03-dataelement-11440
|
|
|
| Id |
prsb03-dataelement-11440 (2019‑05‑30 14:18:52)
|
| Concept inherits from |
prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
|
| Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-11441
|
|
|
| Id |
prsb03-dataelement-11441 (2019‑05‑30 14:18:52)
|
| Concept inherits from |
prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
|
| Description |
Professional identifier for the professional e.g. GMC number, HCPC number etc or the
personal identifier used by the local organisation.
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisation
prsb03-dataelement-11442
|
|
|
| Id |
prsb03-dataelement-11442 (2019‑05‑30 14:18:52)
|
| Concept inherits from |
prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
|
| Description |
The name of the organisation the professional works for. |
| Operationalization |
ODS code or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-11443
|
|
|
| Id |
prsb03-dataelement-11443 (2019‑05‑30 14:18:52)
|
| Concept inherits from |
prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
|
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person completing record
prsb03-dataelement-11444
|
|
|
| Id |
prsb03-dataelement-11444 (2019‑05‑30 14:19:18)
|
| Concept inherits from |
prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
|
| Description |
Details of the person completing the record. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-11445
|
|
|
| Id |
prsb03-dataelement-11445 (2019‑05‑30 14:19:57)
|
| Concept inherits from |
prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
|
| Description |
The name of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisational role
prsb03-dataelement-11446
|
|
|
| Id |
prsb03-dataelement-11446 (2019‑05‑30 14:19:57)
|
| Concept inherits from |
prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
|
| Description |
The organisational role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Relationship |
|
| Operationalization |
NHS Data dictionary or free text.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-11447
|
|
|
| Id |
prsb03-dataelement-11447 (2019‑05‑30 14:19:57)
|
| Concept inherits from |
prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
|
| Description |
The grade of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Specialty
prsb03-dataelement-11448
|
|
|
|
|
| Organisation
prsb03-dataelement-11449
|
|
|
| Id |
prsb03-dataelement-11449 (2019‑05‑30 14:19:57)
|
| Concept inherits from |
prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
|
| Description |
The organisation the person completing the record works for. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-11450
|
|
|
| Id |
prsb03-dataelement-11450 (2019‑05‑30 14:19:57)
|
| Concept inherits from |
prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date completed
prsb03-dataelement-11451
|
|
|
| Id |
prsb03-dataelement-11451 (2019‑05‑30 14:19:57)
|
| Concept inherits from |
prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
|
| Description |
The date and time the record was completed. |
| Relationship |
|
| Operationalization |
Date and time. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-11452
|
|
|
| Id |
prsb03-dataelement-11452 (2019‑05‑30 14:19:57)
|
| Concept inherits from |
prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
|
| Description |
Contact details of the person completing the record (e.g. telephone number, email
address etc.).
|
| FHIR |
PractitionerRole.telecom |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Performing professional
prsb03-dataelement-11218
|
|
|
|
|
| Name
prsb03-dataelement-11219
|
|
|
| Id |
prsb03-dataelement-11219 (2019‑05‑28 18:11:38)
|
| Concept inherits from |
prsb03-dataelement-11149 (2019‑05‑24 11:51:53)
|
| Description |
The name of the professional with responsibility for the care of the person. |
| Operationalization |
Free text. |
| Value Domain |
|
|
|
| Role
prsb03-dataelement-11220
|
|
|
| Id |
prsb03-dataelement-11220 (2019‑05‑28 18:11:38)
|
| Concept inherits from |
prsb03-dataelement-11150 (2019‑05‑24 11:51:53)
|
| Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
| Operationalization |
NHS Data dictionary or free text if code is not available.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
|
|
| Speciality
prsb03-dataelement-11221
|
|
|
| Id |
prsb03-dataelement-11221 (2019‑05‑28 18:11:38)
|
| Concept inherits from |
prsb03-dataelement-11151 (2019‑05‑24 11:51:53)
|
| Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
|
|
| Team
prsb03-dataelement-11222
|
|
|
|
|
| Organisation
prsb03-dataelement-11223
|
|
|
|
|
| Contact details
prsb03-dataelement-11224
|
|
|
| Id |
prsb03-dataelement-11224 (2019‑05‑28 18:11:38)
|
| Concept inherits from |
prsb03-dataelement-11154 (2019‑05‑24 11:51:53)
|
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text |
| Value Domain |
|
|
|
| Professional identifier
prsb03-dataelement-11225
|
|
|
| Id |
prsb03-dataelement-11225 (2019‑05‑28 18:11:38)
|
| Concept inherits from |
prsb03-dataelement-11167 (2019‑05‑28 17:18:30)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Value Domain |
|
|
|
| Start date
prsb03-dataelement-11226
|
|
|
| Id |
prsb03-dataelement-11226 (2019‑05‑28 18:11:38)
|
| Concept inherits from |
prsb03-dataelement-11155 (2019‑05‑24 11:51:53)
|
| Description |
The start date of the professional relationship with the person. |
| Operationalization |
Date and time |
| Value Domain |
|
|
|
| End date
prsb03-dataelement-11227
|
|
|
|
|
| Professional contacts record entry
prsb03-dataelement-11228
|
|
|
| Id |
prsb03-dataelement-11228 (2019‑05‑28 18:11:38)
|
| Concept inherits from |
prsb03-dataelement-11157 (2019‑05‑24 11:51:53)
|
| Description |
This is a professional contacts record entry. There may be 0 to many record entries
under a section. Each record entry is made up of a number of elements or data items.
|
| Relationship |
|
|
|
| Person completing record
prsb03-dataelement-11229
|
|
|
|
|
| Name
prsb03-dataelement-11230
|
|
|
| Id |
prsb03-dataelement-11230 (2019‑05‑28 18:13:47)
|
| Concept inherits from |
prsb03-dataelement-10219 (2018‑10‑31)
|
| Description |
The name of the person completing the record, preferably in a structured format. |
| Operationalization |
The person name as held on the source system. Where possible this should be broken
down into its constituent parts (prefix, given name, family name, and suffix).
|
| Value Domain |
|
|
|
| Role
prsb03-dataelement-11231
|
|
|
| Id |
prsb03-dataelement-11231 (2019‑05‑28 18:13:47)
|
| Concept inherits from |
prsb03-dataelement-10220 (2018‑10‑31)
|
| Description |
The role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Operationalization |
The role may be held on the source system, be from an authoritative source such as
SDS, or use an existing vocabulary such as the job role title (from the national workforce
dataset).
|
| Value Domain |
|
|
|
| Grade
prsb03-dataelement-11232
|
|
|
| Id |
prsb03-dataelement-11232 (2019‑05‑28 18:13:47)
|
| Concept inherits from |
prsb03-dataelement-10221 (2018‑10‑31)
|
| Description |
The grade of the person completing the record |
| Operationalization |
The grade of the person completing the record held on the source system or from an
authoritative source
|
| Value Domain |
|
|
|
| Specialty
prsb03-dataelement-11233
|
|
|
| Id |
prsb03-dataelement-11233 (2019‑05‑28 18:13:47)
|
| Concept inherits from |
prsb03-dataelement-10222 (2018‑10‑31)
|
| Description |
The main specialty of the person completing the record. |
| FHIR |
PractitionerRole.specialty |
|
| Operationalization |
The main clinical specialty as held on the source system. |
| Value Domain |
|
|
|
| Organisation
prsb03-dataelement-11234
|
|
|
| Id |
prsb03-dataelement-11234 (2019‑05‑28 18:13:47)
|
| Concept inherits from |
prsb03-dataelement-10226 (2018‑10‑31)
|
| Description |
The organisation the person completing the record works for. |
| Operationalization |
An ODS identifier for the organisation or site, the name of the organisation or site,
and a postal address (if available).
|
| Value Domain |
|
|
|
| Professional identifier
prsb03-dataelement-11235
|
|
|
| Id |
prsb03-dataelement-11235 (2019‑05‑28 18:13:47)
|
| Concept inherits from |
prsb03-dataelement-10223 (2018‑10‑31)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Value Domain |
|
|
|
| Date completed
prsb03-dataelement-11236
|
|
|
|
|
| Contact details
prsb03-dataelement-11237
|
|
|
| Id |
prsb03-dataelement-11237 (2019‑05‑28 18:13:47)
|
| Concept inherits from |
prsb03-dataelement-10225 (2018‑10‑31)
|
| Description |
Contact details of the person completing the record. For example a phone number, email
address. Contact details are used to resolve queries about the record entry.
|
| FHIR |
PractitionerRole.telecom |
|
| Operationalization |
The contact details may be for the individual completing the record, or wider team
details (for example a phone number for a hospital department).
|
| Value Domain |
|
|
|
| Performing professional
prsb03-dataelement-11072
|
|
|
|
|
| Name
prsb03-dataelement-11073
|
|
|
| Id |
prsb03-dataelement-11073 (2019‑05‑24 11:31:26)
|
| Concept inherits from |
prsb03-dataelement-11045 (2019‑05‑24 11:18:10)
|
| Description |
The name of the professional with responsibility for the care of the person. |
| Operationalization |
Free text. |
| Value Domain |
|
|
|
| Role
prsb03-dataelement-11074
|
|
|
| Id |
prsb03-dataelement-11074 (2019‑05‑24 11:31:26)
|
| Concept inherits from |
prsb03-dataelement-11046 (2019‑05‑24 11:18:10)
|
| Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
| Operationalization |
NHS Data dictionary or free text if code is not available.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
|
|
| Speciality
prsb03-dataelement-11075
|
|
|
| Id |
prsb03-dataelement-11075 (2019‑05‑24 11:31:26)
|
| Concept inherits from |
prsb03-dataelement-11047 (2019‑05‑24 11:18:10)
|
| Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
|
|
| Team
prsb03-dataelement-11076
|
|
|
|
|
| Organisation
prsb03-dataelement-11077
|
|
|
|
|
| Contact details
prsb03-dataelement-11078
|
|
|
| Id |
prsb03-dataelement-11078 (2019‑05‑24 11:31:26)
|
| Concept inherits from |
prsb03-dataelement-11050 (2019‑05‑24 11:18:10)
|
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text |
| Value Domain |
|
|
|
| Start date
prsb03-dataelement-11079
|
|
|
| Id |
prsb03-dataelement-11079 (2019‑05‑24 11:31:26)
|
| Concept inherits from |
prsb03-dataelement-11051 (2019‑05‑24 11:18:10)
|
| Description |
The start date of the professional relationship with the person. |
| Operationalization |
Date and time |
| Value Domain |
|
|
|
| End date
prsb03-dataelement-11080
|
|
|
|
|
| Professional contacts record entry
prsb03-dataelement-11081
|
|
|
| Id |
prsb03-dataelement-11081 (2019‑05‑24 11:31:26)
|
| Concept inherits from |
prsb03-dataelement-11044 (2019‑05‑24 11:18:10)
|
| Description |
This is a professional contacts record entry. There may be 0 to many record entries
under a section. Each record entry is made up of a number of elements or data items.
|
|
|
| Person completing record
prsb03-dataelement-11082
|
|
|
|
|
| Name
prsb03-dataelement-11083
|
|
|
| Id |
prsb03-dataelement-11083 (2019‑05‑24 11:31:54)
|
| Concept inherits from |
prsb03-dataelement-10219 (2018‑10‑31)
|
| Description |
The name of the person completing the record, preferably in a structured format. |
| Operationalization |
The person name as held on the source system. Where possible this should be broken
down into its constituent parts (prefix, given name, family name, and suffix).
|
| Value Domain |
|
|
|
| Role
prsb03-dataelement-11084
|
|
|
| Id |
prsb03-dataelement-11084 (2019‑05‑24 11:31:54)
|
| Concept inherits from |
prsb03-dataelement-10220 (2018‑10‑31)
|
| Description |
The role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Operationalization |
The role may be held on the source system, be from an authoritative source such as
SDS, or use an existing vocabulary such as the job role title (from the national workforce
dataset).
|
| Value Domain |
|
|
|
| Grade
prsb03-dataelement-11085
|
|
|
| Id |
prsb03-dataelement-11085 (2019‑05‑24 11:31:54)
|
| Concept inherits from |
prsb03-dataelement-10221 (2018‑10‑31)
|
| Description |
The grade of the person completing the record |
| Operationalization |
The grade of the person completing the record held on the source system or from an
authoritative source
|
| Value Domain |
|
|
|
| Specialty
prsb03-dataelement-11086
|
|
|
| Id |
prsb03-dataelement-11086 (2019‑05‑24 11:31:54)
|
| Concept inherits from |
prsb03-dataelement-10222 (2018‑10‑31)
|
| Description |
The main specialty of the person completing the record. |
| FHIR |
PractitionerRole.specialty |
|
| Operationalization |
The main clinical specialty as held on the source system. |
| Value Domain |
|
|
|
| Professional identifier
prsb03-dataelement-11087
|
|
|
| Id |
prsb03-dataelement-11087 (2019‑05‑24 11:31:54)
|
| Concept inherits from |
prsb03-dataelement-10223 (2018‑10‑31)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Value Domain |
|
|
|
| Date completed
prsb03-dataelement-11088
|
|
|
|
|
| Contact details
prsb03-dataelement-11089
|
|
|
| Id |
prsb03-dataelement-11089 (2019‑05‑24 11:31:54)
|
| Concept inherits from |
prsb03-dataelement-10225 (2018‑10‑31)
|
| Description |
Contact details of the person completing the record. For example a phone number, email
address. Contact details are used to resolve queries about the record entry.
|
| FHIR |
PractitionerRole.telecom |
|
| Operationalization |
The contact details may be for the individual completing the record, or wider team
details (for example a phone number for a hospital department).
|
| Value Domain |
|
|
|
| Organisation
prsb03-dataelement-11090
|
|
|
| Id |
prsb03-dataelement-11090 (2019‑05‑24 11:31:54)
|
| Concept inherits from |
prsb03-dataelement-10226 (2018‑10‑31)
|
| Description |
The organisation the person completing the record works for. |
| Operationalization |
An ODS identifier for the organisation or site, the name of the organisation or site,
and a postal address (if available).
|
| Value Domain |
|
|
|
| Accessible information - requires communication professional
prsb03-dataelement-10061
|
|
|
| Id |
prsb03-dataelement-10061 (2018‑10‑31)
|
| Description |
Identifies that the person needs support from a communication professional in order
for information to be accessible.
|
| Operationalization |
SNOMED CT
Refset ^999002141000000102
https://dd4c.hscic.gov.uk/dd4c/publishedmetadatas/intid/660
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date
prsb03-dataelement-11703
|
|
|
| Id |
prsb03-dataelement-11703 (2019‑05‑31 13:04:26)
|
| Description |
The date the accessible information requirement was identified. |
| Relationship |
|
| Operationalization |
Date and time |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Location
prsb03-dataelement-11704
|
|
|
| Id |
prsb03-dataelement-11704 (2019‑05‑31 13:04:51)
|
| Description |
The location where the accessible information requirement was identified. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Performing professional
prsb03-dataelement-11453
|
|
|
| Id |
prsb03-dataelement-11453 (2019‑05‑30 14:21:39)
|
| Description |
The professional who identified the accessible information requirement. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-11454
|
|
|
| Id |
prsb03-dataelement-11454 (2019‑05‑30 14:22:06)
|
| Concept inherits from |
prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
|
| Description |
The name of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Role
prsb03-dataelement-11455
|
|
|
| Id |
prsb03-dataelement-11455 (2019‑05‑30 14:22:06)
|
| Concept inherits from |
prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
|
| Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
| Operationalization |
NHS Data dictionary or free text
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-11456
|
|
|
| Id |
prsb03-dataelement-11456 (2019‑05‑30 14:22:06)
|
| Concept inherits from |
prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
|
| Description |
The grade of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Speciality
prsb03-dataelement-11457
|
|
|
| Id |
prsb03-dataelement-11457 (2019‑05‑30 14:22:06)
|
| Concept inherits from |
prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
|
| Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-11458
|
|
|
| Id |
prsb03-dataelement-11458 (2019‑05‑30 14:22:06)
|
| Concept inherits from |
prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
|
| Description |
Professional identifier for the professional e.g. GMC number, HCPC number etc or the
personal identifier used by the local organisation.
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisation
prsb03-dataelement-11459
|
|
|
| Id |
prsb03-dataelement-11459 (2019‑05‑30 14:22:06)
|
| Concept inherits from |
prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
|
| Description |
The name of the organisation the professional works for. |
| Operationalization |
ODS code or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-11460
|
|
|
| Id |
prsb03-dataelement-11460 (2019‑05‑30 14:22:06)
|
| Concept inherits from |
prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
|
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person completing record
prsb03-dataelement-11461
|
|
|
| Id |
prsb03-dataelement-11461 (2019‑05‑30 14:23:01)
|
| Concept inherits from |
prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
|
| Description |
Details of the person completing the record. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-11462
|
|
|
| Id |
prsb03-dataelement-11462 (2019‑05‑30 14:23:26)
|
| Concept inherits from |
prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
|
| Description |
The name of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisational role
prsb03-dataelement-11463
|
|
|
| Id |
prsb03-dataelement-11463 (2019‑05‑30 14:23:26)
|
| Concept inherits from |
prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
|
| Description |
The organisational role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Relationship |
|
| Operationalization |
NHS Data dictionary or free text.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-11464
|
|
|
| Id |
prsb03-dataelement-11464 (2019‑05‑30 14:23:26)
|
| Concept inherits from |
prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
|
| Description |
The grade of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Specialty
prsb03-dataelement-11465
|
|
|
|
|
| Organisation
prsb03-dataelement-11466
|
|
|
| Id |
prsb03-dataelement-11466 (2019‑05‑30 14:23:26)
|
| Concept inherits from |
prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
|
| Description |
The organisation the person completing the record works for. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-11467
|
|
|
| Id |
prsb03-dataelement-11467 (2019‑05‑30 14:23:26)
|
| Concept inherits from |
prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date completed
prsb03-dataelement-11468
|
|
|
| Id |
prsb03-dataelement-11468 (2019‑05‑30 14:23:26)
|
| Concept inherits from |
prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
|
| Description |
The date and time the record was completed. |
| Relationship |
|
| Operationalization |
Date and time. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-11469
|
|
|
| Id |
prsb03-dataelement-11469 (2019‑05‑30 14:23:26)
|
| Concept inherits from |
prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
|
| Description |
Contact details of the person completing the record (e.g. telephone number, email
address etc.).
|
| FHIR |
PractitionerRole.telecom |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Performing professional
prsb03-dataelement-11238
|
|
|
|
|
| Name
prsb03-dataelement-11239
|
|
|
| Id |
prsb03-dataelement-11239 (2019‑05‑28 18:15:22)
|
| Concept inherits from |
prsb03-dataelement-11149 (2019‑05‑24 11:51:53)
|
| Description |
The name of the professional with responsibility for the care of the person. |
| Operationalization |
Free text. |
| Value Domain |
|
|
|
| Role
prsb03-dataelement-11240
|
|
|
| Id |
prsb03-dataelement-11240 (2019‑05‑28 18:15:22)
|
| Concept inherits from |
prsb03-dataelement-11150 (2019‑05‑24 11:51:53)
|
| Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
| Operationalization |
NHS Data dictionary or free text if code is not available.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
|
|
| Speciality
prsb03-dataelement-11241
|
|
|
| Id |
prsb03-dataelement-11241 (2019‑05‑28 18:15:22)
|
| Concept inherits from |
prsb03-dataelement-11151 (2019‑05‑24 11:51:53)
|
| Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
|
|
| Team
prsb03-dataelement-11242
|
|
|
|
|
| Organisation
prsb03-dataelement-11243
|
|
|
|
|
| Contact details
prsb03-dataelement-11244
|
|
|
| Id |
prsb03-dataelement-11244 (2019‑05‑28 18:15:22)
|
| Concept inherits from |
prsb03-dataelement-11154 (2019‑05‑24 11:51:53)
|
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text |
| Value Domain |
|
|
|
| Professional identifier
prsb03-dataelement-11245
|
|
|
| Id |
prsb03-dataelement-11245 (2019‑05‑28 18:15:22)
|
| Concept inherits from |
prsb03-dataelement-11167 (2019‑05‑28 17:18:30)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Value Domain |
|
|
|
| Start date
prsb03-dataelement-11246
|
|
|
| Id |
prsb03-dataelement-11246 (2019‑05‑28 18:15:22)
|
| Concept inherits from |
prsb03-dataelement-11155 (2019‑05‑24 11:51:53)
|
| Description |
The start date of the professional relationship with the person. |
| Operationalization |
Date and time |
| Value Domain |
|
|
|
| End date
prsb03-dataelement-11247
|
|
|
|
|
| Professional contacts record entry
prsb03-dataelement-11248
|
|
|
| Id |
prsb03-dataelement-11248 (2019‑05‑28 18:15:22)
|
| Concept inherits from |
prsb03-dataelement-11157 (2019‑05‑24 11:51:53)
|
| Description |
This is a professional contacts record entry. There may be 0 to many record entries
under a section. Each record entry is made up of a number of elements or data items.
|
| Relationship |
|
|
|
| Person completing record
prsb03-dataelement-11249
|
|
|
|
|
| Name
prsb03-dataelement-11250
|
|
|
| Id |
prsb03-dataelement-11250 (2019‑05‑28 18:17:17)
|
| Concept inherits from |
prsb03-dataelement-10219 (2018‑10‑31)
|
| Description |
The name of the person completing the record, preferably in a structured format. |
| Operationalization |
The person name as held on the source system. Where possible this should be broken
down into its constituent parts (prefix, given name, family name, and suffix).
|
| Value Domain |
|
|
|
| Role
prsb03-dataelement-11251
|
|
|
| Id |
prsb03-dataelement-11251 (2019‑05‑28 18:17:17)
|
| Concept inherits from |
prsb03-dataelement-10220 (2018‑10‑31)
|
| Description |
The role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Operationalization |
The role may be held on the source system, be from an authoritative source such as
SDS, or use an existing vocabulary such as the job role title (from the national workforce
dataset).
|
| Value Domain |
|
|
|
| Grade
prsb03-dataelement-11252
|
|
|
| Id |
prsb03-dataelement-11252 (2019‑05‑28 18:17:17)
|
| Concept inherits from |
prsb03-dataelement-10221 (2018‑10‑31)
|
| Description |
The grade of the person completing the record |
| Operationalization |
The grade of the person completing the record held on the source system or from an
authoritative source
|
| Value Domain |
|
|
|
| Specialty
prsb03-dataelement-11253
|
|
|
| Id |
prsb03-dataelement-11253 (2019‑05‑28 18:17:17)
|
| Concept inherits from |
prsb03-dataelement-10222 (2018‑10‑31)
|
| Description |
The main specialty of the person completing the record. |
| FHIR |
PractitionerRole.specialty |
|
| Operationalization |
The main clinical specialty as held on the source system. |
| Value Domain |
|
|
|
| Organisation
prsb03-dataelement-11254
|
|
|
| Id |
prsb03-dataelement-11254 (2019‑05‑28 18:17:17)
|
| Concept inherits from |
prsb03-dataelement-10226 (2018‑10‑31)
|
| Description |
The organisation the person completing the record works for. |
| Operationalization |
An ODS identifier for the organisation or site, the name of the organisation or site,
and a postal address (if available).
|
| Value Domain |
|
|
|
| Professional identifier
prsb03-dataelement-11255
|
|
|
| Id |
prsb03-dataelement-11255 (2019‑05‑28 18:17:17)
|
| Concept inherits from |
prsb03-dataelement-10223 (2018‑10‑31)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Value Domain |
|
|
|
| Date completed
prsb03-dataelement-11256
|
|
|
|
|
| Contact details
prsb03-dataelement-11257
|
|
|
| Id |
prsb03-dataelement-11257 (2019‑05‑28 18:17:17)
|
| Concept inherits from |
prsb03-dataelement-10225 (2018‑10‑31)
|
| Description |
Contact details of the person completing the record. For example a phone number, email
address. Contact details are used to resolve queries about the record entry.
|
| FHIR |
PractitionerRole.telecom |
|
| Operationalization |
The contact details may be for the individual completing the record, or wider team
details (for example a phone number for a hospital department).
|
| Value Domain |
|
|
|
| Performing professional
prsb03-dataelement-11091
|
|
|
|
|
| Name
prsb03-dataelement-11092
|
|
|
| Id |
prsb03-dataelement-11092 (2019‑05‑24 11:33:21)
|
| Concept inherits from |
prsb03-dataelement-11045 (2019‑05‑24 11:18:10)
|
| Description |
The name of the professional with responsibility for the care of the person. |
| Operationalization |
Free text. |
| Value Domain |
|
|
|
| Role
prsb03-dataelement-11093
|
|
|
| Id |
prsb03-dataelement-11093 (2019‑05‑24 11:33:21)
|
| Concept inherits from |
prsb03-dataelement-11046 (2019‑05‑24 11:18:10)
|
| Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
| Operationalization |
NHS Data dictionary or free text if code is not available.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
|
|
| Speciality
prsb03-dataelement-11094
|
|
|
| Id |
prsb03-dataelement-11094 (2019‑05‑24 11:33:21)
|
| Concept inherits from |
prsb03-dataelement-11047 (2019‑05‑24 11:18:10)
|
| Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
|
|
| Team
prsb03-dataelement-11095
|
|
|
|
|
| Organisation
prsb03-dataelement-11096
|
|
|
|
|
| Contact details
prsb03-dataelement-11097
|
|
|
| Id |
prsb03-dataelement-11097 (2019‑05‑24 11:33:21)
|
| Concept inherits from |
prsb03-dataelement-11050 (2019‑05‑24 11:18:10)
|
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text |
| Value Domain |
|
|
|
| Start date
prsb03-dataelement-11098
|
|
|
| Id |
prsb03-dataelement-11098 (2019‑05‑24 11:33:21)
|
| Concept inherits from |
prsb03-dataelement-11051 (2019‑05‑24 11:18:10)
|
| Description |
The start date of the professional relationship with the person. |
| Operationalization |
Date and time |
| Value Domain |
|
|
|
| End date
prsb03-dataelement-11099
|
|
|
|
|
| Professional contacts record entry
prsb03-dataelement-11100
|
|
|
| Id |
prsb03-dataelement-11100 (2019‑05‑24 11:33:21)
|
| Concept inherits from |
prsb03-dataelement-11044 (2019‑05‑24 11:18:10)
|
| Description |
This is a professional contacts record entry. There may be 0 to many record entries
under a section. Each record entry is made up of a number of elements or data items.
|
|
|
| Person completing record
prsb03-dataelement-11101
|
|
|
|
|
| Name
prsb03-dataelement-11102
|
|
|
| Id |
prsb03-dataelement-11102 (2019‑05‑24 11:33:56)
|
| Concept inherits from |
prsb03-dataelement-10219 (2018‑10‑31)
|
| Description |
The name of the person completing the record, preferably in a structured format. |
| Operationalization |
The person name as held on the source system. Where possible this should be broken
down into its constituent parts (prefix, given name, family name, and suffix).
|
| Value Domain |
|
|
|
| Role
prsb03-dataelement-11103
|
|
|
| Id |
prsb03-dataelement-11103 (2019‑05‑24 11:33:56)
|
| Concept inherits from |
prsb03-dataelement-10220 (2018‑10‑31)
|
| Description |
The role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Operationalization |
The role may be held on the source system, be from an authoritative source such as
SDS, or use an existing vocabulary such as the job role title (from the national workforce
dataset).
|
| Value Domain |
|
|
|
| Grade
prsb03-dataelement-11104
|
|
|
| Id |
prsb03-dataelement-11104 (2019‑05‑24 11:33:56)
|
| Concept inherits from |
prsb03-dataelement-10221 (2018‑10‑31)
|
| Description |
The grade of the person completing the record |
| Operationalization |
The grade of the person completing the record held on the source system or from an
authoritative source
|
| Value Domain |
|
|
|
| Specialty
prsb03-dataelement-11105
|
|
|
| Id |
prsb03-dataelement-11105 (2019‑05‑24 11:33:56)
|
| Concept inherits from |
prsb03-dataelement-10222 (2018‑10‑31)
|
| Description |
The main specialty of the person completing the record. |
| FHIR |
PractitionerRole.specialty |
|
| Operationalization |
The main clinical specialty as held on the source system. |
| Value Domain |
|
|
|
| Professional identifier
prsb03-dataelement-11106
|
|
|
| Id |
prsb03-dataelement-11106 (2019‑05‑24 11:33:56)
|
| Concept inherits from |
prsb03-dataelement-10223 (2018‑10‑31)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Value Domain |
|
|
|
| Date completed
prsb03-dataelement-11107
|
|
|
|
|
| Contact details
prsb03-dataelement-11108
|
|
|
| Id |
prsb03-dataelement-11108 (2019‑05‑24 11:33:56)
|
| Concept inherits from |
prsb03-dataelement-10225 (2018‑10‑31)
|
| Description |
Contact details of the person completing the record. For example a phone number, email
address. Contact details are used to resolve queries about the record entry.
|
| FHIR |
PractitionerRole.telecom |
|
| Operationalization |
The contact details may be for the individual completing the record, or wider team
details (for example a phone number for a hospital department).
|
| Value Domain |
|
|
|
| Organisation
prsb03-dataelement-11109
|
|
|
| Id |
prsb03-dataelement-11109 (2019‑05‑24 11:33:56)
|
| Concept inherits from |
prsb03-dataelement-10226 (2018‑10‑31)
|
| Description |
The organisation the person completing the record works for. |
| Operationalization |
An ODS identifier for the organisation or site, the name of the organisation or site,
and a postal address (if available).
|
| Value Domain |
|
|
|
| Cognition
prsb03-dataelement-10066
|
|
|
| Id |
prsb03-dataelement-10066 (2018‑10‑31)
|
| Description |
The cognitive impairment to be considered when communicating with the person, child
or their primary carer.
|
| Operationalization |
SNOMED CT or free text |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date
prsb03-dataelement-11705
|
|
|
| Id |
prsb03-dataelement-11705 (2019‑05‑31 13:05:51)
|
| Description |
The date when the cognitive impairment was identified. |
| Relationship |
|
| Operationalization |
Date and time |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Location
prsb03-dataelement-11706
|
|
|
| Id |
prsb03-dataelement-11706 (2019‑05‑31 13:06:37)
|
| Description |
The location where the cognitive impairment was identified. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Performing professional
prsb03-dataelement-11470
|
|
|
| Id |
prsb03-dataelement-11470 (2019‑05‑30 14:25:03)
|
| Description |
The professional who identified the cognitive impairment. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-11471
|
|
|
| Id |
prsb03-dataelement-11471 (2019‑05‑30 14:25:24)
|
| Concept inherits from |
prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
|
| Description |
The name of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Role
prsb03-dataelement-11472
|
|
|
| Id |
prsb03-dataelement-11472 (2019‑05‑30 14:25:24)
|
| Concept inherits from |
prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
|
| Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
| Operationalization |
NHS Data dictionary or free text
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-11473
|
|
|
| Id |
prsb03-dataelement-11473 (2019‑05‑30 14:25:24)
|
| Concept inherits from |
prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
|
| Description |
The grade of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Speciality
prsb03-dataelement-11474
|
|
|
| Id |
prsb03-dataelement-11474 (2019‑05‑30 14:25:24)
|
| Concept inherits from |
prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
|
| Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-11475
|
|
|
| Id |
prsb03-dataelement-11475 (2019‑05‑30 14:25:24)
|
| Concept inherits from |
prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
|
| Description |
Professional identifier for the professional e.g. GMC number, HCPC number etc or the
personal identifier used by the local organisation.
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisation
prsb03-dataelement-11476
|
|
|
| Id |
prsb03-dataelement-11476 (2019‑05‑30 14:25:24)
|
| Concept inherits from |
prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
|
| Description |
The name of the organisation the professional works for. |
| Operationalization |
ODS code or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-11477
|
|
|
| Id |
prsb03-dataelement-11477 (2019‑05‑30 14:25:24)
|
| Concept inherits from |
prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
|
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person completing record
prsb03-dataelement-11478
|
|
|
| Id |
prsb03-dataelement-11478 (2019‑05‑30 14:25:35)
|
| Concept inherits from |
prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
|
| Description |
Details of the person completing the record. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-11479
|
|
|
| Id |
prsb03-dataelement-11479 (2019‑05‑30 14:26:05)
|
| Concept inherits from |
prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
|
| Description |
The name of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisational role
prsb03-dataelement-11480
|
|
|
| Id |
prsb03-dataelement-11480 (2019‑05‑30 14:26:05)
|
| Concept inherits from |
prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
|
| Description |
The organisational role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Relationship |
|
| Operationalization |
NHS Data dictionary or free text.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-11481
|
|
|
| Id |
prsb03-dataelement-11481 (2019‑05‑30 14:26:05)
|
| Concept inherits from |
prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
|
| Description |
The grade of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Specialty
prsb03-dataelement-11482
|
|
|
|
|
| Organisation
prsb03-dataelement-11483
|
|
|
| Id |
prsb03-dataelement-11483 (2019‑05‑30 14:26:05)
|
| Concept inherits from |
prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
|
| Description |
The organisation the person completing the record works for. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-11484
|
|
|
| Id |
prsb03-dataelement-11484 (2019‑05‑30 14:26:05)
|
| Concept inherits from |
prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date completed
prsb03-dataelement-11485
|
|
|
| Id |
prsb03-dataelement-11485 (2019‑05‑30 14:26:05)
|
| Concept inherits from |
prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
|
| Description |
The date and time the record was completed. |
| Relationship |
|
| Operationalization |
Date and time. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-11486
|
|
|
| Id |
prsb03-dataelement-11486 (2019‑05‑30 14:26:05)
|
| Concept inherits from |
prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
|
| Description |
Contact details of the person completing the record (e.g. telephone number, email
address etc.).
|
| FHIR |
PractitionerRole.telecom |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Performing professional
prsb03-dataelement-11110
|
|
|
|
|
| Name
prsb03-dataelement-11111
|
|
|
| Id |
prsb03-dataelement-11111 (2019‑05‑24 11:38:06)
|
| Concept inherits from |
prsb03-dataelement-11045 (2019‑05‑24 11:18:10)
|
| Description |
The name of the professional with responsibility for the care of the person. |
| Operationalization |
Free text. |
| Value Domain |
|
|
|
| Role
prsb03-dataelement-11112
|
|
|
| Id |
prsb03-dataelement-11112 (2019‑05‑24 11:38:06)
|
| Concept inherits from |
prsb03-dataelement-11046 (2019‑05‑24 11:18:10)
|
| Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
| Operationalization |
NHS Data dictionary or free text if code is not available.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
|
|
| Speciality
prsb03-dataelement-11113
|
|
|
| Id |
prsb03-dataelement-11113 (2019‑05‑24 11:38:06)
|
| Concept inherits from |
prsb03-dataelement-11047 (2019‑05‑24 11:18:10)
|
| Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
|
|
| Team
prsb03-dataelement-11114
|
|
|
|
|
| Organisation
prsb03-dataelement-11115
|
|
|
|
|
| Contact details
prsb03-dataelement-11116
|
|
|
| Id |
prsb03-dataelement-11116 (2019‑05‑24 11:38:06)
|
| Concept inherits from |
prsb03-dataelement-11050 (2019‑05‑24 11:18:10)
|
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text |
| Value Domain |
|
|
|
| Start date
prsb03-dataelement-11117
|
|
|
| Id |
prsb03-dataelement-11117 (2019‑05‑24 11:38:06)
|
| Concept inherits from |
prsb03-dataelement-11051 (2019‑05‑24 11:18:10)
|
| Description |
The start date of the professional relationship with the person. |
| Operationalization |
Date and time |
| Value Domain |
|
|
|
| End date
prsb03-dataelement-11118
|
|
|
|
|
| Professional contacts record entry
prsb03-dataelement-11119
|
|
|
| Id |
prsb03-dataelement-11119 (2019‑05‑24 11:38:06)
|
| Concept inherits from |
prsb03-dataelement-11044 (2019‑05‑24 11:18:10)
|
| Description |
This is a professional contacts record entry. There may be 0 to many record entries
under a section. Each record entry is made up of a number of elements or data items.
|
|
|
| Person completing record
prsb03-dataelement-11120
|
|
|
|
|
| Name
prsb03-dataelement-11121
|
|
|
| Id |
prsb03-dataelement-11121 (2019‑05‑24 11:38:55)
|
| Concept inherits from |
prsb03-dataelement-10219 (2018‑10‑31)
|
| Description |
The name of the person completing the record, preferably in a structured format. |
| Operationalization |
The person name as held on the source system. Where possible this should be broken
down into its constituent parts (prefix, given name, family name, and suffix).
|
| Value Domain |
|
|
|
| Role
prsb03-dataelement-11122
|
|
|
| Id |
prsb03-dataelement-11122 (2019‑05‑24 11:38:55)
|
| Concept inherits from |
prsb03-dataelement-10220 (2018‑10‑31)
|
| Description |
The role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Operationalization |
The role may be held on the source system, be from an authoritative source such as
SDS, or use an existing vocabulary such as the job role title (from the national workforce
dataset).
|
| Value Domain |
|
|
|
| Grade
prsb03-dataelement-11123
|
|
|
| Id |
prsb03-dataelement-11123 (2019‑05‑24 11:38:55)
|
| Concept inherits from |
prsb03-dataelement-10221 (2018‑10‑31)
|
| Description |
The grade of the person completing the record |
| Operationalization |
The grade of the person completing the record held on the source system or from an
authoritative source
|
| Value Domain |
|
|
|
| Specialty
prsb03-dataelement-11124
|
|
|
| Id |
prsb03-dataelement-11124 (2019‑05‑24 11:38:55)
|
| Concept inherits from |
prsb03-dataelement-10222 (2018‑10‑31)
|
| Description |
The main specialty of the person completing the record. |
| FHIR |
PractitionerRole.specialty |
|
| Operationalization |
The main clinical specialty as held on the source system. |
| Value Domain |
|
|
|
| Professional identifier
prsb03-dataelement-11125
|
|
|
| Id |
prsb03-dataelement-11125 (2019‑05‑24 11:38:55)
|
| Concept inherits from |
prsb03-dataelement-10223 (2018‑10‑31)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Value Domain |
|
|
|
| Date completed
prsb03-dataelement-11126
|
|
|
|
|
| Contact details
prsb03-dataelement-11127
|
|
|
| Id |
prsb03-dataelement-11127 (2019‑05‑24 11:38:55)
|
| Concept inherits from |
prsb03-dataelement-10225 (2018‑10‑31)
|
| Description |
Contact details of the person completing the record. For example a phone number, email
address. Contact details are used to resolve queries about the record entry.
|
| FHIR |
PractitionerRole.telecom |
|
| Operationalization |
The contact details may be for the individual completing the record, or wider team
details (for example a phone number for a hospital department).
|
| Value Domain |
|
|
|
| Organisation
prsb03-dataelement-11128
|
|
|
| Id |
prsb03-dataelement-11128 (2019‑05‑24 11:38:55)
|
| Concept inherits from |
prsb03-dataelement-10226 (2018‑10‑31)
|
| Description |
The organisation the person completing the record works for. |
| Operationalization |
An ODS identifier for the organisation or site, the name of the organisation or site,
and a postal address (if available).
|
| Value Domain |
|
|
|
| Mobility needs
prsb03-dataelement-10067
|
|
|
| Id |
prsb03-dataelement-10067 (2018‑10‑31)
|
| Description |
The mobility needs of the person that allows movement between two spaces and achieves
participation and a degree of independence.
|
| Operationalization |
SNOMED CT or free text |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date
prsb03-dataelement-11707
|
|
|
| Id |
prsb03-dataelement-11707 (2019‑05‑31 13:08:03)
|
| Description |
The date when the mobility needs were identified. |
| Relationship |
|
| Operationalization |
Date and time |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Location
prsb03-dataelement-11710
|
|
|
| Id |
prsb03-dataelement-11710 (2019‑05‑31 13:11:14)
|
| Description |
The location where the mobility needs were identified. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Location
prsb03-dataelement-11709
|
|
|
|
|
| Location
prsb03-dataelement-11708
|
|
|
|
|
| Performing professional
prsb03-dataelement-11487
|
|
|
| Id |
prsb03-dataelement-11487 (2019‑05‑30 14:26:29)
|
| Description |
The professional who identified the mobility needs. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-11488
|
|
|
| Id |
prsb03-dataelement-11488 (2019‑05‑30 14:27:10)
|
| Concept inherits from |
prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
|
| Description |
The name of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Role
prsb03-dataelement-11489
|
|
|
| Id |
prsb03-dataelement-11489 (2019‑05‑30 14:27:10)
|
| Concept inherits from |
prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
|
| Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
| Operationalization |
NHS Data dictionary or free text
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-11490
|
|
|
| Id |
prsb03-dataelement-11490 (2019‑05‑30 14:27:10)
|
| Concept inherits from |
prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
|
| Description |
The grade of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Speciality
prsb03-dataelement-11491
|
|
|
| Id |
prsb03-dataelement-11491 (2019‑05‑30 14:27:10)
|
| Concept inherits from |
prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
|
| Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-11492
|
|
|
| Id |
prsb03-dataelement-11492 (2019‑05‑30 14:27:10)
|
| Concept inherits from |
prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
|
| Description |
Professional identifier for the professional e.g. GMC number, HCPC number etc or the
personal identifier used by the local organisation.
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisation
prsb03-dataelement-11493
|
|
|
| Id |
prsb03-dataelement-11493 (2019‑05‑30 14:27:10)
|
| Concept inherits from |
prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
|
| Description |
The name of the organisation the professional works for. |
| Operationalization |
ODS code or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-11494
|
|
|
| Id |
prsb03-dataelement-11494 (2019‑05‑30 14:27:10)
|
| Concept inherits from |
prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
|
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person completing record
prsb03-dataelement-11495
|
|
|
| Id |
prsb03-dataelement-11495 (2019‑05‑30 14:27:24)
|
| Concept inherits from |
prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
|
| Description |
Details of the person completing the record. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-11496
|
|
|
| Id |
prsb03-dataelement-11496 (2019‑05‑30 14:27:45)
|
| Concept inherits from |
prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
|
| Description |
The name of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisational role
prsb03-dataelement-11497
|
|
|
| Id |
prsb03-dataelement-11497 (2019‑05‑30 14:27:45)
|
| Concept inherits from |
prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
|
| Description |
The organisational role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Relationship |
|
| Operationalization |
NHS Data dictionary or free text.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-11498
|
|
|
| Id |
prsb03-dataelement-11498 (2019‑05‑30 14:27:45)
|
| Concept inherits from |
prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
|
| Description |
The grade of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Specialty
prsb03-dataelement-11499
|
|
|
|
|
| Organisation
prsb03-dataelement-11500
|
|
|
| Id |
prsb03-dataelement-11500 (2019‑05‑30 14:27:45)
|
| Concept inherits from |
prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
|
| Description |
The organisation the person completing the record works for. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-11501
|
|
|
| Id |
prsb03-dataelement-11501 (2019‑05‑30 14:27:45)
|
| Concept inherits from |
prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date completed
prsb03-dataelement-11502
|
|
|
| Id |
prsb03-dataelement-11502 (2019‑05‑30 14:27:45)
|
| Concept inherits from |
prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
|
| Description |
The date and time the record was completed. |
| Relationship |
|
| Operationalization |
Date and time. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-11503
|
|
|
| Id |
prsb03-dataelement-11503 (2019‑05‑30 14:27:45)
|
| Concept inherits from |
prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
|
| Description |
Contact details of the person completing the record (e.g. telephone number, email
address etc.).
|
| FHIR |
PractitionerRole.telecom |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Performing professional
prsb03-dataelement-11129
|
|
|
|
|
| Name
prsb03-dataelement-11130
|
|
|
| Id |
prsb03-dataelement-11130 (2019‑05‑24 11:40:41)
|
| Concept inherits from |
prsb03-dataelement-11045 (2019‑05‑24 11:18:10)
|
| Description |
The name of the professional with responsibility for the care of the person. |
| Operationalization |
Free text. |
| Value Domain |
|
|
|
| Role
prsb03-dataelement-11131
|
|
|
| Id |
prsb03-dataelement-11131 (2019‑05‑24 11:40:41)
|
| Concept inherits from |
prsb03-dataelement-11046 (2019‑05‑24 11:18:10)
|
| Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
| Operationalization |
NHS Data dictionary or free text if code is not available.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
|
|
| Speciality
prsb03-dataelement-11132
|
|
|
| Id |
prsb03-dataelement-11132 (2019‑05‑24 11:40:41)
|
| Concept inherits from |
prsb03-dataelement-11047 (2019‑05‑24 11:18:10)
|
| Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
|
|
| Team
prsb03-dataelement-11133
|
|
|
|
|
| Organisation
prsb03-dataelement-11134
|
|
|
|
|
| Contact details
prsb03-dataelement-11135
|
|
|
| Id |
prsb03-dataelement-11135 (2019‑05‑24 11:40:41)
|
| Concept inherits from |
prsb03-dataelement-11050 (2019‑05‑24 11:18:10)
|
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text |
| Value Domain |
|
|
|
| Start date
prsb03-dataelement-11136
|
|
|
| Id |
prsb03-dataelement-11136 (2019‑05‑24 11:40:41)
|
| Concept inherits from |
prsb03-dataelement-11051 (2019‑05‑24 11:18:10)
|
| Description |
The start date of the professional relationship with the person. |
| Operationalization |
Date and time |
| Value Domain |
|
|
|
| End date
prsb03-dataelement-11137
|
|
|
|
|
| Professional contacts record entry
prsb03-dataelement-11138
|
|
|
| Id |
prsb03-dataelement-11138 (2019‑05‑24 11:40:41)
|
| Concept inherits from |
prsb03-dataelement-11044 (2019‑05‑24 11:18:10)
|
| Description |
This is a professional contacts record entry. There may be 0 to many record entries
under a section. Each record entry is made up of a number of elements or data items.
|
|
|
| Person completing record
prsb03-dataelement-11139
|
|
|
|
|
| Name
prsb03-dataelement-11140
|
|
|
| Id |
prsb03-dataelement-11140 (2019‑05‑24 11:41:23)
|
| Concept inherits from |
prsb03-dataelement-10219 (2018‑10‑31)
|
| Description |
The name of the person completing the record, preferably in a structured format. |
| Operationalization |
The person name as held on the source system. Where possible this should be broken
down into its constituent parts (prefix, given name, family name, and suffix).
|
| Value Domain |
|
|
|
| Role
prsb03-dataelement-11141
|
|
|
| Id |
prsb03-dataelement-11141 (2019‑05‑24 11:41:23)
|
| Concept inherits from |
prsb03-dataelement-10220 (2018‑10‑31)
|
| Description |
The role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Operationalization |
The role may be held on the source system, be from an authoritative source such as
SDS, or use an existing vocabulary such as the job role title (from the national workforce
dataset).
|
| Value Domain |
|
|
|
| Grade
prsb03-dataelement-11142
|
|
|
| Id |
prsb03-dataelement-11142 (2019‑05‑24 11:41:23)
|
| Concept inherits from |
prsb03-dataelement-10221 (2018‑10‑31)
|
| Description |
The grade of the person completing the record |
| Operationalization |
The grade of the person completing the record held on the source system or from an
authoritative source
|
| Value Domain |
|
|
|
| Specialty
prsb03-dataelement-11143
|
|
|
| Id |
prsb03-dataelement-11143 (2019‑05‑24 11:41:23)
|
| Concept inherits from |
prsb03-dataelement-10222 (2018‑10‑31)
|
| Description |
The main specialty of the person completing the record. |
| FHIR |
PractitionerRole.specialty |
|
| Operationalization |
The main clinical specialty as held on the source system. |
| Value Domain |
|
|
|
| Professional identifier
prsb03-dataelement-11144
|
|
|
| Id |
prsb03-dataelement-11144 (2019‑05‑24 11:41:23)
|
| Concept inherits from |
prsb03-dataelement-10223 (2018‑10‑31)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Value Domain |
|
|
|
| Date completed
prsb03-dataelement-11145
|
|
|
|
|
| Contact details
prsb03-dataelement-11146
|
|
|
| Id |
prsb03-dataelement-11146 (2019‑05‑24 11:41:23)
|
| Concept inherits from |
prsb03-dataelement-10225 (2018‑10‑31)
|
| Description |
Contact details of the person completing the record. For example a phone number, email
address. Contact details are used to resolve queries about the record entry.
|
| FHIR |
PractitionerRole.telecom |
|
| Operationalization |
The contact details may be for the individual completing the record, or wider team
details (for example a phone number for a hospital department).
|
| Value Domain |
|
|
|
| Organisation
prsb03-dataelement-11147
|
|
|
| Id |
prsb03-dataelement-11147 (2019‑05‑24 11:41:23)
|
| Concept inherits from |
prsb03-dataelement-10226 (2018‑10‑31)
|
| Description |
The organisation the person completing the record works for. |
| Operationalization |
An ODS identifier for the organisation or site, the name of the organisation or site,
and a postal address (if available).
|
| Value Domain |
|
|
|
| Other individual requirements
prsb03-dataelement-10835
|
|
|
| Id |
prsb03-dataelement-10835 (2019‑03‑22 16:24:41)
|
| Description |
Other individual requirements that a person may have. |
| Operationalization |
Free text |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date
prsb03-dataelement-11711
|
|
|
| Id |
prsb03-dataelement-11711 (2019‑05‑31 13:12:01)
|
| Description |
The date when the other individual requirements were identified. |
| Relationship |
|
| Operationalization |
Date and time |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Location
prsb03-dataelement-11712
|
|
|
| Id |
prsb03-dataelement-11712 (2019‑05‑31 13:12:31)
|
| Description |
The location where the other individual requirements were identified. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Performing professional
prsb03-dataelement-11504
|
|
|
| Id |
prsb03-dataelement-11504 (2019‑05‑30 14:34:59)
|
| Description |
The professional who identified the other individual requirements. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-11505
|
|
|
| Id |
prsb03-dataelement-11505 (2019‑05‑30 14:35:29)
|
| Concept inherits from |
prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
|
| Description |
The name of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Role
prsb03-dataelement-11506
|
|
|
| Id |
prsb03-dataelement-11506 (2019‑05‑30 14:35:29)
|
| Concept inherits from |
prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
|
| Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
| Operationalization |
NHS Data dictionary or free text
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-11507
|
|
|
| Id |
prsb03-dataelement-11507 (2019‑05‑30 14:35:29)
|
| Concept inherits from |
prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
|
| Description |
The grade of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Speciality
prsb03-dataelement-11508
|
|
|
| Id |
prsb03-dataelement-11508 (2019‑05‑30 14:35:29)
|
| Concept inherits from |
prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
|
| Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-11509
|
|
|
| Id |
prsb03-dataelement-11509 (2019‑05‑30 14:35:29)
|
| Concept inherits from |
prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
|
| Description |
Professional identifier for the professional e.g. GMC number, HCPC number etc or the
personal identifier used by the local organisation.
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisation
prsb03-dataelement-11510
|
|
|
| Id |
prsb03-dataelement-11510 (2019‑05‑30 14:35:29)
|
| Concept inherits from |
prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
|
| Description |
The name of the organisation the professional works for. |
| Operationalization |
ODS code or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-11511
|
|
|
| Id |
prsb03-dataelement-11511 (2019‑05‑30 14:35:29)
|
| Concept inherits from |
prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
|
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person completing record
prsb03-dataelement-11512
|
|
|
| Id |
prsb03-dataelement-11512 (2019‑05‑30 14:35:41)
|
| Concept inherits from |
prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
|
| Description |
Details of the person completing the record. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-11513
|
|
|
| Id |
prsb03-dataelement-11513 (2019‑05‑30 14:36:02)
|
| Concept inherits from |
prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
|
| Description |
The name of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisational role
prsb03-dataelement-11514
|
|
|
| Id |
prsb03-dataelement-11514 (2019‑05‑30 14:36:02)
|
| Concept inherits from |
prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
|
| Description |
The organisational role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Relationship |
|
| Operationalization |
NHS Data dictionary or free text.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-11515
|
|
|
| Id |
prsb03-dataelement-11515 (2019‑05‑30 14:36:02)
|
| Concept inherits from |
prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
|
| Description |
The grade of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Specialty
prsb03-dataelement-11516
|
|
|
|
|
| Organisation
prsb03-dataelement-11517
|
|
|
| Id |
prsb03-dataelement-11517 (2019‑05‑30 14:36:02)
|
| Concept inherits from |
prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
|
| Description |
The organisation the person completing the record works for. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-11518
|
|
|
| Id |
prsb03-dataelement-11518 (2019‑05‑30 14:36:02)
|
| Concept inherits from |
prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date completed
prsb03-dataelement-11519
|
|
|
| Id |
prsb03-dataelement-11519 (2019‑05‑30 14:36:02)
|
| Concept inherits from |
prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
|
| Description |
The date and time the record was completed. |
| Relationship |
|
| Operationalization |
Date and time. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-11520
|
|
|
| Id |
prsb03-dataelement-11520 (2019‑05‑30 14:36:02)
|
| Concept inherits from |
prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
|
| Description |
Contact details of the person completing the record (e.g. telephone number, email
address etc.).
|
| FHIR |
PractitionerRole.telecom |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Performing professional
prsb03-dataelement-11260
|
|
|
|
|
| Name
prsb03-dataelement-11261
|
|
|
| Id |
prsb03-dataelement-11261 (2019‑05‑29 13:39:03)
|
| Concept inherits from |
prsb03-dataelement-11149 (2019‑05‑24 11:51:53)
|
| Description |
The name of the professional with responsibility for the care of the person. |
| Operationalization |
Free text. |
| Value Domain |
|
|
|
| Role
prsb03-dataelement-11262
|
|
|
| Id |
prsb03-dataelement-11262 (2019‑05‑29 13:39:03)
|
| Concept inherits from |
prsb03-dataelement-11150 (2019‑05‑24 11:51:53)
|
| Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
| Operationalization |
NHS Data dictionary or free text if code is not available.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
|
|
| Speciality
prsb03-dataelement-11263
|
|
|
| Id |
prsb03-dataelement-11263 (2019‑05‑29 13:39:03)
|
| Concept inherits from |
prsb03-dataelement-11151 (2019‑05‑24 11:51:53)
|
| Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
|
|
| Team
prsb03-dataelement-11264
|
|
|
|
|
| Organisation
prsb03-dataelement-11265
|
|
|
|
|
| Contact details
prsb03-dataelement-11266
|
|
|
| Id |
prsb03-dataelement-11266 (2019‑05‑29 13:39:03)
|
| Concept inherits from |
prsb03-dataelement-11154 (2019‑05‑24 11:51:53)
|
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text |
| Value Domain |
|
|
|
| Professional identifier
prsb03-dataelement-11267
|
|
|
| Id |
prsb03-dataelement-11267 (2019‑05‑29 13:39:03)
|
| Concept inherits from |
prsb03-dataelement-11167 (2019‑05‑28 17:18:30)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Value Domain |
|
|
|
| Start date
prsb03-dataelement-11268
|
|
|
| Id |
prsb03-dataelement-11268 (2019‑05‑29 13:39:03)
|
| Concept inherits from |
prsb03-dataelement-11155 (2019‑05‑24 11:51:53)
|
| Description |
The start date of the professional relationship with the person. |
| Operationalization |
Date and time |
| Value Domain |
|
|
|
| End date
prsb03-dataelement-11269
|
|
|
|
|
| Professional contacts record entry
prsb03-dataelement-11270
|
|
|
| Id |
prsb03-dataelement-11270 (2019‑05‑29 13:39:03)
|
| Concept inherits from |
prsb03-dataelement-11157 (2019‑05‑24 11:51:53)
|
| Description |
This is a professional contacts record entry. There may be 0 to many record entries
under a section. Each record entry is made up of a number of elements or data items.
|
| Relationship |
|
|
|
| Person completing record
prsb03-dataelement-11271
|
|
|
|
|
| Name
prsb03-dataelement-11272
|
|
|
| Id |
prsb03-dataelement-11272 (2019‑05‑29 13:40:57)
|
| Concept inherits from |
prsb03-dataelement-10219 (2018‑10‑31)
|
| Description |
The name of the person completing the record, preferably in a structured format. |
| Operationalization |
The person name as held on the source system. Where possible this should be broken
down into its constituent parts (prefix, given name, family name, and suffix).
|
| Value Domain |
|
|
|
| Role
prsb03-dataelement-11273
|
|
|
| Id |
prsb03-dataelement-11273 (2019‑05‑29 13:40:57)
|
| Concept inherits from |
prsb03-dataelement-10220 (2018‑10‑31)
|
| Description |
The role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Operationalization |
The role may be held on the source system, be from an authoritative source such as
SDS, or use an existing vocabulary such as the job role title (from the national workforce
dataset).
|
| Value Domain |
|
|
|
| Grade
prsb03-dataelement-11274
|
|
|
| Id |
prsb03-dataelement-11274 (2019‑05‑29 13:40:57)
|
| Concept inherits from |
prsb03-dataelement-10221 (2018‑10‑31)
|
| Description |
The grade of the person completing the record |
| Operationalization |
The grade of the person completing the record held on the source system or from an
authoritative source
|
| Value Domain |
|
|
|
| Specialty
prsb03-dataelement-11275
|
|
|
| Id |
prsb03-dataelement-11275 (2019‑05‑29 13:40:57)
|
| Concept inherits from |
prsb03-dataelement-10222 (2018‑10‑31)
|
| Description |
The main specialty of the person completing the record. |
| FHIR |
PractitionerRole.specialty |
|
| Operationalization |
The main clinical specialty as held on the source system. |
| Value Domain |
|
|
|
| Organisation
prsb03-dataelement-11276
|
|
|
| Id |
prsb03-dataelement-11276 (2019‑05‑29 13:40:57)
|
| Concept inherits from |
prsb03-dataelement-10226 (2018‑10‑31)
|
| Description |
The organisation the person completing the record works for. |
| Operationalization |
An ODS identifier for the organisation or site, the name of the organisation or site,
and a postal address (if available).
|
| Value Domain |
|
|
|
| Professional identifier
prsb03-dataelement-11277
|
|
|
| Id |
prsb03-dataelement-11277 (2019‑05‑29 13:40:57)
|
| Concept inherits from |
prsb03-dataelement-10223 (2018‑10‑31)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Value Domain |
|
|
|
| Date completed
prsb03-dataelement-11278
|
|
|
|
|
| Contact details
prsb03-dataelement-11279
|
|
|
| Id |
prsb03-dataelement-11279 (2019‑05‑29 13:40:57)
|
| Concept inherits from |
prsb03-dataelement-10225 (2018‑10‑31)
|
| Description |
Contact details of the person completing the record. For example a phone number, email
address. Contact details are used to resolve queries about the record entry.
|
| FHIR |
PractitionerRole.telecom |
|
| Operationalization |
The contact details may be for the individual completing the record, or wider team
details (for example a phone number for a hospital department).
|
| Value Domain |
|
|
|
| Performing professional
prsb03-dataelement-11258
|
|
|
|
|
| IRRE
prsb03-dataelement-10648
|
|
|
|
|
| IRRE
prsb03-dataelement-10647
|
|
|
|
|
| Individual requirements record entry
prsb03-dataelement-10645
|
|
|
| Id |
prsb03-dataelement-10645 (2018‑11‑12 15:00:49)
|
| Description |
This is an individual requirement record entry. There may be 0 to many record entries
under a section. Each record entry is made up of a number of elements or data items.
|
|
|
| Individual requirement
prsb03-dataelement-10060
|
|
|
| Id |
prsb03-dataelement-10060 (2018‑10‑31)
|
| Description |
Individual requirement that a person has. These may be communication, cultural, cognitive
or mobility needs.
|
| FHIR |
Patient. nhsCommunications |
|
| Operationalization |
Information volunteered by the person or their representative or carer, or known about
locally.Text or coded text (SNOMED CT), constrained as specified in SCCI1605.
Accessible Information standard
Accessible information - communications support refset ^999002121000000109https://dd4c.hscic.gov.uk/dd4c/publishedmetadatas/intid/657
Accessible information - requires communications professional refset ^999002141000000102https://dd4c.hscic.gov.uk/dd4c/publishedmetadatas/intid/660
Accessible information - requires specific contact method refset ^999002151000000104https://dd4c.hscic.gov.uk/dd4c/publishedmetadatas/intid/658
Accessible information -
requires specific information format refset ^999002131000000106https://dd4c.hscic.gov.uk/dd4c/publishedmetadatas/intid/659
|
| Value Domain |
|
| Used by
|
0 transactions, 0 templates, inherited once |
| |
|
|
|
| Date
prsb03-dataelement-10858
|
|
|
| Id |
prsb03-dataelement-10858 (2019‑03‑27 17:44:40)
|
| Description |
The date on which the individual requirement was identified.
|
| Relationship |
|
| Operationalization |
Date and time. |
| Value Domain |
|
|
|
| Location
prsb03-dataelement-10859
|
|
|
| Id |
prsb03-dataelement-10859 (2019‑03‑27 17:45:48)
|
| Description |
The location where the accessible information was identified. |
| Relationship |
|
| Operationalization |
ODS Code or free text. |
| Value Domain |
|
|
|
| Performing professional
prsb03-dataelement-10970
|
|
|
| Id |
prsb03-dataelement-10970 (2019‑05‑22 15:20:30)
|
| Description |
Details of the professional identifying the individual requirements. |
| Relationship |
|
| Value Domain |
|
|
|
| Person completing record
prsb03-dataelement-10860
|
|
|
| Id |
prsb03-dataelement-10860 (2019‑03‑27 17:46:45)
|
| Description |
This is the person recording the individual requirement.
Should include their name, role, grade, specialty, organisation, professional identifier,
date and time completed, contact details
|
| Relationship |
|
| Operationalization |
Free text. Name, Role, Grade, Specialty, Organisation, Professional identifier, Date
and time completed, Contact details
|
| Value Domain |
|
| Used by
|
0 transactions, 0 templates, inherited 4 times |
| |
|
|
|
| Accessible Information
prsb03-dataelement-10064
|
|
|
|
|
| Child or Parent/Carer/Guardian
prsb03-dataelement-10065
|
|
|
| Id |
prsb03-dataelement-10065 (2018‑10‑31)
|
| Description |
An indicator of whether the individual requirement relates to the child or their primary
carer.
|
| Value Domain |
|
|
|
| Disability
prsb03-dataelement-10816
|
|
|
|
|
| Onset date
prsb03-dataelement-10819
|
|
|
|
|
| Disability code
prsb03-dataelement-10818
|
|
|
|
|
| Description
prsb03-dataelement-10817
|
|
|
| Id |
prsb03-dataelement-10817 (2019‑03‑20 18:58:30)
|
| Description |
The description of the disability relating to the person |
| Value Domain |
|
|
|
| Professional contacts
prsb03-dataelement-452
|
|
|
| Id |
prsb03-dataelement-452 (2018‑10‑31)
|
| Description |
The details of the person’s professional contacts. |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional contacts record entry
prsb03-dataelement-10767
|
|
|
| Id |
prsb03-dataelement-10767 (2019‑03‑18 18:07:16)
|
| Description |
This is a professional contacts record entry. There may be 0 to many record entries
under a section. Each record entry is made up of a number of elements or data items.
|
| Used by
|
one transaction, 0 templates, inherited 2 times |
| |
|
|
|
| Name
prsb03-dataelement-10352
|
|
|
| Id |
prsb03-dataelement-10352 (2018‑10‑31)
|
| Description |
The name of the professional with responsibility for the care of the person. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 2 times |
| |
This concept is inherited by concept
Name in dataset prsb03-dataelement-11045
This concept is inherited by concept
Name in dataset prsb03-dataelement-11035
|
|
|
| Role
prsb03-dataelement-10353
|
|
|
| Id |
prsb03-dataelement-10353 (2018‑10‑31)
|
| Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
| Operationalization |
NHS Data dictionary or free text if code is not available.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 2 times |
| |
This concept is inherited by concept
Role in dataset prsb03-dataelement-11046
This concept is inherited by concept
Role in dataset prsb03-dataelement-11036
|
|
|
| Speciality
prsb03-dataelement-10354
|
|
|
| Id |
prsb03-dataelement-10354 (2018‑10‑31)
|
| Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 2 times |
| |
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-11047
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-11037
|
|
|
| Team
prsb03-dataelement-10355
|
|
|
| Id |
prsb03-dataelement-10355 (2018‑10‑31)
|
| Description |
The name of the team. |
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 2 times |
| |
This concept is inherited by concept
Team in dataset prsb03-dataelement-11048
This concept is inherited by concept
Team in dataset prsb03-dataelement-11038
|
|
|
| Organisation
prsb03-dataelement-10356
|
|
|
| Id |
prsb03-dataelement-10356 (2018‑10‑31)
|
| Description |
The name of the organisation. |
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 2 times |
| |
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11049
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11039
|
|
|
| Contact details
prsb03-dataelement-10357
|
|
|
| Id |
prsb03-dataelement-10357 (2018‑10‑31)
|
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 2 times |
| |
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11050
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11040
|
|
|
| Start date
prsb03-dataelement-10358
|
|
|
| Id |
prsb03-dataelement-10358 (2018‑10‑31)
|
| Description |
The start date of the professional relationship with the person. |
| Operationalization |
Date and time |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 2 times |
| |
This concept is inherited by concept
Start date in dataset prsb03-dataelement-11051
This concept is inherited by concept
Start date in dataset prsb03-dataelement-11041
|
|
|
| End date
prsb03-dataelement-10359
|
|
|
| Id |
prsb03-dataelement-10359 (2018‑10‑31)
|
| Description |
The end date of the professional relationship with the person. |
| Operationalization |
Date and time |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 2 times |
| |
This concept is inherited by concept
End date in dataset prsb03-dataelement-11052
This concept is inherited by concept
End date in dataset prsb03-dataelement-11042
|
|
|
| Personal contacts
prsb03-dataelement-445
|
|
|
| Id |
prsb03-dataelement-445 (2018‑10‑31)
|
| Description |
The details of the individual's personal contacts. |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Personal contacts record entry
prsb03-dataelement-10768
|
|
|
| Id |
prsb03-dataelement-10768 (2019‑03‑19 13:05:13)
|
| Description |
This is personal contacts record entry. There may be 0 to many record entries under
a section. Each record entry is made up of a number of elements or data items.
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-10345
|
|
|
| Id |
prsb03-dataelement-10345 (2018‑10‑31)
|
| Description |
The name of the personal contact. |
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Relationship
prsb03-dataelement-10346
|
|
|
| Id |
prsb03-dataelement-10346 (2018‑10‑31)
|
| Description |
The relationship the personal contact has to the person, e.g. father, grandmother,
family friend etc.
|
| Operationalization |
FHIR value set recommended.
https://www.hl7.org/fhir/valueset-relatedperson-relationshiptype.html
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Parental Responsibility
prsb03-dataelement-10347
|
|
|
| Id |
prsb03-dataelement-10347 (2018‑10‑31)
|
| Description |
Flag to indicate whether the personal contact has parental responsibility |
| Value Domain |
|
|
|
| Household member
prsb03-dataelement-10348
|
|
|
| Id |
prsb03-dataelement-10348 (2018‑10‑31)
|
| Description |
Status identifying whether the personal contact is a member of the same household |
| Value Domain |
|
|
|
| Next of Kin
prsb03-dataelement-10349
|
|
|
| Id |
prsb03-dataelement-10349 (2018‑10‑31)
|
| Description |
A flag that identifies the personal contact is the next of kin |
| Operationalization |
Yes or No |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-10350
|
|
|
| Id |
prsb03-dataelement-10350 (2018‑10‑31)
|
| Description |
Contact details of the personal contact (e.g. telephone number, email address etc.) |
| Operationalization |
Free Text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| NHS Number
prsb03-dataelement-10351
|
|
|
| Id |
prsb03-dataelement-10351 (2018‑10‑31)
|
| Description |
The NHS number of the personal contact |
| Value Domain |
|
| Used by
|
0 transactions, 0 templates, inherited once |
| |
This concept is inherited by concept
NHS Number in dataset prsb03-dataelement-10878
|
|
|
| Comments
prsb03-dataelement-10937
|
|
|
| Id |
prsb03-dataelement-10937 (2019‑05‑02 17:15:44)
|
| Description |
Notes on the significance of the personal contact to the person. |
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Health and care professional details
prsb03-dataelement-10912
|
|
|
|
|
| Responsible health or care professional
prsb03-dataelement-10913
|
|
|
| Id |
prsb03-dataelement-10913 (2019‑04‑02 15:34:54)
|
| Description |
The name, role and/or personal identification number (if used) of the health or care
professional with responsibility for the person within this contact. Where multiple
professionals have responsibility, provide details of the duration and extent of responsibility
held. State whether identified professional was present, in communication, on call
etc.
|
| Operationalization |
Free text. Where codes are provided by the local system the associated text should
be displayed.
|
| Value Domain |
|
|
|
| Health or care professional(s) present
prsb03-dataelement-10914
|
|
|
| Id |
prsb03-dataelement-10914 (2019‑04‑02 15:36:15)
|
| Description |
The name, designation and/or personal identification number (if used) of all other
health or care professionals present.
|
| Operationalization |
Free text. Where codes are provided by the local system the associated text should
be displayed.
|
| Value Domain |
|
|
|
| IRRE
prsb03-dataelement-10649
|
|
|
|
|
| Participation in research
prsb03-dataelement-168
|
|
|
| Id |
prsb03-dataelement-168 (2018‑10‑31)
|
| Description |
Participation in research |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Participation in research record entry
prsb03-dataelement-10646
|
|
|
| Id |
prsb03-dataelement-10646 (2018‑11‑12 15:14:45)
|
| Description |
This is a Participation in research record entry. There may be 0 to many record entry/entries
under a section. Each record entry is made up of a number of elements or data items.
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name of research study
prsb03-dataelement-10068
|
|
|
| Id |
prsb03-dataelement-10068 (2018‑10‑31)
|
| Description |
Name of the research study/trial and/or drug/intervention |
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Identification code
prsb03-dataelement-10739
|
|
|
| Id |
prsb03-dataelement-10739 (2019‑02‑12 17:27:10)
|
| Description |
Identification code of research study |
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person completing record
prsb03-dataelement-12201
|
|
|
| Id |
prsb03-dataelement-12201 (2019‑05‑31 16:24:08)
|
| Concept inherits from |
prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
|
| Description |
Details of the person completing the record. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-12202
|
|
|
| Id |
prsb03-dataelement-12202 (2019‑05‑31 16:24:35)
|
| Concept inherits from |
prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
|
| Description |
The name of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisational role
prsb03-dataelement-12203
|
|
|
| Id |
prsb03-dataelement-12203 (2019‑05‑31 16:24:35)
|
| Concept inherits from |
prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
|
| Description |
The organisational role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Relationship |
|
| Operationalization |
NHS Data dictionary or free text.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-12204
|
|
|
| Id |
prsb03-dataelement-12204 (2019‑05‑31 16:24:35)
|
| Concept inherits from |
prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
|
| Description |
The grade of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Specialty
prsb03-dataelement-12205
|
|
|
|
|
| Organisation
prsb03-dataelement-12206
|
|
|
| Id |
prsb03-dataelement-12206 (2019‑05‑31 16:24:35)
|
| Concept inherits from |
prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
|
| Description |
The organisation the person completing the record works for. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-12207
|
|
|
| Id |
prsb03-dataelement-12207 (2019‑05‑31 16:24:35)
|
| Concept inherits from |
prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date completed
prsb03-dataelement-12208
|
|
|
| Id |
prsb03-dataelement-12208 (2019‑05‑31 16:24:35)
|
| Concept inherits from |
prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
|
| Description |
The date and time the record was completed. |
| Relationship |
|
| Operationalization |
Date and time. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-12209
|
|
|
| Id |
prsb03-dataelement-12209 (2019‑05‑31 16:24:35)
|
| Concept inherits from |
prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
|
| Description |
Contact details of the person completing the record (e.g. telephone number, email
address etc.).
|
| FHIR |
PractitionerRole.telecom |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Referral details
prsb03-dataelement-105
|
|
|
| Id |
prsb03-dataelement-105 (2018‑10‑31)
|
| Description |
The details of the referral. |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Referral details record entry
prsb03-dataelement-10917
|
|
|
| Id |
prsb03-dataelement-10917 (2019‑04‑09 15:59:55)
|
| Description |
This is the referral details record entry. There may be 0 to many record entries under
a section. Each record entry is made up of a number of elements or data items.
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date
prsb03-dataelement-10006
|
|
|
| Id |
prsb03-dataelement-10006 (2018‑10‑31)
|
| Description |
The date of referral |
| Operationalization |
Date and time |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Referrer details
prsb03-dataelement-10005
|
|
|
| Id |
prsb03-dataelement-10005 (2018‑10‑31)
|
| Description |
The details of the referrer.
This could be the person, GP surgery, department, specialty, sub-specialty, educational
institution, mental health team etc.
|
| FHIR |
Encounter.incomingreferral |
|
| Operationalization |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-10971
|
|
|
| Id |
prsb03-dataelement-10971 (2019‑05‑22 16:29:39)
|
| Description |
The name of the referrer. |
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Role
prsb03-dataelement-10972
|
|
|
| Id |
prsb03-dataelement-10972 (2019‑05‑22 16:30:25)
|
| Description |
Role of the referrer. |
| Operationalization |
NHS Data dictionary or free text
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-10973
|
|
|
| Id |
prsb03-dataelement-10973 (2019‑05‑22 16:31:10)
|
| Description |
The grade of the referrer. |
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Team
prsb03-dataelement-12409
|
|
|
| Id |
prsb03-dataelement-12409 (2019‑06‑05 18:11:50)
|
| Description |
The team or department of the referrer. |
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Specialty
prsb03-dataelement-12410
|
|
|
| Id |
prsb03-dataelement-12410 (2019‑06‑05 18:12:15)
|
| Description |
The specialty of the referrer. |
| Operationalization |
NHS Data dictionary - Main speciality.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Service
prsb03-dataelement-12411
|
|
|
| Id |
prsb03-dataelement-12411 (2019‑06‑05 18:20:01)
|
| Description |
The service of the referrer. |
| Operationalization |
SNOMED CT or free text.
999000381000000107 |Correspondence care setting type simple reference set (foundation
metadata concept)|
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisation
prsb03-dataelement-10974
|
|
|
| Id |
prsb03-dataelement-10974 (2019‑05‑22 16:31:40)
|
| Description |
The organisation of the referrer. |
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-10975
|
|
|
| Id |
prsb03-dataelement-10975 (2019‑05‑22 16:33:49)
|
| Description |
The contact details of the referrer. |
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Comments
prsb03-dataelement-12408
|
|
|
|
|
| Referral method
prsb03-dataelement-10007
|
|
|
| Id |
prsb03-dataelement-10007 (2018‑10‑31)
|
| Description |
The method in which a referral is sent and received. This may be a letter, email,
transcript of a telephone conversation, Choose and Book, in person (self-referral)
etc.
|
| Operationalization |
Allow National Codes only
| 1 |
Fax |
| 2 |
Phone |
| 3 |
Secure Messaging |
| 4 |
Secure Email |
| 5 |
Letter |
| 6 |
NHS E-Referral Service |
| 7 |
Self Referral |
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Reason for referral
prsb03-dataelement-10011
|
|
|
| Id |
prsb03-dataelement-10011 (2018‑10‑31)
|
| Description |
The reason for the referral, e.g. diagnosis, treatment, transfer of care due to relocation,
investigation, second opinion, management of the patient (e.g. palliative care), or
carer's concerns.
|
| Operationalization |
NHS Data dictionary - Reason for referral or free text
https://www.datadictionary.nhs.uk/data_dictionary/attributes/r/radiot/reason_for_referral_to_community_care_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Expectation of referral
prsb03-dataelement-10699
|
|
|
| Id |
prsb03-dataelement-10699 (2018‑12‑04 15:19:46)
|
| Description |
A clear statement of the expectations of the person or professional making the referral
in regards to the management of the patient e.g. advice only, diagnosis, treatment,
etc.
To include any specific patient expectation.
|
| Value Domain |
|
|
|
| Clinical urgency of referral
prsb03-dataelement-10010
|
|
|
|
|
| Reason for urgency of referral
prsb03-dataelement-10976
|
|
|
| Id |
prsb03-dataelement-10976 (2019‑05‑22 17:54:38)
|
| Description |
The reason for urgency of referral if not routine. |
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Referral to
prsb03-dataelement-10008
|
|
|
| Id |
prsb03-dataelement-10008 (2018‑10‑31)
|
| Description |
Details of where the referral is to be sent.
If not an individual, this could be a service, e.g. GP surgery, department, specialty,
subspecialty, educational institution, mental health etc.
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-10977
|
|
|
| Id |
prsb03-dataelement-10977 (2019‑05‑22 17:56:22)
|
| Description |
Name of person the referral is to be sent to. |
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Role
prsb03-dataelement-10978
|
|
|
| Id |
prsb03-dataelement-10978 (2019‑05‑22 17:56:39)
|
| Description |
Role of person where the referral is to be sent to. |
| Operationalization |
NHS Data dictionary or free text
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-10979
|
|
|
| Id |
prsb03-dataelement-10979 (2019‑05‑22 17:56:51)
|
| Description |
The grade of the person where the referral is sent to. |
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Team
prsb03-dataelement-10982
|
|
|
| Id |
prsb03-dataelement-10982 (2019‑05‑22 17:59:49)
|
| Description |
The team or department of the person where the referral is being sent to |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Specialty
prsb03-dataelement-10983
|
|
|
| Id |
prsb03-dataelement-10983 (2019‑05‑22 18:00:28)
|
| Description |
The specialty the referral is being sent to e.g. physiotherapy, oncology, mental health
etc
|
| Operationalization |
NHS Data dictionary - Main speciality
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Service
prsb03-dataelement-12412
|
|
|
| Id |
prsb03-dataelement-12412 (2019‑06‑05 18:20:52)
|
| Description |
The service of where the referral is sent to. |
| Operationalization |
Free text. |
| Value Domain |
|
|
|
| Organisation
prsb03-dataelement-10980
|
|
|
| Id |
prsb03-dataelement-10980 (2019‑05‑22 17:57:10)
|
| Description |
The organisation of where the referral is to be sent. |
| Operationalization |
ODS code or Free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-10981
|
|
|
| Id |
prsb03-dataelement-10981 (2019‑05‑22 17:57:26)
|
| Description |
The contact details of where the referral is to be sent. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Speciality referred from
prsb03-dataelement-10009
|
|
|
| Id |
prsb03-dataelement-10009 (2018‑10‑31)
|
| Description |
The type of service or team that the person has been referred from |
| Operationalization |
NHS data dictionary
|
| Value Domain |
|
|
|
| Details of other referrals
prsb03-dataelement-10013
|
|
|
| Id |
prsb03-dataelement-10013 (2018‑10‑31)
|
| Description |
Other referrals related to this or associated conditions. |
| Operationalization |
The organisation referred to (ODS code)
Specialty/service (eRS Directory of Services)
Date of referral
Narrative text
Auto-populated UBRN (where available)
Default - 12 months (editable)
|
| Value Domain |
|
|
|
| Referral criteria
prsb03-dataelement-10014
|
|
|
| Id |
prsb03-dataelement-10014 (2018‑10‑31)
|
| Description |
Records whether specific criteria required for referral, to a particular service,
have been met (may be nationally or locally determined).
|
| Operationalization |
Free text.
This field is used to outline which criteria have been met where a service has indicated
specific criteria and to explain the rationale for referral where criteria have not
been met.
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Return response to
prsb03-dataelement-10015
|
|
|
| Id |
prsb03-dataelement-10015 (2018‑10‑31)
|
| Description |
Name of professional communicated with, if not the referrer |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Attachments
prsb03-dataelement-10012
|
|
|
| Id |
prsb03-dataelement-10012 (2018‑10‑31)
|
| Description |
Documents included as attachments which accompany the communication Data items:
* number of attachments
* type of attachments
* attached documents.
|
| Operationalization |
Number of attachments by category: present, pending, missing.
Supporting narrative: text for each attachment
Attachments: various formats, eg jpeg, word
Metadata about the attachments: document name standard under development by PRSB.
Possibly use FHIR 'composition'.
|
| Value Domain |
|
| Used by
|
0 transactions, 0 templates, inherited once |
| |
This concept is inherited by concept
Attachments in dataset prsb03-dataelement-10915
|
|
|
| Contacts with professionals
prsb03-dataelement-169
|
|
|
| Id |
prsb03-dataelement-169 (2018‑10‑31)
|
| Description |
The details of the person’s contact with a professional. |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contacts with professionals record entry
prsb03-dataelement-10718
|
|
|
| Id |
prsb03-dataelement-10718 (2019‑02‑08 13:49:22)
|
| Description |
This is a contacts record entry. There may be 0 to many record entries under a section.
Each record entry is made up of a number of elements or data items.
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date of contact
prsb03-dataelement-10069
|
|
|
| Id |
prsb03-dataelement-10069 (2018‑10‑31)
|
| Description |
Date and time of the contact. |
|
|
| Operationalization |
Date and time. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Location of contact
prsb03-dataelement-10075
|
|
|
| Id |
prsb03-dataelement-10075 (2018‑10‑31)
|
| Description |
The location where the contact took place. |
| Operationalization |
ODS code or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Seen by
prsb03-dataelement-10077
|
|
|
| Id |
prsb03-dataelement-10077 (2018‑10‑31)
|
| Description |
The professional that saw the person.
|
| FHIR |
Encounter.participant |
|
| Operationalization |
May be a SNOMED CT term 307839005 or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Responsible professional
prsb03-dataelement-10072
|
|
|
| Id |
prsb03-dataelement-10072 (2018‑10‑31)
|
| Description |
The name and role of the professional that had overall responsibility for the person
e.g. consultant, nurse consultant, midwife, allied health professional (may not have
actually seen the person).
|
| FHIR |
Encounter.participant |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-10988
|
|
|
| Id |
prsb03-dataelement-10988 (2019‑05‑23 18:36:10)
|
| Description |
The name of the responsible professional. |
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Role
prsb03-dataelement-10989
|
|
|
| Id |
prsb03-dataelement-10989 (2019‑05‑23 18:36:53)
|
| Description |
The role of the responsible professional |
| Operationalization |
NHS Data dictionary or free text
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Location type
prsb03-dataelement-10076
|
|
|
| Id |
prsb03-dataelement-10076 (2018‑10‑31)
|
| Description |
The type of location where the contact took place e.g. person's home |
| Operationalization |
NHS data dictionary - Location type or free text
https://www.datadictionary.nhs.uk/data_dictionary/attributes/a/acc/activity_location_type_code_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact type
prsb03-dataelement-10070
|
|
|
| Id |
prsb03-dataelement-10070 (2018‑10‑31)
|
| Description |
Type of contact e.g. GP consultation, outpatient attendance |
|
|
| Operationalization |
NHS Data dictionary - Care contact type
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_contact_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Consultation method
prsb03-dataelement-10071
|
|
|
| Id |
prsb03-dataelement-10071 (2018‑10‑31)
|
| Description |
Consultation method used e.g. face to face, telephone |
| FHIR |
Handled as text in the transfer of care |
|
| Operationalization |
NHS Data dictionary - Consultation medium or free text
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/cons/consultation_medium_used_de.asp?shownav=1?query=%22consultation%22&rank=30&shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Specialty
prsb03-dataelement-10073
|
|
|
| Id |
prsb03-dataelement-10073 (2018‑10‑31)
|
| Description |
The specialty e.g. physiotherapy, oncology, mental health etc |
| FHIR |
Encounter.participant.individual.Practitioner.PractitionerRole.speciality (of the
consultant responsible for the encounter)
|
|
| Operationalization |
NHS data dictionary - Main specialty codes
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=main+specialty&rank=18.75&shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Service
prsb03-dataelement-10074
|
|
|
| Id |
prsb03-dataelement-10074 (2018‑10‑31)
|
| Description |
The service that was provided. |
| FHIR |
Encounter.Appointment.servicetype |
|
| Operationalization |
SNOMED CT or free text
999000381000000107 |Correspondence care setting type simple reference set (foundation
metadata concept)|
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professionals present
prsb03-dataelement-10078
|
|
|
| Id |
prsb03-dataelement-10078 (2018‑10‑31)
|
| Description |
The name, role of the additional individuals or team members including consultant(s),
nurse consultant(s), allied health professional(s), social worker(s)
|
| FHIR |
Encounter.participant |
|
| Operationalization |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-10990
|
|
|
| Id |
prsb03-dataelement-10990 (2019‑05‑23 18:51:51)
|
| Description |
The name of the professional present |
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Role
prsb03-dataelement-10991
|
|
|
| Id |
prsb03-dataelement-10991 (2019‑05‑23 18:52:37)
|
| Description |
The role of the professional present. |
| Operationalization |
NHS Data dictionary or free text
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Outcome of contact
prsb03-dataelement-10080
|
|
|
| Id |
prsb03-dataelement-10080 (2018‑10‑31)
|
| Description |
This records the outcome of the contact. |
| FHIR |
Handled as text in the transfer of care |
|
| Operationalization |
NHS data dictionary or free text
https://www.datadictionary.nhs.uk/data_dictionary/attributes/a/at/attended_or_did_not_attend_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person accompanying patient
prsb03-dataelement-10079
|
|
|
| Id |
prsb03-dataelement-10079 (2018‑10‑31)
|
| Description |
Identify, where clinically relevant, others accompanying the patient, eg parent, relative,
friend. Includes: Name, Relationship, role (e.g. informal carer).
|
| FHIR |
Encounter.participant |
|
| Operationalization |
Information provided by patient or person accompanying patient.Text |
| Value Domain |
|
|
|
| Organisation name
prsb03-dataelement-10706
|
|
|
| Id |
prsb03-dataelement-10706 (2018‑12‑04 15:30:13)
|
| Description |
The name, including the identifier, of the organisation where the vaccine was administered. |
| Value Domain |
|
|
|
| Organisation address
prsb03-dataelement-10713
|
|
|
| Id |
prsb03-dataelement-10713 (2018‑12‑04 15:37:02)
|
| Description |
The name of the organisation, including the identifier. |
| Value Domain |
|
|
|
| Organisation contact details
prsb03-dataelement-10707
|
|
|
| Id |
prsb03-dataelement-10707 (2018‑12‑04 15:31:05)
|
| Description |
The contact details of the organisation. For example a phone number, NHSmail address
etc. Contact details are used to resolve queries about the record entry.
|
| Value Domain |
|
|
|
| Reason for non-provision of service
prsb03-dataelement-10708
|
|
|
| Id |
prsb03-dataelement-10708 (2018‑12‑04 15:31:26)
|
| Description |
The reason why the patient was not provided with the service e.g. declined, did not
attend etc.
|
| Value Domain |
|
|
|
| Clinician name
prsb03-dataelement-10709
|
|
|
| Id |
prsb03-dataelement-10709 (2018‑12‑04 15:31:49)
|
| Description |
The name of the person providing the service, preferably in a structured format. |
| Value Domain |
|
|
|
| Role
prsb03-dataelement-10710
|
|
|
| Id |
prsb03-dataelement-10710 (2018‑12‑04 15:32:09)
|
| Description |
The role of the person providing the service. |
| Value Domain |
|
|
|
| Chaperone
prsb03-dataelement-10712
|
|
|
| Id |
prsb03-dataelement-10712 (2018‑12‑04 15:33:12)
|
| Description |
The name and designation of any chaperone(s). |
| Value Domain |
|
|
|
| Professional identifier
prsb03-dataelement-10711
|
|
|
| Id |
prsb03-dataelement-10711 (2018‑12‑04 15:32:25)
|
| Description |
Professional identifier of the person providing the service. |
| Value Domain |
|
|
|
| Admission details
prsb03-dataelement-181
|
|
|
| Id |
prsb03-dataelement-181 (2018‑10‑31)
|
| Description |
Admission details |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Admission details record entry
prsb03-dataelement-10918
|
|
|
| Id |
prsb03-dataelement-10918 (2019‑04‑09 16:16:31)
|
| Description |
This is the admission details record entry. There may be 0 to many record entries
under a section. Each record entry is made up of a number of elements or data items.
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date of admission
prsb03-dataelement-10085
|
|
|
| Id |
prsb03-dataelement-10085 (2018‑10‑31)
|
| Description |
Date and time the person was admitted to hospital. |
|
|
| Operationalization |
The date and time of admission as recorded on the Patient Administration System (PAS) |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Admitted to
prsb03-dataelement-10090
|
|
|
| Id |
prsb03-dataelement-10090 (2018‑10‑31)
|
| Description |
The hospital the person was admitted to. |
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Responsible consultant
prsb03-dataelement-10087
|
|
|
| Id |
prsb03-dataelement-10087 (2018‑10‑31)
|
| Description |
The consultant who has overall responsibility for the person (may not actually see
the person)
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-10992
|
|
|
| Id |
prsb03-dataelement-10992 (2019‑05‑23 23:16:09)
|
| Description |
The name of the responsible consultant. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Role
prsb03-dataelement-10993
|
|
|
| Id |
prsb03-dataelement-10993 (2019‑05‑23 23:17:05)
|
| Description |
The role of the responsible consultant. |
| Operationalization |
NHS Data dictionary or free text
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Reason for admission
prsb03-dataelement-10081
|
|
|
| Id |
prsb03-dataelement-10081 (2018‑10‑31)
|
| Description |
The health problems and issues experienced by the person that prompted the decision
to admit to hospital e.g. chest pain, mental health crisis, blackout, fall, a specific
procedure, intervention, investigation or treatment, non compliance with treatment.
|
|
|
| Operationalization |
SNOMED CT or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Admission method
prsb03-dataelement-10082
|
|
|
| Id |
prsb03-dataelement-10082 (2018‑10‑31)
|
| Description |
How the person was admitted to hospital e.g. elective, emergency, maternity, transfer
etc.
|
| FHIR |
Handled as text in the transfer of care |
|
| Operationalization |
NHS Data Dictionary Admission Method or free text
https://www.datadictionary.nhs.uk/data_dictionary/attributes/a/add/admission_method_de.asp?shownav=1?query=%22admission+method%22&rank=100&shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Legal status on admission
prsb03-dataelement-10083
|
|
|
| Id |
prsb03-dataelement-10083 (2018‑10‑31)
|
| Description |
Whether the person was admitted as informal or formal/detained. |
| FHIR |
Encounter,Subject.Observation |
|
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Source of admission
prsb03-dataelement-10084
|
|
|
| Id |
prsb03-dataelement-10084 (2018‑10‑31)
|
| Description |
Where the person was immediately prior to admission, e.g. usual place of residence,
temporary place of residence, penal establishment.
|
| FHIR |
Encounter.hospitalisation.admitsource |
|
| Operationalization |
NHS Data Dictionary Source of Admission or free text.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/s/smo/source_of_admission_de.asp?shownav=1?query=%22source+of+admission%22&rank=100&shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Patient location
prsb03-dataelement-10086
|
|
|
| Id |
prsb03-dataelement-10086 (2018‑10‑31)
|
| Description |
This is the physical locations of the patient. For inpatient, e.g., hospital ward,
bed, theatre. For ambulatory care, e.g., health center, clinic, resources center,
patient’s home.
|
| Value Domain |
|
|
|
| Individual accompanying person
prsb03-dataelement-10088
|
|
|
| Id |
prsb03-dataelement-10088 (2018‑10‑31)
|
| Description |
Details of the accompanying individual and the extent to which they have provided
the information about the person.
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-10984
|
|
|
| Id |
prsb03-dataelement-10984 (2019‑05‑23 12:59:39)
|
| Description |
Name of individual accompanying person. |
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Role
prsb03-dataelement-10985
|
|
|
| Id |
prsb03-dataelement-10985 (2019‑05‑23 13:00:07)
|
| Description |
Role of the individual accompanying the person. |
| Operationalization |
NHS Data dictionary or free text
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Relationship
prsb03-dataelement-10986
|
|
|
| Id |
prsb03-dataelement-10986 (2019‑05‑23 13:02:20)
|
| Description |
Relationship of individual accompanying the person. |
| Operationalization |
Free text or
https://www.hl7.org/fhir/valueset-relatedperson-relationshiptype.html
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Comment
prsb03-dataelement-12447
|
|
|
| Id |
prsb03-dataelement-12447 (2019‑06‑17 14:41:14)
|
| Description |
Information about the extent to which the accompanying individual provided information
about the person.
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Speciality
prsb03-dataelement-10089
|
|
|
| Id |
prsb03-dataelement-10089 (2018‑10‑31)
|
| Description |
The specialty e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS Data dictionary - Main speciality code
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=main+specialty&rank=18.75&shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Discharge details
prsb03-dataelement-191
|
|
|
| Id |
prsb03-dataelement-191 (2018‑10‑31)
|
| Description |
Discharge details |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Discharge details record entry
prsb03-dataelement-10919
|
|
|
| Id |
prsb03-dataelement-10919 (2019‑04‑09 16:31:23)
|
| Description |
This is the discharge details record entry. There may be 0 to many record entries
under a section. Each record entry is made up of a number of elements or data items.
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date of discharge
prsb03-dataelement-10096
|
|
|
| Id |
prsb03-dataelement-10096 (2018‑10‑31)
|
| Description |
The date and time of discharge |
|
|
| Operationalization |
The date and time of discharge as recorded by the PAS or discharging system. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Discharge location
prsb03-dataelement-10095
|
|
|
| Id |
prsb03-dataelement-10095 (2018‑10‑31)
|
| Description |
The hospital the person was discharged from. |
| FHIR |
Encounter.location.name |
|
| Operationalization |
ODS code |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Discharging consultant
prsb03-dataelement-10093
|
|
|
| Id |
prsb03-dataelement-10093 (2018‑10‑31)
|
| Description |
The consultant responsible for the person at time of discharge. |
| FHIR |
Encounter.Prartitioner.PractitionerRole.identifier (local ID) Encounter.Prartitioner.PractitionerRole.code
Encounter.Prartitioner.Practitioner.identifier Encounter.Prartitioner.PractitionerRole.Practitioner.name
|
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-10994
|
|
|
| Id |
prsb03-dataelement-10994 (2019‑05‑23 23:22:01)
|
| Description |
The name of the discharging consultant |
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Role
prsb03-dataelement-10995
|
|
|
| Id |
prsb03-dataelement-10995 (2019‑05‑23 23:22:48)
|
| Description |
The role of the discharging consultant |
| Operationalization |
NHS Data dictionary or free text
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Discharge destination
prsb03-dataelement-10091
|
|
|
| Id |
prsb03-dataelement-10091 (2018‑10‑31)
|
| Description |
The destination of the person on discharge.
|
| FHIR |
Encounter.hospitalisation.dischargedisposition |
|
| Operationalization |
Sent as per the ECDS Emergency Care Discharge Destination code set (SNOMED CT). |
| Value Domain |
|
|
|
| Discharge status
prsb03-dataelement-10092
|
|
|
| Id |
prsb03-dataelement-10092 (2018‑10‑31)
|
| Description |
Patient status on discharge from emergency care. |
| FHIR |
Encounter,Subject.Observation |
|
| Operationalization |
Sent as per the ECDS Emergency Care DischargeStatus code set (SNOMED CT): |
| Value Domain |
|
|
|
| Discharge method
prsb03-dataelement-10098
|
|
|
| Id |
prsb03-dataelement-10098 (2018‑10‑31)
|
| Description |
The method of discharge from hospital e.g. person discharged on clinical advice or
with clinical consent; person discharged him/herself or was discharged by a relative
or advocate.
|
| FHIR |
Handled as text in the transfer of care |
|
| Operationalization |
NHS data dictionary - Discharge method or free text.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/d/disc/discharge_method_de.asp?shownav=1?query=%22discharge+method%22&rank=100&shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Discharging specialty
prsb03-dataelement-10094
|
|
|
| Id |
prsb03-dataelement-10094 (2018‑10‑31)
|
| Description |
The specialty of the consultant responsible for the person at the time of discharge. |
| Operationalization |
NHS Data dictionary - Main speciality code or free text.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=main+specialty&rank=18.75&shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Discharging department
prsb03-dataelement-10987
|
|
|
| Id |
prsb03-dataelement-10987 (2019‑05‑23 13:21:24)
|
| Description |
The department from which the person is discharged. |
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Legal status on discharge
prsb03-dataelement-10097
|
|
|
| Id |
prsb03-dataelement-10097 (2018‑10‑31)
|
| Description |
Whether the person was discharged as informal or formal/detained. |
| FHIR |
Encounter,Subject.Observation |
|
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Discharge destination
prsb03-dataelement-10099
|
|
|
| Id |
prsb03-dataelement-10099 (2018‑10‑31)
|
| FHIR |
Encounter.hospitalisation.destination.location. Address |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Discharge destination
prsb03-dataelement-10100
|
|
|
| Id |
prsb03-dataelement-10100 (2018‑10‑31)
|
| Description |
The destination of the person on discharge from hospital e.g. usual place of residence,
NHS run care home.
|
| FHIR |
A code from the NHS Data Dictionary Discharge Destination |
|
| Operationalization |
NHS data dictionary - Discharge destination.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/d/disc/discharge_destination_de.asp?shownav=1?query=%22Discharge+destination%22&rank=100&shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Discharge address
prsb03-dataelement-10101
|
|
|
| Id |
prsb03-dataelement-10101 (2018‑10‑31)
|
| Description |
Address to which the person is discharged if not the usual place of residence. |
| FHIR |
If the patient is discharged to their normal place of residence, no address is recorded
on the discharge summary. Otherwise, an address other than the patient's usual place
of residence may be provided by the patient or their representative.
|
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Expected date of discharge
prsb03-dataelement-10102
|
|
|
| Id |
prsb03-dataelement-10102 (2018‑10‑31)
|
| Description |
The date the person is currently expected to be discharged. |
| Operationalization |
Date/time |
| Value Domain |
|
|
|
| Emergency Care Attendance
prsb03-dataelement-379
|
|
|
|
|
| Clinical narrative
prsb03-dataelement-10279
|
|
|
| Id |
prsb03-dataelement-10279 (2018‑10‑31)
|
| Description |
A description detailing a patient’s reason for attendance, results from the diagnostic
and treatment process.
|
| Value Domain |
|
|
|
| Date and Time of Attendance
prsb03-dataelement-10280
|
|
|
| Id |
prsb03-dataelement-10280 (2018‑10‑31)
|
| Description |
Date and time patient arrived at the unscheduled care unit. |
| Value Domain |
|
|
|
| Date and time of discharge
prsb03-dataelement-10281
|
|
|
|
|
| Diagnosis
prsb03-dataelement-10282
|
|
|
| Id |
prsb03-dataelement-10282 (2018‑10‑31)
|
| Description |
Confirmed diagnosis; active diagnosis being treated. Include the stage of the disease
where relevant.
|
| Value Domain |
|
|
|
| Discharge destination
prsb03-dataelement-10283
|
|
|
| Id |
prsb03-dataelement-10283 (2018‑10‑31)
|
| Description |
The destination of the patient on discharge. National codes. E.g., High Dependency
Unit.
|
| Value Domain |
|
|
|
| Discharge status
prsb03-dataelement-10284
|
|
|
|
|
| Location
prsb03-dataelement-10285
|
|
|
| Id |
prsb03-dataelement-10285 (2018‑10‑31)
|
| Description |
Details of where the unscheduled care attendance took place. |
| Value Domain |
|
|
|
| Person accompanying patient
prsb03-dataelement-10286
|
|
|
| Id |
prsb03-dataelement-10286 (2018‑10‑31)
|
| Description |
Identify others accompanying the patient, e.g., relative, friend, patient informal
carer, advocate. If the patient was not present, was an authorised representative
present. Include name and relationship (friend, relative, etc.)
|
| Value Domain |
|
|
|
| Plan and Requested Actions
prsb03-dataelement-10287
|
|
|
| Id |
prsb03-dataelement-10287 (2018‑10‑31)
|
| Description |
A simple free text description of the plan of action following the contact with the
person. This may include actions for the parent, healthcare professional (e.g. health
visitor) and review.
|
| Value Domain |
|
|
|
| Presenting complaint or issue
prsb03-dataelement-10288
|
|
|
| Id |
prsb03-dataelement-10288 (2018‑10‑31)
|
| Description |
The health problem or issue experienced by the patient resulting in their attendance.
This may include disease state, medical condition, response and reactions to therapies.
E.g., blackout, dizziness, chest pain, follow up from admission, falls, a specific
procedure, investigation or treatment.
|
| Value Domain |
|
|
|
| Senior reviewing clinician
prsb03-dataelement-10800
|
|
|
|
|
| Senior Reviewing Clinician
prsb03-dataelement-327
|
|
|
|
|
| Name
prsb03-dataelement-10227
|
|
|
| Id |
prsb03-dataelement-10227 (2018‑10‑31)
|
| Description |
The name of the senior clinician responsible for reviewing the patient treatment and
discharge plan.
|
| Operationalization |
The person name as held on the source system. Where possible this should be broken
down into its constituent parts (prefix, given name, family name, suffix).
|
| Value Domain |
|
|
|
| Professional identifier
prsb03-dataelement-10228
|
|
|
| Id |
prsb03-dataelement-10228 (2018‑10‑31)
|
| Description |
The unique identifier issued by the regulatory body e.g., GMC number, HCPC number
etc.
|
| Operationalization |
The professional identifier type and the identifier itself as held on the source system.
An identifier for the person completing the record will be sent (but may not be displayed
in the rendered message).
|
| Value Domain |
|
|
|
| Procedure
prsb03-dataelement-10289
|
|
|
| Id |
prsb03-dataelement-10289 (2018‑10‑31)
|
| Description |
The therapeutic or diagnostic procedure performed on the patient. This may be coded,
or represented as free text.
|
| Value Domain |
|
|
|
| Referral Source
prsb03-dataelement-10290
|
|
|
|
|
| Safety Alerts
prsb03-dataelement-10291
|
|
|
| Id |
prsb03-dataelement-10291 (2018‑10‑31)
|
| Description |
Safety Alerts at the Emergency Care Attendance suggested to be pulled through from
the Safety Alerts heading.
|
| Value Domain |
|
|
|
| Future appointments
prsb03-dataelement-10720
|
|
|
| Id |
prsb03-dataelement-10720 (2019‑02‑08 15:58:04)
|
| Description |
Details of future appointments. |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Future appointments record entry
prsb03-dataelement-10721
|
|
|
| Id |
prsb03-dataelement-10721 (2019‑02‑08 15:58:39)
|
| Description |
This is the future appointments record entry. There may be 0 to many record entries
under a section. Each record entry is made up of a number of elements or data items.
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date of appointment
prsb03-dataelement-10722
|
|
|
| Id |
prsb03-dataelement-10722 (2019‑02‑08 15:59:19)
|
| Description |
Date and time of future appointment. |
| Operationalization |
Date and time |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Appointment status
prsb03-dataelement-10723
|
|
|
| Id |
prsb03-dataelement-10723 (2019‑02‑08 16:00:39)
|
| Description |
The status of the appointment e.g. proposed, booked, confirmed, rejected. |
| Operationalization |
Free text
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Reason for appointment
prsb03-dataelement-10724
|
|
|
| Id |
prsb03-dataelement-10724 (2019‑02‑08 16:02:23)
|
| Description |
Reason this appointment is scheduled |
| Operationalization |
Free text.
The reason for the appointment e.g. diagnosis, investigation, treatment or assessment
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Clinical urgency of appointment
prsb03-dataelement-10725
|
|
|
|
|
| Location of future appointment
prsb03-dataelement-10726
|
|
|
| Id |
prsb03-dataelement-10726 (2019‑02‑08 16:05:14)
|
| Description |
The location of the appointment. |
| Operationalization |
ODS code or free text
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Specialty
prsb03-dataelement-10727
|
|
|
| Id |
prsb03-dataelement-10727 (2019‑02‑08 16:10:35)
|
| Description |
The specialty e.g. physiotherapy, oncology, mental health etc. |
| FHIR |
Encounter.participant.individual.Practitioner.PractitionerRole.speciality (of the
consultant responsible for the encounter)
|
|
| Relationship |
|
| Operationalization |
NHS data dictionary - main specialty codes or free text.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Service
prsb03-dataelement-10728
|
|
|
| Id |
prsb03-dataelement-10728 (2019‑02‑08 16:11:32)
|
| Description |
The service being provided. |
| FHIR |
Encounter.Appointment.servicetype |
|
| Relationship |
|
| Operationalization |
SNOMED CT or free text
999000381000000107 |Correspondence care setting type simple reference set (foundation
metadata concept)|
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional seeing the person
prsb03-dataelement-10729
|
|
|
| Id |
prsb03-dataelement-10729 (2019‑02‑08 16:12:10)
|
| Description |
The name and role of the professional e.g. consultant, care worker, nurse consultant. |
| FHIR |
Encounter.participant |
|
| Relationship |
|
| Operationalization |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-12413
|
|
|
| Id |
prsb03-dataelement-12413 (2019‑06‑05 18:59:13)
|
| Description |
The name of the professional seeing the person. |
| Operationalization |
Free text
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Role
prsb03-dataelement-12414
|
|
|
| Id |
prsb03-dataelement-12414 (2019‑06‑05 18:59:35)
|
| Description |
The role of the professional seeing the person. |
| Operationalization |
NHS Data dictionary or free text
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Incident details
prsb03-dataelement-10887
|
|
|
|
|
| Source of call
prsb03-dataelement-10888
|
|
|
| Id |
prsb03-dataelement-10888 (2019‑03‑29 13:05:52)
|
| Description |
Where the call originated from e.g. 999, NHS 111, police, GP, hospital etc. |
| Operationalization |
Record generated from the local system. |
| Value Domain |
|
|
|
| Ambulance service
prsb03-dataelement-10889
|
|
|
| Id |
prsb03-dataelement-10889 (2019‑03‑29 13:07:10)
|
| Description |
The ambulance service provider. This could be NHS, air ambulance, voluntary or private
provider.
|
| Operationalization |
This should be the Organisation Data Services name for the ambulance service. |
| Value Domain |
|
|
|
| Incident number
prsb03-dataelement-10890
|
|
|
| Id |
prsb03-dataelement-10890 (2019‑03‑29 13:14:27)
|
| Description |
The number that identifies the incident and is generated by the dispatcher in response
to a call.
|
| Operationalization |
This is a number generated by the local system. |
| Value Domain |
|
|
|
| Unique person identifier
prsb03-dataelement-10891
|
|
|
| Id |
prsb03-dataelement-10891 (2019‑03‑29 13:22:03)
|
| Description |
A unique identifier to identifiy the person. |
| Operationalization |
This is a number generated by the local system. Note: The exact values for this heading
are expected to be defined by the Ambulance Dataset Project.
|
| Value Domain |
|
|
|
| Incident location
prsb03-dataelement-10892
|
|
|
| Id |
prsb03-dataelement-10892 (2019‑03‑29 13:33:38)
|
| Description |
The location of the incident. |
| Operationalization |
The record of the address provided by the local system. |
| Value Domain |
|
|
|
| Individual accompanying person
prsb03-dataelement-10893
|
|
|
| Id |
prsb03-dataelement-10893 (2019‑03‑29 13:34:37)
|
| Description |
Individual who has family, carer or other relationship who accompanies the person. |
| Operationalization |
Record as provided by the ambulance clinician, in free text. |
| Value Domain |
|
|
|
| Incident date and time
prsb03-dataelement-10894
|
|
|
| Id |
prsb03-dataelement-10894 (2019‑03‑29 13:35:24)
|
| Description |
The date and time of the incident. |
| Operationalization |
This is the date as reported by the person or the person reporting the incident. |
| Value Domain |
|
|
|
| Time of symptom onset
prsb03-dataelement-10895
|
|
|
| Id |
prsb03-dataelement-10895 (2019‑03‑29 13:36:11)
|
| Description |
The approximate time the person’s symptoms began. Where there is a prodrome of intermittent
pain the time recorded should be the time of onset of those symptoms which led the
person to call for help.
|
| Operationalization |
This is the time as reported by the person or the person reporting the incident. |
| Value Domain |
|
|
|
| Arrival time at incident
prsb03-dataelement-10896
|
|
|
| Id |
prsb03-dataelement-10896 (2019‑03‑29 13:37:59)
|
| Description |
The time the crew or individual responder arrived at the scene of the incident |
| Operationalization |
The information is provided by the local system. |
| Value Domain |
|
|
|
| Time left incident location
prsb03-dataelement-10897
|
|
|
| Id |
prsb03-dataelement-10897 (2019‑03‑29 13:38:51)
|
| Description |
Time the crew or individual responder left the incident |
| Operationalization |
The information is provided by the local system. |
| Value Domain |
|
|
|
| Time of arrival at handover destination
prsb03-dataelement-10898
|
|
|
| Id |
prsb03-dataelement-10898 (2019‑03‑29 13:39:37)
|
| Description |
The time the ambulance parks at the handover
destination (eg A&E, clinic, etc).
|
| Operationalization |
The information is provided by the local system. |
| Value Domain |
|
|
|
| Injury
prsb03-dataelement-10899
|
|
|
|
|
| Injury activity status
prsb03-dataelement-10900
|
|
|
| Id |
prsb03-dataelement-10900 (2019‑04‑02 12:07:28)
|
| Description |
The status of activity being undertaken by the person at the moment the injury occurred
(e.g. education, work, leisure activity etc).
|
| Operationalization |
To obtain the subset click on members under concept details along the top right section
|
| Value Domain |
|
|
|
| Injury activity
prsb03-dataelement-10901
|
|
|
| Id |
prsb03-dataelement-10901 (2019‑04‑02 12:09:04)
|
| Description |
The type of activity being undertaken by the person at the moment the injury occurred. |
| Operationalization |
To obtain the subset click on members under concept details along the top right section
|
| Value Domain |
|
|
|
| Injury intent
prsb03-dataelement-10902
|
|
|
| Id |
prsb03-dataelement-10902 (2019‑04‑02 12:12:31)
|
| Description |
The most likely human intent in the occurrence of the injury or poisoning as assessed
by clinician.
|
| Operationalization |
To obtain the subset click on members under concept details along the top right section
|
| Value Domain |
|
|
|
| Injury mechanism
prsb03-dataelement-10903
|
|
|
| Id |
prsb03-dataelement-10903 (2019‑04‑02 12:13:24)
|
| Description |
How the injury was caused. |
| Operationalization |
To obtain the subset click on members under concept details along the top right section
|
| Value Domain |
|
|
|
| Alcohol or drug involvement in injury
prsb03-dataelement-10904
|
|
|
| Id |
prsb03-dataelement-10904 (2019‑04‑02 12:14:19)
|
| Description |
A record of any drugs or alcohol used by the person, which are thought likely to have
contributed to the need to attend the ED.
|
| Operationalization |
To obtain the subset click on members under concept details along the top right section
|
| Value Domain |
|
|
|
| Relevant past medical, surgical and mental health history
prsb03-dataelement-547
|
|
|
| Id |
prsb03-dataelement-547 (2018‑10‑31)
|
| Description |
The record of the person’s significant medical, surgical and mental health history.
Including relevant previous diagnoses, problems and issues, procedures, investigations,
specific anaesthesia issues, etc (will obstetric history).
|
|
|
| Date
prsb03-dataelement-10447
|
|
|
|
|
| Location
prsb03-dataelement-10448
|
|
|
|
|
| Performing Professional
prsb03-dataelement-10449
|
|
|
| Id |
prsb03-dataelement-10449 (2018‑10‑31)
|
| Description |
Details of the professional performing the medical history (including name and role) |
| Value Domain |
|
|
|
| Gynaecology
prsb03-dataelement-10450
|
|
|
| Id |
prsb03-dataelement-10450 (2018‑10‑31)
|
| Description |
A record of the woman’s gynaecology medical history relevant to the maternity episode,
including relevant previous diagnoses, problems and issues, procedures, surgeries
and investigations.
|
| Value Domain |
|
|
|
| Past obstetric
prsb03-dataelement-10451
|
|
|
| Id |
prsb03-dataelement-10451 (2018‑10‑31)
|
| Description |
A record of the woman’s obstetric medical history relevant to the maternity episode.
To include each previous pregnancy details and the outcome.
|
| Value Domain |
|
|
|
| Relevant past medical history
prsb03-dataelement-10452
|
|
|
| Id |
prsb03-dataelement-10452 (2018‑10‑31)
|
| Description |
The record of the person's significant medical, history. Including relevant previous
diagnoses, health history problems and issues.
|
| Value Domain |
|
|
|
| Relevant past surgical history
prsb03-dataelement-10453
|
|
|
| Id |
prsb03-dataelement-10453 (2018‑10‑31)
|
| Description |
The record of the person’s significant surgical history. Including relevant issues,
procedures, investigations, specific anaesthesia issues, etc.
|
| Value Domain |
|
|
|
| Relevant past mental health history
prsb03-dataelement-10454
|
|
|
| Id |
prsb03-dataelement-10454 (2018‑10‑31)
|
| Description |
A record of the person’s mental health history relevant to the episode |
| Value Domain |
|
|
|
| Acute Hospital Episodes
prsb03-dataelement-10455
|
|
|
| Id |
prsb03-dataelement-10455 (2018‑10‑31)
|
| Description |
Reported details of any history of acute hospital episodes including ITU, HDU and
A&E attendances the woman has had.
|
| Value Domain |
|
|
|
| Mental Health Admissions
prsb03-dataelement-10456
|
|
|
| Id |
prsb03-dataelement-10456 (2018‑10‑31)
|
| Description |
Reported details of any history of mental health admissions. |
| Value Domain |
|
|
|
| Relevant past medical, surgical and mental health history
prsb03-dataelement-12476
|
|
|
| Id |
prsb03-dataelement-12476 (2019‑06‑27 12:35:48)
|
| Description |
The record of the person's significant medical, surgical and mental health history
(will include dental and obstetric history). Including relevant previous diagnoses,
problems and issues, procedures, investigations, specific anaesthesia issues, etc.
|
| Relationship |
|
| Operationalization |
A list of the person's relevant past medical, surgical and mental health history recorded
in free text or coded form.
|
| Value Domain |
|
|
|
| Relevant clinical risk factors
prsb03-dataelement-203
|
|
|
|
|
| Relevant clinical risk factor record entry
prsb03-dataelement-10650
|
|
|
| Id |
prsb03-dataelement-10650 (2018‑11‑12 19:39:02)
|
| Description |
This is a Relevant clinical risk factor record entry. There may be 0 to many record
entry/entries under a section. Each record entry is made up of a number of elements
or data items.
|
|
|
| Relevant clinical risk factor
prsb03-dataelement-10103
|
|
|
| Id |
prsb03-dataelement-10103 (2018‑10‑31)
|
| Description |
Factors that have been shown to be associated with the development of a medical condition
being considered as a diagnosis/differential diagnosis. E.g. being overweight, smoker,
no use of sun screen, enzyme deficiency.
|
|
|
| Operationalization |
Free text |
| Value Domain |
|
|
|
| Date
prsb03-dataelement-10104
|
|
|
| Id |
prsb03-dataelement-10104 (2018‑10‑31)
|
| Description |
The date on which the clinical risk factor was recorded |
| Value Domain |
|
|
|
| Location
prsb03-dataelement-10105
|
|
|
| Id |
prsb03-dataelement-10105 (2018‑10‑31)
|
| Description |
The location where the clinical risk factor was recorded. |
| Value Domain |
|
|
|
| Performing Professional
prsb03-dataelement-10106
|
|
|
| Id |
prsb03-dataelement-10106 (2018‑10‑31)
|
| Description |
Details of the professional recording the clinical risk factor (including name and
role)
|
| Value Domain |
|
|
|
| Clinical risk assessment
prsb03-dataelement-10107
|
|
|
| Id |
prsb03-dataelement-10107 (2018‑10‑31)
|
| Description |
Specific risk assessments required/undertaken. |
| Operationalization |
Coded (SNOMED CT) or text |
| Value Domain |
|
|
|
| Risk mitigation
prsb03-dataelement-10108
|
|
|
| Id |
prsb03-dataelement-10108 (2018‑10‑31)
|
| Description |
Action taken to reduce the clinical risk and date actions. |
| Operationalization |
Free text |
| Value Domain |
|
|
|
| Patient at high risk
prsb03-dataelement-10109
|
|
|
| Id |
prsb03-dataelement-10109 (2018‑10‑31)
|
| Description |
This patient is at high risk of clinical deterioration and will need an immediate
response if called
|
| Value Domain |
|
|
|
| Vaccinations
prsb03-dataelement-10685
|
|
|
| Id |
prsb03-dataelement-10685 (2018‑12‑04 11:33:10)
|
| Description |
Details of vaccinations. |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Vaccinations record entry
prsb03-dataelement-10686
|
|
|
| Id |
prsb03-dataelement-10686 (2018‑12‑04 11:34:26) 0.1
|
| Description |
This is the vaccinations record entry.
There may be 0 to many record entries under a section.
Each record entry is made up of a number of elements or data items.
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date
prsb03-dataelement-10695
|
|
|
| Id |
prsb03-dataelement-10695 (2018‑12‑04 11:38:40)
|
| Description |
The date on which the vaccination was administered or the reported/partial date on
which it was reported.
|
| Operationalization |
Date and time |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Location
prsb03-dataelement-10759
|
|
|
| Id |
prsb03-dataelement-10759 (2019‑03‑08 17:50:00)
|
| Description |
The location where the vaccine was administered. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Performing professional
prsb03-dataelement-10760
|
|
|
| Id |
prsb03-dataelement-10760 (2019‑03‑08 17:50:41)
|
| Description |
Details of the professional administering the vaccine or the professional to whom
the vaccination was reported.
|
| Relationship |
|
| Operationalization |
Free text |
| Value Domain |
|
|
|
| Performing professional
prsb03-dataelement-12184
|
|
|
| Id |
prsb03-dataelement-12184 (2019‑05‑31 16:19:14)
|
| Description |
The professional who administered the vaccine. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-12185
|
|
|
| Id |
prsb03-dataelement-12185 (2019‑05‑31 16:19:35)
|
| Concept inherits from |
prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
|
| Description |
The name of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Role
prsb03-dataelement-12186
|
|
|
| Id |
prsb03-dataelement-12186 (2019‑05‑31 16:19:35)
|
| Description |
The role the professional has in relation to the person. |
| Relationship |
|
| Operationalization |
NHS Data dictionary or free text if code is not available.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-12187
|
|
|
| Id |
prsb03-dataelement-12187 (2019‑05‑31 16:19:35)
|
| Concept inherits from |
prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
|
| Description |
The grade of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Speciality
prsb03-dataelement-12188
|
|
|
| Id |
prsb03-dataelement-12188 (2019‑05‑31 16:19:35)
|
| Description |
The specialty of the professional. |
| Relationship |
|
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-12189
|
|
|
| Id |
prsb03-dataelement-12189 (2019‑05‑31 16:19:35)
|
| Concept inherits from |
prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
|
| Description |
Professional identifier for the professional e.g. GMC number, HCPC number etc or the
personal identifier used by the local organisation.
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisation
prsb03-dataelement-12190
|
|
|
| Id |
prsb03-dataelement-12190 (2019‑05‑31 16:19:35)
|
| Concept inherits from |
prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
|
| Description |
The name of the organisation the professional works for. |
| Operationalization |
ODS code or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-12191
|
|
|
| Id |
prsb03-dataelement-12191 (2019‑05‑31 16:19:35)
|
| Concept inherits from |
prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
|
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Vaccine product
prsb03-dataelement-10687
|
|
|
| Id |
prsb03-dataelement-10687 (2018‑12‑04 11:36:00)
|
| Description |
Vaccine product administered. |
| Operationalization |
VMP (Virtual Medicinal Product) or AMP (actual medicinal product) |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Vaccine procedure
prsb03-dataelement-10688
|
|
|
| Id |
prsb03-dataelement-10688 (2018‑12‑04 11:36:30)
|
| Description |
The procedure which was used to administer the vaccine. |
| Operationalization |
Free text or SNOMED Code (refsets to be developed e.g. children) |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Manufacturer
prsb03-dataelement-10698
|
|
|
| Id |
prsb03-dataelement-10698 (2018‑12‑04 15:11:19)
|
| Description |
Name of vaccine manufacturer. |
| Operationalization |
Derived from GS1 code or Free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Batch number
prsb03-dataelement-10697
|
|
|
| Id |
prsb03-dataelement-10697 (2018‑12‑04 15:10:59)
|
| Description |
The batch number of the vaccine product. |
| Operationalization |
Free text |
| Value Domain |
|
|
|
| Expiry date
prsb03-dataelement-10696
|
|
|
| Id |
prsb03-dataelement-10696 (2018‑12‑04 15:10:32)
|
| Description |
The date on which the vaccine will expire. |
| Operationalization |
Date/time |
| Value Domain |
|
|
|
| Serialisation code
prsb03-dataelement-10690
|
|
|
| Id |
prsb03-dataelement-10690 (2018‑12‑04 11:37:07)
|
| Description |
A code that separately identifies two identical vaccines (i.e. same product, same
batch).
|
| Operationalization |
Derived from FMD code/Free text |
| Value Domain |
|
|
|
| Body site
prsb03-dataelement-10691
|
|
|
| Id |
prsb03-dataelement-10691 (2018‑12‑04 11:37:33)
|
| Description |
Body site vaccine was administered. |
| Operationalization |
Choice of • Text • Coded text – constraint: SiteOfMedicationAdministration.
Any valid site for the administration of a medication.
Constraint binding: [SNOMED-CT]subset= SiteOfMedicationAdministration site code
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Route
prsb03-dataelement-10692
|
|
|
| Id |
prsb03-dataelement-10692 (2018‑12‑04 11:37:53)
|
| Description |
How the vaccine entered the body. |
| Operationalization |
Coded text – constraint: NHS e-prescribing route of administration subset ID: 413001000001136
Original Id : 30201000001137
This is an extract from the SUBSET -BiAnnual-Drug-15.0.1-20130401: SnomedCT_GB1000001_20130401/Subsets/EPrescribing/NHS
e-Prescribing route of administration subset.
Constraint binding: [SNOMED-CT]subset=NHS e-Prescribing route of administration subset.
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Indication
prsb03-dataelement-10693
|
|
|
| Id |
prsb03-dataelement-10693 (2018‑12‑04 11:38:05)
|
| Description |
The clinical indication or reason for administering the vaccine. |
| Operationalization |
This will be free text/proposal to use the list from below (as an example list)Routine
mass immunisation 171279008|Immunization due (finding)|
Travel to endemic area 414448007|Identified as high risk for travel immunization
(finding)|Planned travel to high risk area 161096004|Going to travel abroad (finding)|Recent
travel to high risk area 506931000000109|Recent travel to disease affected area (finding)|
Subpopulation at special or unusual risk 78648007|At risk for infection
(finding)|High risk due to occupation 14679004 Occupation (occupation)High risk due
to lifestyle 134436002|Lifestyle (finding)|High risk due to existing medical condition
398192003|Co-morbid conditions (finding)|
Control of known sporadic outbreak 443684005|Disease outbreak (event)|
Patient request 183995001|Patient requested procedure (situation)|
Post-exposure prophyaxis 444107005|Exposure to communicable disease (event)|
Other 723620004|Requires vaccination
(finding)
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Dose amount
prsb03-dataelement-10694
|
|
|
| Id |
prsb03-dataelement-10694 (2018‑12‑04 11:38:24) 0.1
|
| Description |
Amount of vaccine administered. |
| Operationalization |
This will be free text or coded units of measure (from DM+D) |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Dose sequence
prsb03-dataelement-10824
|
|
|
| Id |
prsb03-dataelement-10824 (2019‑03‑21 13:38:54)
|
| Description |
Nominal position in a series of vaccines. |
| Relationship |
|
| Operationalization |
SNOMED CT |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Outcome status
prsb03-dataelement-10838
|
|
|
| Id |
prsb03-dataelement-10838 (2019‑03‑26 12:32:46)
|
| Description |
Whether the vaccine was administered or not, including the reason why |
| Relationship |
|
| Operationalization |
SNOMED CT |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person completing record
prsb03-dataelement-12192
|
|
|
| Id |
prsb03-dataelement-12192 (2019‑05‑31 16:19:51)
|
| Concept inherits from |
prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
|
| Description |
Details of the person completing the record. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-12193
|
|
|
| Id |
prsb03-dataelement-12193 (2019‑05‑31 16:20:12)
|
| Concept inherits from |
prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
|
| Description |
The name of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisational role
prsb03-dataelement-12194
|
|
|
| Id |
prsb03-dataelement-12194 (2019‑05‑31 16:20:12)
|
| Concept inherits from |
prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
|
| Description |
The organisational role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Relationship |
|
| Operationalization |
NHS Data dictionary or free text.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-12195
|
|
|
| Id |
prsb03-dataelement-12195 (2019‑05‑31 16:20:12)
|
| Concept inherits from |
prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
|
| Description |
The grade of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Specialty
prsb03-dataelement-12196
|
|
|
|
|
| Organisation
prsb03-dataelement-12197
|
|
|
| Id |
prsb03-dataelement-12197 (2019‑05‑31 16:20:12)
|
| Concept inherits from |
prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
|
| Description |
The organisation the person completing the record works for. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-12198
|
|
|
| Id |
prsb03-dataelement-12198 (2019‑05‑31 16:20:12)
|
| Concept inherits from |
prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date completed
prsb03-dataelement-12199
|
|
|
| Id |
prsb03-dataelement-12199 (2019‑05‑31 16:20:12)
|
| Concept inherits from |
prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
|
| Description |
The date and time the record was completed. |
| Relationship |
|
| Operationalization |
Date and time. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-12200
|
|
|
| Id |
prsb03-dataelement-12200 (2019‑05‑31 16:20:12)
|
| Concept inherits from |
prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
|
| Description |
Contact details of the person completing the record (e.g. telephone number, email
address etc.).
|
| FHIR |
PractitionerRole.telecom |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person completing record
prsb03-dataelement-10951
|
|
|
| Id |
prsb03-dataelement-10951 (2019‑05‑18 20:30:31)
|
| Description |
This is the person recording the vaccination.
Should include their name, role, grade, specialty, organisation, professional identifier,
date and time completed, contact details
|
| Relationship |
|
| Operationalization |
Free text. Name, Role, Grade, Specialty, Organisation, Professional identifier, Date
and time completed, Contact details
|
| Value Domain |
|
|
|
| Reported
prsb03-dataelement-10825
|
|
|
| Id |
prsb03-dataelement-10825 (2019‑03‑21 13:40:11)
|
| Description |
A flag to indicate the information was reported to a professional |
| Relationship |
|
| Operationalization |
Yes or No |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date
prsb03-dataelement-10837
|
|
|
| Id |
prsb03-dataelement-10837 (2019‑03‑26 12:29:22)
|
| Description |
The date or partial date that the reported vaccination was given in the opinion of
the person.
|
| Operationalization |
Date/time |
| Value Domain |
|
|
|
| Manufacturer
prsb03-dataelement-10689
|
|
|
|
|
| Presenting complaints or issues
prsb03-dataelement-210
|
|
|
|
|
| Presenting complaint or issue
prsb03-dataelement-10110
|
|
|
| Id |
prsb03-dataelement-10110 (2018‑10‑31)
|
| Description |
The health problem or issue experienced by the patient resulting in their attendance.
This may include disease state, medical condition, response and reactions to therapies.
E.g., blackout, dizziness, chest pain, follow up from admission, falls, a specific
procedure, investigation or treatment.
|
|
|
| Operationalization |
Only ONE (chief complaint) sent as per the ECDS Emergency Care Chief Complaint code
set (SNOMED CT).
|
| Value Domain |
|
|
|
| Chief complaint
prsb03-dataelement-10905
|
|
|
| Id |
prsb03-dataelement-10905 (2019‑04‑02 12:33:30)
|
| Description |
The nature of the person's chief complaint as assessed by the care professional first
assessing the person.
|
| Operationalization |
Only ONE (chief complaint) sent as per the ECDS Emergency Care Chief Complaint code
set (SNOMED CT).
|
| Value Domain |
|
|
|
| Person reported complaints or issues
prsb03-dataelement-10906
|
|
|
| Id |
prsb03-dataelement-10906 (2019‑04‑02 12:34:17)
|
| Description |
Person stated description of the health problems and issues. This may differ from
the clinicians impression. This may also be expressed on behalf of the person, eg
by parent or carer.
|
| Operationalization |
Free text |
| Value Domain |
|
|
|
| Acuity assessment
prsb03-dataelement-10907
|
|
|
|
|
| Problem list
prsb03-dataelement-10927
|
|
|
| Id |
prsb03-dataelement-10927 (2019‑04‑30 17:00:00)
|
| Description |
A summary of the problems that require investigation or treatment. |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Problem list record entry
prsb03-dataelement-10928
|
|
|
| Id |
prsb03-dataelement-10928 (2019‑04‑30 17:01:01)
|
| Description |
This is a problem list record entry.
There may be 0 to many record entries under problem list.
Each record entry is made up of a number of elements or data items.
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date
prsb03-dataelement-10929
|
|
|
| Id |
prsb03-dataelement-10929 (2019‑04‑30 17:04:55)
|
| Description |
The date the problem was identified.
|
| Relationship |
|
| Operationalization |
Date and time |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Performing professional
prsb03-dataelement-10930
|
|
|
| Id |
prsb03-dataelement-10930 (2019‑04‑30 17:06:52)
|
| Description |
Details of the professional identifying the problem. |
| Relationship |
|
| Value Domain |
|
|
|
| Performing professional
prsb03-dataelement-12133
|
|
|
| Id |
prsb03-dataelement-12133 (2019‑05‑31 16:03:47)
|
| Description |
The professional who identified the problem. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-12134
|
|
|
| Id |
prsb03-dataelement-12134 (2019‑05‑31 16:04:17)
|
| Concept inherits from |
prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
|
| Description |
The name of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Role
prsb03-dataelement-12135
|
|
|
| Id |
prsb03-dataelement-12135 (2019‑05‑31 16:04:17)
|
| Concept inherits from |
prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
|
| Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
| Operationalization |
NHS Data dictionary or free text
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-12136
|
|
|
| Id |
prsb03-dataelement-12136 (2019‑05‑31 16:04:17)
|
| Concept inherits from |
prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
|
| Description |
The grade of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Speciality
prsb03-dataelement-12137
|
|
|
| Id |
prsb03-dataelement-12137 (2019‑05‑31 16:04:17)
|
| Concept inherits from |
prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
|
| Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-12138
|
|
|
| Id |
prsb03-dataelement-12138 (2019‑05‑31 16:04:17)
|
| Concept inherits from |
prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
|
| Description |
Professional identifier for the professional e.g. GMC number, HCPC number etc or the
personal identifier used by the local organisation.
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisation
prsb03-dataelement-12139
|
|
|
| Id |
prsb03-dataelement-12139 (2019‑05‑31 16:04:17)
|
| Concept inherits from |
prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
|
| Description |
The name of the organisation the professional works for. |
| Operationalization |
ODS code or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-12140
|
|
|
| Id |
prsb03-dataelement-12140 (2019‑05‑31 16:04:17)
|
| Concept inherits from |
prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
|
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Location
prsb03-dataelement-10931
|
|
|
| Id |
prsb03-dataelement-10931 (2019‑04‑30 17:07:45)
|
| Description |
The location the problem was identified. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Problem
prsb03-dataelement-10932
|
|
|
| Id |
prsb03-dataelement-10932 (2019‑04‑30 17:08:40)
|
| Description |
A condition which needs addressing and so is important for every professional to know
about when seeing the person.
Problems may include diagnoses, symptoms, disabilities and social or behavioural issues,
and comprise the ‘Problem list’
|
| Relationship |
|
| Operationalization |
SNOMED CT or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Onset date
prsb03-dataelement-10933
|
|
|
| Id |
prsb03-dataelement-10933 (2019‑04‑30 17:10:25)
|
| Description |
A date or estimated date that the problem began |
| Relationship |
|
| Operationalization |
Date and time |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| End Date
prsb03-dataelement-10934
|
|
|
| Id |
prsb03-dataelement-10934 (2019‑04‑30 17:10:59)
|
| Description |
The date or estimated date the problem was resolved. |
| Relationship |
|
| Operationalization |
Date and time. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Stage of disease
prsb03-dataelement-10935
|
|
|
| Id |
prsb03-dataelement-10935 (2019‑04‑30 17:11:55)
|
| Description |
The stage of the disease where relevant. |
| Relationship |
|
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person completing record
prsb03-dataelement-12141
|
|
|
| Id |
prsb03-dataelement-12141 (2019‑05‑31 16:04:31)
|
| Concept inherits from |
prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
|
| Description |
Details of the person completing the record. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-12142
|
|
|
| Id |
prsb03-dataelement-12142 (2019‑05‑31 16:04:53)
|
| Concept inherits from |
prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
|
| Description |
The name of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisational role
prsb03-dataelement-12143
|
|
|
| Id |
prsb03-dataelement-12143 (2019‑05‑31 16:04:53)
|
| Concept inherits from |
prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
|
| Description |
The organisational role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Relationship |
|
| Operationalization |
NHS Data dictionary or free text.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-12144
|
|
|
| Id |
prsb03-dataelement-12144 (2019‑05‑31 16:04:53)
|
| Concept inherits from |
prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
|
| Description |
The grade of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Specialty
prsb03-dataelement-12145
|
|
|
|
|
| Organisation
prsb03-dataelement-12146
|
|
|
| Id |
prsb03-dataelement-12146 (2019‑05‑31 16:04:53)
|
| Concept inherits from |
prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
|
| Description |
The organisation the person completing the record works for. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-12147
|
|
|
| Id |
prsb03-dataelement-12147 (2019‑05‑31 16:04:53)
|
| Concept inherits from |
prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date completed
prsb03-dataelement-12148
|
|
|
| Id |
prsb03-dataelement-12148 (2019‑05‑31 16:04:53)
|
| Concept inherits from |
prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
|
| Description |
The date and time the record was completed. |
| Relationship |
|
| Operationalization |
Date and time. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-12149
|
|
|
| Id |
prsb03-dataelement-12149 (2019‑05‑31 16:04:53)
|
| Concept inherits from |
prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
|
| Description |
Contact details of the person completing the record (e.g. telephone number, email
address etc.).
|
| FHIR |
PractitionerRole.telecom |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person completing record
prsb03-dataelement-10952
|
|
|
| Id |
prsb03-dataelement-10952 (2019‑05‑18 21:04:15)
|
| Description |
This is the person recording the problem.
Should include their name, role, grade, specialty, organisation, professional identifier,
date and time completed, contact details
|
| Relationship |
|
| Operationalization |
Free text. Name, Role, Grade, Specialty, Organisation, Professional identifier, Date
and time completed, Contact details
|
| Value Domain |
|
|
|
| Comment
prsb03-dataelement-10936
|
|
|
| Id |
prsb03-dataelement-10936 (2019‑04‑30 17:13:22)
|
| Description |
Supporting text may be given covering the problem.
|
| Relationship |
|
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Problems and issues
prsb03-dataelement-211
|
|
|
|
|
| Problems and Issues record entry
prsb03-dataelement-10719
|
|
|
|
|
| Date Recorded
prsb03-dataelement-10111
|
|
|
|
|
| Performing Professional
prsb03-dataelement-10112
|
|
|
| Id |
prsb03-dataelement-10112 (2018‑10‑31)
|
| Description |
Details of the professional recording (including name and role) |
| Value Domain |
|
|
|
| Location
prsb03-dataelement-10113
|
|
|
|
|
| Problem
prsb03-dataelement-10114
|
|
|
| Id |
prsb03-dataelement-10114 (2018‑10‑31)
|
| Description |
A condition which needs addressing and so is important for every health professional
to know about when seeing the person. Problems may include diagnoses, symptoms, disabilities
and social or behavioural issues, and comprise the ‘Problem list’
|
| Value Domain |
|
|
|
| Onset date
prsb03-dataelement-10115
|
|
|
|
|
| End Date
prsb03-dataelement-10116
|
|
|
| Id |
prsb03-dataelement-10116 (2018‑10‑31)
|
| Description |
The date or estimated date the problem was resolved (will be blank for active) |
| Value Domain |
|
|
|
| Stage of Disease
prsb03-dataelement-10117
|
|
|
|
|
| Clinical risks
prsb03-dataelement-10119
|
|
|
| Id |
prsb03-dataelement-10119 (2018‑10‑31)
|
| Description |
Description of clinical risks identified e.g. problematic intubation, person with
brittle diabetes, immuno-compromised/risk of infection etc.
|
| Operationalization |
Free text or coded form (SNOMED CT). |
| Value Domain |
|
|
|
| Comment
prsb03-dataelement-10120
|
|
|
| Id |
prsb03-dataelement-10120 (2018‑10‑31)
|
| Description |
Any further textual comment to clarify, such as statement that information is partial
or incomplete.
|
| Operationalization |
Free text |
| Value Domain |
|
|
|
| Problems and issues
prsb03-dataelement-10118
|
|
|
| Id |
prsb03-dataelement-10118 (2018‑10‑31)
|
| Description |
Summary of problems that require investigation or treatment. This would include significant
examination findings, symptoms and signs, which are likely to have relevance and are
not a diagnosis.
|
| Operationalization |
Text. The problems and issues heading is for the clinician or healthcare professional's
recording of medical problems and issues.
Or
Free text or coded form (SNOMED CT).
|
| Value Domain |
|
|
|
| Diagnoses
prsb03-dataelement-221
|
|
|
|
|
| Diagnosis record entry
prsb03-dataelement-10651
|
|
|
| Id |
prsb03-dataelement-10651 (2018‑11‑13 11:54:29)
|
| Description |
This is a Diagnosis record entry. There may be 0 to many record entries under Diagnosis.
Each record entry is made up of a number of elements or data items.
|
|
|
| Date diagnosis made
prsb03-dataelement-10125
|
|
|
|
|
| Location
prsb03-dataelement-10848
|
|
|
| Id |
prsb03-dataelement-10848 (2019‑03‑27 17:10:12)
|
| Description |
The location where the diagnosis was recorded. |
| Relationship |
|
| Value Domain |
|
|
|
| Performing professional
prsb03-dataelement-10849
|
|
|
| Id |
prsb03-dataelement-10849 (2019‑03‑27 17:13:41)
|
| Description |
Details of the professional recording the diagnosis (including name and role). |
| Relationship |
|
| Value Domain |
|
|
|
| Diagnosis
prsb03-dataelement-10121
|
|
|
| Id |
prsb03-dataelement-10121 (2018‑10‑31)
|
| Description |
Confirmed diagnosis (or symptom); active diagnosis being treated. |
| FHIR |
Encounter.Diagnosis .Condition |
|
| Operationalization |
Choice of Text, Coded text - constraint: SNOMED CT. A subset / refset containing a
list of diagnoses and symptoms. Constraint binding: [SNOMED CT] subset=???
Or
Sent as per the ECDS Emergency Care Diagnosis code set (SNOMED CT). Where the ECDS
diagnosis qualifier is 'suspected diagnosis', the chief complaint should be entered
here (see implementation guidance).
or
SNOMED CT concept and/or free text.
By preference the diagnosis is represented by a SNOMED CT concept. If this is not
possible, a free text description of
the diagnosis may be given. Supporting text may be given covering diagnosis confirmation,
active diagnosis being treated, stage of the disease where relevant.
or
SNOMED CT concept and/or free text. By preference the diagnosis or symptom is represented
by a SNOMED CT concept. If this is not possible, a free text description of the diagnosis
or symptom may be given.
|
| Value Domain |
|
|
|
| Diagnosis
prsb03-dataelement-12477
|
|
|
| Id |
prsb03-dataelement-12477 (2019‑06‑27 13:45:47)
|
| Description |
The clinical assessment by the ambulance of crew of the persons clinical situation
at the conclusion of their treatment. This will be one of confirmed diagnosis, suspected
diagnosis or chief complaint.
|
| FHIR |
Encounter.Diagnosis .Condition |
|
| Relationship |
|
| Operationalization |
Confirmed or suspected diagnosis where this is available using the ECDS Emergency
care diagnosis simple reference set (SNOMED CT). If no diagnosis is available then
enter the chief clinical concern using the ECDS Emergency Care Chief Complaint code
set (SNOMED CT) (see implementation guidance).
Emergency Care Diagnosis simple reference set
Emergency care diagnosis qualifier simple reference set
|
| Value Domain |
|
|
|
| Stage
prsb03-dataelement-10122
|
|
|
| Id |
prsb03-dataelement-10122 (2018‑10‑31)
|
| Description |
Stage of the disease or disorder, where relevant |
| Operationalization |
Choice of:TextCoded text |
| Value Domain |
|
|
|
| Awareness of diagnosis
prsb03-dataelement-10124
|
|
|
| Id |
prsb03-dataelement-10124 (2018‑10‑31)
|
| Description |
Description of the level of awareness the person and or their carer/family has regarding
their diagnosis.
|
| Operationalization |
The awareness statement made by a clinician. |
| Value Domain |
|
|
|
| Person completing record
prsb03-dataelement-10953
|
|
|
| Id |
prsb03-dataelement-10953 (2019‑05‑18 21:06:01)
|
| Concept inherits from |
prsb03-dataelement-10860 (2019‑03‑27 17:46:45)
|
| Description |
This is the person recording the individual requirement.
Should include their name, role, grade, specialty, organisation, professional identifier,
date and time completed, contact details
|
| Relationship |
|
| Operationalization |
Free text. Name, Role, Grade, Specialty, Organisation, Professional identifier, Date
and time completed, Contact details
|
| Value Domain |
|
|
|
| Comment
prsb03-dataelement-10123
|
|
|
| Id |
prsb03-dataelement-10123 (2018‑10‑31)
|
| Description |
Supporting text may be given covering diagnosis confirmation, active diagnosis being
treated. Include severity, occurrence (first, recurrence, ongoing).
|
| Operationalization |
Free text.
Or
Free text. Supporting text may be given covering diagnosis confirmation, active diagnosis
being treated.
Or
Free text. This is the place to record differential and excluded diagnosis.
|
| Value Domain |
|
|
|
| Procedures
prsb03-dataelement-238
|
|
|
| Id |
prsb03-dataelement-238 (2018‑10‑31)
|
| Description |
The details of any procedures performed. |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Procedure record entry
prsb03-dataelement-10652
|
|
|
| Id |
prsb03-dataelement-10652 (2018‑11‑13 12:02:22)
|
| Description |
This is a procedure record entry. There may be 0 to many record entries under a section.
Each record entry is made up of a number of elements or data items.
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date
prsb03-dataelement-10138
|
|
|
| Id |
prsb03-dataelement-10138 (2018‑10‑31)
|
| Description |
The date the procedure was performed. |
| Operationalization |
Date and time. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Location
prsb03-dataelement-10139
|
|
|
| Id |
prsb03-dataelement-10139 (2018‑10‑31)
|
| Description |
The location where the procedure was performed. |
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Performing professional
prsb03-dataelement-12150
|
|
|
| Id |
prsb03-dataelement-12150 (2019‑05‑31 16:08:40)
|
| Description |
The professional who performed the procedure. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-12151
|
|
|
| Id |
prsb03-dataelement-12151 (2019‑05‑31 16:09:20)
|
| Concept inherits from |
prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
|
| Description |
The name of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Role
prsb03-dataelement-12152
|
|
|
| Id |
prsb03-dataelement-12152 (2019‑05‑31 16:09:20)
|
| Concept inherits from |
prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
|
| Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
| Operationalization |
NHS Data dictionary or free text
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-12153
|
|
|
| Id |
prsb03-dataelement-12153 (2019‑05‑31 16:09:20)
|
| Concept inherits from |
prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
|
| Description |
The grade of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Speciality
prsb03-dataelement-12154
|
|
|
| Id |
prsb03-dataelement-12154 (2019‑05‑31 16:09:20)
|
| Concept inherits from |
prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
|
| Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-12155
|
|
|
| Id |
prsb03-dataelement-12155 (2019‑05‑31 16:09:20)
|
| Concept inherits from |
prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
|
| Description |
Professional identifier for the professional e.g. GMC number, HCPC number etc or the
personal identifier used by the local organisation.
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisation
prsb03-dataelement-12156
|
|
|
| Id |
prsb03-dataelement-12156 (2019‑05‑31 16:09:20)
|
| Concept inherits from |
prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
|
| Description |
The name of the organisation the professional works for. |
| Operationalization |
ODS code or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-12157
|
|
|
| Id |
prsb03-dataelement-12157 (2019‑05‑31 16:09:20)
|
| Concept inherits from |
prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
|
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Performing professional
prsb03-dataelement-10140
|
|
|
| Id |
prsb03-dataelement-10140 (2018‑10‑31)
|
| Description |
Details of the professional performing the procedure. |
| Operationalization |
Free text |
| Value Domain |
|
|
|
| Procedure
prsb03-dataelement-10141
|
|
|
| Id |
prsb03-dataelement-10141 (2018‑10‑31)
|
| Description |
The therapeutic or diagnostic procedure performed. |
|
|
| Operationalization |
Choice of<<71388002
Procedure
OR<<129125009
Procedure with explicit context
Or Free text
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Anatomical site
prsb03-dataelement-10142
|
|
|
| Id |
prsb03-dataelement-10142 (2018‑10‑31)
|
| Description |
The body site of the procedure |
|
|
| Operationalization |
<<91723000 anatomical structure |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Laterality
prsb03-dataelement-10143
|
|
|
| Id |
prsb03-dataelement-10143 (2018‑10‑31)
|
| Description |
Laterality of the procedure |
| FHIR |
??Procedure.Code as an EXPRESSION Procedure.bodySite |
|
| Operationalization |
SNOMED CT or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Complications related to procedure
prsb03-dataelement-10144
|
|
|
| Id |
prsb03-dataelement-10144 (2018‑10‑31)
|
| Description |
Details of any intra-operative complications encountered during the procedure, arising
during the person’s stay in the recovery unit or directly attributable to the procedure.
|
| FHIR |
Procedure.complication Procedure.complicationDetail |
|
| Operationalization |
SNOMED CT concept and/or free text.
By preference the diagnosis or symptom is represented by a SNOMED CT concept.
If this is not possible, a free text description of the diagnosis or symptom may be
given.
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Specific anesthesia issues
prsb03-dataelement-10145
|
|
|
| Id |
prsb03-dataelement-10145 (2018‑10‑31)
|
| Description |
Details of any adverse reaction to any anesthetic agents including local anesthesia.
Problematic intubation, transfusion reaction, etc.
|
| FHIR |
Procedure. Procedure.AnestheticIssues |
|
| Operationalization |
SNOMED CT concept and/or free text. By preference the complication is represented
by a SNOMED CT concept. If this is not possible, a free text description of the procedure
may be given. Supporting text may be given covering details of any adverse reaction
to any anaesthetic agents including local anaesthesia..
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person completing record
prsb03-dataelement-12158
|
|
|
| Id |
prsb03-dataelement-12158 (2019‑05‑31 16:09:35)
|
| Concept inherits from |
prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
|
| Description |
Details of the person completing the record. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-12159
|
|
|
| Id |
prsb03-dataelement-12159 (2019‑05‑31 16:10:02)
|
| Concept inherits from |
prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
|
| Description |
The name of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisational role
prsb03-dataelement-12160
|
|
|
| Id |
prsb03-dataelement-12160 (2019‑05‑31 16:10:02)
|
| Concept inherits from |
prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
|
| Description |
The organisational role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Relationship |
|
| Operationalization |
NHS Data dictionary or free text.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-12161
|
|
|
| Id |
prsb03-dataelement-12161 (2019‑05‑31 16:10:02)
|
| Concept inherits from |
prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
|
| Description |
The grade of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Specialty
prsb03-dataelement-12162
|
|
|
|
|
| Organisation
prsb03-dataelement-12163
|
|
|
| Id |
prsb03-dataelement-12163 (2019‑05‑31 16:10:02)
|
| Concept inherits from |
prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
|
| Description |
The organisation the person completing the record works for. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-12164
|
|
|
| Id |
prsb03-dataelement-12164 (2019‑05‑31 16:10:02)
|
| Concept inherits from |
prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date completed
prsb03-dataelement-12165
|
|
|
| Id |
prsb03-dataelement-12165 (2019‑05‑31 16:10:02)
|
| Concept inherits from |
prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
|
| Description |
The date and time the record was completed. |
| Relationship |
|
| Operationalization |
Date and time. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-12166
|
|
|
| Id |
prsb03-dataelement-12166 (2019‑05‑31 16:10:02)
|
| Concept inherits from |
prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
|
| Description |
Contact details of the person completing the record (e.g. telephone number, email
address etc.).
|
| FHIR |
PractitionerRole.telecom |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person completing record
prsb03-dataelement-10954
|
|
|
| Id |
prsb03-dataelement-10954 (2019‑05‑18 21:07:16)
|
| Description |
This is the person completing the record.
Should include their name, role, grade, specialty, organisation, professional identifier,
date and time completed, contact details
|
| Relationship |
|
| Operationalization |
Free text. Name, Role, Grade, Specialty, Organisation, Professional identifier, Date
and time completed, Contact details
|
| Value Domain |
|
|
|
| Comment
prsb03-dataelement-10146
|
|
|
| Id |
prsb03-dataelement-10146 (2018‑10‑31)
|
| Description |
Any further textual comment to clarify such as statement that information is partial
or incomplete.
Also indicate the outcome of the procedure.
|
|
|
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| History
prsb03-dataelement-226
|
|
|
|
|
| Patient’s reason for referral
prsb03-dataelement-10126
|
|
|
| Id |
prsb03-dataelement-10126 (2018‑10‑31)
|
| Description |
Patient stated reason for referral. This may include any discussions that took place,
the level of shared decision making involved, information about patient’s source of
advice. This may be expressed on behalf of the patient, e.g. by parent or carer.
|
| Operationalization |
The patient's reason for referral information will normally be provided during the
outpatient consultation. Text
|
| Value Domain |
|
|
|
| Presenting complaints or issues
prsb03-dataelement-10127
|
|
|
| Id |
prsb03-dataelement-10127 (2018‑10‑31)
|
| Description |
The list and description of the health problems and issues experienced by the patient
resulting in the attendance. This may include disease state, medical condition, response
and reaction to therapies, e.g. blackout, dizziness, chest pain, follow-up from admission,
falls, a specific procedure, investigation or treatment.
|
| Operationalization |
May be a SNOMED CT term or free text |
| Value Domain |
|
|
|
| History of each presenting complaint or issue
prsb03-dataelement-10128
|
|
|
| Id |
prsb03-dataelement-10128 (2018‑10‑31)
|
| Description |
Information directly related to the development and characteristics of each presenting
complaint (e.g. including travel history). Including if the information is given by
the patient or their carer.
|
| Operationalization |
This textual description may be provided by the referral document or during the consultation |
| Value Domain |
|
|
|
| History since last contact
prsb03-dataelement-10129
|
|
|
| Id |
prsb03-dataelement-10129 (2018‑10‑31)
|
| Description |
History since last attendance, discharge from hospital, etc. |
| Operationalization |
Free text and to include adherence to treatment plan, where appropriate |
| Value Domain |
|
|
|
| Relevant past medical, surgical and mental health history
prsb03-dataelement-10130
|
|
|
| Id |
prsb03-dataelement-10130 (2018‑10‑31)
|
| Description |
The record of the person’s significant medical, surgical and mental health history.
Including relevant previous diagnoses, problems and issues, procedures, investigations,
specific anesthesia issues, etc. (will include dental and obstetric history)
|
| Operationalization |
A list of the person's relevant past medical, surgical and mental health history recorded
in free text or coded form.
Or
Information relating to past medical, surgical and mental health history may be provided
by the referral document or during the consultation. May be a SNOMED CT term or free
text
|
| Value Domain |
|
|
|
| Reason for referral
prsb03-dataelement-10131
|
|
|
| Id |
prsb03-dataelement-10131 (2018‑10‑31)
|
| Description |
A clear statement of the purpose of the person making the referral e.g. diagnosis,
treatment, transfer of care due to relocation, investigation, second opinion, management
of the patient (e.g. palliative care), provide referrer with advice / guidance. This
may include referral because of carers' concerns.
|
| Operationalization |
Free text SNOMED CT coded & free text |
| Value Domain |
|
|
|
| Expectation of referral
prsb03-dataelement-10132
|
|
|
| Id |
prsb03-dataelement-10132 (2018‑10‑31)
|
| Description |
A clear statement of the expectations of the person making the referral as to the
management of the patient e.g. advice only, diagnosis, treatment, etc.
|
| Operationalization |
Free text |
| Value Domain |
|
|
|
| Patient's expectation of referral
prsb03-dataelement-10133
|
|
|
| Id |
prsb03-dataelement-10133 (2018‑10‑31)
|
| Description |
Patient‘s expectations of the referral including preferences. This may include any
discussions that took place, the level of shared decision making involved, information
about patient’s source of advice.
|
| Value Domain |
|
|
|
| Management to date
prsb03-dataelement-10134
|
|
|
| Id |
prsb03-dataelement-10134 (2018‑10‑31)
|
| Description |
Referrals, management, investigations and treatment that have already been undertaken,
including patient managing their symptoms. Including:
*procedures conducted - procedures carried out (and the date) and procedure report.
|
| Operationalization |
Free text |
| Value Domain |
|
|
|
| Urgency of referral
prsb03-dataelement-10135
|
|
|
| Id |
prsb03-dataelement-10135 (2018‑10‑31)
|
| Description |
Referrer’s assessment of urgency (e.g. urgent/ soon/ routine). May include reason
if other than routine. E.g. two data items:
* level of urgency
* reason.
|
| Operationalization |
PRIORITY TYPE (NHS Data Dictionary) free text reasonhttps://www.datadictionary.nhs.uk/web_site_content/pages/search_pages/dosearch.asp |
| Value Domain |
|
|
|
| Reason for admission
prsb03-dataelement-10136
|
|
|
| Id |
prsb03-dataelement-10136 (2018‑10‑31)
|
| Description |
The health problems and issues experienced by the patient resulting in their referral
by a healthcare professional for hospital admission, e.g., chest pains blackouts,
falls, a specific procedure, investigation or treatment.
|
| Value Domain |
|
|
|
| Information brought by patient
prsb03-dataelement-10137
|
|
|
| Id |
prsb03-dataelement-10137 (2018‑10‑31)
|
| Description |
E.g. Patient Passport, example diary data, pre-completed questionnaires, person-held
maternity record, personal child health record, etc.
|
| Value Domain |
|
|
|
| Clinical Summary
prsb03-dataelement-247
|
|
|
|
|
| Clinical summary
prsb03-dataelement-10147
|
|
|
| Id |
prsb03-dataelement-10147 (2018‑10‑31)
|
| Description |
Summary of the encounter. Where possible, very brief. This may include interpretation
of findings and results; differential diagnoses, opinion and specific action(s). Planned
actions will be recorded under ‘plan’.
|
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
0 transactions, 0 templates, inherited once |
| |
This concept is inherited by concept
Clinical summary in dataset prsb03-dataelement-10750
|
|
|
| Formulation
prsb03-dataelement-10148
|
|
|
| Id |
prsb03-dataelement-10148 (2018‑10‑31)
|
| Description |
An account, shared by a therapist and person, of the personal meaning and origins
of a person’s difficulties. This is viewed in the context of multiple factors including
relationships, social circumstances and life events and will indicate the most helpful
way forward.
|
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
0 transactions, 0 templates, inherited 3 times |
| |
This concept is inherited by concept
Formulation in dataset prsb03-dataelement-10749
This concept is inherited by concept
Formulation in dataset prsb03-dataelement-11668
This concept is inherited by concept
Formulation in dataset prsb03-dataelement-10793
|
|
|
| Treatments and interventions and changes made to treatments.
prsb03-dataelement-10149
|
|
|
| Id |
prsb03-dataelement-10149 (2018‑10‑31)
|
| Description |
The relevant treatments and interventions which the patient received during the inpatient
stay. Include psychological therapies. All medications should be recorded under the
medications section.
|
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
0 transactions, 0 templates, inherited once |
| |
|
|
|
| Clinical narrative
prsb03-dataelement-10150
|
|
|
| Id |
prsb03-dataelement-10150 (2018‑10‑31)
|
| Description |
A description detailing a patient’s reason for attendance, results from the diagnostic
and treatment process.
|
| Operationalization |
Free text |
| Value Domain |
|
|
|
| Treatments and interventions
prsb03-dataelement-12480
|
|
|
|
|
| Treatments and interventions and changes made to treatments.
prsb03-dataelement-12481
|
|
|
| Id |
prsb03-dataelement-12481 (2019‑07‑01 11:32:03)
|
| Description |
The treatments and interventions carried out. Where appropriate record the rationale
for the decision to treat and the information sources reviewed e.g. end of life care
plan etc. All medications should be recorded under the medications heading.
|
| Relationship |
|
| Operationalization |
SNOMED CT or free text. |
| Value Domain |
|
|
|
| Social context
prsb03-dataelement-136
|
|
|
| Id |
prsb03-dataelement-136 (2018‑10‑31)
|
| Description |
The social setting in which the person lives, such as their household, occupational
history, and lifestyle factors.
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Services and care
prsb03-dataelement-12482
|
|
|
| Id |
prsb03-dataelement-12482 (2019‑07‑01 12:40:21)
|
| Description |
The description of services and care providing support for person's health and social
well-being.
|
| Operationalization |
Free text. The record of the services and care as provided by the person or their
representative.
|
| Value Domain |
|
|
|
| Household composition
prsb03-dataelement-10036
|
|
|
| Id |
prsb03-dataelement-10036 (2018‑10‑31)
|
| Description |
Description of the household composition e.g. lives alone, lives with family, lives
with partner, etc.
|
| Operationalization |
SNOMED CT or free text. |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date
prsb03-dataelement-11770
|
|
|
| Id |
prsb03-dataelement-11770 (2019‑05‑31 14:13:42)
|
| Description |
The date when the household composition was taken. |
| Relationship |
|
| Operationalization |
Date and time. |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Location
prsb03-dataelement-11771
|
|
|
| Id |
prsb03-dataelement-11771 (2019‑05‑31 14:14:32)
|
| Description |
The location where the household composition was taken. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Performing professional
prsb03-dataelement-11648
|
|
|
| Id |
prsb03-dataelement-11648 (2019‑05‑30 18:03:53)
|
| Description |
The professional who took the household composition. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-11649
|
|
|
| Id |
prsb03-dataelement-11649 (2019‑05‑30 18:07:33)
|
| Concept inherits from |
prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
|
| Description |
The name of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Role
prsb03-dataelement-11650
|
|
|
| Id |
prsb03-dataelement-11650 (2019‑05‑30 18:07:33)
|
| Concept inherits from |
prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
|
| Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
| Operationalization |
NHS Data dictionary or free text
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-11651
|
|
|
| Id |
prsb03-dataelement-11651 (2019‑05‑30 18:07:33)
|
| Concept inherits from |
prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
|
| Description |
The grade of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Speciality
prsb03-dataelement-11652
|
|
|
| Id |
prsb03-dataelement-11652 (2019‑05‑30 18:07:33)
|
| Concept inherits from |
prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
|
| Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-11653
|
|
|
| Id |
prsb03-dataelement-11653 (2019‑05‑30 18:07:33)
|
| Concept inherits from |
prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
|
| Description |
Professional identifier for the professional e.g. GMC number, HCPC number etc or the
personal identifier used by the local organisation.
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisation
prsb03-dataelement-11654
|
|
|
| Id |
prsb03-dataelement-11654 (2019‑05‑30 18:07:33)
|
| Concept inherits from |
prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
|
| Description |
The name of the organisation the professional works for. |
| Operationalization |
ODS code or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-11655
|
|
|
| Id |
prsb03-dataelement-11655 (2019‑05‑30 18:07:33)
|
| Concept inherits from |
prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
|
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person completing record
prsb03-dataelement-11521
|
|
|
| Id |
prsb03-dataelement-11521 (2019‑05‑30 14:50:23)
|
| Concept inherits from |
prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
|
| Description |
Details of the person completing the record. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-11522
|
|
|
| Id |
prsb03-dataelement-11522 (2019‑05‑30 14:50:56)
|
| Concept inherits from |
prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
|
| Description |
The name of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisational role
prsb03-dataelement-11523
|
|
|
| Id |
prsb03-dataelement-11523 (2019‑05‑30 14:50:56)
|
| Concept inherits from |
prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
|
| Description |
The organisational role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Relationship |
|
| Operationalization |
NHS Data dictionary or free text.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-11524
|
|
|
| Id |
prsb03-dataelement-11524 (2019‑05‑30 14:50:56)
|
| Concept inherits from |
prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
|
| Description |
The grade of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Specialty
prsb03-dataelement-11525
|
|
|
|
|
| Organisation
prsb03-dataelement-11526
|
|
|
| Id |
prsb03-dataelement-11526 (2019‑05‑30 14:50:56)
|
| Concept inherits from |
prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
|
| Description |
The organisation the person completing the record works for. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-11527
|
|
|
| Id |
prsb03-dataelement-11527 (2019‑05‑30 14:50:56)
|
| Concept inherits from |
prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date completed
prsb03-dataelement-11528
|
|
|
| Id |
prsb03-dataelement-11528 (2019‑05‑30 14:50:56)
|
| Concept inherits from |
prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
|
| Description |
The date and time the record was completed. |
| Relationship |
|
| Operationalization |
Date and time. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-11529
|
|
|
| Id |
prsb03-dataelement-11529 (2019‑05‑30 14:50:56)
|
| Concept inherits from |
prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
|
| Description |
Contact details of the person completing the record (e.g. telephone number, email
address etc.).
|
| FHIR |
PractitionerRole.telecom |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Occupational history
prsb03-dataelement-10037
|
|
|
| Id |
prsb03-dataelement-10037 (2018‑10‑31)
|
| Description |
The current and/or previous occupation of the person. |
| FHIR |
Observation.category Observation.code Observation.valueCodeabelConcept Observation.subject |
|
| Operationalization |
SNOMED CT 999001571000000109
Occupation simple reference set (foundation metadata concept)
or free text
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date
prsb03-dataelement-11772
|
|
|
| Id |
prsb03-dataelement-11772 (2019‑05‑31 14:15:12)
|
| Description |
The date when the occupational history was taken. |
| Relationship |
|
| Operationalization |
Date and time. |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Location
prsb03-dataelement-11773
|
|
|
| Id |
prsb03-dataelement-11773 (2019‑05‑31 14:15:38)
|
| Description |
The location where the occupational history was taken. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Performing professional
prsb03-dataelement-11656
|
|
|
| Id |
prsb03-dataelement-11656 (2019‑05‑30 18:08:03)
|
| Description |
The professional who took the occupational history. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-11657
|
|
|
| Id |
prsb03-dataelement-11657 (2019‑05‑30 18:08:20)
|
| Concept inherits from |
prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
|
| Description |
The name of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Role
prsb03-dataelement-11658
|
|
|
| Id |
prsb03-dataelement-11658 (2019‑05‑30 18:08:20)
|
| Concept inherits from |
prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
|
| Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
| Operationalization |
NHS Data dictionary or free text
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-11659
|
|
|
| Id |
prsb03-dataelement-11659 (2019‑05‑30 18:08:20)
|
| Concept inherits from |
prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
|
| Description |
The grade of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Speciality
prsb03-dataelement-11660
|
|
|
| Id |
prsb03-dataelement-11660 (2019‑05‑30 18:08:20)
|
| Concept inherits from |
prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
|
| Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-11661
|
|
|
| Id |
prsb03-dataelement-11661 (2019‑05‑30 18:08:20)
|
| Concept inherits from |
prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
|
| Description |
Professional identifier for the professional e.g. GMC number, HCPC number etc or the
personal identifier used by the local organisation.
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisation
prsb03-dataelement-11662
|
|
|
| Id |
prsb03-dataelement-11662 (2019‑05‑30 18:08:20)
|
| Concept inherits from |
prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
|
| Description |
The name of the organisation the professional works for. |
| Operationalization |
ODS code or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-11663
|
|
|
| Id |
prsb03-dataelement-11663 (2019‑05‑30 18:08:20)
|
| Concept inherits from |
prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
|
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person completing record
prsb03-dataelement-11530
|
|
|
| Id |
prsb03-dataelement-11530 (2019‑05‑30 14:51:51)
|
| Concept inherits from |
prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
|
| Description |
Details of the person completing the record. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-11531
|
|
|
| Id |
prsb03-dataelement-11531 (2019‑05‑30 14:52:22)
|
| Concept inherits from |
prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
|
| Description |
The name of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisational role
prsb03-dataelement-11532
|
|
|
| Id |
prsb03-dataelement-11532 (2019‑05‑30 14:52:22)
|
| Concept inherits from |
prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
|
| Description |
The organisational role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Relationship |
|
| Operationalization |
NHS Data dictionary or free text.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-11533
|
|
|
| Id |
prsb03-dataelement-11533 (2019‑05‑30 14:52:22)
|
| Concept inherits from |
prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
|
| Description |
The grade of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Specialty
prsb03-dataelement-11534
|
|
|
|
|
| Organisation
prsb03-dataelement-11535
|
|
|
| Id |
prsb03-dataelement-11535 (2019‑05‑30 14:52:22)
|
| Concept inherits from |
prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
|
| Description |
The organisation the person completing the record works for. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-11536
|
|
|
| Id |
prsb03-dataelement-11536 (2019‑05‑30 14:52:22)
|
| Concept inherits from |
prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date completed
prsb03-dataelement-11537
|
|
|
| Id |
prsb03-dataelement-11537 (2019‑05‑30 14:52:22)
|
| Concept inherits from |
prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
|
| Description |
The date and time the record was completed. |
| Relationship |
|
| Operationalization |
Date and time. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-11538
|
|
|
| Id |
prsb03-dataelement-11538 (2019‑05‑30 14:52:22)
|
| Concept inherits from |
prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
|
| Description |
Contact details of the person completing the record (e.g. telephone number, email
address etc.).
|
| FHIR |
PractitionerRole.telecom |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Educational history
prsb03-dataelement-10038
|
|
|
| Id |
prsb03-dataelement-10038 (2018‑10‑31)
|
| Description |
The current and/or previous relevant educational history of the person. |
| Operationalization |
Free text. |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date
prsb03-dataelement-11774
|
|
|
| Id |
prsb03-dataelement-11774 (2019‑05‑31 14:16:22)
|
| Description |
The date when the educational history was taken. |
| Relationship |
|
| Operationalization |
Date and time. |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Location
prsb03-dataelement-11775
|
|
|
| Id |
prsb03-dataelement-11775 (2019‑05‑31 14:16:57)
|
| Description |
The location where the education history was taken. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Performing professional
prsb03-dataelement-11776
|
|
|
| Id |
prsb03-dataelement-11776 (2019‑05‑31 14:17:28)
|
| Description |
The professional who took the educational history. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-11777
|
|
|
| Id |
prsb03-dataelement-11777 (2019‑05‑31 14:17:50)
|
| Concept inherits from |
prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
|
| Description |
The name of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Role
prsb03-dataelement-11778
|
|
|
| Id |
prsb03-dataelement-11778 (2019‑05‑31 14:17:50)
|
| Concept inherits from |
prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
|
| Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
| Operationalization |
NHS Data dictionary or free text
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-11779
|
|
|
| Id |
prsb03-dataelement-11779 (2019‑05‑31 14:17:50)
|
| Concept inherits from |
prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
|
| Description |
The grade of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Speciality
prsb03-dataelement-11780
|
|
|
| Id |
prsb03-dataelement-11780 (2019‑05‑31 14:17:50)
|
| Concept inherits from |
prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
|
| Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-11781
|
|
|
| Id |
prsb03-dataelement-11781 (2019‑05‑31 14:17:50)
|
| Concept inherits from |
prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
|
| Description |
Professional identifier for the professional e.g. GMC number, HCPC number etc or the
personal identifier used by the local organisation.
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisation
prsb03-dataelement-11782
|
|
|
| Id |
prsb03-dataelement-11782 (2019‑05‑31 14:17:50)
|
| Concept inherits from |
prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
|
| Description |
The name of the organisation the professional works for. |
| Operationalization |
ODS code or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-11783
|
|
|
| Id |
prsb03-dataelement-11783 (2019‑05‑31 14:17:50)
|
| Concept inherits from |
prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
|
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person completing record
prsb03-dataelement-11539
|
|
|
| Id |
prsb03-dataelement-11539 (2019‑05‑30 14:52:55)
|
| Concept inherits from |
prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
|
| Description |
Details of the person completing the record. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-11540
|
|
|
| Id |
prsb03-dataelement-11540 (2019‑05‑30 14:53:14)
|
| Concept inherits from |
prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
|
| Description |
The name of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisational role
prsb03-dataelement-11541
|
|
|
| Id |
prsb03-dataelement-11541 (2019‑05‑30 14:53:14)
|
| Concept inherits from |
prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
|
| Description |
The organisational role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Relationship |
|
| Operationalization |
NHS Data dictionary or free text.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-11542
|
|
|
| Id |
prsb03-dataelement-11542 (2019‑05‑30 14:53:14)
|
| Concept inherits from |
prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
|
| Description |
The grade of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Specialty
prsb03-dataelement-11543
|
|
|
|
|
| Organisation
prsb03-dataelement-11544
|
|
|
| Id |
prsb03-dataelement-11544 (2019‑05‑30 14:53:14)
|
| Concept inherits from |
prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
|
| Description |
The organisation the person completing the record works for. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-11545
|
|
|
| Id |
prsb03-dataelement-11545 (2019‑05‑30 14:53:14)
|
| Concept inherits from |
prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date completed
prsb03-dataelement-11546
|
|
|
| Id |
prsb03-dataelement-11546 (2019‑05‑30 14:53:14)
|
| Concept inherits from |
prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
|
| Description |
The date and time the record was completed. |
| Relationship |
|
| Operationalization |
Date and time. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-11547
|
|
|
| Id |
prsb03-dataelement-11547 (2019‑05‑30 14:53:14)
|
| Concept inherits from |
prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
|
| Description |
Contact details of the person completing the record (e.g. telephone number, email
address etc.).
|
| FHIR |
PractitionerRole.telecom |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Lifestyle choices
prsb03-dataelement-10039
|
|
|
| Id |
prsb03-dataelement-10039 (2018‑10‑31)
|
| Description |
The lifestyle choices made by the person which are pertinent to his or her health
and well-being, e.g. physical activity level, pets, hobbies and sexual habits
|
|
|
| Operationalization |
SNOMED CT or free text. |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date
prsb03-dataelement-11784
|
|
|
| Id |
prsb03-dataelement-11784 (2019‑05‑31 14:18:12)
|
| Description |
The date when the lifestyle choices were taken. |
| Relationship |
|
| Operationalization |
Date and time. |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Location
prsb03-dataelement-11785
|
|
|
| Id |
prsb03-dataelement-11785 (2019‑05‑31 14:18:40)
|
| Description |
The location where the lifestyle choices were taken. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Performing professional
prsb03-dataelement-11786
|
|
|
| Id |
prsb03-dataelement-11786 (2019‑05‑31 14:19:14)
|
| Description |
The professional who took the lifestyle choices. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-11787
|
|
|
| Id |
prsb03-dataelement-11787 (2019‑05‑31 14:19:39)
|
| Concept inherits from |
prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
|
| Description |
The name of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Role
prsb03-dataelement-11788
|
|
|
| Id |
prsb03-dataelement-11788 (2019‑05‑31 14:19:39)
|
| Concept inherits from |
prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
|
| Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
| Operationalization |
NHS Data dictionary or free text
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-11789
|
|
|
| Id |
prsb03-dataelement-11789 (2019‑05‑31 14:19:39)
|
| Concept inherits from |
prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
|
| Description |
The grade of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Speciality
prsb03-dataelement-11790
|
|
|
| Id |
prsb03-dataelement-11790 (2019‑05‑31 14:19:39)
|
| Concept inherits from |
prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
|
| Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-11791
|
|
|
| Id |
prsb03-dataelement-11791 (2019‑05‑31 14:19:39)
|
| Concept inherits from |
prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
|
| Description |
Professional identifier for the professional e.g. GMC number, HCPC number etc or the
personal identifier used by the local organisation.
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisation
prsb03-dataelement-11792
|
|
|
| Id |
prsb03-dataelement-11792 (2019‑05‑31 14:19:39)
|
| Concept inherits from |
prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
|
| Description |
The name of the organisation the professional works for. |
| Operationalization |
ODS code or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-11793
|
|
|
| Id |
prsb03-dataelement-11793 (2019‑05‑31 14:19:39)
|
| Concept inherits from |
prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
|
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person completing record
prsb03-dataelement-11548
|
|
|
| Id |
prsb03-dataelement-11548 (2019‑05‑30 14:53:59)
|
| Concept inherits from |
prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
|
| Description |
Details of the person completing the record. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-11549
|
|
|
| Id |
prsb03-dataelement-11549 (2019‑05‑30 14:54:28)
|
| Concept inherits from |
prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
|
| Description |
The name of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisational role
prsb03-dataelement-11550
|
|
|
| Id |
prsb03-dataelement-11550 (2019‑05‑30 14:54:28)
|
| Concept inherits from |
prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
|
| Description |
The organisational role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Relationship |
|
| Operationalization |
NHS Data dictionary or free text.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-11551
|
|
|
| Id |
prsb03-dataelement-11551 (2019‑05‑30 14:54:28)
|
| Concept inherits from |
prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
|
| Description |
The grade of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Specialty
prsb03-dataelement-11552
|
|
|
|
|
| Organisation
prsb03-dataelement-11553
|
|
|
| Id |
prsb03-dataelement-11553 (2019‑05‑30 14:54:28)
|
| Concept inherits from |
prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
|
| Description |
The organisation the person completing the record works for. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-11554
|
|
|
| Id |
prsb03-dataelement-11554 (2019‑05‑30 14:54:28)
|
| Concept inherits from |
prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date completed
prsb03-dataelement-11555
|
|
|
| Id |
prsb03-dataelement-11555 (2019‑05‑30 14:54:28)
|
| Concept inherits from |
prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
|
| Description |
The date and time the record was completed. |
| Relationship |
|
| Operationalization |
Date and time. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-11556
|
|
|
| Id |
prsb03-dataelement-11556 (2019‑05‑30 14:54:28)
|
| Concept inherits from |
prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
|
| Description |
Contact details of the person completing the record (e.g. telephone number, email
address etc.).
|
| FHIR |
PractitionerRole.telecom |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Smoking status
prsb03-dataelement-10040
|
|
|
| Id |
prsb03-dataelement-10040 (2018‑10‑31)
|
| Description |
Latest or current smoking status. |
| FHIR |
Observation.category Observation.code Observation.valueCodeabelConcept Observation.subject |
|
| Operationalization |
SNOMED CT or free text. |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date
prsb03-dataelement-11794
|
|
|
| Id |
prsb03-dataelement-11794 (2019‑05‑31 14:20:05)
|
| Description |
The date when the smoking status was taken. |
| Relationship |
|
| Operationalization |
Date and time |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Location
prsb03-dataelement-11795
|
|
|
| Id |
prsb03-dataelement-11795 (2019‑05‑31 14:20:40)
|
| Description |
The location where the smoking status was taken. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Performing professional
prsb03-dataelement-11796
|
|
|
| Id |
prsb03-dataelement-11796 (2019‑05‑31 14:21:14)
|
| Description |
The professional who took the smoking status. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-11797
|
|
|
| Id |
prsb03-dataelement-11797 (2019‑05‑31 14:21:51)
|
| Concept inherits from |
prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
|
| Description |
The name of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Role
prsb03-dataelement-11798
|
|
|
| Id |
prsb03-dataelement-11798 (2019‑05‑31 14:21:51)
|
| Concept inherits from |
prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
|
| Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
| Operationalization |
NHS Data dictionary or free text
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-11799
|
|
|
| Id |
prsb03-dataelement-11799 (2019‑05‑31 14:21:51)
|
| Concept inherits from |
prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
|
| Description |
The grade of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Speciality
prsb03-dataelement-11800
|
|
|
| Id |
prsb03-dataelement-11800 (2019‑05‑31 14:21:51)
|
| Concept inherits from |
prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
|
| Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-11801
|
|
|
| Id |
prsb03-dataelement-11801 (2019‑05‑31 14:21:51)
|
| Concept inherits from |
prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
|
| Description |
Professional identifier for the professional e.g. GMC number, HCPC number etc or the
personal identifier used by the local organisation.
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisation
prsb03-dataelement-11802
|
|
|
| Id |
prsb03-dataelement-11802 (2019‑05‑31 14:21:51)
|
| Concept inherits from |
prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
|
| Description |
The name of the organisation the professional works for. |
| Operationalization |
ODS code or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-11803
|
|
|
| Id |
prsb03-dataelement-11803 (2019‑05‑31 14:21:51)
|
| Concept inherits from |
prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
|
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person completing record
prsb03-dataelement-11557
|
|
|
| Id |
prsb03-dataelement-11557 (2019‑05‑30 14:55:25)
|
| Concept inherits from |
prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
|
| Description |
Details of the person completing the record. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-11558
|
|
|
| Id |
prsb03-dataelement-11558 (2019‑05‑30 14:55:47)
|
| Concept inherits from |
prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
|
| Description |
The name of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisational role
prsb03-dataelement-11559
|
|
|
| Id |
prsb03-dataelement-11559 (2019‑05‑30 14:55:47)
|
| Concept inherits from |
prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
|
| Description |
The organisational role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Relationship |
|
| Operationalization |
NHS Data dictionary or free text.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-11560
|
|
|
| Id |
prsb03-dataelement-11560 (2019‑05‑30 14:55:47)
|
| Concept inherits from |
prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
|
| Description |
The grade of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Specialty
prsb03-dataelement-11561
|
|
|
|
|
| Organisation
prsb03-dataelement-11562
|
|
|
| Id |
prsb03-dataelement-11562 (2019‑05‑30 14:55:47)
|
| Concept inherits from |
prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
|
| Description |
The organisation the person completing the record works for. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-11563
|
|
|
| Id |
prsb03-dataelement-11563 (2019‑05‑30 14:55:47)
|
| Concept inherits from |
prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date completed
prsb03-dataelement-11564
|
|
|
| Id |
prsb03-dataelement-11564 (2019‑05‑30 14:55:47)
|
| Concept inherits from |
prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
|
| Description |
The date and time the record was completed. |
| Relationship |
|
| Operationalization |
Date and time. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-11565
|
|
|
| Id |
prsb03-dataelement-11565 (2019‑05‑30 14:55:47)
|
| Concept inherits from |
prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
|
| Description |
Contact details of the person completing the record (e.g. telephone number, email
address etc.).
|
| FHIR |
PractitionerRole.telecom |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Alcohol intake
prsb03-dataelement-10041
|
|
|
| Id |
prsb03-dataelement-10041 (2018‑10‑31)
|
| Description |
Latest or current alcohol consumption. |
|
|
| Operationalization |
SNOMED CT or free text. |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date
prsb03-dataelement-11804
|
|
|
| Id |
prsb03-dataelement-11804 (2019‑05‑31 14:23:05)
|
| Description |
The date when the alcohol intake was noted. |
| Relationship |
|
| Operationalization |
Date and time |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Location
prsb03-dataelement-11805
|
|
|
| Id |
prsb03-dataelement-11805 (2019‑05‑31 14:23:38)
|
| Description |
The location where the alcohol intake was noted. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Performing professional
prsb03-dataelement-11806
|
|
|
| Id |
prsb03-dataelement-11806 (2019‑05‑31 14:24:13)
|
| Description |
The professional who noted the alcohol intake. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-11807
|
|
|
| Id |
prsb03-dataelement-11807 (2019‑05‑31 14:24:33)
|
| Concept inherits from |
prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
|
| Description |
The name of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Role
prsb03-dataelement-11808
|
|
|
| Id |
prsb03-dataelement-11808 (2019‑05‑31 14:24:33)
|
| Concept inherits from |
prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
|
| Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
| Operationalization |
NHS Data dictionary or free text
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-11809
|
|
|
| Id |
prsb03-dataelement-11809 (2019‑05‑31 14:24:33)
|
| Concept inherits from |
prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
|
| Description |
The grade of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Speciality
prsb03-dataelement-11810
|
|
|
| Id |
prsb03-dataelement-11810 (2019‑05‑31 14:24:33)
|
| Concept inherits from |
prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
|
| Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-11811
|
|
|
| Id |
prsb03-dataelement-11811 (2019‑05‑31 14:24:33)
|
| Concept inherits from |
prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
|
| Description |
Professional identifier for the professional e.g. GMC number, HCPC number etc or the
personal identifier used by the local organisation.
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisation
prsb03-dataelement-11812
|
|
|
| Id |
prsb03-dataelement-11812 (2019‑05‑31 14:24:33)
|
| Concept inherits from |
prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
|
| Description |
The name of the organisation the professional works for. |
| Operationalization |
ODS code or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-11813
|
|
|
| Id |
prsb03-dataelement-11813 (2019‑05‑31 14:24:33)
|
| Concept inherits from |
prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
|
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person completing record
prsb03-dataelement-11566
|
|
|
| Id |
prsb03-dataelement-11566 (2019‑05‑30 14:56:23)
|
| Concept inherits from |
prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
|
| Description |
Details of the person completing the record. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-11567
|
|
|
| Id |
prsb03-dataelement-11567 (2019‑05‑30 14:57:06)
|
| Concept inherits from |
prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
|
| Description |
The name of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisational role
prsb03-dataelement-11568
|
|
|
| Id |
prsb03-dataelement-11568 (2019‑05‑30 14:57:06)
|
| Concept inherits from |
prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
|
| Description |
The organisational role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Relationship |
|
| Operationalization |
NHS Data dictionary or free text.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-11569
|
|
|
| Id |
prsb03-dataelement-11569 (2019‑05‑30 14:57:06)
|
| Concept inherits from |
prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
|
| Description |
The grade of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Specialty
prsb03-dataelement-11570
|
|
|
|
|
| Organisation
prsb03-dataelement-11571
|
|
|
| Id |
prsb03-dataelement-11571 (2019‑05‑30 14:57:06)
|
| Concept inherits from |
prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
|
| Description |
The organisation the person completing the record works for. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-11572
|
|
|
| Id |
prsb03-dataelement-11572 (2019‑05‑30 14:57:06)
|
| Concept inherits from |
prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date completed
prsb03-dataelement-11573
|
|
|
| Id |
prsb03-dataelement-11573 (2019‑05‑30 14:57:06)
|
| Concept inherits from |
prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
|
| Description |
The date and time the record was completed. |
| Relationship |
|
| Operationalization |
Date and time. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-11574
|
|
|
| Id |
prsb03-dataelement-11574 (2019‑05‑30 14:57:06)
|
| Concept inherits from |
prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
|
| Description |
Contact details of the person completing the record (e.g. telephone number, email
address etc.).
|
| FHIR |
PractitionerRole.telecom |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Drug/substance use
prsb03-dataelement-10042
|
|
|
| Id |
prsb03-dataelement-10042 (2018‑10‑31)
|
| Description |
Latest or current drug/ substance use. |
| Operationalization |
Free text. |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date
prsb03-dataelement-11814
|
|
|
| Id |
prsb03-dataelement-11814 (2019‑05‑31 14:24:49)
|
| Description |
The date when the drug/substance use was noted. |
| Relationship |
|
| Operationalization |
Date and time |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Location
prsb03-dataelement-11815
|
|
|
| Id |
prsb03-dataelement-11815 (2019‑05‑31 14:25:16)
|
| Description |
The location where the drug/substance use was noted. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Performing professional
prsb03-dataelement-11816
|
|
|
| Id |
prsb03-dataelement-11816 (2019‑05‑31 14:25:51)
|
| Description |
The professional who noted the drug/substance use. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-11817
|
|
|
| Id |
prsb03-dataelement-11817 (2019‑05‑31 14:26:11)
|
| Concept inherits from |
prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
|
| Description |
The name of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Role
prsb03-dataelement-11818
|
|
|
| Id |
prsb03-dataelement-11818 (2019‑05‑31 14:26:11)
|
| Concept inherits from |
prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
|
| Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
| Operationalization |
NHS Data dictionary or free text
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-11819
|
|
|
| Id |
prsb03-dataelement-11819 (2019‑05‑31 14:26:11)
|
| Concept inherits from |
prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
|
| Description |
The grade of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Speciality
prsb03-dataelement-11820
|
|
|
| Id |
prsb03-dataelement-11820 (2019‑05‑31 14:26:11)
|
| Concept inherits from |
prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
|
| Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-11821
|
|
|
| Id |
prsb03-dataelement-11821 (2019‑05‑31 14:26:11)
|
| Concept inherits from |
prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
|
| Description |
Professional identifier for the professional e.g. GMC number, HCPC number etc or the
personal identifier used by the local organisation.
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisation
prsb03-dataelement-11822
|
|
|
| Id |
prsb03-dataelement-11822 (2019‑05‑31 14:26:11)
|
| Concept inherits from |
prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
|
| Description |
The name of the organisation the professional works for. |
| Operationalization |
ODS code or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-11823
|
|
|
| Id |
prsb03-dataelement-11823 (2019‑05‑31 14:26:11)
|
| Concept inherits from |
prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
|
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person completing record
prsb03-dataelement-11575
|
|
|
| Id |
prsb03-dataelement-11575 (2019‑05‑30 14:57:36)
|
| Concept inherits from |
prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
|
| Description |
Details of the person completing the record. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-11576
|
|
|
| Id |
prsb03-dataelement-11576 (2019‑05‑30 14:57:58)
|
| Concept inherits from |
prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
|
| Description |
The name of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisational role
prsb03-dataelement-11577
|
|
|
| Id |
prsb03-dataelement-11577 (2019‑05‑30 14:57:58)
|
| Concept inherits from |
prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
|
| Description |
The organisational role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Relationship |
|
| Operationalization |
NHS Data dictionary or free text.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-11578
|
|
|
| Id |
prsb03-dataelement-11578 (2019‑05‑30 14:57:58)
|
| Concept inherits from |
prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
|
| Description |
The grade of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Specialty
prsb03-dataelement-11579
|
|
|
|
|
| Organisation
prsb03-dataelement-11580
|
|
|
| Id |
prsb03-dataelement-11580 (2019‑05‑30 14:57:58)
|
| Concept inherits from |
prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
|
| Description |
The organisation the person completing the record works for. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-11581
|
|
|
| Id |
prsb03-dataelement-11581 (2019‑05‑30 14:57:58)
|
| Concept inherits from |
prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date completed
prsb03-dataelement-11582
|
|
|
| Id |
prsb03-dataelement-11582 (2019‑05‑30 14:57:58)
|
| Concept inherits from |
prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
|
| Description |
The date and time the record was completed. |
| Relationship |
|
| Operationalization |
Date and time. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-11583
|
|
|
| Id |
prsb03-dataelement-11583 (2019‑05‑30 14:57:58)
|
| Concept inherits from |
prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
|
| Description |
Contact details of the person completing the record (e.g. telephone number, email
address etc.).
|
| FHIR |
PractitionerRole.telecom |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Social circumstances
prsb03-dataelement-10043
|
|
|
| Id |
prsb03-dataelement-10043 (2018‑10‑31)
|
| Description |
A person’s social background, network and personal circumstances, e.g. housing.
This should include whether the person is a carer.
|
| Operationalization |
SNOMED CT or free text. |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date
prsb03-dataelement-11824
|
|
|
| Id |
prsb03-dataelement-11824 (2019‑05‑31 14:26:31)
|
| Description |
The date when the social circumstances were taken. |
| Relationship |
|
| Operationalization |
Date and time |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Location
prsb03-dataelement-11825
|
|
|
| Id |
prsb03-dataelement-11825 (2019‑05‑31 14:27:00)
|
| Description |
The location where the social circumstances were taken. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Performing professional
prsb03-dataelement-11826
|
|
|
| Id |
prsb03-dataelement-11826 (2019‑05‑31 14:27:37)
|
| Description |
The professional who took the social circumstances. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-11827
|
|
|
| Id |
prsb03-dataelement-11827 (2019‑05‑31 14:27:55)
|
| Concept inherits from |
prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
|
| Description |
The name of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Role
prsb03-dataelement-11828
|
|
|
| Id |
prsb03-dataelement-11828 (2019‑05‑31 14:27:55)
|
| Concept inherits from |
prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
|
| Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
| Operationalization |
NHS Data dictionary or free text
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-11829
|
|
|
| Id |
prsb03-dataelement-11829 (2019‑05‑31 14:27:55)
|
| Concept inherits from |
prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
|
| Description |
The grade of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Speciality
prsb03-dataelement-11830
|
|
|
| Id |
prsb03-dataelement-11830 (2019‑05‑31 14:27:55)
|
| Concept inherits from |
prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
|
| Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-11831
|
|
|
| Id |
prsb03-dataelement-11831 (2019‑05‑31 14:27:55)
|
| Concept inherits from |
prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
|
| Description |
Professional identifier for the professional e.g. GMC number, HCPC number etc or the
personal identifier used by the local organisation.
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisation
prsb03-dataelement-11832
|
|
|
| Id |
prsb03-dataelement-11832 (2019‑05‑31 14:27:55)
|
| Concept inherits from |
prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
|
| Description |
The name of the organisation the professional works for. |
| Operationalization |
ODS code or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-11833
|
|
|
| Id |
prsb03-dataelement-11833 (2019‑05‑31 14:27:55)
|
| Concept inherits from |
prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
|
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person completing record
prsb03-dataelement-11584
|
|
|
| Id |
prsb03-dataelement-11584 (2019‑05‑30 14:58:43)
|
| Concept inherits from |
prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
|
| Description |
Details of the person completing the record. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-11585
|
|
|
| Id |
prsb03-dataelement-11585 (2019‑05‑30 14:59:16)
|
| Concept inherits from |
prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
|
| Description |
The name of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisational role
prsb03-dataelement-11586
|
|
|
| Id |
prsb03-dataelement-11586 (2019‑05‑30 14:59:16)
|
| Concept inherits from |
prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
|
| Description |
The organisational role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Relationship |
|
| Operationalization |
NHS Data dictionary or free text.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-11587
|
|
|
| Id |
prsb03-dataelement-11587 (2019‑05‑30 14:59:16)
|
| Concept inherits from |
prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
|
| Description |
The grade of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Specialty
prsb03-dataelement-11588
|
|
|
|
|
| Organisation
prsb03-dataelement-11589
|
|
|
| Id |
prsb03-dataelement-11589 (2019‑05‑30 14:59:16)
|
| Concept inherits from |
prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
|
| Description |
The organisation the person completing the record works for. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-11590
|
|
|
| Id |
prsb03-dataelement-11590 (2019‑05‑30 14:59:16)
|
| Concept inherits from |
prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date completed
prsb03-dataelement-11591
|
|
|
| Id |
prsb03-dataelement-11591 (2019‑05‑30 14:59:16)
|
| Concept inherits from |
prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
|
| Description |
The date and time the record was completed. |
| Relationship |
|
| Operationalization |
Date and time. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-11592
|
|
|
| Id |
prsb03-dataelement-11592 (2019‑05‑30 14:59:16)
|
| Concept inherits from |
prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
|
| Description |
Contact details of the person completing the record (e.g. telephone number, email
address etc.).
|
| FHIR |
PractitionerRole.telecom |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Access
prsb03-dataelement-10045
|
|
|
| Id |
prsb03-dataelement-10045 (2018‑10‑31)
|
| Description |
Special access requirements e.g. key safe, coded lock, which door to use, stretcher
access, etc.
|
| Operationalization |
Free text. |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date
prsb03-dataelement-11844
|
|
|
| Id |
prsb03-dataelement-11844 (2019‑05‑31 14:30:01)
|
| Description |
The date when the special access requirements were taken. |
| Relationship |
|
| Operationalization |
Date and time |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Location
prsb03-dataelement-11845
|
|
|
| Id |
prsb03-dataelement-11845 (2019‑05‑31 14:30:30)
|
| Description |
The location where the special access requirements were taken. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Performing professional
prsb03-dataelement-11846
|
|
|
| Id |
prsb03-dataelement-11846 (2019‑05‑31 14:31:02)
|
| Description |
The professional who took the special access requirements. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-11847
|
|
|
| Id |
prsb03-dataelement-11847 (2019‑05‑31 14:31:19)
|
| Concept inherits from |
prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
|
| Description |
The name of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Role
prsb03-dataelement-11848
|
|
|
| Id |
prsb03-dataelement-11848 (2019‑05‑31 14:31:19)
|
| Concept inherits from |
prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
|
| Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
| Operationalization |
NHS Data dictionary or free text
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-11849
|
|
|
| Id |
prsb03-dataelement-11849 (2019‑05‑31 14:31:19)
|
| Concept inherits from |
prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
|
| Description |
The grade of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Speciality
prsb03-dataelement-11850
|
|
|
| Id |
prsb03-dataelement-11850 (2019‑05‑31 14:31:19)
|
| Concept inherits from |
prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
|
| Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-11851
|
|
|
| Id |
prsb03-dataelement-11851 (2019‑05‑31 14:31:19)
|
| Concept inherits from |
prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
|
| Description |
Professional identifier for the professional e.g. GMC number, HCPC number etc or the
personal identifier used by the local organisation.
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisation
prsb03-dataelement-11852
|
|
|
| Id |
prsb03-dataelement-11852 (2019‑05‑31 14:31:19)
|
| Concept inherits from |
prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
|
| Description |
The name of the organisation the professional works for. |
| Operationalization |
ODS code or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-11853
|
|
|
| Id |
prsb03-dataelement-11853 (2019‑05‑31 14:31:19)
|
| Concept inherits from |
prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
|
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person completing record
prsb03-dataelement-11602
|
|
|
| Id |
prsb03-dataelement-11602 (2019‑05‑30 15:01:10)
|
| Concept inherits from |
prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
|
| Description |
Details of the person completing the record. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-11603
|
|
|
| Id |
prsb03-dataelement-11603 (2019‑05‑30 15:01:27)
|
| Concept inherits from |
prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
|
| Description |
The name of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisational role
prsb03-dataelement-11604
|
|
|
| Id |
prsb03-dataelement-11604 (2019‑05‑30 15:01:27)
|
| Concept inherits from |
prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
|
| Description |
The organisational role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Relationship |
|
| Operationalization |
NHS Data dictionary or free text.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-11605
|
|
|
| Id |
prsb03-dataelement-11605 (2019‑05‑30 15:01:27)
|
| Concept inherits from |
prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
|
| Description |
The grade of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Specialty
prsb03-dataelement-11606
|
|
|
|
|
| Organisation
prsb03-dataelement-11607
|
|
|
| Id |
prsb03-dataelement-11607 (2019‑05‑30 15:01:27)
|
| Concept inherits from |
prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
|
| Description |
The organisation the person completing the record works for. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-11608
|
|
|
| Id |
prsb03-dataelement-11608 (2019‑05‑30 15:01:27)
|
| Concept inherits from |
prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date completed
prsb03-dataelement-11609
|
|
|
| Id |
prsb03-dataelement-11609 (2019‑05‑30 15:01:27)
|
| Concept inherits from |
prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
|
| Description |
The date and time the record was completed. |
| Relationship |
|
| Operationalization |
Date and time. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-11610
|
|
|
| Id |
prsb03-dataelement-11610 (2019‑05‑30 15:01:27)
|
| Concept inherits from |
prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
|
| Description |
Contact details of the person completing the record (e.g. telephone number, email
address etc.).
|
| FHIR |
PractitionerRole.telecom |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Dependants
prsb03-dataelement-10046
|
|
|
| Id |
prsb03-dataelement-10046 (2018‑10‑31)
|
| Description |
Provide details of any responsibility the person has for dependants.
In the case of children provide date of birth of the child.
|
| Operationalization |
Free text. |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date
prsb03-dataelement-11854
|
|
|
| Id |
prsb03-dataelement-11854 (2019‑05‑31 14:31:40)
|
| Description |
The date when the dependents details were taken. |
| Relationship |
|
| Operationalization |
Date and time |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Location
prsb03-dataelement-11855
|
|
|
| Id |
prsb03-dataelement-11855 (2019‑05‑31 14:32:07)
|
| Description |
The location where the dependents details were taken. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Performing professional
prsb03-dataelement-11856
|
|
|
| Id |
prsb03-dataelement-11856 (2019‑05‑31 14:32:34)
|
| Description |
The professional who took the dependents details. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-11857
|
|
|
| Id |
prsb03-dataelement-11857 (2019‑05‑31 14:32:53)
|
| Concept inherits from |
prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
|
| Description |
The name of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Role
prsb03-dataelement-11858
|
|
|
| Id |
prsb03-dataelement-11858 (2019‑05‑31 14:32:53)
|
| Concept inherits from |
prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
|
| Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
| Operationalization |
NHS Data dictionary or free text
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-11859
|
|
|
| Id |
prsb03-dataelement-11859 (2019‑05‑31 14:32:53)
|
| Concept inherits from |
prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
|
| Description |
The grade of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Speciality
prsb03-dataelement-11860
|
|
|
| Id |
prsb03-dataelement-11860 (2019‑05‑31 14:32:53)
|
| Concept inherits from |
prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
|
| Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-11861
|
|
|
| Id |
prsb03-dataelement-11861 (2019‑05‑31 14:32:53)
|
| Concept inherits from |
prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
|
| Description |
Professional identifier for the professional e.g. GMC number, HCPC number etc or the
personal identifier used by the local organisation.
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisation
prsb03-dataelement-11862
|
|
|
| Id |
prsb03-dataelement-11862 (2019‑05‑31 14:32:53)
|
| Concept inherits from |
prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
|
| Description |
The name of the organisation the professional works for. |
| Operationalization |
ODS code or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-11863
|
|
|
| Id |
prsb03-dataelement-11863 (2019‑05‑31 14:32:53)
|
| Concept inherits from |
prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
|
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person completing record
prsb03-dataelement-11611
|
|
|
| Id |
prsb03-dataelement-11611 (2019‑05‑30 15:03:35)
|
| Concept inherits from |
prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
|
| Description |
Details of the person completing the record. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-11612
|
|
|
| Id |
prsb03-dataelement-11612 (2019‑05‑30 15:03:59)
|
| Concept inherits from |
prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
|
| Description |
The name of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisational role
prsb03-dataelement-11613
|
|
|
| Id |
prsb03-dataelement-11613 (2019‑05‑30 15:03:59)
|
| Concept inherits from |
prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
|
| Description |
The organisational role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Relationship |
|
| Operationalization |
NHS Data dictionary or free text.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-11614
|
|
|
| Id |
prsb03-dataelement-11614 (2019‑05‑30 15:03:59)
|
| Concept inherits from |
prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
|
| Description |
The grade of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Specialty
prsb03-dataelement-11615
|
|
|
|
|
| Organisation
prsb03-dataelement-11616
|
|
|
| Id |
prsb03-dataelement-11616 (2019‑05‑30 15:03:59)
|
| Concept inherits from |
prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
|
| Description |
The organisation the person completing the record works for. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-11617
|
|
|
| Id |
prsb03-dataelement-11617 (2019‑05‑30 15:03:59)
|
| Concept inherits from |
prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date completed
prsb03-dataelement-11618
|
|
|
| Id |
prsb03-dataelement-11618 (2019‑05‑30 15:03:59)
|
| Concept inherits from |
prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
|
| Description |
The date and time the record was completed. |
| Relationship |
|
| Operationalization |
Date and time. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-11619
|
|
|
| Id |
prsb03-dataelement-11619 (2019‑05‑30 15:03:59)
|
| Concept inherits from |
prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
|
| Description |
Contact details of the person completing the record (e.g. telephone number, email
address etc.).
|
| FHIR |
PractitionerRole.telecom |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Accommodation status
prsb03-dataelement-10047
|
|
|
| Id |
prsb03-dataelement-10047 (2018‑10‑31)
|
| Description |
An indication of the type of accommodation where the person lives.
This should be based on the main or permanent residence.
|
| Operationalization |
SNOMED CT or free text. |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date
prsb03-dataelement-11864
|
|
|
| Id |
prsb03-dataelement-11864 (2019‑05‑31 14:33:22)
|
| Description |
The date when the accommodation status was taken. |
| Relationship |
|
| Operationalization |
Date and time |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Location
prsb03-dataelement-11865
|
|
|
| Id |
prsb03-dataelement-11865 (2019‑05‑31 14:33:51)
|
| Description |
The location where the accommodation was taken. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Performing professional
prsb03-dataelement-11866
|
|
|
| Id |
prsb03-dataelement-11866 (2019‑05‑31 14:34:24)
|
| Description |
The professional who took the accommodation status. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-11867
|
|
|
| Id |
prsb03-dataelement-11867 (2019‑05‑31 14:34:45)
|
| Concept inherits from |
prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
|
| Description |
The name of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Role
prsb03-dataelement-11868
|
|
|
| Id |
prsb03-dataelement-11868 (2019‑05‑31 14:34:45)
|
| Concept inherits from |
prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
|
| Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
| Operationalization |
NHS Data dictionary or free text
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-11869
|
|
|
| Id |
prsb03-dataelement-11869 (2019‑05‑31 14:34:45)
|
| Concept inherits from |
prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
|
| Description |
The grade of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Speciality
prsb03-dataelement-11870
|
|
|
| Id |
prsb03-dataelement-11870 (2019‑05‑31 14:34:45)
|
| Concept inherits from |
prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
|
| Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-11871
|
|
|
| Id |
prsb03-dataelement-11871 (2019‑05‑31 14:34:45)
|
| Concept inherits from |
prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
|
| Description |
Professional identifier for the professional e.g. GMC number, HCPC number etc or the
personal identifier used by the local organisation.
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisation
prsb03-dataelement-11872
|
|
|
| Id |
prsb03-dataelement-11872 (2019‑05‑31 14:34:45)
|
| Concept inherits from |
prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
|
| Description |
The name of the organisation the professional works for. |
| Operationalization |
ODS code or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-11873
|
|
|
| Id |
prsb03-dataelement-11873 (2019‑05‑31 14:34:45)
|
| Concept inherits from |
prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
|
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person completing record
prsb03-dataelement-11874
|
|
|
| Id |
prsb03-dataelement-11874 (2019‑05‑31 14:35:09)
|
| Concept inherits from |
prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
|
| Description |
Details of the person completing the record. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-11875
|
|
|
| Id |
prsb03-dataelement-11875 (2019‑05‑31 14:35:30)
|
| Concept inherits from |
prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
|
| Description |
The name of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisational role
prsb03-dataelement-11876
|
|
|
| Id |
prsb03-dataelement-11876 (2019‑05‑31 14:35:30)
|
| Concept inherits from |
prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
|
| Description |
The organisational role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Relationship |
|
| Operationalization |
NHS Data dictionary or free text.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-11877
|
|
|
| Id |
prsb03-dataelement-11877 (2019‑05‑31 14:35:30)
|
| Concept inherits from |
prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
|
| Description |
The grade of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Specialty
prsb03-dataelement-11878
|
|
|
|
|
| Organisation
prsb03-dataelement-11879
|
|
|
| Id |
prsb03-dataelement-11879 (2019‑05‑31 14:35:30)
|
| Concept inherits from |
prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
|
| Description |
The organisation the person completing the record works for. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-11880
|
|
|
| Id |
prsb03-dataelement-11880 (2019‑05‑31 14:35:30)
|
| Concept inherits from |
prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date completed
prsb03-dataelement-11881
|
|
|
| Id |
prsb03-dataelement-11881 (2019‑05‑31 14:35:30)
|
| Concept inherits from |
prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
|
| Description |
The date and time the record was completed. |
| Relationship |
|
| Operationalization |
Date and time. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-11882
|
|
|
| Id |
prsb03-dataelement-11882 (2019‑05‑31 14:35:30)
|
| Concept inherits from |
prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
|
| Description |
Contact details of the person completing the record (e.g. telephone number, email
address etc.).
|
| FHIR |
PractitionerRole.telecom |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person completing record
prsb03-dataelement-11620
|
|
|
|
|
| Household environment
prsb03-dataelement-10051
|
|
|
| Id |
prsb03-dataelement-10051 (2018‑10‑31)
|
| Description |
Factors in the household which impact the person's health and wellbeing, to include
smoking in the home, alcohol/substance use etc.
|
| Operationalization |
SNOMED CT or free text. |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date
prsb03-dataelement-11883
|
|
|
| Id |
prsb03-dataelement-11883 (2019‑05‑31 14:36:04)
|
| Description |
The date when the household environment details were taken. |
| Relationship |
|
| Operationalization |
Date and time |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Location
prsb03-dataelement-11884
|
|
|
| Id |
prsb03-dataelement-11884 (2019‑05‑31 14:36:30)
|
| Description |
The location where the household environment details were taken. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Performing professional
prsb03-dataelement-11885
|
|
|
| Id |
prsb03-dataelement-11885 (2019‑05‑31 14:37:03)
|
| Description |
The professional who took the household environment details. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-11886
|
|
|
| Id |
prsb03-dataelement-11886 (2019‑05‑31 14:37:24)
|
| Concept inherits from |
prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
|
| Description |
The name of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Role
prsb03-dataelement-11887
|
|
|
| Id |
prsb03-dataelement-11887 (2019‑05‑31 14:37:24)
|
| Concept inherits from |
prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
|
| Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
| Operationalization |
NHS Data dictionary or free text
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-11888
|
|
|
| Id |
prsb03-dataelement-11888 (2019‑05‑31 14:37:24)
|
| Concept inherits from |
prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
|
| Description |
The grade of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Speciality
prsb03-dataelement-11889
|
|
|
| Id |
prsb03-dataelement-11889 (2019‑05‑31 14:37:24)
|
| Concept inherits from |
prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
|
| Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-11890
|
|
|
| Id |
prsb03-dataelement-11890 (2019‑05‑31 14:37:24)
|
| Concept inherits from |
prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
|
| Description |
Professional identifier for the professional e.g. GMC number, HCPC number etc or the
personal identifier used by the local organisation.
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisation
prsb03-dataelement-11891
|
|
|
| Id |
prsb03-dataelement-11891 (2019‑05‑31 14:37:24)
|
| Concept inherits from |
prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
|
| Description |
The name of the organisation the professional works for. |
| Operationalization |
ODS code or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-11892
|
|
|
| Id |
prsb03-dataelement-11892 (2019‑05‑31 14:37:24)
|
| Concept inherits from |
prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
|
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person completing record
prsb03-dataelement-11621
|
|
|
| Id |
prsb03-dataelement-11621 (2019‑05‑30 15:06:19)
|
| Concept inherits from |
prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
|
| Description |
Details of the person completing the record. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-11622
|
|
|
| Id |
prsb03-dataelement-11622 (2019‑05‑30 15:06:41)
|
| Concept inherits from |
prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
|
| Description |
The name of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisational role
prsb03-dataelement-11623
|
|
|
| Id |
prsb03-dataelement-11623 (2019‑05‑30 15:06:41)
|
| Concept inherits from |
prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
|
| Description |
The organisational role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Relationship |
|
| Operationalization |
NHS Data dictionary or free text.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-11624
|
|
|
| Id |
prsb03-dataelement-11624 (2019‑05‑30 15:06:41)
|
| Concept inherits from |
prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
|
| Description |
The grade of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Specialty
prsb03-dataelement-11625
|
|
|
|
|
| Organisation
prsb03-dataelement-11626
|
|
|
| Id |
prsb03-dataelement-11626 (2019‑05‑30 15:06:41)
|
| Concept inherits from |
prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
|
| Description |
The organisation the person completing the record works for. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-11627
|
|
|
| Id |
prsb03-dataelement-11627 (2019‑05‑30 15:06:41)
|
| Concept inherits from |
prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date completed
prsb03-dataelement-11628
|
|
|
| Id |
prsb03-dataelement-11628 (2019‑05‑30 15:06:41)
|
| Concept inherits from |
prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
|
| Description |
The date and time the record was completed. |
| Relationship |
|
| Operationalization |
Date and time. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-11629
|
|
|
| Id |
prsb03-dataelement-11629 (2019‑05‑30 15:06:41)
|
| Concept inherits from |
prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
|
| Description |
Contact details of the person completing the record (e.g. telephone number, email
address etc.).
|
| FHIR |
PractitionerRole.telecom |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Social context record entry
prsb03-dataelement-12398
|
|
|
| Id |
prsb03-dataelement-12398 (2019‑06‑03 16:08:35)
|
| Description |
This is a social context record entry. There may be 0 to many record entries under
Diagnosis. Each record entry is made up of a number of elements or data items.
|
|
|
| Date
prsb03-dataelement-10861
|
|
|
| Id |
prsb03-dataelement-10861 (2019‑03‑27 17:50:45)
|
| Description |
The date the social context was recorded. |
| Relationship |
|
| Value Domain |
|
|
|
| Location
prsb03-dataelement-10862
|
|
|
| Id |
prsb03-dataelement-10862 (2019‑03‑27 17:51:38)
|
| Description |
Details of where the social context was recorded. |
| Relationship |
|
| Operationalization |
ODS/ODR |
| Value Domain |
|
|
|
| Family and Household
prsb03-dataelement-10048
|
|
|
|
|
| Father's employment status
prsb03-dataelement-10049
|
|
|
| Id |
prsb03-dataelement-10049 (2018‑10‑31)
|
| Description |
The employment status of the Father and his occupation. |
| Value Domain |
|
|
|
| Household Social Services support
prsb03-dataelement-10050
|
|
|
| Id |
prsb03-dataelement-10050 (2018‑10‑31)
|
| Description |
Whether or not any household member had/has social services support. |
| Value Domain |
|
|
|
| Asylum Status
prsb03-dataelement-10052
|
|
|
|
|
| Number of years in Education
prsb03-dataelement-10053
|
|
|
| Id |
prsb03-dataelement-10053 (2018‑10‑31)
|
| Description |
The number of years that the woman has spent in education |
| Value Domain |
|
|
|
| Social Risk Factors
prsb03-dataelement-10054
|
|
|
| Id |
prsb03-dataelement-10054 (2018‑10‑31)
|
| Description |
A record of social factors which should be taken into account when providing care
and support for the woman and the child when born
|
| Value Domain |
|
|
|
| Partner's employment status
prsb03-dataelement-10055
|
|
|
| Id |
prsb03-dataelement-10055 (2018‑10‑31)
|
| Description |
The employment status of the Partner and their occupation |
| Value Domain |
|
|
|
| Mother's employment status
prsb03-dataelement-10056
|
|
|
| Id |
prsb03-dataelement-10056 (2018‑10‑31)
|
| Description |
The employment status of the Mother and her occupation. |
| Value Domain |
|
|
|
| Mother’s educational status
prsb03-dataelement-10057
|
|
|
| Id |
prsb03-dataelement-10057 (2018‑10‑31)
|
| Description |
The highest educational qualification attained by the child’s mother. |
| Value Domain |
|
|
|
| Other Significant Individuals
prsb03-dataelement-10058
|
|
|
| Id |
prsb03-dataelement-10058 (2018‑10‑31)
|
| Description |
People deemed as key by family and or Health Care Professional in the child's life
that do not live in the home (s).
|
| Value Domain |
|
|
|
| Personal
prsb03-dataelement-10059
|
|
|
|
|
| Person completing record
prsb03-dataelement-10864
|
|
|
| Id |
prsb03-dataelement-10864 (2019‑03‑27 17:53:18)
|
| Description |
This is the person recording the social context. Should include their name, role,
grade, specialty, organisation, professional identifier, date and time completed,
contact details
|
| Relationship |
|
| Operationalization |
Free text. Name, Role, Grade, Specialty, Organisation, Professional identifier, Date
and time completed, Contact details
|
| Value Domain |
|
|
|
| Person completing record
prsb03-dataelement-10863
|
|
|
| Id |
prsb03-dataelement-10863 (2019‑03‑27 17:52:28)
|
| Concept inherits from |
prsb03-dataelement-10850 (2019‑03‑27 17:15:40)
|
| Description |
This is the person contributing to the family history record. Should include their
name, role, grade, specialty, organisation, professional identifier, date and time
completed, contact details
|
| Relationship |
|
| Operationalization |
Free text. Name, Role, Grade, Specialty, Organisation, Professional identifier, Date
and time completed, Contact details
|
| Value Domain |
|
|
|
| Services and care
prsb03-dataelement-10044
|
|
|
| Id |
prsb03-dataelement-10044 (2018‑10‑31)
|
| Description |
The services and care provided for the person. |
| Operationalization |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Services and care record entry
prsb03-dataelement-12421
|
|
|
| Id |
prsb03-dataelement-12421 (2019‑06‑11 16:55:24)
|
| Description |
This is a services and care record entry. There may be 0 to many record entries under
a section. Each record entry is made up of a number of elements or data items.
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Service provided
prsb03-dataelement-12448
|
|
|
| Id |
prsb03-dataelement-12448 (2019‑06‑17 16:05:21)
|
| Description |
Details of the service providing support for the person's health or well-being. |
| Operationalization |
SNOMED CT or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Service start date
prsb03-dataelement-11834
|
|
|
| Id |
prsb03-dataelement-11834 (2019‑05‑31 14:28:13)
|
| Description |
The date service started to be provided. |
| Relationship |
|
| Operationalization |
Date and time |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Service end date
prsb03-dataelement-12420
|
|
|
| Id |
prsb03-dataelement-12420 (2019‑06‑07 19:30:52)
|
| Description |
The date service stopped being provided. |
| Operationalization |
Date and time |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Location
prsb03-dataelement-11835
|
|
|
| Id |
prsb03-dataelement-11835 (2019‑05‑31 14:28:42)
|
| Description |
The location where the service is or was provided. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Performing professional
prsb03-dataelement-11836
|
|
|
| Id |
prsb03-dataelement-11836 (2019‑05‑31 14:29:23)
|
| Description |
The professional providing the service. |
| Relationship |
|
| Operationalization |
Free text |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-11837
|
|
|
| Id |
prsb03-dataelement-11837 (2019‑05‑31 14:29:41)
|
| Concept inherits from |
prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
|
| Description |
The name of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Role
prsb03-dataelement-11838
|
|
|
| Id |
prsb03-dataelement-11838 (2019‑05‑31 14:29:41)
|
| Concept inherits from |
prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
|
| Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
| Operationalization |
NHS Data dictionary or free text
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-11839
|
|
|
| Id |
prsb03-dataelement-11839 (2019‑05‑31 14:29:41)
|
| Concept inherits from |
prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
|
| Description |
The grade of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Speciality
prsb03-dataelement-11840
|
|
|
| Id |
prsb03-dataelement-11840 (2019‑05‑31 14:29:41)
|
| Concept inherits from |
prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
|
| Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-11841
|
|
|
| Id |
prsb03-dataelement-11841 (2019‑05‑31 14:29:41)
|
| Concept inherits from |
prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
|
| Description |
Professional identifier for the professional e.g. GMC number, HCPC number etc or the
personal identifier used by the local organisation.
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisation
prsb03-dataelement-11842
|
|
|
| Id |
prsb03-dataelement-11842 (2019‑05‑31 14:29:41)
|
| Concept inherits from |
prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
|
| Description |
The name of the organisation the professional works for. |
| Operationalization |
ODS code or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-11843
|
|
|
| Id |
prsb03-dataelement-11843 (2019‑05‑31 14:29:41)
|
| Concept inherits from |
prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
|
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person completing record
prsb03-dataelement-11593
|
|
|
| Id |
prsb03-dataelement-11593 (2019‑05‑30 14:59:53)
|
| Concept inherits from |
prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
|
| Description |
Details of the person completing the record. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-11594
|
|
|
| Id |
prsb03-dataelement-11594 (2019‑05‑30 15:00:18)
|
| Concept inherits from |
prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
|
| Description |
The name of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisational role
prsb03-dataelement-11595
|
|
|
| Id |
prsb03-dataelement-11595 (2019‑05‑30 15:00:18)
|
| Concept inherits from |
prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
|
| Description |
The organisational role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Relationship |
|
| Operationalization |
NHS Data dictionary or free text.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-11596
|
|
|
| Id |
prsb03-dataelement-11596 (2019‑05‑30 15:00:18)
|
| Concept inherits from |
prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
|
| Description |
The grade of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Specialty
prsb03-dataelement-11597
|
|
|
|
|
| Organisation
prsb03-dataelement-11598
|
|
|
| Id |
prsb03-dataelement-11598 (2019‑05‑30 15:00:18)
|
| Concept inherits from |
prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
|
| Description |
The organisation the person completing the record works for. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-11599
|
|
|
| Id |
prsb03-dataelement-11599 (2019‑05‑30 15:00:18)
|
| Concept inherits from |
prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date completed
prsb03-dataelement-11600
|
|
|
| Id |
prsb03-dataelement-11600 (2019‑05‑30 15:00:18)
|
| Concept inherits from |
prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
|
| Description |
The date and time the record was completed. |
| Relationship |
|
| Operationalization |
Date and time. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-11601
|
|
|
| Id |
prsb03-dataelement-11601 (2019‑05‑30 15:00:18)
|
| Concept inherits from |
prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
|
| Description |
Contact details of the person completing the record (e.g. telephone number, email
address etc.).
|
| FHIR |
PractitionerRole.telecom |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Family history
prsb03-dataelement-251
|
|
|
| Id |
prsb03-dataelement-251 (2018‑10‑31)
|
| Description |
Family history |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Family history record entry
prsb03-dataelement-10653
|
|
|
| Id |
prsb03-dataelement-10653 (2018‑11‑13 12:07:47)
|
| Description |
This is a family history record entry. There may be 0 to many record entry/entries
under a section. Each record entry is made up of a number of elements or data items.
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date
prsb03-dataelement-10153
|
|
|
| Id |
prsb03-dataelement-10153 (2018‑10‑31)
|
| Description |
The date the family history was taken. |
| Operationalization |
Date and time |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Location
prsb03-dataelement-10851
|
|
|
| Id |
prsb03-dataelement-10851 (2019‑03‑27 17:17:04)
|
| Description |
The location where the family history was taken. |
| Operationalization |
ODS code or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Performing professional
prsb03-dataelement-11640
|
|
|
| Id |
prsb03-dataelement-11640 (2019‑05‑30 17:58:57)
|
| Description |
The professional who took the family history. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-11641
|
|
|
| Id |
prsb03-dataelement-11641 (2019‑05‑30 17:59:44)
|
| Concept inherits from |
prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
|
| Description |
The name of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Role
prsb03-dataelement-11642
|
|
|
| Id |
prsb03-dataelement-11642 (2019‑05‑30 17:59:44)
|
| Concept inherits from |
prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
|
| Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
| Operationalization |
NHS Data dictionary or free text
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-11643
|
|
|
| Id |
prsb03-dataelement-11643 (2019‑05‑30 17:59:44)
|
| Concept inherits from |
prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
|
| Description |
The grade of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Speciality
prsb03-dataelement-11644
|
|
|
| Id |
prsb03-dataelement-11644 (2019‑05‑30 17:59:44)
|
| Concept inherits from |
prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
|
| Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-11645
|
|
|
| Id |
prsb03-dataelement-11645 (2019‑05‑30 17:59:44)
|
| Concept inherits from |
prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
|
| Description |
Professional identifier for the professional e.g. GMC number, HCPC number etc or the
personal identifier used by the local organisation.
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisation
prsb03-dataelement-11646
|
|
|
| Id |
prsb03-dataelement-11646 (2019‑05‑30 17:59:44)
|
| Concept inherits from |
prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
|
| Description |
The name of the organisation the professional works for. |
| Operationalization |
ODS code or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-11647
|
|
|
| Id |
prsb03-dataelement-11647 (2019‑05‑30 17:59:44)
|
| Concept inherits from |
prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
|
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person completing record
prsb03-dataelement-10850
|
|
|
| Id |
prsb03-dataelement-10850 (2019‑03‑27 17:15:40)
|
| Description |
This is the person contributing to the family history record. Should include their
name, role, grade, specialty, organisation, professional identifier, date and time
completed, contact details
|
| Relationship |
|
| Operationalization |
Free text. Name, Role, Grade, Specialty, Organisation, Professional identifier, Date
and time completed, Contact details
|
| Value Domain |
|
| Used by
|
0 transactions, 0 templates, inherited once |
| |
|
|
|
| Relationship to person
prsb03-dataelement-10155
|
|
|
| Id |
prsb03-dataelement-10155 (2018‑10‑31)
|
| Description |
The relationship of the family member with the condition to the person. |
| Operationalization |
SNOMED CT or Free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Family history
prsb03-dataelement-10151
|
|
|
| Id |
prsb03-dataelement-10151 (2018‑10‑31)
|
| Description |
The record of relevant illness in family relations deemed to be significant to the
care or health of the person, including mental illness and suicide, genetic information
etc.
|
| Operationalization |
The record of relevant illnesses in family relations as volunteered by the person
or their carer or representative. Text and/or coded text (SNOMED CT). 999000771000000106
Family history simple reference set (foundation metadata concept)
|
| Value Domain |
|
|
|
| Condition or diagnosis
prsb03-dataelement-10152
|
|
|
| Id |
prsb03-dataelement-10152 (2018‑10‑31)
|
| Description |
The condition or diagnosis of the family member deemed to be significant to the care
or health of the person.
|
| Operationalization |
Free text or SNOMED CT 999000771000000106
Family history simple reference set (foundation metadata concept)
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person completing record
prsb03-dataelement-11630
|
|
|
| Id |
prsb03-dataelement-11630 (2019‑05‑30 15:28:16)
|
| Concept inherits from |
prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
|
| Description |
Details of the person completing the record. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-11631
|
|
|
| Id |
prsb03-dataelement-11631 (2019‑05‑30 15:28:41)
|
| Concept inherits from |
prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
|
| Description |
The name of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisational role
prsb03-dataelement-11632
|
|
|
| Id |
prsb03-dataelement-11632 (2019‑05‑30 15:28:41)
|
| Concept inherits from |
prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
|
| Description |
The organisational role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Relationship |
|
| Operationalization |
NHS Data dictionary or free text.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-11633
|
|
|
| Id |
prsb03-dataelement-11633 (2019‑05‑30 15:28:41)
|
| Concept inherits from |
prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
|
| Description |
The grade of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Specialty
prsb03-dataelement-11634
|
|
|
|
|
| Organisation
prsb03-dataelement-11635
|
|
|
| Id |
prsb03-dataelement-11635 (2019‑05‑30 15:28:41)
|
| Concept inherits from |
prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
|
| Description |
The organisation the person completing the record works for. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-11636
|
|
|
| Id |
prsb03-dataelement-11636 (2019‑05‑30 15:28:41)
|
| Concept inherits from |
prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date completed
prsb03-dataelement-11637
|
|
|
| Id |
prsb03-dataelement-11637 (2019‑05‑30 15:28:41)
|
| Concept inherits from |
prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
|
| Description |
The date and time the record was completed. |
| Relationship |
|
| Operationalization |
Date and time. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-11638
|
|
|
| Id |
prsb03-dataelement-11638 (2019‑05‑30 15:28:41)
|
| Concept inherits from |
prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
|
| Description |
Contact details of the person completing the record (e.g. telephone number, email
address etc.).
|
| FHIR |
PractitionerRole.telecom |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Maternal or paternal relation
prsb03-dataelement-10154
|
|
|
| Id |
prsb03-dataelement-10154 (2018‑10‑31)
|
| Description |
Record of whether the condition or diagnosis was on the mother’s or father’s side
of the family, where needed e.g. paternal grandfather.
|
| Operationalization |
Free text |
| Value Domain |
|
|
|
| Comment
prsb03-dataelement-10156
|
|
|
| Id |
prsb03-dataelement-10156 (2018‑10‑31)
|
| Description |
Any further textual comment. |
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Investigation results
prsb03-dataelement-257
|
|
|
| Id |
prsb03-dataelement-257 (2018‑10‑31)
|
| Description |
Investigation results |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Investigation results record entry
prsb03-dataelement-10654
|
|
|
| Id |
prsb03-dataelement-10654 (2018‑11‑13 12:10:48)
|
| Description |
This is a investigation result record entry. There may be 0 to many record entries
under a section. Each record entry is made up of a number of elements or data items.
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date
prsb03-dataelement-10157
|
|
|
| Id |
prsb03-dataelement-10157 (2018‑10‑31)
|
| Description |
The date and time when the investigation was performed |
| Operationalization |
Date and time |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Performing professional
prsb03-dataelement-10158
|
|
|
| Id |
prsb03-dataelement-10158 (2018‑10‑31)
|
| Description |
Details of the professional performing the investigation (including name and role) |
| Value Domain |
|
|
|
| Performing professional
prsb03-dataelement-12099
|
|
|
| Id |
prsb03-dataelement-12099 (2019‑05‑31 15:55:11)
|
| Description |
The professional who performed the investigation. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-12100
|
|
|
| Id |
prsb03-dataelement-12100 (2019‑05‑31 15:55:33)
|
| Concept inherits from |
prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
|
| Description |
The name of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Role
prsb03-dataelement-12101
|
|
|
| Id |
prsb03-dataelement-12101 (2019‑05‑31 15:55:33)
|
| Concept inherits from |
prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
|
| Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
| Operationalization |
NHS Data dictionary or free text
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-12102
|
|
|
| Id |
prsb03-dataelement-12102 (2019‑05‑31 15:55:33)
|
| Concept inherits from |
prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
|
| Description |
The grade of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Speciality
prsb03-dataelement-12103
|
|
|
| Id |
prsb03-dataelement-12103 (2019‑05‑31 15:55:33)
|
| Concept inherits from |
prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
|
| Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-12104
|
|
|
| Id |
prsb03-dataelement-12104 (2019‑05‑31 15:55:33)
|
| Concept inherits from |
prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
|
| Description |
Professional identifier for the professional e.g. GMC number, HCPC number etc or the
personal identifier used by the local organisation.
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisation
prsb03-dataelement-12105
|
|
|
| Id |
prsb03-dataelement-12105 (2019‑05‑31 15:55:33)
|
| Concept inherits from |
prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
|
| Description |
The name of the organisation the professional works for. |
| Operationalization |
ODS code or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-12106
|
|
|
| Id |
prsb03-dataelement-12106 (2019‑05‑31 15:55:33)
|
| Concept inherits from |
prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
|
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Location
prsb03-dataelement-10159
|
|
|
| Id |
prsb03-dataelement-10159 (2018‑10‑31)
|
| Description |
The location where the investigation took place. |
| Operationalization |
ODS code or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Investigation
prsb03-dataelement-10160
|
|
|
| Id |
prsb03-dataelement-10160 (2018‑10‑31)
|
| Description |
The investigation performed. |
| Operationalization |
Text or coded text (SNOMED CT). |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Investigation result
prsb03-dataelement-10161
|
|
|
| Id |
prsb03-dataelement-10161 (2018‑10‑31)
|
| Description |
For each investigation, the result of the investigation. This can include a report
which may have results for multiple tests.
|
| Operationalization |
Free text.
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Structured investigation result
prsb03-dataelement-12415
|
|
|
| Id |
prsb03-dataelement-12415 (2019‑06‑07 16:21:34)
|
| Description |
A structured set of information for each investigation result. |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Value
prsb03-dataelement-12416
|
|
|
| Id |
prsb03-dataelement-12416 (2019‑06‑07 16:22:08)
|
| Description |
The value of the investigation result. |
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Units
prsb03-dataelement-12417
|
|
|
| Id |
prsb03-dataelement-12417 (2019‑06‑07 16:23:50)
|
| Description |
The units of the investigation result. |
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Reference ranges
prsb03-dataelement-12418
|
|
|
| Id |
prsb03-dataelement-12418 (2019‑06‑07 16:24:48)
|
| Description |
The reference range for the investigation result. |
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Abnormal indicator
prsb03-dataelement-12419
|
|
|
| Id |
prsb03-dataelement-12419 (2019‑06‑07 16:26:00)
|
| Description |
Indicator if the investigation is abnormal. |
| Operationalization |
Abnormal or Normal |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person completing record
prsb03-dataelement-12107
|
|
|
| Id |
prsb03-dataelement-12107 (2019‑05‑31 15:55:48)
|
| Concept inherits from |
prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
|
| Description |
Details of the person completing the record. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-12108
|
|
|
| Id |
prsb03-dataelement-12108 (2019‑05‑31 15:56:17)
|
| Concept inherits from |
prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
|
| Description |
The name of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisational role
prsb03-dataelement-12109
|
|
|
| Id |
prsb03-dataelement-12109 (2019‑05‑31 15:56:17)
|
| Concept inherits from |
prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
|
| Description |
The organisational role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Relationship |
|
| Operationalization |
NHS Data dictionary or free text.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-12110
|
|
|
| Id |
prsb03-dataelement-12110 (2019‑05‑31 15:56:17)
|
| Concept inherits from |
prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
|
| Description |
The grade of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Specialty
prsb03-dataelement-12111
|
|
|
|
|
| Organisation
prsb03-dataelement-12112
|
|
|
| Id |
prsb03-dataelement-12112 (2019‑05‑31 15:56:17)
|
| Concept inherits from |
prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
|
| Description |
The organisation the person completing the record works for. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-12113
|
|
|
| Id |
prsb03-dataelement-12113 (2019‑05‑31 15:56:17)
|
| Concept inherits from |
prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date completed
prsb03-dataelement-12114
|
|
|
| Id |
prsb03-dataelement-12114 (2019‑05‑31 15:56:17)
|
| Concept inherits from |
prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
|
| Description |
The date and time the record was completed. |
| Relationship |
|
| Operationalization |
Date and time. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-12115
|
|
|
| Id |
prsb03-dataelement-12115 (2019‑05‑31 15:56:17)
|
| Concept inherits from |
prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
|
| Description |
Contact details of the person completing the record (e.g. telephone number, email
address etc.).
|
| FHIR |
PractitionerRole.telecom |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person completing record
prsb03-dataelement-10955
|
|
|
| Id |
prsb03-dataelement-10955 (2019‑05‑18 21:08:06)
|
| Description |
This is the person recording the investigation result.
Should include their name, role, grade, specialty, organisation, professional identifier,
date and time completed, contact details
|
| Relationship |
|
| Operationalization |
Free text. Name, Role, Grade, Specialty, Organisation, Professional identifier, Date
and time completed, Contact details
|
| Value Domain |
|
|
|
| Investigations requested
prsb03-dataelement-10730
|
|
|
| Id |
prsb03-dataelement-10730 (2019‑02‑08 16:17:16)
|
| Description |
Details of any investigations requested |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Investigations requested record entry
prsb03-dataelement-10731
|
|
|
| Id |
prsb03-dataelement-10731 (2019‑02‑08 16:19:05)
|
| Description |
This is an investigation requested record entry. There may be 0 to many record entries
under a section. Each record entry is made up of a number of elements or data items.
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date
prsb03-dataelement-10732
|
|
|
| Id |
prsb03-dataelement-10732 (2019‑02‑08 16:21:40)
|
| Description |
The date the investigation was requested. |
| Operationalization |
Date and time |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Location
prsb03-dataelement-10736
|
|
|
| Id |
prsb03-dataelement-10736 (2019‑02‑08 16:24:49)
|
| Description |
The location where the investigation was requested. |
| Operationalization |
ODS code or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Performing professional
prsb03-dataelement-10735
|
|
|
| Id |
prsb03-dataelement-10735 (2019‑02‑08 16:24:11)
|
| Description |
The professional requesting the investigation. |
| Value Domain |
|
|
|
| Performing professional
prsb03-dataelement-12081
|
|
|
| Id |
prsb03-dataelement-12081 (2019‑05‑31 15:49:09)
|
| Description |
The professional who requested the investigation. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-12082
|
|
|
| Id |
prsb03-dataelement-12082 (2019‑05‑31 15:49:33)
|
| Concept inherits from |
prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
|
| Description |
The name of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Role
prsb03-dataelement-12083
|
|
|
| Id |
prsb03-dataelement-12083 (2019‑05‑31 15:49:33)
|
| Concept inherits from |
prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
|
| Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
| Operationalization |
NHS Data dictionary or free text
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-12084
|
|
|
| Id |
prsb03-dataelement-12084 (2019‑05‑31 15:49:33)
|
| Concept inherits from |
prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
|
| Description |
The grade of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Speciality
prsb03-dataelement-12085
|
|
|
| Id |
prsb03-dataelement-12085 (2019‑05‑31 15:49:33)
|
| Concept inherits from |
prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
|
| Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-12086
|
|
|
| Id |
prsb03-dataelement-12086 (2019‑05‑31 15:49:33)
|
| Concept inherits from |
prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
|
| Description |
Professional identifier for the professional e.g. GMC number, HCPC number etc or the
personal identifier used by the local organisation.
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisation
prsb03-dataelement-12087
|
|
|
| Id |
prsb03-dataelement-12087 (2019‑05‑31 15:49:33)
|
| Concept inherits from |
prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
|
| Description |
The name of the organisation the professional works for. |
| Operationalization |
ODS code or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-12088
|
|
|
| Id |
prsb03-dataelement-12088 (2019‑05‑31 15:49:33)
|
| Concept inherits from |
prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
|
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Investigation requested
prsb03-dataelement-10733
|
|
|
| Id |
prsb03-dataelement-10733 (2019‑02‑08 16:22:42)
|
| Description |
The investigation that is requested.
The investigation may refer to an individual test or a group of related tests or broader
investigation required (so the investigator can determine the appropriate tests)
|
| Operationalization |
Free text or SNOMED.
Further work is in progress for pathology on the unified test list which should be
incorporated later
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited once |
| |
|
|
|
| Status of request
prsb03-dataelement-10734
|
|
|
| Id |
prsb03-dataelement-10734 (2019‑02‑08 16:23:21)
|
| Description |
The status of the investigation request. |
| Operationalization |
draft | active | suspended | completed | entered-in-error | cancelled |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Reason for request
prsb03-dataelement-10737
|
|
|
| Id |
prsb03-dataelement-10737 (2019‑02‑08 16:25:36)
|
| Description |
An explanation or justification for why this investigation is being requested.
|
| Operationalization |
SNOMED CT or text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Request priority
prsb03-dataelement-10738
|
|
|
| Id |
prsb03-dataelement-10738 (2019‑02‑08 16:26:22)
|
| Description |
The urgency of the investigation requested. |
| Operationalization |
routine | urgent | asap | stat |
| Value Domain |
|
| Example |
routine | urgent | asap | stat |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person completing record
prsb03-dataelement-10956
|
|
|
| Id |
prsb03-dataelement-10956 (2019‑05‑18 21:09:13)
|
| Description |
This is the person recording the investigation request.
Should include their name, role, grade, specialty, organisation, professional identifier,
date and time completed, contact details
|
| Relationship |
|
| Operationalization |
Free text. Name, Role, Grade, Specialty, Organisation, Professional identifier, Date
and time completed, Contact details
|
| Value Domain |
|
|
|
|
prsb03-dataelement-12089
|
|
|
|
|
| Person completing record
prsb03-dataelement-12090
|
|
|
| Id |
prsb03-dataelement-12090 (2019‑05‑31 15:49:53)
|
| Concept inherits from |
prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
|
| Description |
Details of the person completing the record. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-12091
|
|
|
| Id |
prsb03-dataelement-12091 (2019‑05‑31 15:50:55)
|
| Concept inherits from |
prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
|
| Description |
The name of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisational role
prsb03-dataelement-12092
|
|
|
| Id |
prsb03-dataelement-12092 (2019‑05‑31 15:50:55)
|
| Concept inherits from |
prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
|
| Description |
The organisational role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Relationship |
|
| Operationalization |
NHS Data dictionary or free text.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-12093
|
|
|
| Id |
prsb03-dataelement-12093 (2019‑05‑31 15:50:55)
|
| Concept inherits from |
prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
|
| Description |
The grade of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Specialty
prsb03-dataelement-12094
|
|
|
|
|
| Organisation
prsb03-dataelement-12095
|
|
|
| Id |
prsb03-dataelement-12095 (2019‑05‑31 15:50:55)
|
| Concept inherits from |
prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
|
| Description |
The organisation the person completing the record works for. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-12096
|
|
|
| Id |
prsb03-dataelement-12096 (2019‑05‑31 15:50:55)
|
| Concept inherits from |
prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date completed
prsb03-dataelement-12097
|
|
|
| Id |
prsb03-dataelement-12097 (2019‑05‑31 15:50:55)
|
| Concept inherits from |
prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
|
| Description |
The date and time the record was completed. |
| Relationship |
|
| Operationalization |
Date and time. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-12098
|
|
|
| Id |
prsb03-dataelement-12098 (2019‑05‑31 15:50:55)
|
| Concept inherits from |
prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
|
| Description |
Contact details of the person completing the record (e.g. telephone number, email
address etc.).
|
| FHIR |
PractitionerRole.telecom |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Observations
prsb03-dataelement-12475
|
|
|
|
|
| Observations
prsb03-dataelement-12474
|
|
|
| Id |
prsb03-dataelement-12474 (2019‑06‑27 12:13:35)
|
| Description |
The record of essential physiological observations e.g pulse, blood pressure, oxygen
saturation/capnography, temperature, pain score, respiration rate, level of consciousness
or new confusion. Use of National Early Warning Score (NEWS2) where appropriate.
|
| Operationalization |
FHIR NEWS2 specification produced by NHS Digital and the associated observations.
See implmentation guidance for restriction of the use of NEWS2 by age.
|
| Value Domain |
|
|
|
| Examination findings
prsb03-dataelement-557
|
|
|
| Id |
prsb03-dataelement-557 (2018‑10‑31)
|
| Description |
Examination findings |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Examination findings record entry
prsb03-dataelement-10662
|
|
|
| Id |
prsb03-dataelement-10662 (2018‑11‑13 13:47:29)
|
| Description |
This is a examination findings record entry. There may be 0 to many record entry/entries
under a section. Each record entry is made up of a number of elements or data items.
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date
prsb03-dataelement-10462
|
|
|
| Id |
prsb03-dataelement-10462 (2018‑10‑31)
|
| Description |
The date the examination was performed. |
| Operationalization |
Date and time |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Performing Professional
prsb03-dataelement-10460
|
|
|
| Id |
prsb03-dataelement-10460 (2018‑10‑31)
|
| Description |
Details of the professional performing the examination (including name and role). |
| Operationalization |
Free text |
| Value Domain |
|
|
|
| Performing professional
prsb03-dataelement-12116
|
|
|
| Id |
prsb03-dataelement-12116 (2019‑05‑31 15:59:16)
|
| Description |
The professional who performed the examiniation. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-12117
|
|
|
| Id |
prsb03-dataelement-12117 (2019‑05‑31 15:59:38)
|
| Concept inherits from |
prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
|
| Description |
The name of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Role
prsb03-dataelement-12118
|
|
|
| Id |
prsb03-dataelement-12118 (2019‑05‑31 15:59:38)
|
| Concept inherits from |
prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
|
| Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
| Operationalization |
NHS Data dictionary or free text
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-12119
|
|
|
| Id |
prsb03-dataelement-12119 (2019‑05‑31 15:59:38)
|
| Concept inherits from |
prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
|
| Description |
The grade of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Speciality
prsb03-dataelement-12120
|
|
|
| Id |
prsb03-dataelement-12120 (2019‑05‑31 15:59:38)
|
| Concept inherits from |
prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
|
| Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-12121
|
|
|
| Id |
prsb03-dataelement-12121 (2019‑05‑31 15:59:38)
|
| Concept inherits from |
prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
|
| Description |
Professional identifier for the professional e.g. GMC number, HCPC number etc or the
personal identifier used by the local organisation.
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisation
prsb03-dataelement-12122
|
|
|
| Id |
prsb03-dataelement-12122 (2019‑05‑31 15:59:38)
|
| Concept inherits from |
prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
|
| Description |
The name of the organisation the professional works for. |
| Operationalization |
ODS code or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-12123
|
|
|
| Id |
prsb03-dataelement-12123 (2019‑05‑31 15:59:38)
|
| Concept inherits from |
prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
|
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Location
prsb03-dataelement-10461
|
|
|
| Id |
prsb03-dataelement-10461 (2018‑10‑31)
|
| Description |
The location where the examination was performed. |
| Operationalization |
ODS code or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Examination
prsb03-dataelement-10457
|
|
|
| Id |
prsb03-dataelement-10457 (2018‑10‑31)
|
| Description |
The examination performed, e.g. general appearance, vital signs, mental state, head
and neck examination, oral examination, cardiovascular system, respiratory system,
abdomen, genitourinary, nervous system, musculoskeletal system, skin. This could include
site and must include laterality where applicable.
|
| Operationalization |
This is the record of the examinations undertaken during the appointment. Text or
coded text (SNOMED CT).The examination performed, eg general appearance, vital signs,
mental state, head and neck examination, oral examination, cardiovascular system,
respiratory system, abdomen, genitourinary, nervous system, musculoskeletal system,
skin.
|
| Value Domain |
|
|
|
| Examination findings
prsb03-dataelement-10458
|
|
|
| Id |
prsb03-dataelement-10458 (2018‑10‑31)
|
| Description |
The record of findings from the examinations performed. |
| Operationalization |
SNOMED CT or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Vital signs
prsb03-dataelement-10459
|
|
|
| Id |
prsb03-dataelement-10459 (2018‑10‑31)
|
| Description |
The record of essential physiological measurements, e.g., heart rate, blood pressure,
temperature, pulse, respiratory rate, SpO2, level of consciousness etc. Use of Early
Warning Score (which may be computed) chart where appropriate.
|
| Value Domain |
|
|
|
| General appearance
prsb03-dataelement-10463
|
|
|
| Id |
prsb03-dataelement-10463 (2018‑10‑31)
|
| Description |
The record of a clinician’s ‘first impression’ assessment including general clinical
examination finding, e.g., clubbing, anaemia, jaundice, obese/malnourished/cachectic,
height, weight, etc
|
| Operationalization |
Free Text or SNOMED CT |
| Value Domain |
|
|
|
| Observations
prsb03-dataelement-10464
|
|
|
| Id |
prsb03-dataelement-10464 (2018‑10‑31)
|
| Description |
The record of essential physiological measurements, e.g., heart rate, blood pressure,
temperature, pulse, height, weight, respiratory rate, oxygen saturation.
|
| Operationalization |
SNOMED CT or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person completing record
prsb03-dataelement-12124
|
|
|
| Id |
prsb03-dataelement-12124 (2019‑05‑31 15:59:54)
|
| Concept inherits from |
prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
|
| Description |
Details of the person completing the record. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-12125
|
|
|
| Id |
prsb03-dataelement-12125 (2019‑05‑31 16:00:31)
|
| Concept inherits from |
prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
|
| Description |
The name of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisational role
prsb03-dataelement-12126
|
|
|
| Id |
prsb03-dataelement-12126 (2019‑05‑31 16:00:31)
|
| Concept inherits from |
prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
|
| Description |
The organisational role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Relationship |
|
| Operationalization |
NHS Data dictionary or free text.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-12127
|
|
|
| Id |
prsb03-dataelement-12127 (2019‑05‑31 16:00:31)
|
| Concept inherits from |
prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
|
| Description |
The grade of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Specialty
prsb03-dataelement-12128
|
|
|
|
|
| Organisation
prsb03-dataelement-12129
|
|
|
| Id |
prsb03-dataelement-12129 (2019‑05‑31 16:00:31)
|
| Concept inherits from |
prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
|
| Description |
The organisation the person completing the record works for. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-12130
|
|
|
| Id |
prsb03-dataelement-12130 (2019‑05‑31 16:00:31)
|
| Concept inherits from |
prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date completed
prsb03-dataelement-12131
|
|
|
| Id |
prsb03-dataelement-12131 (2019‑05‑31 16:00:31)
|
| Concept inherits from |
prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
|
| Description |
The date and time the record was completed. |
| Relationship |
|
| Operationalization |
Date and time. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-12132
|
|
|
| Id |
prsb03-dataelement-12132 (2019‑05‑31 16:00:31)
|
| Concept inherits from |
prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
|
| Description |
Contact details of the person completing the record (e.g. telephone number, email
address etc.).
|
| FHIR |
PractitionerRole.telecom |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person completing record
prsb03-dataelement-10957
|
|
|
| Id |
prsb03-dataelement-10957 (2019‑05‑18 21:11:34)
|
| Description |
This is the person recording the examination.
Should include their name, role, grade, specialty, organisation, professional identifier,
date and time completed, contact details
|
| Relationship |
|
| Operationalization |
Free text. Name, Role, Grade, Specialty, Organisation, Professional identifier, Date
and time completed, Contact details
|
| Value Domain |
|
|
|
| Mental health examination
prsb03-dataelement-10465
|
|
|
| Id |
prsb03-dataelement-10465 (2018‑10‑31)
|
| Description |
The record of findings from mental health examinations and, where appropriate, the
type of the examination
|
| Value Domain |
|
|
|
| Head and neck examination
prsb03-dataelement-10466
|
|
|
| Id |
prsb03-dataelement-10466 (2018‑10‑31)
|
| Description |
The record of findings from the head and neck examination. |
| Value Domain |
|
|
|
| Oral examination
prsb03-dataelement-10467
|
|
|
|
|
| Cardiovascular examination
prsb03-dataelement-10468
|
|
|
| Id |
prsb03-dataelement-10468 (2018‑10‑31)
|
| Description |
The record of findings from the cardiovascular system examination. |
| Value Domain |
|
|
|
| Respiratory examination
prsb03-dataelement-10469
|
|
|
| Id |
prsb03-dataelement-10469 (2018‑10‑31)
|
| Description |
The record of findings from the respiratory system examination. |
| Value Domain |
|
|
|
| Obstetric and Gynaecology examination (including abdominal and uterine palpation)
prsb03-dataelement-10470
|
|
|
| Id |
prsb03-dataelement-10470 (2018‑10‑31)
|
| Description |
The record of findings from the obstetric examination e.g. abdominal uterine palpation,
striations or Linea Nigra and whether she has previous operative scars, such as previous
caesarean section. To include the record of findings from the vaginal examination,
including FGM, presentation, moulding, membranes, observation of liquor and general
cervical observations and contractions (including the strength, length and frequency),
uterus size etc.
|
| Value Domain |
|
|
|
| Neurological system examination
prsb03-dataelement-10471
|
|
|
| Id |
prsb03-dataelement-10471 (2018‑10‑31)
|
| Description |
The record of findings from the neurological system examination. |
| Value Domain |
|
|
|
| Musculoskeletal examination
prsb03-dataelement-10472
|
|
|
| Id |
prsb03-dataelement-10472 (2018‑10‑31)
|
| Description |
The record of findings from the musculoskeletal examination |
| Value Domain |
|
|
|
| Dermatology examination
prsb03-dataelement-10473
|
|
|
| Id |
prsb03-dataelement-10473 (2018‑10‑31)
|
| Description |
The record of findings from the examination of the skin |
| Value Domain |
|
|
|
| Abdomen examination
prsb03-dataelement-10474
|
|
|
| Id |
prsb03-dataelement-10474 (2018‑10‑31)
|
| Description |
The record of findings from the abdominal examination. |
| Value Domain |
|
|
|
| Genitourinary examination
prsb03-dataelement-10475
|
|
|
| Id |
prsb03-dataelement-10475 (2018‑10‑31)
|
| Description |
The record of findings from the genitourinary examination. |
| Value Domain |
|
|
|
| Comments
prsb03-dataelement-10476
|
|
|
| Id |
prsb03-dataelement-10476 (2018‑10‑31)
|
| Description |
Any further textual comment to clarify such as the statement that information is partial
or incomplete.
|
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Fetal Examinations
prsb03-dataelement-10477
|
|
|
|
|
| Current pregnancy
prsb03-dataelement-10814
|
|
|
| Id |
prsb03-dataelement-10814 (2019‑03‑20 18:49:35)
|
| Description |
Pregnancy status of the person. |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date of Observation
prsb03-dataelement-10812
|
|
|
| Id |
prsb03-dataelement-10812 (2019‑03‑20 18:44:37)
|
| Description |
The date the observation was recorded |
| Relationship |
|
hl7ips-dataelement-211 - 2017‑12‑31 12:55:02 |
|
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year |
|
|
|
| Performing Professional
prsb03-dataelement-10854
|
|
|
| Id |
prsb03-dataelement-10854 (2019‑03‑27 17:25:51)
|
| Description |
Details of the professional performing the observation (including name and role). |
| Relationship |
|
| Operationalization |
Free text |
| Value Domain |
|
|
|
| Location
prsb03-dataelement-10855
|
|
|
| Id |
prsb03-dataelement-10855 (2019‑03‑27 17:27:01)
|
| Description |
The location where the pregnancy state details were recorded. |
| Relationship |
|
| Value Domain |
|
|
|
| Pregnancy state
prsb03-dataelement-10815
|
|
|
| Id |
prsb03-dataelement-10815 (2019‑03‑20 18:51:02)
|
| Description |
A flag that indicates whether the person is pregnant. |
| Relationship |
|
hl7ips-dataelement-212 - 2017‑12‑31 12:55:33 |
|
| Comment |
Pregnancy state |
| Operationalization |
Yes or No |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Expected delivery date
prsb03-dataelement-10813
|
|
|
| Id |
prsb03-dataelement-10813 (2019‑03‑20 18:45:38)
|
| Description |
The expected delivery date of the person. |
| Relationship |
|
hl7ips-dataelement-213 - 2017‑12‑31 12:56:56 |
|
| Operationalization |
Date and time |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Maternity Personalised Care Plan
prsb03-dataelement-10839
|
|
|
|
|
| Previous pregnancies
prsb03-dataelement-10827
|
|
|
|
|
| Date
prsb03-dataelement-10829
|
|
|
|
|
| Date and Time of Delivery
prsb03-dataelement-10836
|
|
|
|
|
| Location
prsb03-dataelement-10830
|
|
|
|
|
| Performing Professional
prsb03-dataelement-10831
|
|
|
| Id |
prsb03-dataelement-10831 (2019‑03‑21 15:32:29)
|
| Concept inherits from |
prsb03-dataelement-10492 (2018‑10‑31)
|
| Description |
Details of the professional recording the pregnancy outcome/delivery/birth details
(including name and role).
|
| Value Domain |
|
|
|
| Pregnancy Outcome
prsb03-dataelement-10828
|
|
|
|
|
| Complications from previous pregnancy
prsb03-dataelement-10832
|
|
|
| Id |
prsb03-dataelement-10832 (2019‑03‑21 15:33:45)
|
| Description |
Any complications in previous pregnancies e.g. blood transfusion |
| Value Domain |
|
|
|
| Investigation requests and results
prsb03-dataelement-10833
|
|
|
|
|
| Investigation requested
prsb03-dataelement-10834
|
|
|
| Id |
prsb03-dataelement-10834 (2019‑03‑21 15:45:23)
|
| Concept inherits from |
prsb03-dataelement-10733 (2019‑02‑08 16:22:42)
|
| Description |
The investigation that is requested.
The investigation may refer to an individual test or a group of related tests or broader
investigation required (so the investigator can determine the appropriate tests)
|
| Operationalization |
Free text or SNOMED.
Further work is in progress for pathology on the unified test list which should be
incorporated later
|
| Value Domain |
|
|
|
| Status of pregnancy
prsb03-dataelement-10805
|
|
|
|
|
| Pregnancy Description
prsb03-dataelement-10806
|
|
|
| Id |
prsb03-dataelement-10806 (2019‑03‑20 18:42:49)
|
| Concept inherits from |
hl7ips-dataelement-225 (2018‑07‑02 13:40:29)
|
| Value Domain |
|
|
|
| Structured Description
prsb03-dataelement-10807
|
|
|
|
|
| Date of Observation
prsb03-dataelement-10808
|
|
|
| Id |
prsb03-dataelement-10808 (2019‑03‑20 18:42:49)
|
| Concept inherits from |
hl7ips-dataelement-211 (2017‑12‑31 12:55:02)
|
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year |
|
|
|
| Pregnancy State
prsb03-dataelement-10809
|
|
|
| Id |
prsb03-dataelement-10809 (2019‑03‑20 18:42:49)
|
| Concept inherits from |
hl7ips-dataelement-212 (2017‑12‑31 12:55:33)
|
| Value Domain |
|
|
|
| Expected delivery date
prsb03-dataelement-10810
|
|
|
| Id |
prsb03-dataelement-10810 (2019‑03‑20 18:42:49)
|
| Concept inherits from |
hl7ips-dataelement-213 (2017‑12‑31 12:56:56)
|
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year |
|
|
|
| Specialist Contact
prsb03-dataelement-10811
|
|
|
| Id |
prsb03-dataelement-10811 (2019‑03‑20 18:42:49)
|
| Concept inherits from |
hl7ips-dataelement-200 (2017‑12‑25 20:58:56)
|
| Data Type |
Healthcare Provider |
|
| Value Domain |
|
|
|
| Assessments
prsb03-dataelement-262
|
|
|
| Id |
prsb03-dataelement-262 (2018‑10‑31)
|
| Description |
Assessment. |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Assessments record entry
prsb03-dataelement-11664
|
|
|
| Id |
prsb03-dataelement-11664 (2019‑05‑30 19:29:51)
|
| Description |
This is the assessments record entry.
This is not for structured assessments.
There may be 0 to many record entry/entries under a section.
Each record entry is made up of a number of elements or data items.
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date
prsb03-dataelement-10763
|
|
|
| Id |
prsb03-dataelement-10763 (2019‑03‑18 13:51:22)
|
| Description |
The date the assessment was done. |
| Relationship |
|
| Operationalization |
Date and time. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Location
prsb03-dataelement-10764
|
|
|
| Id |
prsb03-dataelement-10764 (2019‑03‑18 13:51:59)
|
| Description |
The location where the assessment was done. |
| Relationship |
|
| Operationalization |
ODS code or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Performing professional
prsb03-dataelement-12382
|
|
|
| Id |
prsb03-dataelement-12382 (2019‑06‑03 16:02:23)
|
| Description |
The professional who did the assessment. |
| Relationship |
|
| Operationalization |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-12383
|
|
|
| Id |
prsb03-dataelement-12383 (2019‑06‑03 16:02:46)
|
| Concept inherits from |
prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
|
| Description |
The name of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Role
prsb03-dataelement-12384
|
|
|
| Id |
prsb03-dataelement-12384 (2019‑06‑03 16:02:46)
|
| Concept inherits from |
prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
|
| Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
| Operationalization |
NHS Data dictionary or free text
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-12385
|
|
|
| Id |
prsb03-dataelement-12385 (2019‑06‑03 16:02:46)
|
| Concept inherits from |
prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
|
| Description |
The grade of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Speciality
prsb03-dataelement-12386
|
|
|
| Id |
prsb03-dataelement-12386 (2019‑06‑03 16:02:46)
|
| Concept inherits from |
prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
|
| Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-12387
|
|
|
| Id |
prsb03-dataelement-12387 (2019‑06‑03 16:02:46)
|
| Concept inherits from |
prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
|
| Description |
Professional identifier for the professional e.g. GMC number, HCPC number etc or the
personal identifier used by the local organisation.
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisation
prsb03-dataelement-12388
|
|
|
| Id |
prsb03-dataelement-12388 (2019‑06‑03 16:02:46)
|
| Concept inherits from |
prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
|
| Description |
The name of the organisation the professional works for. |
| Operationalization |
ODS code or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-12389
|
|
|
| Id |
prsb03-dataelement-12389 (2019‑06‑03 16:02:46)
|
| Concept inherits from |
prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
|
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Performing professional
prsb03-dataelement-10765
|
|
|
| Id |
prsb03-dataelement-10765 (2019‑03‑18 13:52:36)
|
| Description |
Details of the professional performing the assessment (including name and role). |
| Relationship |
|
| Value Domain |
|
|
|
| Assessment type
prsb03-dataelement-10822
|
|
|
| Id |
prsb03-dataelement-10822 (2019‑03‑21 12:55:22)
|
| Description |
The type of the assessment e.g. social care needs assessment. |
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Assessment summary
prsb03-dataelement-10754
|
|
|
| Id |
prsb03-dataelement-10754 (2019‑03‑07 18:21:12)
|
| Description |
The summary of the assessment |
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person completing record
prsb03-dataelement-11752
|
|
|
| Id |
prsb03-dataelement-11752 (2019‑05‑31 14:08:29)
|
| Concept inherits from |
prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
|
| Description |
Details of the person completing the record. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-11753
|
|
|
| Id |
prsb03-dataelement-11753 (2019‑05‑31 14:08:52)
|
| Concept inherits from |
prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
|
| Description |
The name of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisational role
prsb03-dataelement-11754
|
|
|
| Id |
prsb03-dataelement-11754 (2019‑05‑31 14:08:52)
|
| Concept inherits from |
prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
|
| Description |
The organisational role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Relationship |
|
| Operationalization |
NHS Data dictionary or free text.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-11755
|
|
|
| Id |
prsb03-dataelement-11755 (2019‑05‑31 14:08:52)
|
| Concept inherits from |
prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
|
| Description |
The grade of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Specialty
prsb03-dataelement-11756
|
|
|
|
|
| Organisation
prsb03-dataelement-11757
|
|
|
| Id |
prsb03-dataelement-11757 (2019‑05‑31 14:08:52)
|
| Concept inherits from |
prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
|
| Description |
The organisation the person completing the record works for. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-11758
|
|
|
| Id |
prsb03-dataelement-11758 (2019‑05‑31 14:08:52)
|
| Concept inherits from |
prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date completed
prsb03-dataelement-11759
|
|
|
| Id |
prsb03-dataelement-11759 (2019‑05‑31 14:08:52)
|
| Concept inherits from |
prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
|
| Description |
The date and time the record was completed. |
| Relationship |
|
| Operationalization |
Date and time. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-11760
|
|
|
| Id |
prsb03-dataelement-11760 (2019‑05‑31 14:08:52)
|
| Concept inherits from |
prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
|
| Description |
Contact details of the person completing the record (e.g. telephone number, email
address etc.).
|
| FHIR |
PractitionerRole.telecom |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Structured assessment
prsb03-dataelement-10655
|
|
|
| Id |
prsb03-dataelement-10655 (2018‑11‑13 12:15:56)
|
| Description |
Details of the structured assessment. |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date
prsb03-dataelement-10165
|
|
|
| Id |
prsb03-dataelement-10165 (2018‑10‑31)
|
| Description |
The date on which the structured assessment was done. |
| Operationalization |
Date/time |
| Value Domain |
|
|
|
| Location
prsb03-dataelement-10167
|
|
|
| Id |
prsb03-dataelement-10167 (2018‑10‑31)
|
| Description |
The date the structured assessment was done. |
| Operationalization |
ODS site code or free text. |
| Value Domain |
|
|
|
| Performing professional
prsb03-dataelement-10168
|
|
|
| Id |
prsb03-dataelement-10168 (2018‑10‑31)
|
| Description |
Details of the professional performing the assessment scale. |
| Operationalization |
Free text |
| Value Domain |
|
|
|
| Performing professional
prsb03-dataelement-12390
|
|
|
| Id |
prsb03-dataelement-12390 (2019‑06‑03 16:03:07)
|
| Description |
The professional who did the structured assessment. |
| Relationship |
|
|
|
| Name
prsb03-dataelement-12391
|
|
|
|
|
| Role
prsb03-dataelement-12392
|
|
|
| Id |
prsb03-dataelement-12392 (2019‑06‑03 16:03:28)
|
| Concept inherits from |
prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
|
| Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
| Operationalization |
NHS Data dictionary or free text
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
|
|
| Grade
prsb03-dataelement-12393
|
|
|
|
|
| Speciality
prsb03-dataelement-12394
|
|
|
| Id |
prsb03-dataelement-12394 (2019‑06‑03 16:03:28)
|
| Concept inherits from |
prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
|
| Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
|
|
| Professional identifier
prsb03-dataelement-12395
|
|
|
| Id |
prsb03-dataelement-12395 (2019‑06‑03 16:03:28)
|
| Concept inherits from |
prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
|
| Description |
Professional identifier for the professional e.g. GMC number, HCPC number etc or the
personal identifier used by the local organisation.
|
| Operationalization |
Free text. |
| Value Domain |
|
|
|
| Organisation
prsb03-dataelement-12396
|
|
|
| Id |
prsb03-dataelement-12396 (2019‑06‑03 16:03:28)
|
| Concept inherits from |
prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
|
| Description |
The name of the organisation the professional works for. |
| Operationalization |
ODS code or free text. |
| Value Domain |
|
|
|
| Contact details
prsb03-dataelement-12397
|
|
|
| Id |
prsb03-dataelement-12397 (2019‑06‑03 16:03:28)
|
| Concept inherits from |
prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
|
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text. |
| Value Domain |
|
|
|
| Structured assessment name
prsb03-dataelement-11751
|
|
|
| Id |
prsb03-dataelement-11751 (2019‑05‑31 13:52:26)
|
| Description |
Structured assessment name e.g. New York Heart Failure, Glasgow Coma scale, Activities
of Daily Living (ADL) etc.
|
| Operationalization |
SNOMED CT or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Assessment score
prsb03-dataelement-10162
|
|
|
| Id |
prsb03-dataelement-10162 (2018‑10‑31)
|
| Description |
The structured assessment score. |
| Operationalization |
SNOMED CT or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Assessment value
prsb03-dataelement-10163
|
|
|
| Id |
prsb03-dataelement-10163 (2018‑10‑31)
|
| Description |
The structured assessment value. |
| Operationalization |
Free text, alphanumeric or SNOMED CT |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Global score
prsb03-dataelement-10166
|
|
|
| Id |
prsb03-dataelement-10166 (2018‑10‑31)
|
| Description |
The total global score from the assessment. |
| Operationalization |
Free text |
| Value Domain |
|
|
|
| Subscale score
prsb03-dataelement-10169
|
|
|
| Id |
prsb03-dataelement-10169 (2018‑10‑31)
|
| Description |
The subscale score of the structured assessment. |
| Operationalization |
SNOMED CT or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Subscale value
prsb03-dataelement-10170
|
|
|
| Id |
prsb03-dataelement-10170 (2018‑10‑31)
|
| Description |
The subscale value of the structured assessment. |
| Operationalization |
Free text, alphanumeric or SNOMED CT. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person completing record
prsb03-dataelement-11761
|
|
|
|
|
| Name
prsb03-dataelement-11762
|
|
|
|
|
| Organisational role
prsb03-dataelement-11763
|
|
|
| Id |
prsb03-dataelement-11763 (2019‑05‑31 14:10:49)
|
| Concept inherits from |
prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
|
| Description |
The organisational role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Relationship |
|
| Operationalization |
NHS Data dictionary or free text.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
|
|
| Grade
prsb03-dataelement-11764
|
|
|
|
|
| Specialty
prsb03-dataelement-11765
|
|
|
|
|
| Organisation
prsb03-dataelement-11766
|
|
|
| Id |
prsb03-dataelement-11766 (2019‑05‑31 14:10:49)
|
| Concept inherits from |
prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
|
| Description |
The organisation the person completing the record works for. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
|
|
| Professional identifier
prsb03-dataelement-11767
|
|
|
| Id |
prsb03-dataelement-11767 (2019‑05‑31 14:10:49)
|
| Concept inherits from |
prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
|
|
| Date completed
prsb03-dataelement-11768
|
|
|
|
|
| Contact details
prsb03-dataelement-11769
|
|
|
| Id |
prsb03-dataelement-11769 (2019‑05‑31 14:10:49)
|
| Concept inherits from |
prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
|
| Description |
Contact details of the person completing the record (e.g. telephone number, email
address etc.).
|
| FHIR |
PractitionerRole.telecom |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
|
|
| Person completing record
prsb03-dataelement-10962
|
|
|
| Id |
prsb03-dataelement-10962 (2019‑05‑18 21:30:43)
|
| Concept inherits from |
prsb03-dataelement-10860 (2019‑03‑27 17:46:45)
|
| Description |
This is the person recording the individual requirement.
Should include their name, role, grade, specialty, organisation, professional identifier,
date and time completed, contact details
|
| Relationship |
|
| Operationalization |
Free text. Name, Role, Grade, Specialty, Organisation, Professional identifier, Date
and time completed, Contact details
|
| Value Domain |
|
|
|
| Comment
prsb03-dataelement-10164
|
|
|
| Id |
prsb03-dataelement-10164 (2018‑10‑31)
|
| Description |
Supporting text may be given regarding the assessment. |
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Schwangerschaft
prsb03-dataelement-10803
|
|
|
| Id |
prsb03-dataelement-10803 (2019‑03‑20 18:13:39)
|
| Concept inherits from |
asic-dataelement-26 (2018‑05‑14 16:24:44)
|
| Description |
Achtung: Schwangere Patientinnen sind vom ASIC Use Case ausgeschlossen.
|
| Verwendung |
Ausschlusskriterium
|
| Umgang mit Missing Values |
Einschluss
|
|
| Relationship |
|
| Terminology Asscociation |
This concept is represented by code "82810-3" (Pregnancy status) from code system 2.16.840.1.113883.6.1
LOINC)
|
| Value Domain |
|
| Example |
Pregnant 77386006
|
| Example |
Not pregnant 60001007
|
|
|
| Formulation
prsb03-dataelement-10749
|
|
|
| Id |
prsb03-dataelement-10749 (2019‑03‑07 14:50:29)
|
| Concept inherits from |
prsb03-dataelement-10148 (2018‑10‑31)
|
| Description |
An account, shared by a therapist and person, of the personal meaning and origins
of a person’s difficulties. This is viewed in the context of multiple factors including
relationships, social circumstances and life events and will indicate the most helpful
way forward.
|
| Operationalization |
Free text |
| Value Domain |
|
|
|
| Mental capacity assessment
prsb03-dataelement-10757
|
|
|
| Id |
prsb03-dataelement-10757 (2019‑03‑08 12:47:59)
|
| Concept inherits from |
prsb03-dataelement-10424 (2018‑10‑31)
|
| Description |
Whether an assessment of the mental capacity of the (adult) person has been undertaken,
if so, what capacity the decision relates to and the outcome of the assessment.
Also record best interests decision if person lacks capacity.
|
| Operationalization |
Free text |
|
|
| Person completing record
prsb03-dataelement-10958
|
|
|
| Id |
prsb03-dataelement-10958 (2019‑05‑18 21:12:38)
|
| Description |
This is the person recording the assessment. Should include their name, role, grade,
specialty, organisation, professional identifier, date and time completed, contact
details
|
| Relationship |
|
| Operationalization |
Free text. Name, Role, Grade, Specialty, Organisation, Professional identifier, Date
and time completed, Contact details
|
| Value Domain |
|
|
|
| Clinical summary
prsb03-dataelement-10750
|
|
|
| Id |
prsb03-dataelement-10750 (2019‑03‑07 17:13:57) Not needed
|
| Concept inherits from |
prsb03-dataelement-10147 (2018‑10‑31)
|
| Description |
Summary of the encounter. Where possible, very brief. This may include interpretation
of findings and results; differential diagnoses, opinion and specific action(s). Planned
actions will be recorded under ‘plan’.
|
| Operationalization |
Free text |
| Value Domain |
|
|
|
| Formulation
prsb03-dataelement-11666
|
|
|
| Id |
prsb03-dataelement-11666 (2019‑05‑30 20:43:07)
|
| Description |
Details of the person's formulation. |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Formulation record entry
prsb03-dataelement-11667
|
|
|
| Id |
prsb03-dataelement-11667 (2019‑05‑30 20:44:32)
|
| Description |
This is the formulation record entry. There may be 0 to many record entry/entries
under a section. Each record entry is made up of a number of elements or data items.
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date
prsb03-dataelement-11669
|
|
|
| Id |
prsb03-dataelement-11669 (2019‑05‑30 20:47:42)
|
| Description |
The date of the formulation was made. |
| Operationalization |
Date and time. |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Location
prsb03-dataelement-11670
|
|
|
| Id |
prsb03-dataelement-11670 (2019‑05‑30 20:48:26)
|
| Description |
The location where the formulation was made. |
| Operationalization |
ODS code or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Performing professional
prsb03-dataelement-11671
|
|
|
| Id |
prsb03-dataelement-11671 (2019‑05‑30 20:49:15)
|
| Description |
The professional who made the formulation. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-11672
|
|
|
| Id |
prsb03-dataelement-11672 (2019‑05‑30 20:49:34)
|
| Concept inherits from |
prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
|
| Description |
The name of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Role
prsb03-dataelement-11673
|
|
|
| Id |
prsb03-dataelement-11673 (2019‑05‑30 20:49:34)
|
| Concept inherits from |
prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
|
| Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
| Operationalization |
NHS Data dictionary or free text
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-11674
|
|
|
| Id |
prsb03-dataelement-11674 (2019‑05‑30 20:49:34)
|
| Concept inherits from |
prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
|
| Description |
The grade of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Speciality
prsb03-dataelement-11675
|
|
|
| Id |
prsb03-dataelement-11675 (2019‑05‑30 20:49:34)
|
| Concept inherits from |
prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
|
| Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-11676
|
|
|
| Id |
prsb03-dataelement-11676 (2019‑05‑30 20:49:34)
|
| Concept inherits from |
prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
|
| Description |
Professional identifier for the professional e.g. GMC number, HCPC number etc or the
personal identifier used by the local organisation.
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisation
prsb03-dataelement-11677
|
|
|
| Id |
prsb03-dataelement-11677 (2019‑05‑30 20:49:34)
|
| Concept inherits from |
prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
|
| Description |
The name of the organisation the professional works for. |
| Operationalization |
ODS code or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-11678
|
|
|
| Id |
prsb03-dataelement-11678 (2019‑05‑30 20:49:34)
|
| Concept inherits from |
prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
|
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Formulation
prsb03-dataelement-11668
|
|
|
| Id |
prsb03-dataelement-11668 (2019‑05‑30 20:46:15)
|
| Concept inherits from |
prsb03-dataelement-10148 (2018‑10‑31)
|
| Description |
An account, shared by a therapist and person, of the personal meaning and origins
of a person’s difficulties. This is viewed in the context of multiple factors including
relationships, social circumstances and life events and will indicate the most helpful
way forward.
|
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person completing record
prsb03-dataelement-11679
|
|
|
| Id |
prsb03-dataelement-11679 (2019‑05‑30 20:49:49)
|
| Concept inherits from |
prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
|
| Description |
Details of the person completing the record. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-11680
|
|
|
| Id |
prsb03-dataelement-11680 (2019‑05‑30 20:50:13)
|
| Concept inherits from |
prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
|
| Description |
The name of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisational role
prsb03-dataelement-11681
|
|
|
| Id |
prsb03-dataelement-11681 (2019‑05‑30 20:50:13)
|
| Concept inherits from |
prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
|
| Description |
The organisational role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Relationship |
|
| Operationalization |
NHS Data dictionary or free text.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-11682
|
|
|
| Id |
prsb03-dataelement-11682 (2019‑05‑30 20:50:13)
|
| Concept inherits from |
prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
|
| Description |
The grade of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Specialty
prsb03-dataelement-11683
|
|
|
|
|
| Organisation
prsb03-dataelement-11684
|
|
|
| Id |
prsb03-dataelement-11684 (2019‑05‑30 20:50:13)
|
| Concept inherits from |
prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
|
| Description |
The organisation the person completing the record works for. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-11685
|
|
|
| Id |
prsb03-dataelement-11685 (2019‑05‑30 20:50:13)
|
| Concept inherits from |
prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date completed
prsb03-dataelement-11686
|
|
|
| Id |
prsb03-dataelement-11686 (2019‑05‑30 20:50:13)
|
| Concept inherits from |
prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
|
| Description |
The date and time the record was completed. |
| Relationship |
|
| Operationalization |
Date and time. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-11687
|
|
|
| Id |
prsb03-dataelement-11687 (2019‑05‑30 20:50:13)
|
| Concept inherits from |
prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
|
| Description |
Contact details of the person completing the record (e.g. telephone number, email
address etc.).
|
| FHIR |
PractitionerRole.telecom |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Pregnancy State
prsb03-dataelement-10804
|
|
|
| Id |
prsb03-dataelement-10804 (2019‑03‑20 18:16:49)
|
| Concept inherits from |
hl7ips-dataelement-212 (2017‑12‑31 12:55:33)
|
| Value Domain |
|
|
|
| Risks
prsb03-dataelement-276
|
|
|
| Id |
prsb03-dataelement-276 (2018‑10‑31)
|
| Description |
Details of any risks related to the person. |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Start date of risk
prsb03-dataelement-10179
|
|
|
| Id |
prsb03-dataelement-10179 (2018‑10‑31)
|
| Description |
The start date of the risk. |
| Operationalization |
Date and time |
| Value Domain |
|
| Used by
|
0 transactions, 0 templates, inherited 5 times |
| |
This concept is inherited by concept
Start date of risk in dataset prsb03-dataelement-11893
This concept is inherited by concept
Start date of risk in dataset prsb03-dataelement-11913
This concept is inherited by concept
Start date of risk in dataset prsb03-dataelement-11933
This concept is inherited by concept
Start date of risk in dataset prsb03-dataelement-11953
This concept is inherited by concept
Start date of risk in dataset prsb03-dataelement-11973
|
|
|
| End date of risk
prsb03-dataelement-10801
|
|
|
| Id |
prsb03-dataelement-10801 (2019‑03‑20 14:20:23)
|
| Description |
The date the risk ended. |
| Operationalization |
Date and time |
| Value Domain |
|
| Used by
|
0 transactions, 0 templates, inherited 5 times |
| |
This concept is inherited by concept
End date of risk in dataset prsb03-dataelement-11894
This concept is inherited by concept
End date of risk in dataset prsb03-dataelement-11914
This concept is inherited by concept
End date of risk in dataset prsb03-dataelement-11934
This concept is inherited by concept
End date of risk in dataset prsb03-dataelement-11954
This concept is inherited by concept
End date of risk in dataset prsb03-dataelement-11974
|
|
|
| Location
prsb03-dataelement-10180
|
|
|
| Id |
prsb03-dataelement-10180 (2018‑10‑31)
|
| Description |
The location where the risk was identified. |
| Operationalization |
ODS code or text |
| Value Domain |
|
| Used by
|
0 transactions, 0 templates, inherited once |
| |
This concept is inherited by concept
Location in dataset prsb03-dataelement-11895
|
|
|
| Performing Professional
prsb03-dataelement-10181
|
|
|
| Id |
prsb03-dataelement-10181 (2018‑10‑31)
|
| Description |
Details of the professional recording the risk (including name and role). |
| Value Domain |
|
|
|
| Person completing record
prsb03-dataelement-10967
|
|
|
| Id |
prsb03-dataelement-10967 (2019‑05‑20 16:32:57)
|
| Description |
This is the person recording the risk. Should include their name, role, grade, specialty,
organisation, professional identifier, date and time completed, contact details
|
| Relationship |
|
| Operationalization |
Free text. Name, Role, Grade, Specialty, Organisation, Professional identifier, Date
and time completed, Contact details
|
| Value Domain |
|
|
|
| Risks to self
prsb03-dataelement-10176
|
|
|
| Id |
prsb03-dataelement-10176 (2018‑10‑31)
|
| Description |
Risks the person poses to themselves, e.g., suicide, overdose, self-harm, self-neglect. |
|
|
| Operationalization |
Free Text. |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Start date of risk
prsb03-dataelement-11893
|
|
|
| Id |
prsb03-dataelement-11893 (2019‑05‑31 14:50:40)
|
| Concept inherits from |
prsb03-dataelement-10179 (2018‑10‑31)
|
| Description |
The start date of the risk. |
| Operationalization |
Date and time |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| End date of risk
prsb03-dataelement-11894
|
|
|
| Id |
prsb03-dataelement-11894 (2019‑05‑31 14:51:05)
|
| Concept inherits from |
prsb03-dataelement-10801 (2019‑03‑20 14:20:23)
|
| Description |
The date the risk ended. |
| Operationalization |
Date and time |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Location
prsb03-dataelement-11895
|
|
|
| Id |
prsb03-dataelement-11895 (2019‑05‑31 14:51:50)
|
| Concept inherits from |
prsb03-dataelement-10180 (2018‑10‑31)
|
| Description |
The location where the risk was identified. |
| Operationalization |
ODS code or text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Performing professional
prsb03-dataelement-11896
|
|
|
| Id |
prsb03-dataelement-11896 (2019‑05‑31 14:52:35)
|
| Description |
The professional who identified the risk. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-11897
|
|
|
| Id |
prsb03-dataelement-11897 (2019‑05‑31 14:52:54)
|
| Concept inherits from |
prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
|
| Description |
The name of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Role
prsb03-dataelement-11898
|
|
|
| Id |
prsb03-dataelement-11898 (2019‑05‑31 14:52:54)
|
| Concept inherits from |
prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
|
| Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
| Operationalization |
NHS Data dictionary or free text
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-11899
|
|
|
| Id |
prsb03-dataelement-11899 (2019‑05‑31 14:52:54)
|
| Concept inherits from |
prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
|
| Description |
The grade of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Speciality
prsb03-dataelement-11900
|
|
|
| Id |
prsb03-dataelement-11900 (2019‑05‑31 14:52:54)
|
| Concept inherits from |
prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
|
| Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-11901
|
|
|
| Id |
prsb03-dataelement-11901 (2019‑05‑31 14:52:54)
|
| Concept inherits from |
prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
|
| Description |
Professional identifier for the professional e.g. GMC number, HCPC number etc or the
personal identifier used by the local organisation.
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisation
prsb03-dataelement-11902
|
|
|
| Id |
prsb03-dataelement-11902 (2019‑05‑31 14:52:54)
|
| Concept inherits from |
prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
|
| Description |
The name of the organisation the professional works for. |
| Operationalization |
ODS code or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-11903
|
|
|
| Id |
prsb03-dataelement-11903 (2019‑05‑31 14:52:54)
|
| Concept inherits from |
prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
|
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person completing record
prsb03-dataelement-11904
|
|
|
| Id |
prsb03-dataelement-11904 (2019‑05‑31 14:53:05)
|
| Concept inherits from |
prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
|
| Description |
Details of the person completing the record. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-11905
|
|
|
| Id |
prsb03-dataelement-11905 (2019‑05‑31 14:53:43)
|
| Concept inherits from |
prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
|
| Description |
The name of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisational role
prsb03-dataelement-11906
|
|
|
| Id |
prsb03-dataelement-11906 (2019‑05‑31 14:53:43)
|
| Concept inherits from |
prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
|
| Description |
The organisational role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Relationship |
|
| Operationalization |
NHS Data dictionary or free text.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-11907
|
|
|
| Id |
prsb03-dataelement-11907 (2019‑05‑31 14:53:43)
|
| Concept inherits from |
prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
|
| Description |
The grade of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Specialty
prsb03-dataelement-11908
|
|
|
|
|
| Organisation
prsb03-dataelement-11909
|
|
|
| Id |
prsb03-dataelement-11909 (2019‑05‑31 14:53:43)
|
| Concept inherits from |
prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
|
| Description |
The organisation the person completing the record works for. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-11910
|
|
|
| Id |
prsb03-dataelement-11910 (2019‑05‑31 14:53:43)
|
| Concept inherits from |
prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date completed
prsb03-dataelement-11911
|
|
|
| Id |
prsb03-dataelement-11911 (2019‑05‑31 14:53:43)
|
| Concept inherits from |
prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
|
| Description |
The date and time the record was completed. |
| Relationship |
|
| Operationalization |
Date and time. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-11912
|
|
|
| Id |
prsb03-dataelement-11912 (2019‑05‑31 14:53:43)
|
| Concept inherits from |
prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
|
| Description |
Contact details of the person completing the record (e.g. telephone number, email
address etc.).
|
| FHIR |
PractitionerRole.telecom |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date of self harm
prsb03-dataelement-10823
|
|
|
|
|
| Risks to others
prsb03-dataelement-10177
|
|
|
| Id |
prsb03-dataelement-10177 (2018‑10‑31)
|
| Description |
Risks to professionals or others. |
|
|
| Operationalization |
Free text. |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Start date of risk
prsb03-dataelement-11913
|
|
|
| Id |
prsb03-dataelement-11913 (2019‑05‑31 14:54:14)
|
| Concept inherits from |
prsb03-dataelement-10179 (2018‑10‑31)
|
| Description |
The start date of the risk. |
| Operationalization |
Date and time |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| End date of risk
prsb03-dataelement-11914
|
|
|
| Id |
prsb03-dataelement-11914 (2019‑05‑31 14:54:38)
|
| Concept inherits from |
prsb03-dataelement-10801 (2019‑03‑20 14:20:23)
|
| Description |
The date the risk ended. |
| Operationalization |
Date and time |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Location
prsb03-dataelement-11915
|
|
|
| Id |
prsb03-dataelement-11915 (2019‑05‑31 14:55:04)
|
| Description |
The location where the risk to others was identified. |
| Relationship |
|
| Operationalization |
ODS code or text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Performing professional
prsb03-dataelement-11916
|
|
|
| Id |
prsb03-dataelement-11916 (2019‑05‑31 14:55:39)
|
| Description |
The professional who identifies the risk to others. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-11917
|
|
|
| Id |
prsb03-dataelement-11917 (2019‑05‑31 14:55:55)
|
| Concept inherits from |
prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
|
| Description |
The name of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Role
prsb03-dataelement-11918
|
|
|
| Id |
prsb03-dataelement-11918 (2019‑05‑31 14:55:55)
|
| Concept inherits from |
prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
|
| Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
| Operationalization |
NHS Data dictionary or free text
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-11919
|
|
|
| Id |
prsb03-dataelement-11919 (2019‑05‑31 14:55:55)
|
| Concept inherits from |
prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
|
| Description |
The grade of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Speciality
prsb03-dataelement-11920
|
|
|
| Id |
prsb03-dataelement-11920 (2019‑05‑31 14:55:55)
|
| Concept inherits from |
prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
|
| Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-11921
|
|
|
| Id |
prsb03-dataelement-11921 (2019‑05‑31 14:55:55)
|
| Concept inherits from |
prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
|
| Description |
Professional identifier for the professional e.g. GMC number, HCPC number etc or the
personal identifier used by the local organisation.
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisation
prsb03-dataelement-11922
|
|
|
| Id |
prsb03-dataelement-11922 (2019‑05‑31 14:55:55)
|
| Concept inherits from |
prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
|
| Description |
The name of the organisation the professional works for. |
| Operationalization |
ODS code or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-11923
|
|
|
| Id |
prsb03-dataelement-11923 (2019‑05‑31 14:55:55)
|
| Concept inherits from |
prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
|
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person completing record
prsb03-dataelement-11924
|
|
|
| Id |
prsb03-dataelement-11924 (2019‑05‑31 14:56:46)
|
| Concept inherits from |
prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
|
| Description |
Details of the person completing the record. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-11925
|
|
|
| Id |
prsb03-dataelement-11925 (2019‑05‑31 14:57:11)
|
| Concept inherits from |
prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
|
| Description |
The name of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisational role
prsb03-dataelement-11926
|
|
|
| Id |
prsb03-dataelement-11926 (2019‑05‑31 14:57:11)
|
| Concept inherits from |
prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
|
| Description |
The organisational role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Relationship |
|
| Operationalization |
NHS Data dictionary or free text.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-11927
|
|
|
| Id |
prsb03-dataelement-11927 (2019‑05‑31 14:57:11)
|
| Concept inherits from |
prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
|
| Description |
The grade of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Specialty
prsb03-dataelement-11928
|
|
|
|
|
| Organisation
prsb03-dataelement-11929
|
|
|
| Id |
prsb03-dataelement-11929 (2019‑05‑31 14:57:11)
|
| Concept inherits from |
prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
|
| Description |
The organisation the person completing the record works for. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-11930
|
|
|
| Id |
prsb03-dataelement-11930 (2019‑05‑31 14:57:11)
|
| Concept inherits from |
prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date completed
prsb03-dataelement-11931
|
|
|
| Id |
prsb03-dataelement-11931 (2019‑05‑31 14:57:11)
|
| Concept inherits from |
prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
|
| Description |
The date and time the record was completed. |
| Relationship |
|
| Operationalization |
Date and time. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-11932
|
|
|
| Id |
prsb03-dataelement-11932 (2019‑05‑31 14:57:11)
|
| Concept inherits from |
prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
|
| Description |
Contact details of the person completing the record (e.g. telephone number, email
address etc.).
|
| FHIR |
PractitionerRole.telecom |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Risk from others
prsb03-dataelement-10178
|
|
|
| Id |
prsb03-dataelement-10178 (2018‑10‑31)
|
| Description |
Risks to the person from an identified individual e.g. family member etc. |
|
|
| Operationalization |
Free Text. |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Start date of risk
prsb03-dataelement-11933
|
|
|
| Id |
prsb03-dataelement-11933 (2019‑05‑31 14:58:12)
|
| Concept inherits from |
prsb03-dataelement-10179 (2018‑10‑31)
|
| Description |
The start date of the risk. |
| Operationalization |
Date and time |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| End date of risk
prsb03-dataelement-11934
|
|
|
| Id |
prsb03-dataelement-11934 (2019‑05‑31 14:58:38)
|
| Concept inherits from |
prsb03-dataelement-10801 (2019‑03‑20 14:20:23)
|
| Description |
The date the risk ended. |
| Operationalization |
Date and time |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Location
prsb03-dataelement-11935
|
|
|
| Id |
prsb03-dataelement-11935 (2019‑05‑31 14:59:06)
|
| Description |
The location where the risk from others was identified. |
| Relationship |
|
| Operationalization |
ODS code or text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Performing professional
prsb03-dataelement-11936
|
|
|
| Id |
prsb03-dataelement-11936 (2019‑05‑31 14:59:33)
|
| Description |
The professional who identified the risk from others. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-11937
|
|
|
| Id |
prsb03-dataelement-11937 (2019‑05‑31 14:59:53)
|
| Concept inherits from |
prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
|
| Description |
The name of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Role
prsb03-dataelement-11938
|
|
|
| Id |
prsb03-dataelement-11938 (2019‑05‑31 14:59:53)
|
| Concept inherits from |
prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
|
| Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
| Operationalization |
NHS Data dictionary or free text
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-11939
|
|
|
| Id |
prsb03-dataelement-11939 (2019‑05‑31 14:59:53)
|
| Concept inherits from |
prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
|
| Description |
The grade of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Speciality
prsb03-dataelement-11940
|
|
|
| Id |
prsb03-dataelement-11940 (2019‑05‑31 14:59:53)
|
| Concept inherits from |
prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
|
| Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-11941
|
|
|
| Id |
prsb03-dataelement-11941 (2019‑05‑31 14:59:53)
|
| Concept inherits from |
prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
|
| Description |
Professional identifier for the professional e.g. GMC number, HCPC number etc or the
personal identifier used by the local organisation.
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisation
prsb03-dataelement-11942
|
|
|
| Id |
prsb03-dataelement-11942 (2019‑05‑31 14:59:53)
|
| Concept inherits from |
prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
|
| Description |
The name of the organisation the professional works for. |
| Operationalization |
ODS code or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-11943
|
|
|
| Id |
prsb03-dataelement-11943 (2019‑05‑31 14:59:53)
|
| Concept inherits from |
prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
|
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person completing record
prsb03-dataelement-11944
|
|
|
| Id |
prsb03-dataelement-11944 (2019‑05‑31 15:00:03)
|
| Concept inherits from |
prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
|
| Description |
Details of the person completing the record. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-11945
|
|
|
| Id |
prsb03-dataelement-11945 (2019‑05‑31 15:00:27)
|
| Concept inherits from |
prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
|
| Description |
The name of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisational role
prsb03-dataelement-11946
|
|
|
| Id |
prsb03-dataelement-11946 (2019‑05‑31 15:00:27)
|
| Concept inherits from |
prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
|
| Description |
The organisational role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Relationship |
|
| Operationalization |
NHS Data dictionary or free text.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-11947
|
|
|
| Id |
prsb03-dataelement-11947 (2019‑05‑31 15:00:27)
|
| Concept inherits from |
prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
|
| Description |
The grade of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Specialty
prsb03-dataelement-11948
|
|
|
|
|
| Organisation
prsb03-dataelement-11949
|
|
|
| Id |
prsb03-dataelement-11949 (2019‑05‑31 15:00:27)
|
| Concept inherits from |
prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
|
| Description |
The organisation the person completing the record works for. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-11950
|
|
|
| Id |
prsb03-dataelement-11950 (2019‑05‑31 15:00:27)
|
| Concept inherits from |
prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date completed
prsb03-dataelement-11951
|
|
|
| Id |
prsb03-dataelement-11951 (2019‑05‑31 15:00:27)
|
| Concept inherits from |
prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
|
| Description |
The date and time the record was completed. |
| Relationship |
|
| Operationalization |
Date and time. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-11952
|
|
|
| Id |
prsb03-dataelement-11952 (2019‑05‑31 15:00:27)
|
| Concept inherits from |
prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
|
| Description |
Contact details of the person completing the record (e.g. telephone number, email
address etc.).
|
| FHIR |
PractitionerRole.telecom |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Risk of accidents
prsb03-dataelement-10751
|
|
|
| Id |
prsb03-dataelement-10751 (2019‑03‑07 17:19:00)
|
| Description |
Risks the person poses to themselves from accidents. |
| Operationalization |
Free text. |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Start date of risk
prsb03-dataelement-11953
|
|
|
| Id |
prsb03-dataelement-11953 (2019‑05‑31 15:00:58)
|
| Concept inherits from |
prsb03-dataelement-10179 (2018‑10‑31)
|
| Description |
The start date of the risk. |
| Operationalization |
Date and time |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| End date of risk
prsb03-dataelement-11954
|
|
|
| Id |
prsb03-dataelement-11954 (2019‑05‑31 15:01:29)
|
| Concept inherits from |
prsb03-dataelement-10801 (2019‑03‑20 14:20:23)
|
| Description |
The date the risk ended. |
| Operationalization |
Date and time |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Location
prsb03-dataelement-11955
|
|
|
| Id |
prsb03-dataelement-11955 (2019‑05‑31 15:01:51)
|
| Description |
The location where the risk of accidents was identified. |
| Relationship |
|
| Operationalization |
ODS code or text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Performing professional
prsb03-dataelement-11956
|
|
|
| Id |
prsb03-dataelement-11956 (2019‑05‑31 15:02:24)
|
| Description |
The professional who identified the risk of accidents. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-11957
|
|
|
| Id |
prsb03-dataelement-11957 (2019‑05‑31 15:02:41)
|
| Concept inherits from |
prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
|
| Description |
The name of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Role
prsb03-dataelement-11958
|
|
|
| Id |
prsb03-dataelement-11958 (2019‑05‑31 15:02:41)
|
| Concept inherits from |
prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
|
| Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
| Operationalization |
NHS Data dictionary or free text
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-11959
|
|
|
| Id |
prsb03-dataelement-11959 (2019‑05‑31 15:02:41)
|
| Concept inherits from |
prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
|
| Description |
The grade of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Speciality
prsb03-dataelement-11960
|
|
|
| Id |
prsb03-dataelement-11960 (2019‑05‑31 15:02:41)
|
| Concept inherits from |
prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
|
| Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-11961
|
|
|
| Id |
prsb03-dataelement-11961 (2019‑05‑31 15:02:41)
|
| Concept inherits from |
prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
|
| Description |
Professional identifier for the professional e.g. GMC number, HCPC number etc or the
personal identifier used by the local organisation.
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisation
prsb03-dataelement-11962
|
|
|
| Id |
prsb03-dataelement-11962 (2019‑05‑31 15:02:41)
|
| Concept inherits from |
prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
|
| Description |
The name of the organisation the professional works for. |
| Operationalization |
ODS code or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-11963
|
|
|
| Id |
prsb03-dataelement-11963 (2019‑05‑31 15:02:41)
|
| Concept inherits from |
prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
|
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person completing record
prsb03-dataelement-11964
|
|
|
| Id |
prsb03-dataelement-11964 (2019‑05‑31 15:02:51)
|
| Concept inherits from |
prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
|
| Description |
Details of the person completing the record. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-11965
|
|
|
| Id |
prsb03-dataelement-11965 (2019‑05‑31 15:03:12)
|
| Concept inherits from |
prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
|
| Description |
The name of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisational role
prsb03-dataelement-11966
|
|
|
| Id |
prsb03-dataelement-11966 (2019‑05‑31 15:03:12)
|
| Concept inherits from |
prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
|
| Description |
The organisational role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Relationship |
|
| Operationalization |
NHS Data dictionary or free text.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-11967
|
|
|
| Id |
prsb03-dataelement-11967 (2019‑05‑31 15:03:12)
|
| Concept inherits from |
prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
|
| Description |
The grade of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Specialty
prsb03-dataelement-11968
|
|
|
|
|
| Organisation
prsb03-dataelement-11969
|
|
|
| Id |
prsb03-dataelement-11969 (2019‑05‑31 15:03:12)
|
| Concept inherits from |
prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
|
| Description |
The organisation the person completing the record works for. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-11970
|
|
|
| Id |
prsb03-dataelement-11970 (2019‑05‑31 15:03:12)
|
| Concept inherits from |
prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date completed
prsb03-dataelement-11971
|
|
|
| Id |
prsb03-dataelement-11971 (2019‑05‑31 15:03:12)
|
| Concept inherits from |
prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
|
| Description |
The date and time the record was completed. |
| Relationship |
|
| Operationalization |
Date and time. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-11972
|
|
|
| Id |
prsb03-dataelement-11972 (2019‑05‑31 15:03:12)
|
| Concept inherits from |
prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
|
| Description |
Contact details of the person completing the record (e.g. telephone number, email
address etc.).
|
| FHIR |
PractitionerRole.telecom |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Other risks
prsb03-dataelement-10802
|
|
|
| Id |
prsb03-dataelement-10802 (2019‑03‑20 14:23:40)
|
| Description |
Other risks, factors or behaviours relating to the person. |
| Operationalization |
Free text. |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Start date of risk
prsb03-dataelement-11973
|
|
|
| Id |
prsb03-dataelement-11973 (2019‑05‑31 15:03:41)
|
| Concept inherits from |
prsb03-dataelement-10179 (2018‑10‑31)
|
| Description |
The start date of the risk. |
| Operationalization |
Date and time |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| End date of risk
prsb03-dataelement-11974
|
|
|
| Id |
prsb03-dataelement-11974 (2019‑05‑31 15:04:10)
|
| Concept inherits from |
prsb03-dataelement-10801 (2019‑03‑20 14:20:23)
|
| Description |
The date the risk ended. |
| Operationalization |
Date and time |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Location
prsb03-dataelement-11975
|
|
|
| Id |
prsb03-dataelement-11975 (2019‑05‑31 15:04:35)
|
| Description |
The location where the other risks were identified. |
| Relationship |
|
| Operationalization |
ODS code or text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Performing professional
prsb03-dataelement-11976
|
|
|
| Id |
prsb03-dataelement-11976 (2019‑05‑31 15:05:03)
|
| Description |
The professional who identified the other risks. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-11977
|
|
|
| Id |
prsb03-dataelement-11977 (2019‑05‑31 15:05:19)
|
| Concept inherits from |
prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
|
| Description |
The name of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Role
prsb03-dataelement-11978
|
|
|
| Id |
prsb03-dataelement-11978 (2019‑05‑31 15:05:19)
|
| Concept inherits from |
prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
|
| Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
| Operationalization |
NHS Data dictionary or free text
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-11979
|
|
|
| Id |
prsb03-dataelement-11979 (2019‑05‑31 15:05:19)
|
| Concept inherits from |
prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
|
| Description |
The grade of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Speciality
prsb03-dataelement-11980
|
|
|
| Id |
prsb03-dataelement-11980 (2019‑05‑31 15:05:19)
|
| Concept inherits from |
prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
|
| Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-11981
|
|
|
| Id |
prsb03-dataelement-11981 (2019‑05‑31 15:05:19)
|
| Concept inherits from |
prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
|
| Description |
Professional identifier for the professional e.g. GMC number, HCPC number etc or the
personal identifier used by the local organisation.
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisation
prsb03-dataelement-11982
|
|
|
| Id |
prsb03-dataelement-11982 (2019‑05‑31 15:05:19)
|
| Concept inherits from |
prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
|
| Description |
The name of the organisation the professional works for. |
| Operationalization |
ODS code or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-11983
|
|
|
| Id |
prsb03-dataelement-11983 (2019‑05‑31 15:05:19)
|
| Concept inherits from |
prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
|
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person completing record
prsb03-dataelement-11984
|
|
|
| Id |
prsb03-dataelement-11984 (2019‑05‑31 15:05:29)
|
| Concept inherits from |
prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
|
| Description |
Details of the person completing the record. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-11985
|
|
|
| Id |
prsb03-dataelement-11985 (2019‑05‑31 15:05:47)
|
| Concept inherits from |
prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
|
| Description |
The name of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisational role
prsb03-dataelement-11986
|
|
|
| Id |
prsb03-dataelement-11986 (2019‑05‑31 15:05:47)
|
| Concept inherits from |
prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
|
| Description |
The organisational role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Relationship |
|
| Operationalization |
NHS Data dictionary or free text.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-11987
|
|
|
| Id |
prsb03-dataelement-11987 (2019‑05‑31 15:05:47)
|
| Concept inherits from |
prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
|
| Description |
The grade of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Specialty
prsb03-dataelement-11988
|
|
|
|
|
| Organisation
prsb03-dataelement-11989
|
|
|
| Id |
prsb03-dataelement-11989 (2019‑05‑31 15:05:47)
|
| Concept inherits from |
prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
|
| Description |
The organisation the person completing the record works for. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-11990
|
|
|
| Id |
prsb03-dataelement-11990 (2019‑05‑31 15:05:47)
|
| Concept inherits from |
prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date completed
prsb03-dataelement-11991
|
|
|
| Id |
prsb03-dataelement-11991 (2019‑05‑31 15:05:47)
|
| Concept inherits from |
prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
|
| Description |
The date and time the record was completed. |
| Relationship |
|
| Operationalization |
Date and time. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-11992
|
|
|
| Id |
prsb03-dataelement-11992 (2019‑05‑31 15:05:47)
|
| Concept inherits from |
prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
|
| Description |
Contact details of the person completing the record (e.g. telephone number, email
address etc.).
|
| FHIR |
PractitionerRole.telecom |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Infection risk
prsb03-dataelement-12479
|
|
|
| Id |
prsb03-dataelement-12479 (2019‑06‑27 15:22:39)
|
| Description |
Details of any known infection of the person for which special handling might be required |
| Operationalization |
Free text or SNOMED code for the infection |
| Value Domain |
|
|
|
| Person completing record
prsb03-dataelement-10959
|
|
|
| Id |
prsb03-dataelement-10959 (2019‑05‑18 21:13:52)
|
| Concept inherits from |
prsb03-dataelement-10860 (2019‑03‑27 17:46:45)
|
| Description |
This is the person recording the individual requirement.
Should include their name, role, grade, specialty, organisation, professional identifier,
date and time completed, contact details
|
| Relationship |
|
| Operationalization |
Free text. Name, Role, Grade, Specialty, Organisation, Professional identifier, Date
and time completed, Contact details
|
| Value Domain |
|
|
|
| Other risk behaviours
prsb03-dataelement-10752
|
|
|
|
|
| Factors affecting risk
prsb03-dataelement-10753
|
|
|
|
|
| Allergies and adverse reactions
prsb03-dataelement-282
|
|
|
| Id |
prsb03-dataelement-282 (2018‑10‑31)
|
| Description |
Allergies and adverse reactions |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Allergies and adverse reactions record entry
prsb03-dataelement-10657
|
|
|
| Id |
prsb03-dataelement-10657 (2018‑11‑13 12:23:03)
|
| Description |
This is a allergies and adverse reactions record entry. There may be 1 to many record
entries under a section.
Each record entry is made up of a number of elements or data items.
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Causative agent
prsb03-dataelement-10182
|
|
|
| Id |
prsb03-dataelement-10182 (2018‑10‑31)
|
| Description |
The agent such as food, drug or substances that has caused or may cause an allergy,
intolerance or adverse reaction in this person Or “No known drug allergies or adverse
reactions” Or “Information not available”
|
| FHIR |
AllergyIntolerance.code |
|
| Operationalization |
Choice of• Text• Coded text- [SNOMED CT](<105590001
SubstanceOR <373873005
Pharmaceutical / biologic product
OR <716186003
No known allergy
OR 196461000000101
Transfer-degraded drug allergy
OR 196471000000108
Transfer-degraded non-drug allergy)Or alternatively one of the following statements:"No
known drug allergies" Or "Information not available"Or a code from the v3 Code System
NullFlavor specifying why a valid value is not present.
or
Choice of
• Text
• Coded text - constraint: SNOMED CT:
Allergy Archetypes Drug Groups
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Reaction details cluster
prsb03-dataelement-10658
|
|
|
| Id |
prsb03-dataelement-10658 (2018‑11‑13 12:29:25)
|
| Description |
Details of the reaction. |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date
prsb03-dataelement-10190
|
|
|
| Id |
prsb03-dataelement-10190 (2018‑10‑31)
|
| Description |
The date that the reaction was identified.
This will often equate to the date of onset of the reaction but this may not be wholly
clear from source data.
|
|
|
| Operationalization |
Date and time |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Location
prsb03-dataelement-10846
|
|
|
| Id |
prsb03-dataelement-10846 (2019‑03‑27 17:04:11)
|
| Description |
Details of where the allergy was identified. |
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Performing professional
prsb03-dataelement-10847
|
|
|
| Id |
prsb03-dataelement-10847 (2019‑03‑27 17:08:07)
|
| Description |
Details of the professional recording the allergy (including name and role). |
| Value Domain |
|
|
|
| Person completing record
prsb03-dataelement-10968
|
|
|
| Id |
prsb03-dataelement-10968 (2019‑05‑20 18:12:21)
|
| Description |
This is the person recording the allergies or adverse reactions.
Should include their name, role, grade, specialty, organisation, professional identifier,
date and time completed, contact details
|
| Relationship |
|
| Operationalization |
Free text. Name, Role, Grade, Specialty, Organisation, Professional identifier, Date
and time completed, Contact details
|
| Value Domain |
|
|
|
| Substance
prsb03-dataelement-11665
|
|
|
| Id |
prsb03-dataelement-11665 (2019‑05‑30 20:17:32)
|
| Description |
The substance, or a class of substances, that is considered to be responsible for
the adverse reaction.
|
| Operationalization |
SNOMED CT or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Description of reaction
prsb03-dataelement-10183
|
|
|
| Id |
prsb03-dataelement-10183 (2018‑10‑31)
|
| Description |
A description of the manifestation of the allergic or adverse reaction experienced
by the person.
For example, skin rash.
|
| FHIR |
AllergyIntolerance.reaction.manifestation AllergyIntolerance.reaction.description |
|
| Operationalization |
Choice of TextCoded text – constraint: SNOMED CT. Anything under <<404684003
clinical finding (finding)
)
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Severity
prsb03-dataelement-10184
|
|
|
| Id |
prsb03-dataelement-10184 (2018‑10‑31)
|
| Description |
A description of the severity of the reaction |
| FHIR |
AllergyIntolerance.reaction.severity |
|
| Operationalization |
Coded text
Mild [The reaction was mild.][SNOMED-CT::255604002] (Mild (qualifier value))
Moderate [The reaction was moderate.][SNOMED-CT::6736007] (Moderate (severity modifier)
(qualifier value))
Severe [The reaction was severe.][SNOMED-CT::24484000] (Severe (severity modifier)
(qualifier value))
Life threatening [The reaction was life-threatening.][SNOMED-CT::442452003] (Life
threatening severity (qualifier value))
Fatal [The reaction was fatal.] [SNOMED-CT::399166001] (Fatal (qualifier value))
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Certainty
prsb03-dataelement-10185
|
|
|
| Id |
prsb03-dataelement-10185 (2018‑10‑31)
|
| Description |
A description of the certainty that the stated causative agent caused the allergic
or adverse reaction.
|
| FHIR |
AllergyIntolerance.verificationStatus |
|
| Operationalization |
Coded text
Unlikely [The reaction is thought unlikely to have been caused by the agent.] [SNOMED-CT::1491118016]
Likely [The reaction is thought likely to have been caused by the agent.] [SNOMED-CT::5961011]
Certain [The agent is thought to be certain to have caused the reaction but this has
not been confirmed by challenge testing.] [SNOMED-CT::255545003] (Definite (qualifier
value))
t0018::Confirmed by challenge testing [The reaction to the agent has been confirmed
by challenge testing or other concrete
evidence.] [SNOMED-CT::410605003] (Confirmed present (qualifier value))
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Comment
prsb03-dataelement-10189
|
|
|
| Id |
prsb03-dataelement-10189 (2018‑10‑31)
|
| Description |
Any additional comment or clarification about the adverse reaction. |
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Type of reaction
prsb03-dataelement-10186
|
|
|
| Id |
prsb03-dataelement-10186 (2018‑10‑31)
|
| Description |
The type of reaction experienced by the person (allergic, adverse, intolerance) |
| FHIR |
AllergyIntolerance.type |
|
| Operationalization |
Coded text :-
Allergy
Intolerance
Not known
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Evidence
prsb03-dataelement-10187
|
|
|
| Id |
prsb03-dataelement-10187 (2018‑10‑31)
|
| Description |
Results of investigations that confirmed the certainty of the diagnosis. Examples
might include results of skin prick allergy tests
|
| FHIR |
AllergyIntolerance.extension.evidence |
|
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date first experienced
prsb03-dataelement-10188
|
|
|
| Id |
prsb03-dataelement-10188 (2018‑10‑31)
|
| Description |
When the reaction was first experienced. May be a date or partial date (e.g. year)
or text (e.g. during childhood)
|
| FHIR |
AllergyIntolerance.onset[x] |
|
| Operationalization |
Date and time or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Probability of recurrence
prsb03-dataelement-10191
|
|
|
| Id |
prsb03-dataelement-10191 (2018‑10‑31)
|
| Description |
Probability of the reaction (allergic, adverse, intolerant) occurring. |
| FHIR |
AllergyIntolerance.extension.ProbabilityOfRecurrence |
|
| Operationalization |
Free text |
| Value Domain |
|
|
|
| Performing professional
prsb03-dataelement-12010
|
|
|
| Id |
prsb03-dataelement-12010 (2019‑05‑31 15:23:59)
|
| Description |
The professional who identified the reaction. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-12011
|
|
|
| Id |
prsb03-dataelement-12011 (2019‑05‑31 15:24:24)
|
| Concept inherits from |
prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
|
| Description |
The name of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Role
prsb03-dataelement-12012
|
|
|
| Id |
prsb03-dataelement-12012 (2019‑05‑31 15:24:24)
|
| Concept inherits from |
prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
|
| Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
| Operationalization |
NHS Data dictionary or free text
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-12013
|
|
|
| Id |
prsb03-dataelement-12013 (2019‑05‑31 15:24:24)
|
| Concept inherits from |
prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
|
| Description |
The grade of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Speciality
prsb03-dataelement-12014
|
|
|
| Id |
prsb03-dataelement-12014 (2019‑05‑31 15:24:24)
|
| Concept inherits from |
prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
|
| Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-12015
|
|
|
| Id |
prsb03-dataelement-12015 (2019‑05‑31 15:24:24)
|
| Concept inherits from |
prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
|
| Description |
Professional identifier for the professional e.g. GMC number, HCPC number etc or the
personal identifier used by the local organisation.
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisation
prsb03-dataelement-12016
|
|
|
| Id |
prsb03-dataelement-12016 (2019‑05‑31 15:24:24)
|
| Concept inherits from |
prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
|
| Description |
The name of the organisation the professional works for. |
| Operationalization |
ODS code or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-12017
|
|
|
| Id |
prsb03-dataelement-12017 (2019‑05‑31 15:24:24)
|
| Concept inherits from |
prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
|
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person completing record
prsb03-dataelement-12018
|
|
|
| Id |
prsb03-dataelement-12018 (2019‑05‑31 15:24:36)
|
| Concept inherits from |
prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
|
| Description |
Details of the person completing the record. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-12019
|
|
|
| Id |
prsb03-dataelement-12019 (2019‑05‑31 15:24:56)
|
| Concept inherits from |
prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
|
| Description |
The name of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisational role
prsb03-dataelement-12020
|
|
|
| Id |
prsb03-dataelement-12020 (2019‑05‑31 15:24:56)
|
| Concept inherits from |
prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
|
| Description |
The organisational role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Relationship |
|
| Operationalization |
NHS Data dictionary or free text.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-12021
|
|
|
| Id |
prsb03-dataelement-12021 (2019‑05‑31 15:24:56)
|
| Concept inherits from |
prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
|
| Description |
The grade of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Specialty
prsb03-dataelement-12022
|
|
|
|
|
| Organisation
prsb03-dataelement-12023
|
|
|
| Id |
prsb03-dataelement-12023 (2019‑05‑31 15:24:56)
|
| Concept inherits from |
prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
|
| Description |
The organisation the person completing the record works for. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-12024
|
|
|
| Id |
prsb03-dataelement-12024 (2019‑05‑31 15:24:56)
|
| Concept inherits from |
prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date completed
prsb03-dataelement-12025
|
|
|
| Id |
prsb03-dataelement-12025 (2019‑05‑31 15:24:56)
|
| Concept inherits from |
prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
|
| Description |
The date and time the record was completed. |
| Relationship |
|
| Operationalization |
Date and time. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-12026
|
|
|
| Id |
prsb03-dataelement-12026 (2019‑05‑31 15:24:56)
|
| Concept inherits from |
prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
|
| Description |
Contact details of the person completing the record (e.g. telephone number, email
address etc.).
|
| FHIR |
PractitionerRole.telecom |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
 Person completing record
prsb03-dataelement-10960
|
|
|
| Id |
prsb03-dataelement-10960 (2019‑05‑18 21:15:23)
|
| Concept inherits from |
prsb03-dataelement-10860 (2019‑03‑27 17:46:45)
|
| Description |
This is the person recording the individual requirement.
Should include their name, role, grade, specialty, organisation, professional identifier,
date and time completed, contact details
|
| Relationship |
|
| Operationalization |
Free text. Name, Role, Grade, Specialty, Organisation, Professional identifier, Date
and time completed, Contact details
|
| Value Domain |
|
|
|
| Medications and medical devices
prsb03-dataelement-636
|
|
|
| Id |
prsb03-dataelement-636 (2018‑10‑31)
|
| Description |
Medications and medical devices |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Medication administration record entry
prsb03-dataelement-12483
|
|
|
|
|
| Medication name
prsb03-dataelement-12484
|
|
|
| Id |
prsb03-dataelement-12484 (2019‑07‑03 12:27:06)
|
| Concept inherits from |
prsb03-dataelement-10536 (2018‑10‑31)
|
| Description |
May be generic name or brand name. |
| FHIR |
MedicationStatement.medication[x].medicationCodableConcept MedicationStatement.medication[x].medicationReference
(see Medication) (Systems should send as much details as they can. dm+d code can be
sent as a simple code/description pair using CodeableConcept, or as a detailed medication
record)
|
|
| Operationalization |
Choice ofText
Coded text - constraint: MedicationName. Any AMP/VMP/VTM/AMPP/VMPP subsets from the
dm+d terminology. NHS dm+d AMP ::352201000001139 NHS dm+d AMPP ::352401000001135 NHS
dm+d VMP ::352701000001133 NHS dm+d VMPP ::352301000001131 NHS dm+d VTM ::352601000001138.
Constraint binding: [dm+d]subset=NHS_dm+d
|
| Value Domain |
|
|
|
| Route
prsb03-dataelement-12485
|
|
|
| Id |
prsb03-dataelement-12485 (2019‑07‑03 12:28:40)
|
| Concept inherits from |
prsb03-dataelement-10538 (2018‑10‑31)
|
| Description |
The route by which the medication is administered e.g. oral, IM, IV |
| FHIR |
MedicationStatement.dosage.route |
|
| Operationalization |
Free text or SNOMED CT
NHS e-Prescribing route of administration subset refset ^999000051000001100
|
| Value Domain |
|
|
|
| Dose administered
prsb03-dataelement-12487
|
|
|
| Id |
prsb03-dataelement-12487 (2019‑07‑03 12:35:08)
|
| Description |
The quantity and units of medication administered |
| Operationalization |
Free text. The quantity and units administered |
| Value Domain |
|
|
|
| Administration date and time
prsb03-dataelement-12486
|
|
|
| Id |
prsb03-dataelement-12486 (2019‑07‑03 12:28:41)
|
| Description |
The date and time when the medication was administered. |
| Operationalization |
Date and time |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year |
|
|
|
| Medication item entry
prsb03-dataelement-10663
|
|
|
| Id |
prsb03-dataelement-10663 (2018‑11‑13 15:56:21)
|
| Description |
All medications and devices that can be prescribed to be entered via this Medication
item entry.
Handles details of continuation / addition / amendment of admission medications.
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Medication item cluster
prsb03-dataelement-10664
|
|
|
| Id |
prsb03-dataelement-10664 (2018‑11‑13 16:25:51)
|
| Description |
Medication item cluster |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date
prsb03-dataelement-10843
|
|
|
| Id |
prsb03-dataelement-10843 (2019‑03‑27 16:59:52)
|
| Description |
The date on which the medication or medical device was prescribed. |
| Operationalization |
Date and time |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Location
prsb03-dataelement-10844
|
|
|
| Id |
prsb03-dataelement-10844 (2019‑03‑27 17:01:20)
|
| Description |
The location where the medication or the medical device was prescribed. |
| Operationalization |
ODS code or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Performing professional
prsb03-dataelement-10845
|
|
|
| Id |
prsb03-dataelement-10845 (2019‑03‑27 17:01:47)
|
| Description |
Details of the professional prescribing the medication or medical device. |
| Value Domain |
|
|
|
| Performing professional
prsb03-dataelement-12002
|
|
|
| Id |
prsb03-dataelement-12002 (2019‑05‑31 15:12:28)
|
| Description |
The professional who prescribed the medication or medical device. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-12003
|
|
|
| Id |
prsb03-dataelement-12003 (2019‑05‑31 15:12:48)
|
| Concept inherits from |
prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
|
| Description |
The name of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Role
prsb03-dataelement-12004
|
|
|
| Id |
prsb03-dataelement-12004 (2019‑05‑31 15:12:48)
|
| Concept inherits from |
prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
|
| Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
| Operationalization |
NHS Data dictionary or free text
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-12005
|
|
|
| Id |
prsb03-dataelement-12005 (2019‑05‑31 15:12:48)
|
| Concept inherits from |
prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
|
| Description |
The grade of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Speciality
prsb03-dataelement-12006
|
|
|
| Id |
prsb03-dataelement-12006 (2019‑05‑31 15:12:48)
|
| Concept inherits from |
prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
|
| Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-12007
|
|
|
| Id |
prsb03-dataelement-12007 (2019‑05‑31 15:12:48)
|
| Concept inherits from |
prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
|
| Description |
Professional identifier for the professional e.g. GMC number, HCPC number etc or the
personal identifier used by the local organisation.
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisation
prsb03-dataelement-12008
|
|
|
| Id |
prsb03-dataelement-12008 (2019‑05‑31 15:12:48)
|
| Concept inherits from |
prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
|
| Description |
The name of the organisation the professional works for. |
| Operationalization |
ODS code or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-12009
|
|
|
| Id |
prsb03-dataelement-12009 (2019‑05‑31 15:12:48)
|
| Concept inherits from |
prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
|
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Medication name
prsb03-dataelement-10536
|
|
|
| Id |
prsb03-dataelement-10536 (2018‑10‑31)
|
| Description |
May be generic name or brand name. |
| FHIR |
MedicationStatement.medication[x].medicationCodableConcept MedicationStatement.medication[x].medicationReference
(see Medication) (Systems should send as much details as they can. dm+d code can be
sent as a simple code/description pair using CodeableConcept, or as a detailed medication
record)
|
|
| Operationalization |
Choice ofText
Coded text - constraint: MedicationName. Any AMP/VMP/VTM/AMPP/VMPP subsets from the
dm+d terminology. NHS dm+d AMP ::352201000001139 NHS dm+d AMPP ::352401000001135 NHS
dm+d VMP ::352701000001133 NHS dm+d VMPP ::352301000001131 NHS dm+d VTM ::352601000001138.
Constraint binding: [dm+d]subset=NHS_dm+d
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited once |
| |
This concept is inherited by concept
Medication name in dataset prsb03-dataelement-12484
|
|
|
| Form
prsb03-dataelement-10537
|
|
|
| Id |
prsb03-dataelement-10537 (2018‑10‑31)
|
| Description |
The form of the medication e.g. capsule, drops, tablet, lotion etc. |
| FHIR |
MedicationStatement.medication[x].medicationReference.medication.form (i.e. form is
on the medication profile). Where VTM has form specified (coded) it goes here AMP
& VMP don't need seperate Form (it is optional to populate) For VTM the form could
be in MedicationStatement.dosage.text (as it would be part of a dosage string) i.e.
not a seperately specified code
|
|
| Operationalization |
Choice ofText
Coded text - constraint: DrugDoseForm. SNOMED CT CfH DoseForm termset. Any descendant
of 421967003
drug dose form. Constraint binding: [SNOMED CT]subset=CfH DoseForm
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Quantity supplied
prsb03-dataelement-10539
|
|
|
| Id |
prsb03-dataelement-10539 (2018‑10‑31)
|
| Description |
The quantity of the medication (e.g. tablets, inhalers, etc.) provided to the person.
This may be dispensed by the pharmacy or on the ward.
|
| FHIR |
MedicationStatement.quantityDispensed (Amount of medication to supply per dispense)
quantity (as a valueQuantity) - Mandatory quantityText (as a valueString) - Mandatory
|
|
| Operationalization |
Free text. |
| Value Domain |
|
|
|
| Route
prsb03-dataelement-10538
|
|
|
| Id |
prsb03-dataelement-10538 (2018‑10‑31)
|
| Description |
The route by which the medication is administered e.g. oral, IM, IV |
| FHIR |
MedicationStatement.dosage.route |
|
| Operationalization |
Free text or SNOMED CT
NHS e-Prescribing route of administration subset refset ^999000051000001100
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited once |
| |
This concept is inherited by concept
Route in dataset prsb03-dataelement-12485
|
|
|
| Site
prsb03-dataelement-10540
|
|
|
| Id |
prsb03-dataelement-10540 (2018‑10‑31)
|
| Description |
The anatomical site at which the medication is to be administered. |
| FHIR |
MedicationStatement.dosage.site |
|
| Operationalization |
TextCoded text - constraint: SiteOfMedicationAdministration.
Any valid site for the administration of a medication.
Constraint binding: [SNOMED-CT]subset= SiteOfMedicationAdministration
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Method
prsb03-dataelement-10541
|
|
|
| Id |
prsb03-dataelement-10541 (2018‑10‑31)
|
| Description |
The technique or method by which the medication is to be administered. |
| FHIR |
MedicationStatement.dosage.method |
|
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Dose directions description
prsb03-dataelement-10544
|
|
|
| Id |
prsb03-dataelement-10544 (2018‑10‑31)
|
| Description |
Describes the entire medication dosage and administration directions including dose
quantity and medication frequency and optionally duration e.g. “1 tablet at night"
or “2mg at 10pm”.
|
| FHIR |
MedicationStatement.dosage.text |
|
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Dose amount description
prsb03-dataelement-10542
|
|
|
| Id |
prsb03-dataelement-10542 (2018‑10‑31)
|
| Description |
A description of the medication single dose amount e.g. "30 mg" or "2 tabs". |
| FHIR |
MedicationStatement.dosage.text |
|
| Operationalization |
Free text |
| Value Domain |
|
|
|
| Dose timing description
prsb03-dataelement-10543
|
|
|
| Id |
prsb03-dataelement-10543 (2018‑10‑31)
|
| Description |
A description of the frequency of taking or administration of a medication dose. e.g.
"Twice a day", "At 8am, 2pm and 10pm".
|
| FHIR |
MedicationStatement.dosage.timing [a complex data type that holds lots of timing formats] |
|
| Operationalization |
Free text |
| Value Domain |
|
|
|
| Parsable dose directions
prsb03-dataelement-10552
|
|
|
| Id |
prsb03-dataelement-10552 (2018‑10‑31)
|
| Description |
A parsable 'dose syntax' which carries dose strength, dose timing, dose duration and
maximum dose information, e.g. "20-30mg ^4/6h prn [180mg /24h]" = 20 to 30 mgs, up
to 4-6 hourly as required. Maximum 180mg in 24 hours. The 'as required reason' e.g.
'for pain' should be carried in the Additional Instruction element. Note that this
is generally a symptom and is not the same as the Indication which will usually describe
a diagnosis or condition. Where supported, this would generally be used to exchange
dosage information between systems, while
Structured dose directions are likely to be used only within openEHR-based systems
|
| Value Domain |
|
|
|
| Structured dose direction cluster
prsb03-dataelement-11639
|
|
|
| Id |
prsb03-dataelement-11639 (2019‑05‑30 17:40:22)
|
| Description |
A structural representation of the elements carried by the dose syntax in 'parsable
dose strength / timing' i.e. dose strength, dose timing, dose duration and maximum
dose.
|
| Operationalization |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Structured dose direction
prsb03-dataelement-10553
|
|
|
|
|
| Structured dose amount
prsb03-dataelement-10554
|
|
|
| Id |
prsb03-dataelement-10554 (2018‑10‑31)
|
| Description |
A structural representation of dose amount, e.g. 20mg or 2 tablets.
This element will generally only be used when persisting data within systems with
'parsable dose directions' being used to exchange the same information between systems.
|
| Operationalization |
As per FHIR Dose Syntax Implementation Guidance (NHS Digital):
https://developer.nhs.uk/apis/dose-syntax-implementation/
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Structured dose timing
prsb03-dataelement-10555
|
|
|
| Id |
prsb03-dataelement-10555 (2018‑10‑31)
|
| Description |
A slot containing a structural, computable representation of dose timing and maximum
dose.
This element will generally only be used when persisting data within systems with
'parsable dose directions' being used to exchange the same information between systems.
|
| Operationalization |
As per FHIR Dose Syntax Implementation Guidance (NHS Digital):
https://developer.nhs.uk/apis/dose-syntax-implementation/
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Dose direction duration
prsb03-dataelement-10548
|
|
|
| Id |
prsb03-dataelement-10548 (2018‑10‑31)
|
| Description |
Recommendation of the time period for which the medication should be continued, including
direction not to discontinue.
|
| FHIR |
For coded information use MedicationStatement.dosage.additionalInstruction If no codes
exist use MedicationStatement.dosage.additionalInstruction CodeableConcept.text Duration
goes in MedicationStatement.effective[x].effectivePeriod 12/01/2018 MS.dosage.timing.bounds
create another option "boundsCodeableConcept" to hold Continue Indef; Do not disconue;
Stop When course complete MS.dosage.timing.bounds.duration to hold the duration For
primary care always in dosage string
|
|
| Operationalization |
Choice of Coded Text
Continue indefinitely [The medication should be continued indefinitely.]
Do not discontinue [The medication should be continued indefinitely and the prescriber
highly recommends that it should never be discontinued. This is an AoMRC Clinical
Headings recommendation.]
Stop when course complete. [The medication should be stopped when the currently prescribed
course has been completed.]
Duration: Allowed values: years, months, weeks, days, hours >=0 days
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Additional instructions
prsb03-dataelement-10545
|
|
|
| Id |
prsb03-dataelement-10545 (2018‑10‑31)
|
| Description |
Allows for:
* requirements for adherence support, e.g. compliance aids, prompts and packaging
requirements
* additional information about specific medicines e.g. where specific brand required
* person requirements, e.g. unable to swallow tablets.
|
| FHIR |
Specific patient instruction use MedicationStatement.dosage.patientInstruction For
narrative instructions (e.g. monitoring, pain, prevention) use MedicationStatement.note
For dispensing instructions (EPS narrative) use MedicationRequest.note (intent "order"
or "plan")
|
|
| Operationalization |
TextRuntime name constraint:
Additional instruction [Additional multiple dosage or administration instructions
as plain text. This may include guidance to the prescriber, person administering the
medication. In some settings, specific Administration Instructions may be re-labelled
as "person advice' or 'Dispensing Instruction' to capture these flavours of instruction.]
Dispensing instruction [Multiple plain text to record complex dispensing arrangements,
particularly for Controlled Drug instalment dispensing. 'Dispensing instructions'
may be used as a specific label to overwrite 'Additional instructions' to align with
legacy GP system behaviour.]
Person advice [Multiple plain text instructions intended for person or carer. 'Person
advice' may be used as a specific label to overwrite 'Additional instructions' to
align with legacy GP system behaviour.]
Monitoring [Special instructions related to monitoring of medication, such as lab
tests.]
or
Free text
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Request for advice
prsb03-dataelement-10559
|
|
|
| Id |
prsb03-dataelement-10559 (2018‑10‑31)
|
| Description |
Request for advice and recommendation about medication |
| Operationalization |
Free text |
| Value Domain |
|
|
|
| Person completing record
prsb03-dataelement-10961
|
|
|
| Id |
prsb03-dataelement-10961 (2019‑05‑18 21:23:41)
|
| Description |
This is the person recording the medication.
Should include their name, role, grade, specialty, organisation, professional identifier,
date and time completed, contact details
|
| Relationship |
|
| Operationalization |
Free text. Name, Role, Grade, Specialty, Organisation, Professional identifier, Date
and time completed, Contact details
|
| Value Domain |
|
|
|
| Course details cluster
prsb03-dataelement-10561
|
|
|
| Id |
prsb03-dataelement-10561 (2018‑10‑31)
|
| Description |
Details of the overall course of medication. |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Course status
prsb03-dataelement-10666
|
|
|
| Id |
prsb03-dataelement-10666 (2018‑11‑13 16:47:55)
|
| Description |
The status of this prescription. |
| Operationalization |
Choice of Coded text
- Active [This is an active medication.]
- Discontinued [This is a medication that has been issued. dispensed or administered
but has now been discontinued.]
- Never active [A medication which was ordered or authorised but has been cancelled
prior to being issued, dispensed or administered.]
- Completed [The medication course has been completed.]
- Obsolete [This medication order has been superseded by another.]
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Indication
prsb03-dataelement-10546
|
|
|
| Id |
prsb03-dataelement-10546 (2018‑10‑31)
|
| Description |
Reason for medication being prescribed, where known. |
| FHIR |
MedicationStatement.reasonCode |
|
| Operationalization |
A free text or Coded text term giving the clinical indication or reason for ordering
the medication. Coded terms are preferable.
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Start date/time
prsb03-dataelement-10667
|
|
|
| Id |
prsb03-dataelement-10667 (2018‑11‑13 16:49:22)
|
| Description |
The date and/or time that the medication course should begin. |
| Operationalization |
Date and time |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| End date/time
prsb03-dataelement-10557
|
|
|
| Id |
prsb03-dataelement-10557 (2018‑10‑31)
|
| Description |
The date and/or time that the medication course should finish. |
| Operationalization |
Date and time |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Link to indication record
prsb03-dataelement-10668
|
|
|
| Id |
prsb03-dataelement-10668 (2018‑11‑13 16:59:09)
|
| Description |
A link to the record which contains the indication for this medication order. |
| Operationalization |
Free text with URL |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Comment/recommendation
prsb03-dataelement-10547
|
|
|
| Id |
prsb03-dataelement-10547 (2018‑10‑31)
|
| Description |
Suggestions about duration and/or review, ongoing monitoring requirements, advice
on starting, discontinuing or changing medication.
|
| FHIR |
[JH] This will be dropped from the PRSB information model, as conflicts with description
above
|
|
| Operationalization |
Free text. Additional comment or recommendation about the medication course e.g. 'Patient
named supply', 'unlicensed medication', 'Foreign brand' or monitoring recommendations
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Medication change summary cluster
prsb03-dataelement-10568
|
|
|
| Id |
prsb03-dataelement-10568 (2018‑10‑31)
|
| Description |
Records the changes made to medication. |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Status
prsb03-dataelement-10669
|
|
|
| Id |
prsb03-dataelement-10669 (2018‑11‑13 17:00:50)
|
| Description |
The nature of any change made to the medication. |
| Operationalization |
Choice of Coded text
- Continued [Medicine present on both admission and discharge with no amendments.]
- Added [Medicine present on discharge but not on admission]
- Amended [Medicine present on both admission and discharge but with amendment(s) since
admission.]
- On-hold [Suspended with the intention that they are to be reinstated at some point
in the future]
- Discontinued [The medication is no longer to be taken by the patient]
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Indication
prsb03-dataelement-10670
|
|
|
| Id |
prsb03-dataelement-10670 (2018‑11‑13 17:02:07)
|
| Description |
Reason for change in medication, e.g. sub-therapeutic dose, person intolerant. |
| Operationalization |
A free text or coded text term giving the clinical indication or reason for change
in medication.
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date of change
prsb03-dataelement-10671
|
|
|
| Id |
prsb03-dataelement-10671 (2018‑11‑13 17:03:03)
|
| Description |
The date of the change - addition, or amendment |
| Operationalization |
Date and time |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Description of amendment
prsb03-dataelement-10672
|
|
|
| Id |
prsb03-dataelement-10672 (2018‑11‑13 17:03:42)
|
| Description |
Where a change is made to the medication i.e. one drug stopped and another started
or eg dose, frequency or route is changed.
|
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Total dose daily quantity
prsb03-dataelement-10665
|
|
|
| Id |
prsb03-dataelement-10665 (2018‑11‑13 16:44:41)
|
| Description |
The total daily dose of this medication.
This is helpful for estimating optimal adherence to dosing guidance. It may be computed
from product/dose strength and frequency or entered manually.
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person completing record
prsb03-dataelement-11993
|
|
|
| Id |
prsb03-dataelement-11993 (2019‑05‑31 15:11:27)
|
| Concept inherits from |
prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
|
| Description |
Details of the person completing the record. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-11994
|
|
|
| Id |
prsb03-dataelement-11994 (2019‑05‑31 15:12:02)
|
| Concept inherits from |
prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
|
| Description |
The name of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisational role
prsb03-dataelement-11995
|
|
|
| Id |
prsb03-dataelement-11995 (2019‑05‑31 15:12:02)
|
| Concept inherits from |
prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
|
| Description |
The organisational role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Relationship |
|
| Operationalization |
NHS Data dictionary or free text.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-11996
|
|
|
| Id |
prsb03-dataelement-11996 (2019‑05‑31 15:12:02)
|
| Concept inherits from |
prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
|
| Description |
The grade of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Specialty
prsb03-dataelement-11997
|
|
|
|
|
| Organisation
prsb03-dataelement-11998
|
|
|
| Id |
prsb03-dataelement-11998 (2019‑05‑31 15:12:02)
|
| Concept inherits from |
prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
|
| Description |
The organisation the person completing the record works for. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-11999
|
|
|
| Id |
prsb03-dataelement-11999 (2019‑05‑31 15:12:02)
|
| Concept inherits from |
prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date completed
prsb03-dataelement-12000
|
|
|
| Id |
prsb03-dataelement-12000 (2019‑05‑31 15:12:02)
|
| Concept inherits from |
prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
|
| Description |
The date and time the record was completed. |
| Relationship |
|
| Operationalization |
Date and time. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-12001
|
|
|
| Id |
prsb03-dataelement-12001 (2019‑05‑31 15:12:02)
|
| Concept inherits from |
prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
|
| Description |
Contact details of the person completing the record (e.g. telephone number, email
address etc.).
|
| FHIR |
PractitionerRole.telecom |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Medication discontinued entry
prsb03-dataelement-10576
|
|
|
| Id |
prsb03-dataelement-10576 (2018‑10‑31)
|
| Description |
Medication discontinued entry |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name of discontinued medication
prsb03-dataelement-10577
|
|
|
| Id |
prsb03-dataelement-10577 (2018‑10‑31)
|
| Description |
The name of the medication or medical device being discontinued |
| Operationalization |
Choice ofTextCoded text - constraint: MedicationName. Any AMP/VMP/VTM/AMPP/VMPP subsets
from the dm+d terminology. NHS dm+d AMP ::352201000001139 NHS dm+d AMPP ::352401000001135
NHS dm+d VMP ::352701000001133 NHS dm+d VMPP ::352301000001131 NHS dm+d VTM ::352601000001138.
Constraint binding: [dm+d]subset=NHS_dm+d
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Status
prsb03-dataelement-12472
|
|
|
| Id |
prsb03-dataelement-12472 (2019‑06‑25 11:42:23)
|
| Description |
The status of any change made to the medication. |
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Status
prsb03-dataelement-10578
|
|
|
| Id |
prsb03-dataelement-10578 (2018‑10‑31)
|
| Description |
The nature of any change made to the medication. |
| Operationalization |
Free text |
| Value Domain |
|
|
|
| Indication
prsb03-dataelement-10579
|
|
|
| Id |
prsb03-dataelement-10579 (2018‑10‑31)
|
| Description |
The clinical indication for any changes in medication status |
| Operationalization |
A free text or coded text term giving the clinical indication or reason for change
in medication.
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date of change
prsb03-dataelement-10580
|
|
|
| Id |
prsb03-dataelement-10580 (2018‑10‑31)
|
| Description |
The date of the discontinuation |
| Operationalization |
Date and time |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Description of amendment
prsb03-dataelement-10581
|
|
|
| Id |
prsb03-dataelement-10581 (2018‑10‑31)
|
| Description |
A description of any amendment |
| Operationalization |
Free text |
| Value Domain |
|
|
|
| Comment
prsb03-dataelement-10582
|
|
|
| Id |
prsb03-dataelement-10582 (2018‑10‑31)
|
| Description |
Any additional comment about the discontinuation. |
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Medical devices entry
prsb03-dataelement-10583
|
|
|
| Id |
prsb03-dataelement-10583 (2018‑10‑31)
|
| Description |
Medical devices |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Medical device
prsb03-dataelement-10673
|
|
|
| Id |
prsb03-dataelement-10673 (2018‑11‑13 17:10:15)
|
| Description |
Any medical device that isn't prescribed. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Comments
prsb03-dataelement-11280
|
|
|
| Id |
prsb03-dataelement-11280 (2019‑05‑29 17:47:02)
|
| Description |
Any information regarding the medical device. |
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Performing Professional
prsb03-dataelement-10549
|
|
|
| Id |
prsb03-dataelement-10549 (2018‑10‑31)
|
| Description |
Details of the professional administering the Medication (including name and role) |
| Value Domain |
|
|
|
| Location
prsb03-dataelement-10550
|
|
|
|
|
| Date
prsb03-dataelement-10551
|
|
|
|
|
| Start date/time
prsb03-dataelement-10556
|
|
|
| Id |
prsb03-dataelement-10556 (2018‑10‑31)
|
| Description |
The date and/or time that the medication course should begin. |
| Value Domain |
|
|
|
| Authorised date
prsb03-dataelement-10558
|
|
|
| Id |
prsb03-dataelement-10558 (2018‑10‑31)
|
| Description |
Date prescriber created prescription |
| Operationalization |
Date and Time |
| Value Domain |
|
|
|
| Valid from date
prsb03-dataelement-10560
|
|
|
| Id |
prsb03-dataelement-10560 (2018‑10‑31)
|
| Description |
Date the prescription can be issued from. Valid for 6 months |
| Operationalization |
Date and Time |
| Value Domain |
|
|
|
| •Repeat medications
prsb03-dataelement-10585
|
|
|
|
|
| •For medications that have been changed
prsb03-dataelement-10607
|
|
|
| Id |
prsb03-dataelement-10607 (2018‑10‑31)
|
| Description |
i.e. additions, amendments and discontinued, in addition to the above, also record:
is the sub-section where all current repeat medications are recorded.
|
|
|
| •Prescribed elsewhere
prsb03-dataelement-10629
|
|
|
|
|
| Clinical Review of Systems
prsb03-dataelement-314
|
|
|
|
|
| Clinical review of systems
prsb03-dataelement-10214
|
|
|
| Id |
prsb03-dataelement-10214 (2018‑10‑31)
|
| Description |
The clinical review of systems. The record of clinical information gathered in responses
to questions to the patient about specific symptoms from various physiological systems,
including food intake (increasing/decreasing) weight change, swallowing difficulties
etc.
|
| FHIR |
Observation.category Observation.code Observation.valueCodeabelConcept Observation.subject |
|
| Operationalization |
This is the record of the review of systems as volunteered by the patient or their
representative or carer. Text or coded text (SNOMED CT).
|
| Value Domain |
|
|
|
| Information and advice given
prsb03-dataelement-315
|
|
|
|
|
| Information and advice given
prsb03-dataelement-10215
|
|
|
| Id |
prsb03-dataelement-10215 (2018‑10‑31)
|
| Description |
This includes:
-what information
-to whom it was given.
-the oral or written information or advice given to the patient, carer, other authorised
representative, care professional or other third party. May include advice about actions
related to medicines or other ongoing care activities on an ‘information prescription'.
State here if there are concerns about the extent to which the patient and/or carer
understand the information provided about diagnosis, prognosis and treatment.
|
|
|
| Operationalization |
Free text description of information and advice given and patient/carer comprehension
For this use case this element also includes ECDS Emergency Care Discharge Information
Given code set (SNOMED CT): Copy of discharge letter NOT provided
|
| Value Domain |
|
|
|
| Date
prsb03-dataelement-10216
|
|
|
| Id |
prsb03-dataelement-10216 (2018‑10‑31)
|
| Description |
The date on which the information and advice was given. |
| Operationalization |
|
| Value Domain |
|
|
|
| Location
prsb03-dataelement-10217
|
|
|
| Id |
prsb03-dataelement-10217 (2018‑10‑31)
|
| Description |
Details of where the information and advice was given. |
| Value Domain |
|
|
|
| Performing Professional
prsb03-dataelement-10218
|
|
|
| Id |
prsb03-dataelement-10218 (2018‑10‑31)
|
| Description |
Details of the professional giving the information and advice (including name and
role).
|
| Value Domain |
|
|
|
| Contact for further information
prsb03-dataelement-329
|
|
|
|
|
| Contact for further information record entry
prsb03-dataelement-10659
|
|
|
| Id |
prsb03-dataelement-10659 (2018‑11‑13 13:14:13)
|
| Description |
This is a Contact for further information record entry. There may be 1 to many record
entries under a section. Each record entry is made up of a number of elements or data
items.
|
|
|
| Contact for further information
prsb03-dataelement-10229
|
|
|
| Id |
prsb03-dataelement-10229 (2018‑10‑31)
|
| Description |
The contact details of whom to contact for information regarding this attendance. |
| Operationalization |
The contact details may be for an individual or team (for example a phone number for
the emergency department administrator). Free text.
|
| Value Domain |
|
|
|
| Distribution list
prsb03-dataelement-330
|
|
|
|
|
| Distribution list record entry
prsb03-dataelement-10660
|
|
|
| Id |
prsb03-dataelement-10660 (2018‑11‑13 13:21:33)
|
| Description |
This is a Distribution list record entry. There may be 0 to many record entries under
a section. Each record entry is made up of a number of elements or data items.
|
|
|
| Name
prsb03-dataelement-10230
|
|
|
| Id |
prsb03-dataelement-10230 (2018‑10‑31)
|
| Description |
If the communication is being sent to a named individual, then this is the name of
the recipient, preferably in a structured format. An identifier for the individual,
for example GMC code (for a GP), or an SDS identifier, a NHS Number (for a patient)
will be sent alongside the name, but may not displayed on rendered document.
|
| FHIR |
Practitioner.name Patient ..... RelatedPerson..... |
|
| Operationalization |
Names may be entered as the communication is being created, or sourced from the hospital
system.
|
| Value Domain |
|
|
|
| Role
prsb03-dataelement-10231
|
|
|
| Id |
prsb03-dataelement-10231 (2018‑10‑31)
|
| Description |
If the communication is being sent to either a named individual, or to a non-named
person with a specific role, then this is the role of the recipient.
|
| FHIR |
PractitionerRole.code |
|
| Operationalization |
Role may be entered as the communication is being created, or sourced from the hospital
system. This may be a role defined in the National Workforce data set (see the NHS
Data Dictionary Job Role Code).
|
| Value Domain |
|
|
|
| Grade
prsb03-dataelement-10232
|
|
|
| Id |
prsb03-dataelement-10232 (2018‑10‑31)
|
| Description |
The recipient’s grade. |
| FHIR |
PractitionerRole.code |
|
| Operationalization |
The grade of the recipient, if known by the sending institution, otherwise omitted. |
| Value Domain |
|
|
|
| Organisation name
prsb03-dataelement-10233
|
|
|
| Id |
prsb03-dataelement-10233 (2018‑10‑31)
|
| Description |
The name of the organisation the recipient is representing or the organisation named
as the receiving organisation.
An identifier for the organisation will be sent alongside the name, but may not displayed
on rendered document.
|
| FHIR |
Organization.name Organization.identifier |
|
| Operationalization |
Organisation name, and identifier, taken from the Organisation Data Service (ODS). |
| Value Domain |
|
|
|
| Team
prsb03-dataelement-10234
|
|
|
| Id |
prsb03-dataelement-10234 (2018‑10‑31)
|
| Description |
Team that the recipient belongs to in the context of receiving this message, or the
team acting as the recipient.
|
|
|
| Operationalization |
There are no national codes for teams, so this value would have to be agreed locally,
and entered as free text.
|
| Value Domain |
|
|
|
| Relationship to subject
prsb03-dataelement-10235
|
|
|
| Id |
prsb03-dataelement-10235 (2018‑10‑31)
|
| Description |
The relationship of the receiver to the patient, where the receiver has a personal
relationship to the patient, for example, carer or parent
|
| FHIR |
RelatedPerson.relationship |
|
| Operationalization |
Personal relationships as documented in the NHS Data Dictionary Person Relationship
Type.
Or
This is record of the relationship of the receiver to the patient, where the receiver
has a personal relationship to the patient. Text
|
| Value Domain |
|
|
|
| Birth Details
prsb03-dataelement-336
|
|
|
|
|
| APGAR score
prsb03-dataelement-10236
|
|
|
| Id |
prsb03-dataelement-10236 (2018‑10‑31)
|
| Description |
A set of observations made on the baby following birth to check adaptation to life
outside the womb. This includes 1 minute, 5 minutes and 10 minutes
|
| Value Domain |
|
|
|
| Birth Order
prsb03-dataelement-10237
|
|
|
| Id |
prsb03-dataelement-10237 (2018‑10‑31)
|
| Description |
The sequence in which this baby was born (one of one, one of two etc.) |
| Value Domain |
|
|
|
| Birth weight
prsb03-dataelement-10238
|
|
|
|
|
| Date & Time of birth
prsb03-dataelement-10239
|
|
|
|
|
| Delivery place type
prsb03-dataelement-10240
|
|
|
| Id |
prsb03-dataelement-10240 (2018‑10‑31)
|
| Description |
The type of place in which the baby was born (e.g. Private health facility, domestic
address, NHS hospital, midwifery led unit etc. )
|
| Value Domain |
|
|
|
| Fetal Problems Diagnosed Before Birth
prsb03-dataelement-10241
|
|
|
| Id |
prsb03-dataelement-10241 (2018‑10‑31)
|
| Description |
Problems with the fetus diagnosed with screening or ultrasound. e.g. Down syndrome,
congenital heart disease etc.
|
| Value Domain |
|
|
|
| Length of gestation
prsb03-dataelement-10242
|
|
|
| Id |
prsb03-dataelement-10242 (2018‑10‑31)
|
| Description |
Gestational age in weeks and days (usually equivalent to length of pregnancy). |
| Value Domain |
|
|
|
| Location of birth
prsb03-dataelement-10243
|
|
|
| Id |
prsb03-dataelement-10243 (2018‑10‑31)
|
| Description |
The place of birth (including the address and organisation name where relevant). |
| Value Domain |
|
|
|
| Maternal problems in pregnancy
prsb03-dataelement-10244
|
|
|
| Id |
prsb03-dataelement-10244 (2018‑10‑31)
|
| Description |
Maternal medical conditions or infectious diseases arising in pregnancy which may
have an impact on the fetus, e.g. gestational diabetes, rubella etc.
|
| Value Domain |
|
|
|
| Multiple Birth
prsb03-dataelement-10245
|
|
|
| Id |
prsb03-dataelement-10245 (2018‑10‑31)
|
| Description |
Where the baby is one of a multiple birth, to include the total number of offspring
and to include whether the baby is identical to one of the siblings.
|
| Value Domain |
|
|
|
| Neonatal resuscitation
prsb03-dataelement-10246
|
|
|
| Id |
prsb03-dataelement-10246 (2018‑10‑31)
|
| Description |
Details of neonatal resuscitation measures required, e.g. chest compression, oxygen
mask etc.
|
| Value Domain |
|
|
|
| Physical problems detected at birth
prsb03-dataelement-10247
|
|
|
| Id |
prsb03-dataelement-10247 (2018‑10‑31)
|
| Description |
Physical problems identified with the baby at, or shortly after, birth. E.g. cleft
lip/palate, extensive bruising, cephalohematoma etc.
|
| Value Domain |
|
|
|
| Name
prsb03-dataelement-10248
|
|
|
|
|
| NHS Number
prsb03-dataelement-10249
|
|
|
| Id |
prsb03-dataelement-10249 (2018‑10‑31)
|
| Description |
The unique identifier for a woman within the NHS in England and Wales. |
| Value Domain |
|
|
|
| Baby Identifier
prsb03-dataelement-10250
|
|
|
|
|
| Gender
prsb03-dataelement-10251
|
|
|
| Id |
prsb03-dataelement-10251 (2018‑10‑31)
|
| Description |
The person’s phenotypic sex. Determines how the person will be treated clinically. |
| Value Domain |
|
|
|
| Birth Outcome
prsb03-dataelement-10252
|
|
|
|
|
| Rhesus Status
prsb03-dataelement-10253
|
|
|
| Id |
prsb03-dataelement-10253 (2018‑10‑31)
|
| Description |
An indication of whether the fetus has or does not have the rhesus factor (or Rh D
antigen) on the surface of their red blood cells, using the Rh System.
|
| Value Domain |
|
|
|
| Congenital Abnormalities
prsb03-dataelement-10254
|
|
|
| Id |
prsb03-dataelement-10254 (2018‑10‑31)
|
| Description |
(Yes no field) as per NHSDD and recorded on Birth Notification |
| Value Domain |
|
|
|
| Investigations Requested
prsb03-dataelement-10255
|
|
|
| Id |
prsb03-dataelement-10255 (2018‑10‑31)
|
| Description |
To include any investigations requested including post mortem investigations) |
| Value Domain |
|
|
|
| Problems during delivery
prsb03-dataelement-10256
|
|
|
| Id |
prsb03-dataelement-10256 (2018‑10‑31)
|
| Description |
Problems experienced by the baby during delivery e.g. cord prolapse, meconium aspiration,
fetal distress etc.
|
| Value Domain |
|
|
|
| Put To Breast
prsb03-dataelement-10257
|
|
|
|
|
| Spontaneous Respiration
prsb03-dataelement-10258
|
|
|
| Id |
prsb03-dataelement-10258 (2018‑10‑31)
|
| Description |
Details of neonatal resuscitation measures required, e.g. chest compression, oxygen
mask etc.
|
| Value Domain |
|
|
|
| Type of delivery
prsb03-dataelement-10259
|
|
|
| Id |
prsb03-dataelement-10259 (2018‑10‑31)
|
| Description |
Type of delivery for the baby, e.g. Vacuum extraction, breech extraction, elective
caesarean section etc.
|
| Value Domain |
|
|
|
| Types of delivery (attempted)
prsb03-dataelement-10260
|
|
|
| Id |
prsb03-dataelement-10260 (2018‑10‑31)
|
| Description |
The type(s) of delivery for the baby that was attempted, but was not the final delivery
method.
|
| Value Domain |
|
|
|
| Demographic History
prsb03-dataelement-361
|
|
|
|
|
| Date of birth
prsb03-dataelement-10261
|
|
|
|
|
| Gender
prsb03-dataelement-10262
|
|
|
|
|
| Patient address
prsb03-dataelement-10263
|
|
|
|
|
| Patient name
prsb03-dataelement-10264
|
|
|
| Id |
prsb03-dataelement-10264 (2018‑10‑31)
|
| Description |
Any previous names, aliases and preferred name. This will normally be given by a Patient
Demographics Service (PDS) patient trace, or the name of the patient held on the local
Patient Administration System (PAS).
|
| Value Domain |
|
|
|
| Patient telephone number
prsb03-dataelement-10265
|
|
|
| Id |
prsb03-dataelement-10265 (2018‑10‑31)
|
| Description |
History of Telephone contact details of the patient. To include, e.g., mobile, work
and home number if available.
|
| Value Domain |
|
|
|
| Developmental Skills
prsb03-dataelement-366
|
|
|
|
|
| Date first achieved
prsb03-dataelement-10267
|
|
|
| Id |
prsb03-dataelement-10267 (2018‑10‑31)
|
| Description |
The date the developmental skill was first achieved (developmental first) as reported
by the parent. This is primarily for parent reporting as part of parent child health
record at the time the skill is acquired.
|
| Value Domain |
|
|
|
| Date of enquiry
prsb03-dataelement-10268
|
|
|
| Id |
prsb03-dataelement-10268 (2018‑10‑31)
|
| Description |
The date the parent or carer was asked by a health professional about the developmental
skill (milestone).
|
| Value Domain |
|
|
|
| Date of observation
prsb03-dataelement-10269
|
|
|
| Id |
prsb03-dataelement-10269 (2018‑10‑31)
|
| Description |
The date a health professional observed or tested a developmental skill (milestone). |
| Value Domain |
|
|
|
| Health and care professional
prsb03-dataelement-10852
|
|
|
| Id |
prsb03-dataelement-10852 (2019‑03‑27 17:20:36)
|
| Description |
The name and designation of the professional recording the developmental skills. |
| FHIR |
Encounter.participant |
|
| Relationship |
|
| Operationalization |
Text |
| Value Domain |
|
|
|
| Location
prsb03-dataelement-10853
|
|
|
| Id |
prsb03-dataelement-10853 (2019‑03‑27 17:22:18)
|
| Description |
The location where the developmental skills were recorded. |
| Relationship |
|
| Value Domain |
|
|
|
| Developmental Skill
prsb03-dataelement-10270
|
|
|
| Id |
prsb03-dataelement-10270 (2018‑10‑31)
|
| Description |
The name of the developmental skill (e.g. Walks independently, smiles, finger feeds
etc.).
|
| Value Domain |
|
|
|
| Result of enquiry
prsb03-dataelement-10271
|
|
|
| Id |
prsb03-dataelement-10271 (2018‑10‑31)
|
| Description |
Whether the developmental skill was achieved, not achieved or equivocal. |
| Value Domain |
|
|
|
| Result of observation
prsb03-dataelement-10272
|
|
|
| Id |
prsb03-dataelement-10272 (2018‑10‑31)
|
| Description |
Whether the developmental skill was achieved, not achieved or equivocal. |
| Value Domain |
|
|
|
| Comments
prsb03-dataelement-10266
|
|
|
| Id |
prsb03-dataelement-10266 (2018‑10‑31)
|
| Description |
Supporting text may be given regarding the developmental skill. |
| Value Domain |
|
|
|
| Educational History
prsb03-dataelement-373
|
|
|
|
|
| Educational Assessment
prsb03-dataelement-10273
|
|
|
|
|
| Educational establishment
prsb03-dataelement-10274
|
|
|
|
|
| Type of Educational establishment
prsb03-dataelement-10275
|
|
|
|
|
| Type of Special Educational Need
prsb03-dataelement-10276
|
|
|
|
|
| Year From
prsb03-dataelement-10277
|
|
|
|
|
| Year To
prsb03-dataelement-10278
|
|
|
|
|
| Feeding Status
prsb03-dataelement-392
|
|
|
|
|
| Date
prsb03-dataelement-10292
|
|
|
|
|
| Date breast milk feeding stopped
prsb03-dataelement-10293
|
|
|
| Id |
prsb03-dataelement-10293 (2018‑10‑31)
|
| Description |
Date of last breast milk feed to the nearest month and year. |
| Value Domain |
|
|
|
| Feeding concerns
prsb03-dataelement-10294
|
|
|
|
|
| Feeding method
prsb03-dataelement-10295
|
|
|
| Id |
prsb03-dataelement-10295 (2018‑10‑31)
|
| Description |
A record of the predominant feeding method for the baby, e.g., breast fed, bottle/cup
fed, gastrostomy, nasogastric feeds etc.
|
| Value Domain |
|
|
|
| First milk feed
prsb03-dataelement-10296
|
|
|
|
|
| Introduction of solids
prsb03-dataelement-10297
|
|
|
| Id |
prsb03-dataelement-10297 (2018‑10‑31)
|
| Description |
Whether the baby has been introduced to solid foods at the time seen. |
| Value Domain |
|
|
|
| Milk feeding status of the baby
prsb03-dataelement-10298
|
|
|
| Id |
prsb03-dataelement-10298 (2018‑10‑31)
|
| Description |
Whether the baby is totally breast milk fed, partially breast milk fed or not breast
milk fed. To be recorded each time a baby has contact with a health professional.
|
| Value Domain |
|
|
|
| Health and Wellbeing Assessment and Reviews
prsb03-dataelement-399
|
|
|
|
|
| Date
prsb03-dataelement-10299
|
|
|
|
|
| Post Birth Review
prsb03-dataelement-10300
|
|
|
| Id |
prsb03-dataelement-10300 (2018‑10‑31)
|
| Description |
This details those checks and assessments done on the baby prior to leaving hospital
that do not make up the NIPE screening
|
| Value Domain |
|
|
|
| New Baby Review
prsb03-dataelement-10301
|
|
|
|
|
| 6-8 Week Health Visitor Review
prsb03-dataelement-10302
|
|
|
| Id |
prsb03-dataelement-10302 (2018‑10‑31)
|
| Description |
The details captured as part of the 6-8 Heath Visitor Review |
| Value Domain |
|
|
|
| 1 Year Review
prsb03-dataelement-10303
|
|
|
|
|
| 2-2 1/2 Year Health and Development Review
prsb03-dataelement-10304
|
|
|
| Id |
prsb03-dataelement-10304 (2018‑10‑31)
|
| Description |
The details captured as part of the 2- 2 1/2 Health and Development Review |
| Value Domain |
|
|
|
| School Entry Review
prsb03-dataelement-10305
|
|
|
| Id |
prsb03-dataelement-10305 (2018‑10‑31)
|
| Description |
The details captured as part of the school entry review including the outcome of the
hearing and screening check
|
| Value Domain |
|
|
|
| Ad-Hoc Health Review
prsb03-dataelement-10306
|
|
|
| Id |
prsb03-dataelement-10306 (2018‑10‑31)
|
| Description |
The details captured as part of any ad-hoc Health Review undertaken |
| Value Domain |
|
|
|
| Immunisations
prsb03-dataelement-407
|
|
|
|
|
| Batch number
prsb03-dataelement-10307
|
|
|
|
|
| Date
prsb03-dataelement-10308
|
|
|
|
|
| Dose Amount
prsb03-dataelement-10309
|
|
|
|
|
| Dose sequence
prsb03-dataelement-10310
|
|
|
|
|
| Indication
prsb03-dataelement-10311
|
|
|
| Id |
prsb03-dataelement-10311 (2018‑10‑31)
|
| Description |
The clinical indication or reason for administering the immunisation |
| Value Domain |
|
|
|
| Location
prsb03-dataelement-10312
|
|
|
|
|
| Manufacturer
prsb03-dataelement-10313
|
|
|
|
|
| Name of immunisation
prsb03-dataelement-10314
|
|
|
| Id |
prsb03-dataelement-10314 (2018‑10‑31)
|
| Description |
Which immunisation has been administered (SNOMED CT code – list of available immunisations). |
| Value Domain |
|
|
|
| Outcome status
prsb03-dataelement-10315
|
|
|
| Id |
prsb03-dataelement-10315 (2018‑10‑31)
|
| Description |
Whether the vaccine was administered or not, including the reason why |
| Value Domain |
|
|
|
| Performing Professional
prsb03-dataelement-10316
|
|
|
| Id |
prsb03-dataelement-10316 (2018‑10‑31)
|
| Description |
Details of the professional performing the immunisation (including name and role) |
| Value Domain |
|
|
|
| Reported
prsb03-dataelement-10317
|
|
|
| Id |
prsb03-dataelement-10317 (2018‑10‑31)
|
| Description |
A flag to indicate the information was reported to a healthcare professional |
| Value Domain |
|
|
|
| Route
prsb03-dataelement-10318
|
|
|
|
|
| Site
prsb03-dataelement-10319
|
|
|
|
|
| Vaccine product
prsb03-dataelement-10320
|
|
|
|
|
| Measurements
prsb03-dataelement-421
|
|
|
|
|
| BMI Centile
prsb03-dataelement-10321
|
|
|
| Id |
prsb03-dataelement-10321 (2018‑10‑31)
|
| Description |
Child BMI centile calculated using the height/weight/gender and age of the child. |
| Value Domain |
|
|
|
| Date
prsb03-dataelement-10322
|
|
|
|
|
| Head Circumference
prsb03-dataelement-10323
|
|
|
|
|
| Height/Length
prsb03-dataelement-10324
|
|
|
|
|
| Location
prsb03-dataelement-10325
|
|
|
|
|
| Performing Professional
prsb03-dataelement-10326
|
|
|
| Id |
prsb03-dataelement-10326 (2018‑10‑31)
|
| Description |
Details of the professional performing the measurement (including name and role). |
| Value Domain |
|
|
|
| Weight
prsb03-dataelement-10327
|
|
|
|
|
| National Screening Programme
prsb03-dataelement-428
|
|
|
|
|
| Newborn Blood Spot Screening
prsb03-dataelement-10328
|
|
|
| Id |
prsb03-dataelement-10328 (2018‑10‑31)
|
| Description |
The details captured as part of the NBS programme which screens for sickle cell disease
(SCD), cystic fibrosis (CF), congenital hypothyroidism (CHT) and inherited metabolic
diseases (IMDs).
|
| Value Domain |
|
|
|
| Newborn Hearing Screening
prsb03-dataelement-10329
|
|
|
| Id |
prsb03-dataelement-10329 (2018‑10‑31)
|
| Description |
The details captured as part of the NHSP programme which offers 2 types of test for
babies:
•automated otoacoustic emission (AOAE)
•automated auditory brainstem response (AABR)
|
| Value Domain |
|
|
|
| Newborn and Infant Physical Examination (72 hours)
prsb03-dataelement-10330
|
|
|
| Id |
prsb03-dataelement-10330 (2018‑10‑31)
|
| Description |
The details captured as part of the NIPE programme which tests babies within 72 hours
of birth for conditions relating to their:
•heart
•hips
•eyes
•testes
|
| Value Domain |
|
|
|
| Newborn and Infant Physical Examination (6-8 Weeks)
prsb03-dataelement-10331
|
|
|
| Id |
prsb03-dataelement-10331 (2018‑10‑31)
|
| Description |
The details captured as part of the NIPE programme which tests babies again at 6-8
weeks for conditions relating to their:
•heart
•hips
•eyes
•testes
|
| Value Domain |
|
|
|
| National screening programme
prsb03-dataelement-10332
|
|
|
| Id |
prsb03-dataelement-10332 (2018‑10‑31)
|
| Description |
The overarching screening programme. e.g.
- NHS Fetal Anomaly Screening Programme
- NHS Infectious Diseases in Pregnancy Screening Programme
- NHS Sickle Cell and Thalassaemia Screening Programme
|
| Value Domain |
|
|
|
| Specific test performed
prsb03-dataelement-10333
|
|
|
| Id |
prsb03-dataelement-10333 (2018‑10‑31)
|
| Description |
The specific screening test performed, e.g. Combined test, Quadruple test, HIV, Syphilis
etc.
This may include site and laterality where applicable
|
| Value Domain |
|
|
|
| Screening test outcome
prsb03-dataelement-10334
|
|
|
| Id |
prsb03-dataelement-10334 (2018‑10‑31)
|
| Description |
The overall outcome of the screening test (this may include the status e.g. declined,
deferred etc.).
|
| Value Domain |
|
|
|
| Comments
prsb03-dataelement-10335
|
|
|
| Id |
prsb03-dataelement-10335 (2018‑10‑31)
|
| Description |
Supporting text may be given regarding the screening test, outcome and actions taken. |
| Value Domain |
|
|
|
| •National antenatel screening programme
prsb03-dataelement-10336
|
|
|
|
|
| NHS Fetal Anomaly Screening Programme - Down’s, Edwards’ and Patau’s Syndromes.
prsb03-dataelement-10337
|
|
|
| Id |
prsb03-dataelement-10337 (2018‑10‑31)
|
| Description |
The details captured as part of the NHS Fetal Anomaly Screening Programme which screens
for Down’s, Edwards’ and Patau’s syndromes
|
| Value Domain |
|
|
|
| NHS Fetal Anomaly Screening Programme - Structural Anomalies
prsb03-dataelement-10338
|
|
|
| Id |
prsb03-dataelement-10338 (2018‑10‑31)
|
| Description |
The details captured as part of the NHS Fetal Anomaly Screening Programme which screens
for fetal anomalies
|
| Value Domain |
|
|
|
| NHS Infectious Diseases in Pregnancy Screening Programme
prsb03-dataelement-10339
|
|
|
| Id |
prsb03-dataelement-10339 (2018‑10‑31)
|
| Description |
The details captured as part of the NHS Infectious Diseases in Pregnancy Screening
Programme which screens for Hepatitis B, HIV and Syphilis via a blood test
Chlamydia for under 25s and Hepatitis C can be recorded here as required
|
| Value Domain |
|
|
|
| NHS Sickle Cell and Thalassaemia Screening Programme
prsb03-dataelement-10340
|
|
|
| Id |
prsb03-dataelement-10340 (2018‑10‑31)
|
| Description |
The details captured as part of the NHS Sickle Cell and Thalassaemia Screening Programme
which screens to find out if the woman is a carrier of the sickle cell or thalassaemia
gene and therefore likely to pass it on to the baby. This may also be applicable to
the baby's father if the woman is identified as a carrier of a haemoglobin disease.
|
| Value Domain |
|
|
|
| NHS Diabetic Eye Screening Programme
prsb03-dataelement-10341
|
|
|
| Id |
prsb03-dataelement-10341 (2018‑10‑31)
|
| Description |
The details captured as part of the NHS Diabetic Eye Screening Programme which is
offered to women with diabetes in pregnancy
|
| Value Domain |
|
|
|
| Parent/Guardian/Personal Comment
prsb03-dataelement-442
|
|
|
|
|
| Date
prsb03-dataelement-10342
|
|
|
|
|
| Who
prsb03-dataelement-10343
|
|
|
| Id |
prsb03-dataelement-10343 (2018‑10‑31)
|
| Description |
Who recorded the comment and what relationship they are to the child |
| Value Domain |
|
|
|
| Parent / guardian or personal comment
prsb03-dataelement-10344
|
|
|
| Id |
prsb03-dataelement-10344 (2018‑10‑31)
|
| Description |
Free text comment made by the parent / guardian of the child, or the child themselves |
| Value Domain |
|
|
|
| Reason for Referral
prsb03-dataelement-460
|
|
|
|
|
| Reason for referral
prsb03-dataelement-10360
|
|
|
| Id |
prsb03-dataelement-10360 (2018‑10‑31)
|
| Description |
A clear statement of the purpose of the person making the referral e.g. diagnosis,
treatment, transfer of care due to relocation, investigation, second opinion, management
of the patient (e.g. palliative care), provide referrer with advice / guidance. This
may include referral because of carers' concerns.
|
| Operationalization |
Free text SNOMED CT coded & free text |
| Value Domain |
|
|
|
| Clinical urgency of referral
prsb03-dataelement-10361
|
|
|
| Id |
prsb03-dataelement-10361 (2018‑10‑31)
|
| Description |
Referrer’s assessment of urgency (e.g. urgent/ soon/ routine). May include reason
if other than routine. E.g. two data items:
* level of urgency
* reason.
|
| Operationalization |
PRIORITY TYPE (NHS Data Dictionary) free text reason https://www.datadictionary.nhs.uk/web_site_content/pages/search_pages/dosearch.asp |
| Value Domain |
|
|
|
| Expectation of referral
prsb03-dataelement-10362
|
|
|
| Id |
prsb03-dataelement-10362 (2018‑10‑31)
|
| Description |
A clear statement of the expectations of the person making the referral as to the
management of the patient e.g. advice only, diagnosis, treatment, etc.
To Include any specific patient expectation
In general text. Risk not put in a procedure not already received
|
| Operationalization |
Free text |
| Value Domain |
|
|
|
| Presenting complaints or issues
prsb03-dataelement-10363
|
|
|
| Id |
prsb03-dataelement-10363 (2018‑10‑31)
|
| Description |
The list and description of the health problems and issues experienced by the patient
precipitating referral. This may include disease state, medical condition, response
and reaction to therapies, e.g. blackout, dizziness, chest pain, follow-up from admission,
falls, a specific procedure, investigation, family history or treatment.
|
| Operationalization |
This may be coded information from problem ist on GP system. SNOMED CT coded & free
text
|
| Value Domain |
|
|
|
| History of each presenting complaint or issue
prsb03-dataelement-10364
|
|
|
| Id |
prsb03-dataelement-10364 (2018‑10‑31)
|
| Description |
Information directly related to the development and characteristics of each presenting
complaint (e.g. including travel history). Including if the information is given by
the patient or their carer.
|
| Operationalization |
Free text associated with each presenting complaint or issue. |
| Value Domain |
|
|
|
| Management to date
prsb03-dataelement-10365
|
|
|
| Id |
prsb03-dataelement-10365 (2018‑10‑31)
|
| Description |
Referrals, management, investigations and treatment that have already been undertaken,
including patient managing their symptoms. Including:
*procedures conducted - procedures carried out (and the date) and procedure report.
|
| Operationalization |
Free text |
| Value Domain |
|
|
|
| Plan and requested actions
prsb03-dataelement-535
|
|
|
| Id |
prsb03-dataelement-535 (2018‑10‑31)
|
| Description |
The details of planned investigations, procedures and treatment, and whether this
plan has been agreed with the person or their legitimate representative.
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Plan and requested actions record entry
prsb03-dataelement-10661
|
|
|
| Id |
prsb03-dataelement-10661 (2018‑11‑13 13:38:58)
|
| Description |
This is a plan and requested actions record entry. There may be 0 to many record entries
under a section. Each record entry is made up of a number of elements or data items.
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date
prsb03-dataelement-10445
|
|
|
| Id |
prsb03-dataelement-10445 (2018‑10‑31)
|
| Description |
The date on which the plan and requested actions were prepared. |
| Operationalization |
Date and time |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Performing Professional
prsb03-dataelement-10446
|
|
|
| Id |
prsb03-dataelement-10446 (2018‑10‑31)
|
| Description |
Details of the professional making the plan and requested actions. |
| Value Domain |
|
|
|
| Performing professional
prsb03-dataelement-12167
|
|
|
| Id |
prsb03-dataelement-12167 (2019‑05‑31 16:13:42)
|
| Description |
The professional who prepared the plan and requested actions. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-12168
|
|
|
| Id |
prsb03-dataelement-12168 (2019‑05‑31 16:14:03)
|
| Concept inherits from |
prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
|
| Description |
The name of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Role
prsb03-dataelement-12169
|
|
|
| Id |
prsb03-dataelement-12169 (2019‑05‑31 16:14:03)
|
| Concept inherits from |
prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
|
| Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
| Operationalization |
NHS Data dictionary or free text
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-12170
|
|
|
| Id |
prsb03-dataelement-12170 (2019‑05‑31 16:14:03)
|
| Concept inherits from |
prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
|
| Description |
The grade of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Speciality
prsb03-dataelement-12171
|
|
|
| Id |
prsb03-dataelement-12171 (2019‑05‑31 16:14:03)
|
| Concept inherits from |
prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
|
| Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-12172
|
|
|
| Id |
prsb03-dataelement-12172 (2019‑05‑31 16:14:03)
|
| Concept inherits from |
prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
|
| Description |
Professional identifier for the professional e.g. GMC number, HCPC number etc or the
personal identifier used by the local organisation.
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisation
prsb03-dataelement-12173
|
|
|
| Id |
prsb03-dataelement-12173 (2019‑05‑31 16:14:03)
|
| Concept inherits from |
prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
|
| Description |
The name of the organisation the professional works for. |
| Operationalization |
ODS code or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-12174
|
|
|
| Id |
prsb03-dataelement-12174 (2019‑05‑31 16:14:03)
|
| Concept inherits from |
prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
|
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Location
prsb03-dataelement-10842
|
|
|
| Id |
prsb03-dataelement-10842 (2019‑03‑27 16:46:10)
|
| Description |
The location where the plan and requested actions were prepared. |
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Actions
prsb03-dataelement-10435
|
|
|
| Id |
prsb03-dataelement-10435 (2018‑10‑31)
|
| Description |
Including planned investigations, procedures, Interventions and treatment for a patient’s
identified conditions and priorities. For each action the following should be identified:
a) person responsible - name and designation / department / hospital / patient etc
or role (eg GP) responsible for carrying out the proposed action, and where action
should take place.
b) status - requested, planned or completed. c) When action requested for - requested
date, time, or period - as relevant. d) suggested strategies - suggested strategies
for potential
problems.
e) outcome expectations, including patient’s expectations
|
| Operationalization |
A record of the planned and requested actions. May be structured (table), with actions,
names, dates, status, location, strategies, or free text
|
| Value Domain |
|
|
|
| Actions for professionals
prsb03-dataelement-10436
|
|
|
| Id |
prsb03-dataelement-10436 (2018‑10‑31)
|
| Description |
Including planned investigations, procedures and treatment for a person's identified
conditions and priorities.
For each action the following should be identified:outcome expectations, including
the person’s expectations.
|
| Operationalization |
A record of the planned and requested actions. May be structured (table), with actions,
names, dates, status, location, strategies, or free text
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Actions for person or their carer
prsb03-dataelement-10437
|
|
|
| Id |
prsb03-dataelement-10437 (2018‑10‑31)
|
| Description |
For each action the following should be identified:outcome expectations, including
person’s expectations.
|
| Operationalization |
A record of the planned and requested actions. May be structured (table), with actions,
names, dates, status, location, strategies, or free text.
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Agreed with the person or their legitimate representative
prsb03-dataelement-10438
|
|
|
| Id |
prsb03-dataelement-10438 (2018‑10‑31)
|
| Description |
Indicates whether the person or their legitimate representative has agreed the entire
plan or individual aspects of treatment, expected outcomes, risks and alternative
treatments.
|
| Operationalization |
A record of the agreement of the decisions made, Free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Outcome of plan and requested actions
prsb03-dataelement-10950
|
|
|
| Id |
prsb03-dataelement-10950 (2019‑05‑16 17:36:54)
|
| Description |
The details of the outcome of the plan and requested actions. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person completing record
prsb03-dataelement-12175
|
|
|
| Id |
prsb03-dataelement-12175 (2019‑05‑31 16:15:12)
|
| Concept inherits from |
prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
|
| Description |
Details of the person completing the record. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-12176
|
|
|
| Id |
prsb03-dataelement-12176 (2019‑05‑31 16:15:32)
|
| Concept inherits from |
prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
|
| Description |
The name of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisational role
prsb03-dataelement-12177
|
|
|
| Id |
prsb03-dataelement-12177 (2019‑05‑31 16:15:32)
|
| Concept inherits from |
prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
|
| Description |
The organisational role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Relationship |
|
| Operationalization |
NHS Data dictionary or free text.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-12178
|
|
|
| Id |
prsb03-dataelement-12178 (2019‑05‑31 16:15:32)
|
| Concept inherits from |
prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
|
| Description |
The grade of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Specialty
prsb03-dataelement-12179
|
|
|
|
|
| Organisation
prsb03-dataelement-12180
|
|
|
| Id |
prsb03-dataelement-12180 (2019‑05‑31 16:15:32)
|
| Concept inherits from |
prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
|
| Description |
The organisation the person completing the record works for. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-12181
|
|
|
| Id |
prsb03-dataelement-12181 (2019‑05‑31 16:15:32)
|
| Concept inherits from |
prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date completed
prsb03-dataelement-12182
|
|
|
| Id |
prsb03-dataelement-12182 (2019‑05‑31 16:15:32)
|
| Concept inherits from |
prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
|
| Description |
The date and time the record was completed. |
| Relationship |
|
| Operationalization |
Date and time. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-12183
|
|
|
| Id |
prsb03-dataelement-12183 (2019‑05‑31 16:15:32)
|
| Concept inherits from |
prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
|
| Description |
Contact details of the person completing the record (e.g. telephone number, email
address etc.).
|
| FHIR |
PractitionerRole.telecom |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Care planning arrangements
prsb03-dataelement-10439
|
|
|
| Id |
prsb03-dataelement-10439 (2018‑10‑31)
|
| Description |
Record if CPA (Care Programme Approach) documentation is available and how and where
it can be accessed; care and treatment plan in Wales and Scotland. In Wales this is
superseded by the Mental Health Measure 2010.
|
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
0 transactions, 0 templates, inherited once |
| |
|
|
|
| Special monitoring required
prsb03-dataelement-10440
|
|
|
|
|
| Aims and limitations of treatment and special instructions
prsb03-dataelement-10441
|
|
|
| Id |
prsb03-dataelement-10441 (2018‑10‑31)
|
| Description |
The current aim of treatment including limitations to treatment and communications
issues, eg, not for ITU
|
| Value Domain |
|
|
|
| Escalation plan
prsb03-dataelement-10442
|
|
|
| Id |
prsb03-dataelement-10442 (2018‑10‑31)
|
| Description |
Who needs to be contacted in the event of significant problems or patient deterioration
include, eg seniority/name/ contact details of person to be called
|
| Value Domain |
|
| Used by
|
0 transactions, 0 templates, inherited once |
| |
This concept is inherited by concept
Escalation plan in dataset prsb03-dataelement-10792
|
|
|
| Investigations requested
prsb03-dataelement-10443
|
|
|
| Id |
prsb03-dataelement-10443 (2018‑10‑31)
|
| Description |
This includes a name or description of the investigation requested and the date requested. |
| Operationalization |
Free text |
| Value Domain |
|
|
|
| Procedures requested
prsb03-dataelement-10444
|
|
|
| Id |
prsb03-dataelement-10444 (2018‑10‑31)
|
| Description |
These are the diagnostic or therapeutic procedures that have actually been requested
(and the date requested).
|
| Operationalization |
Free text |
| Value Domain |
|
|
|
| Mental health
prsb03-dataelement-10790
|
|
|
| Id |
prsb03-dataelement-10790 (2019‑03‑19 18:14:47)
|
| Description |
Details of information relating to a person's mental health and social care |
|
|
| Care planning arrangements
prsb03-dataelement-10791
|
|
|
| Id |
prsb03-dataelement-10791 (2019‑03‑19 18:17:47)
|
| Concept inherits from |
prsb03-dataelement-10439 (2018‑10‑31)
|
| Description |
Record if CPA (Care Programme Approach) documentation is available and how and where
it can be accessed; care and treatment plan in Wales and Scotland. In Wales this is
superseded by the Mental Health Measure 2010.
|
| Operationalization |
Free text |
| Value Domain |
|
|
|
| Escalation plan
prsb03-dataelement-10792
|
|
|
| Id |
prsb03-dataelement-10792 (2019‑03‑19 18:18:19)
|
| Concept inherits from |
prsb03-dataelement-10442 (2018‑10‑31)
|
| Description |
Who needs to be contacted in the event of significant problems or patient deterioration
include, eg seniority/name/ contact details of person to be called
|
| Value Domain |
|
|
|
| Formulation
prsb03-dataelement-10793
|
|
|
| Id |
prsb03-dataelement-10793 (2019‑03‑19 18:19:23)
|
| Concept inherits from |
prsb03-dataelement-10148 (2018‑10‑31)
|
| Description |
An account, shared by a therapist and person, of the personal meaning and origins
of a person’s difficulties. This is viewed in the context of multiple factors including
relationships, social circumstances and life events and will indicate the most helpful
way forward.
|
| Operationalization |
Free text |
| Value Domain |
|
|
|
| Mental Health Act or equivalent status
prsb03-dataelement-10794
|
|
|
| Id |
prsb03-dataelement-10794 (2019‑03‑19 18:20:35)
|
| Concept inherits from |
prsb03-dataelement-10427 (2018‑10‑31)
|
| Description |
Record where a person diagnosed with a mental disorder is formally detained under
the Mental Health Act or equivalent, including the section number.
If person subject to Community Treatment Order or Conditional Discharge (or equivalent)
record here.
|
| Operationalization |
Free text |
|
|
| Mental capacity assessment
prsb03-dataelement-10795
|
|
|
| Id |
prsb03-dataelement-10795 (2019‑03‑19 18:21:26)
|
| Concept inherits from |
prsb03-dataelement-10424 (2018‑10‑31)
|
| Description |
Whether an assessment of the mental capacity of the (adult) person has been undertaken,
if so, what capacity the decision relates to and the outcome of the assessment.
Also record best interests decision if person lacks capacity.
|
| Operationalization |
Free text |
|
|
| Deprivation of Liberty Safeguards or equivalent
prsb03-dataelement-10796
|
|
|
| Id |
prsb03-dataelement-10796 (2019‑03‑19 18:23:37)
|
| Concept inherits from |
prsb03-dataelement-10426 (2018‑10‑31)
|
| Description |
Record of Deprivation of Liberty Safeguards (DoLS) or equivalent, including the reason
for this.
|
| Operationalization |
Free text |
|
|
| Treatments and interventions and changes made to treatments.
prsb03-dataelement-10826
|
|
|
| Id |
prsb03-dataelement-10826 (2019‑03‑21 14:22:11)
|
| Concept inherits from |
prsb03-dataelement-10149 (2018‑10‑31)
|
| Description |
The relevant treatments and interventions which the patient received during the inpatient
stay. Include psychological therapies. All medications should be recorded under the
medications section.
|
| Operationalization |
Free text |
| Value Domain |
|
|
|
| Person and carer concerns expectations and wishes
prsb03-dataelement-292
|
|
|
|
|
| Date
prsb03-dataelement-10193
|
|
|
| Id |
prsb03-dataelement-10193 (2018‑10‑31)
|
| Description |
The date on which the concerns, wishes or goals of the person were recorded |
| Value Domain |
|
|
|
| Location
prsb03-dataelement-10856
|
|
|
| Id |
prsb03-dataelement-10856 (2019‑03‑27 17:32:49)
|
| Description |
The location where the concerns, expectations and wishes were recorded. |
| Relationship |
|
| Value Domain |
|
|
|
| Patient and carer concerns, expectations and wishes
prsb03-dataelement-10192
|
|
|
| Id |
prsb03-dataelement-10192 (2018‑10‑31)
|
| Description |
Description of the concerns, wishes or goals of the person in relation to their care,
as expressed by the person, their representative or carer. Record who has expressed
these (patient or carer/ representative on behalf of the patient).Where the person
lacks capacity this may include their representative's concerns, expectations or wishes.
|
| FHIR |
Observation.category Observation.code Observation.valueCodeabelConcept Observation.subject
Observation.comment
|
|
| Operationalization |
A record of statements expressed by the person or their carer or representative. Free
Text
|
| Value Domain |
|
|
|
| Person completing record
prsb03-dataelement-10857
|
|
|
| Id |
prsb03-dataelement-10857 (2019‑03‑27 17:34:07)
|
| Description |
This is the person recording the concerns, wished and expectations.
Should include their name, role, grade, specialty, organisation, professional identifier,
date and time completed, contact details.
|
| Relationship |
|
| Operationalization |
Free text. Name, Role, Grade, Specialty, Organisation, Professional identifier, Date
and time completed, Contact details
|
| Value Domain |
|
|
|
| Maternity Care Plan Type
prsb03-dataelement-10194
|
|
|
| Id |
prsb03-dataelement-10194 (2018‑10‑31)
|
| Description |
The stage of maternity to which the care plan applies e.g. antenatal |
| Value Domain |
|
|
|
| Planned delivery setting
prsb03-dataelement-10195
|
|
|
| Id |
prsb03-dataelement-10195 (2018‑10‑31)
|
| Description |
The planned delivery setting where the pregnant woman plans to have her baby as designated
by the Care Professional in consultation with the woman
|
| Value Domain |
|
|
|
| Reason for change of planned delivery setting
prsb03-dataelement-10196
|
|
|
| Id |
prsb03-dataelement-10196 (2018‑10‑31)
|
| Description |
The reason why the planned delivery setting has changed |
| Value Domain |
|
|
|
| Advance statement
prsb03-dataelement-10197
|
|
|
| Id |
prsb03-dataelement-10197 (2018‑10‑31)
|
| Description |
Written requests and preferences made by a person with capacity conveying their wishes,
beliefs and values for their future care should they lose capacity. Include the location
of the document if known.
|
| Operationalization |
Coded text and/or text. A record of the presence of an advance statement using the
following SNOMED CT concept from the National Information Standard (SCCI1580): SNOMED
CT: 816281000000101. Has advance statement (Mental Capacity Act 2005). The content
of the advance statement should also be included as text or attached as a document
where available.
|
| Value Domain |
|
|
|
| Preferred place of care
prsb03-dataelement-10198
|
|
|
| Id |
prsb03-dataelement-10198 (2018‑10‑31)
|
| Description |
The preferences that a person has identified as their preferred place to receive care. |
| Operationalization |
A record of the preferences that a person has identified as their preferred place
to receive care. Free Text
|
| Value Domain |
|
|
|
| Preferred place of death
prsb03-dataelement-10199
|
|
|
| Id |
prsb03-dataelement-10199 (2018‑10‑31)
|
| Description |
The preferences that a person has identified as their preferred place to die. |
| Operationalization |
End of life care plan use case only. Preferences will be identified as 1st/2nd choice
etc as given by the person. Each recorded preference should include the name of the
place that the person has identified. It may also include coded values from the National
Information Standard (SCCI1580), together with the associated text:10: Hospital (Acute/Community/Other)20:
Private residence21: Patient's own home22: Other private residence (eg relatives home,
carers home)30: Hospice (inpatient specialist palliative care)40: Care Home50: Other
(free
text eg secure and detained settings)517111000000103
Preferred place of death: patient unable to express preference517131000000106
Preferred place of death: discussion not appropriate766391000000108
Preferred place of death: patient declined discussion517161000000101
Preferred place of death: patient undecided
|
| Value Domain |
|
|
|
| About me
prsb03-dataelement-466
|
|
|
| Id |
prsb03-dataelement-466 (2018‑10‑31)
|
| Description |
About me |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| About me
prsb03-dataelement-10366
|
|
|
| Id |
prsb03-dataelement-10366 (2018‑10‑31)
|
| Description |
This is a record of the things that a person feels it is important to communicate
about their needs, strengths, values, concerns and preferences to others providing
support and care.
|
| Operationalization |
Free text.
The record could be structured under subheadings such as my abilities, assets, strengths,
likes and dislikes, challenges, things that have worked well in the past, faith or
spiritual beliefs of the person in relation to their care. This may retrieve information
from other parts of the care record. Content may vary between use cases.
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date
prsb03-dataelement-10367
|
|
|
| Id |
prsb03-dataelement-10367 (2018‑10‑31)
|
| Description |
This is a record of the date that this information was last updated. |
| Operationalization |
Date and Time |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Supported to write this by
prsb03-dataelement-10368
|
|
|
| Id |
prsb03-dataelement-10368 (2018‑10‑31)
|
| Description |
Where relevant, this is a record of name, relationship/role and contact details of
the individual who supported the person to write this section e.g. carer, family member,
advocate, professional.
|
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Care and support plan
prsb03-dataelement-508
|
|
|
| Id |
prsb03-dataelement-508 (2018‑10‑31)
|
| Description |
Care and support plan |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Strengths
prsb03-dataelement-10419
|
|
|
| Id |
prsb03-dataelement-10419 (2018‑10‑31)
|
| Description |
Any strengths and assets the person has relating to their goals and hopes about their
health and well-being.
|
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Needs, concerns or health problems
prsb03-dataelement-10414
|
|
|
| Id |
prsb03-dataelement-10414 (2018‑10‑31)
|
| Description |
Needs, concerns or health problems the person has that relating to their health and
well-being.
|
| Operationalization |
Free text.
May be linked to the problem list from the person’s record to avoid duplication.
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Goals and hopes
prsb03-dataelement-10413
|
|
|
| Id |
prsb03-dataelement-10413 (2018‑10‑31)
|
| Description |
The overall goals, hopes, aims or targets that the person has.
Including anything that the person wants to achieve that relates to their future
health and wellbeing.
Each goal may include a description of why it is important to the person.
Goals may also be ranked in order of importance or priority to the person.
|
| Operationalization |
Free text.
May be SNOMED CT coded.
Coded status of goal: Achieved, partially achieved, not achieved, Not applicable
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Actions and activities
prsb03-dataelement-10408
|
|
|
| Id |
prsb03-dataelement-10408 (2018‑10‑31)
|
| Description |
Actions or activities the person or others plan to take to achieve the person's goals
and the resources required to do this.
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Stage goal
prsb03-dataelement-10674
|
|
|
| Id |
prsb03-dataelement-10674 (2018‑11‑15 13:32:26)
|
| Description |
A specific sub-goal that is related to the overall goal as agreed by the person in
collaboration with a professional.
|
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| What
prsb03-dataelement-10675
|
|
|
| Id |
prsb03-dataelement-10675 (2018‑11‑15 13:33:22)
|
| Description |
What the action is and how it is to be carried out? |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Who
prsb03-dataelement-10676
|
|
|
| Id |
prsb03-dataelement-10676 (2018‑11‑15 13:34:04)
|
| Description |
Name and role (e.g. person, carer, GP, OT, etc.) of the person, or a team, carrying
out the proposed action, and, if relevant where action should take place.
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| When
prsb03-dataelement-10677
|
|
|
| Id |
prsb03-dataelement-10677 (2018‑11‑15 13:34:38)
|
| Description |
Planned date, time, or interval, as relevant |
| Operationalization |
Date and time or free text. |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Suggested strategies
prsb03-dataelement-10678
|
|
|
| Id |
prsb03-dataelement-10678 (2018‑11‑15 13:35:19)
|
| Description |
Suggested strategies for potential problems. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Status
prsb03-dataelement-10679
|
|
|
| Id |
prsb03-dataelement-10679 (2018‑11‑15 13:35:57)
|
| Description |
The status of the action or activity e.g. started, not started, completed, not applicable. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Confidence
prsb03-dataelement-10680
|
|
|
| Id |
prsb03-dataelement-10680 (2018‑11‑15 13:54:04)
|
| Description |
How confident the person feels to carry it out |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Outcome
prsb03-dataelement-10681
|
|
|
| Id |
prsb03-dataelement-10681 (2018‑11‑15 13:54:34)
|
| Description |
The outcome of the stage goal |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date last updated
prsb03-dataelement-10682
|
|
|
| Id |
prsb03-dataelement-10682 (2018‑11‑15 13:55:05)
|
| Description |
Date when action/activity record was last updated |
| Operationalization |
Date and time |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Review date
prsb03-dataelement-10683
|
|
|
| Id |
prsb03-dataelement-10683 (2018‑11‑15 13:55:47)
|
| Description |
When the stage goal and action need to be reviewed. |
| Operationalization |
Date and time. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Agreed with person or legitimate representative
prsb03-dataelement-10409
|
|
|
| Id |
prsb03-dataelement-10409 (2018‑10‑31)
|
| Description |
Indicates whether the plan was discussed and agreed with the person or legitimate
representative.
|
| Operationalization |
A record of the agreement of the decisions made. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Care funding source
prsb03-dataelement-10410
|
|
|
| Id |
prsb03-dataelement-10410 (2018‑10‑31)
|
| Description |
A reference to the funding source and any conditions or limitations associated. |
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date last updated
prsb03-dataelement-10411
|
|
|
| Id |
prsb03-dataelement-10411 (2018‑10‑31)
|
| Description |
Date when action/activity record was last updated |
| Operationalization |
Date and Time |
| Value Domain |
|
|
|
| Date this plan was last updated
prsb03-dataelement-10412
|
|
|
| Id |
prsb03-dataelement-10412 (2018‑10‑31)
|
| Description |
This is a record of the date that this care and support plan was last updated. |
| Operationalization |
Date and time |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited once |
| |
|
|
|
| Other care planning documents
prsb03-dataelement-10415
|
|
|
| Id |
prsb03-dataelement-10415 (2018‑10‑31)
|
| Description |
Reference other care planning documents, including the type, location and date.
This may include condition-specific plans, advance care plans, end of life care plan,
etc.
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Outcomes
prsb03-dataelement-10416
|
|
|
| Id |
prsb03-dataelement-10416 (2018‑10‑31)
|
| Description |
Outcomes of each of the person’s goals, aims and targets.
Includes comments recorded by the person, date and status.
|
| Operationalization |
Free text.
May be SNOMED CT coded.
Coded text: fully achieved, partially achieved, not achieved, on-going, no longer
applicable.
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Planned review date/interval
prsb03-dataelement-10417
|
|
|
| Id |
prsb03-dataelement-10417 (2018‑10‑31)
|
| Description |
This is the date/interval when this information will next be reviewed. |
| Operationalization |
Date and time or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Responsibility for review
prsb03-dataelement-10418
|
|
|
| Id |
prsb03-dataelement-10418 (2018‑10‑31)
|
| Description |
This is a record of who has responsibility for arranging review of this information.
Should include their name, role and contact details.
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Location
prsb03-dataelement-12044
|
|
|
| Id |
prsb03-dataelement-12044 (2019‑05‑31 15:32:03)
|
| Description |
The location where the care and support plan was prepared. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Performing professional
prsb03-dataelement-12027
|
|
|
| Id |
prsb03-dataelement-12027 (2019‑05‑31 15:30:22)
|
| Description |
The professional who prepared the care and support plan. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-12028
|
|
|
| Id |
prsb03-dataelement-12028 (2019‑05‑31 15:30:50)
|
| Concept inherits from |
prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
|
| Description |
The name of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Role
prsb03-dataelement-12029
|
|
|
| Id |
prsb03-dataelement-12029 (2019‑05‑31 15:30:50)
|
| Concept inherits from |
prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
|
| Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
| Operationalization |
NHS Data dictionary or free text
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-12030
|
|
|
| Id |
prsb03-dataelement-12030 (2019‑05‑31 15:30:50)
|
| Concept inherits from |
prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
|
| Description |
The grade of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Speciality
prsb03-dataelement-12031
|
|
|
| Id |
prsb03-dataelement-12031 (2019‑05‑31 15:30:50)
|
| Concept inherits from |
prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
|
| Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-12032
|
|
|
| Id |
prsb03-dataelement-12032 (2019‑05‑31 15:30:50)
|
| Concept inherits from |
prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
|
| Description |
Professional identifier for the professional e.g. GMC number, HCPC number etc or the
personal identifier used by the local organisation.
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisation
prsb03-dataelement-12033
|
|
|
| Id |
prsb03-dataelement-12033 (2019‑05‑31 15:30:50)
|
| Concept inherits from |
prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
|
| Description |
The name of the organisation the professional works for. |
| Operationalization |
ODS code or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-12034
|
|
|
| Id |
prsb03-dataelement-12034 (2019‑05‑31 15:30:50)
|
| Concept inherits from |
prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
|
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person completing record
prsb03-dataelement-12035
|
|
|
| Id |
prsb03-dataelement-12035 (2019‑05‑31 15:31:01)
|
| Concept inherits from |
prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
|
| Description |
Details of the person completing the record. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-12036
|
|
|
| Id |
prsb03-dataelement-12036 (2019‑05‑31 15:31:27)
|
| Concept inherits from |
prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
|
| Description |
The name of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisational role
prsb03-dataelement-12037
|
|
|
| Id |
prsb03-dataelement-12037 (2019‑05‑31 15:31:27)
|
| Concept inherits from |
prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
|
| Description |
The organisational role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Relationship |
|
| Operationalization |
NHS Data dictionary or free text.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-12038
|
|
|
| Id |
prsb03-dataelement-12038 (2019‑05‑31 15:31:27)
|
| Concept inherits from |
prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
|
| Description |
The grade of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Specialty
prsb03-dataelement-12039
|
|
|
|
|
| Organisation
prsb03-dataelement-12040
|
|
|
| Id |
prsb03-dataelement-12040 (2019‑05‑31 15:31:27)
|
| Concept inherits from |
prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
|
| Description |
The organisation the person completing the record works for. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-12041
|
|
|
| Id |
prsb03-dataelement-12041 (2019‑05‑31 15:31:27)
|
| Concept inherits from |
prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date completed
prsb03-dataelement-12042
|
|
|
| Id |
prsb03-dataelement-12042 (2019‑05‑31 15:31:27)
|
| Concept inherits from |
prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
|
| Description |
The date and time the record was completed. |
| Relationship |
|
| Operationalization |
Date and time. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-12043
|
|
|
| Id |
prsb03-dataelement-12043 (2019‑05‑31 15:31:27)
|
| Concept inherits from |
prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
|
| Description |
Contact details of the person completing the record (e.g. telephone number, email
address etc.).
|
| FHIR |
PractitionerRole.telecom |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person completing record
prsb03-dataelement-10840
|
|
|
| Id |
prsb03-dataelement-10840 (2019‑03‑27 16:19:24)
|
| Concept inherits from |
prsb03-dataelement-10404 (2018‑10‑31)
|
| Description |
This is the person contributing to an additional supporting plan. Should include their
name, role, grade, specialty, organisation, professional identifier, date and time
completed, contact details
|
| Operationalization |
Free text. Name, Role, Grade, Specialty, Organisation, Professional identifier, Date
and time completed, Contact details
|
| Value Domain |
|
|
|
| Contingency plans
prsb03-dataelement-469
|
|
|
| Id |
prsb03-dataelement-469 (2018‑10‑31)
|
| Description |
Contingency plans. |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Agreed with person or legitimate representative
prsb03-dataelement-10369
|
|
|
| Id |
prsb03-dataelement-10369 (2018‑10‑31)
|
| Description |
Indicates whether the plan was discussed and agreed with the person or legitimate
representative.
|
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Anticipatory medicines/equipment
prsb03-dataelement-10370
|
|
|
| Id |
prsb03-dataelement-10370 (2018‑10‑31)
|
| Description |
Medicines or equipment available that may be required in specific situations and their
location.
|
| Operationalization |
Free text. A statement regarding the availability or location of the anticipatory
medicines/equipment.
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contingency plan name
prsb03-dataelement-10371
|
|
|
| Id |
prsb03-dataelement-10371 (2018‑10‑31)
|
| Description |
Name of the contingency plan – what condition or circumstances it is addressing. |
| Operationalization |
SNOMED CT or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date this plan was last updated
prsb03-dataelement-10372
|
|
|
| Id |
prsb03-dataelement-10372 (2018‑10‑31)
|
| Description |
The date that this contingency plan was last updated. |
| Operationalization |
Date and time |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Planned review date/interval
prsb03-dataelement-10373
|
|
|
| Id |
prsb03-dataelement-10373 (2018‑10‑31)
|
| Description |
This is the date/interval when this contingency plan will next be reviewed. |
| Operationalization |
Date and time or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Responsibility for review
prsb03-dataelement-10374
|
|
|
| Id |
prsb03-dataelement-10374 (2018‑10‑31)
|
| Description |
This is who has responsibility for arranging review of this information.
Should include their name, role and contact details.
|
| Operationalization |
Free text.
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Trigger factors
prsb03-dataelement-10375
|
|
|
| Id |
prsb03-dataelement-10375 (2018‑10‑31)
|
| Description |
Signs to watch out for that may indicate a significant change in health or other circumstances. |
| Operationalization |
Free text.
A statement of trigger factors.
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| What should happen
prsb03-dataelement-10376
|
|
|
| Id |
prsb03-dataelement-10376 (2018‑10‑31)
|
| Description |
Guidance on specific actions or interventions that may be required or should be avoided
in specific situations.
This may include circumstances where action needs to be taken if a carer is unable
to care for the person.
|
| Operationalization |
Free text.
A statement of suggested actions. Usually expressed as: in the event of X do Y.
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Who should be contacted
prsb03-dataelement-10377
|
|
|
| Id |
prsb03-dataelement-10377 (2018‑10‑31)
|
| Description |
Who should be contacted in the event of significant problems or deterioration in health
or wellbeing. E.g. name, role and contact details.
|
| Operationalization |
Free text. This may be obtained from the record of professional or personal contacts
elsewhere in the person’s record.
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Location
prsb03-dataelement-12079
|
|
|
| Id |
prsb03-dataelement-12079 (2019‑05‑31 15:39:45)
|
| Description |
The location where the contingency plan was prepared. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person completing record
prsb03-dataelement-10841
|
|
|
| Id |
prsb03-dataelement-10841 (2019‑03‑27 16:20:18)
|
| Description |
This is the person contributing to the contingency plan. Should include their name,
role, grade, specialty, organisation, professional identifier, date and time completed,
contact details
|
| Relationship |
|
| Operationalization |
Free text. Name, Role, Grade, Specialty, Organisation, Professional identifier, Date
and time completed, Contact details
|
| Value Domain |
|
|
|
| Performing professional
prsb03-dataelement-12045
|
|
|
| Id |
prsb03-dataelement-12045 (2019‑05‑31 15:33:20)
|
| Description |
The professional who prepared the contingency plans. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-12046
|
|
|
| Id |
prsb03-dataelement-12046 (2019‑05‑31 15:33:38)
|
| Concept inherits from |
prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
|
| Description |
The name of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Role
prsb03-dataelement-12047
|
|
|
| Id |
prsb03-dataelement-12047 (2019‑05‑31 15:33:38)
|
| Concept inherits from |
prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
|
| Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
| Operationalization |
NHS Data dictionary or free text
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-12048
|
|
|
| Id |
prsb03-dataelement-12048 (2019‑05‑31 15:33:38)
|
| Concept inherits from |
prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
|
| Description |
The grade of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Speciality
prsb03-dataelement-12049
|
|
|
| Id |
prsb03-dataelement-12049 (2019‑05‑31 15:33:38)
|
| Concept inherits from |
prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
|
| Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-12050
|
|
|
| Id |
prsb03-dataelement-12050 (2019‑05‑31 15:33:38)
|
| Concept inherits from |
prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
|
| Description |
Professional identifier for the professional e.g. GMC number, HCPC number etc or the
personal identifier used by the local organisation.
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisation
prsb03-dataelement-12051
|
|
|
| Id |
prsb03-dataelement-12051 (2019‑05‑31 15:33:38)
|
| Concept inherits from |
prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
|
| Description |
The name of the organisation the professional works for. |
| Operationalization |
ODS code or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-12052
|
|
|
| Id |
prsb03-dataelement-12052 (2019‑05‑31 15:33:38)
|
| Concept inherits from |
prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
|
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person completing record
prsb03-dataelement-12053
|
|
|
| Id |
prsb03-dataelement-12053 (2019‑05‑31 15:33:49)
|
| Concept inherits from |
prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
|
| Description |
Details of the person completing the record. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-12054
|
|
|
| Id |
prsb03-dataelement-12054 (2019‑05‑31 15:34:15)
|
| Concept inherits from |
prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
|
| Description |
The name of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisational role
prsb03-dataelement-12055
|
|
|
| Id |
prsb03-dataelement-12055 (2019‑05‑31 15:34:15)
|
| Concept inherits from |
prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
|
| Description |
The organisational role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Relationship |
|
| Operationalization |
NHS Data dictionary or free text.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-12056
|
|
|
| Id |
prsb03-dataelement-12056 (2019‑05‑31 15:34:15)
|
| Concept inherits from |
prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
|
| Description |
The grade of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Specialty
prsb03-dataelement-12057
|
|
|
|
|
| Organisation
prsb03-dataelement-12058
|
|
|
| Id |
prsb03-dataelement-12058 (2019‑05‑31 15:34:15)
|
| Concept inherits from |
prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
|
| Description |
The organisation the person completing the record works for. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-12059
|
|
|
| Id |
prsb03-dataelement-12059 (2019‑05‑31 15:34:15)
|
| Concept inherits from |
prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date completed
prsb03-dataelement-12060
|
|
|
| Id |
prsb03-dataelement-12060 (2019‑05‑31 15:34:15)
|
| Concept inherits from |
prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
|
| Description |
The date and time the record was completed. |
| Relationship |
|
| Operationalization |
Date and time. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-12061
|
|
|
| Id |
prsb03-dataelement-12061 (2019‑05‑31 15:34:15)
|
| Concept inherits from |
prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
|
| Description |
Contact details of the person completing the record (e.g. telephone number, email
address etc.).
|
| FHIR |
PractitionerRole.telecom |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Outstanding Issues
prsb03-dataelement-478
|
|
|
|
|
| Tasks which must be done
prsb03-dataelement-10378
|
|
|
| Id |
prsb03-dataelement-10378 (2018‑10‑31)
|
| Description |
Include timescales (appropriate seniority of staff for each task) |
| Value Domain |
|
|
|
| Tasks to be done if possible
prsb03-dataelement-10379
|
|
|
| Id |
prsb03-dataelement-10379 (2018‑10‑31)
|
| Description |
E.g. test review, pre-discharge documents, criteria for discharge, including who may
discharge the patient.
|
| Value Domain |
|
|
|
| Person handing over
prsb03-dataelement-480
|
|
|
|
|
| Name
prsb03-dataelement-10380
|
|
|
| Id |
prsb03-dataelement-10380 (2018‑10‑31)
|
| Description |
The name of the person completing the record, preferably in a structured format. |
| Value Domain |
|
|
|
| Role
prsb03-dataelement-10381
|
|
|
| Id |
prsb03-dataelement-10381 (2018‑10‑31)
|
| Description |
The role the person is playing within the organisation at the time record was updated. |
| Value Domain |
|
|
|
| Grade
prsb03-dataelement-10382
|
|
|
|
|
| Specialty
prsb03-dataelement-10383
|
|
|
| Id |
prsb03-dataelement-10383 (2018‑10‑31)
|
| Description |
The main specialty of the person completing the record. |
| Value Domain |
|
|
|
| Contact details
prsb03-dataelement-10384
|
|
|
| Id |
prsb03-dataelement-10384 (2018‑10‑31)
|
| Description |
Contact details of the person completing the record. For example a phone number, email
address. Contact details are used to resolve queries about the record entry.
|
| Value Domain |
|
|
|
| Person receiving handover
prsb03-dataelement-485
|
|
|
|
|
| Name
prsb03-dataelement-10385
|
|
|
| Id |
prsb03-dataelement-10385 (2018‑10‑31)
|
| Description |
The name of the person receiving the handover, preferably in a structured format. |
| Value Domain |
|
|
|
| Role
prsb03-dataelement-10386
|
|
|
| Id |
prsb03-dataelement-10386 (2018‑10‑31)
|
| Description |
The role the person is playing within the organisation at the time of handover. |
| Value Domain |
|
|
|
| Grade
prsb03-dataelement-10387
|
|
|
|
|
| Specialty
prsb03-dataelement-10388
|
|
|
|
|
| Contact details
prsb03-dataelement-10389
|
|
|
| Id |
prsb03-dataelement-10389 (2018‑10‑31)
|
| Description |
Contact details of the person receiving the handover. For example a phone number,
email address. Contact details are used to resolve queries about the record entry.
|
| Value Domain |
|
|
|
| Handover Details
prsb03-dataelement-490
|
|
|
|
|
| Patient Location
prsb03-dataelement-10390
|
|
|
| Id |
prsb03-dataelement-10390 (2018‑10‑31)
|
| Description |
This is the physical location of the patient. For inpatient, e.g., hospital ward,
bed, theatre. For ambulatory care, e.g., health centre, clinic. Resources centre,
patient's home
|
| Value Domain |
|
|
|
| Planned patient location
prsb03-dataelement-10391
|
|
|
|
|
| Date of admission
prsb03-dataelement-10392
|
|
|
|
|
| Expected date of discharge
prsb03-dataelement-10393
|
|
|
| Id |
prsb03-dataelement-10393 (2018‑10‑31)
|
| Description |
The date the patient is currently expected to be discharged from hospital |
| Value Domain |
|
|
|
| Responsible consultant
prsb03-dataelement-10394
|
|
|
| Id |
prsb03-dataelement-10394 (2018‑10‑31)
|
| Description |
The name and designation of the consultant, who has overall responsibility for the
patient (may not actually see the patient)
|
| Value Domain |
|
|
|
| Specialty
prsb03-dataelement-10395
|
|
|
| Id |
prsb03-dataelement-10395 (2018‑10‑31)
|
| Description |
Specialties designated by royal colleges and faculties. E.g. orthopedics, renal medicine,
endocrinology, etc.
|
| Value Domain |
|
|
|
| Service
prsb03-dataelement-10396
|
|
|
| Id |
prsb03-dataelement-10396 (2018‑10‑31)
|
| Description |
Subspecialties, treatment functions or services. E.g. hand surgery, back surgery,
hand clinic, TIA clinic, falls clinic, speech and language therapy, dialysis, family
therapy, pre-admission assessment clinic etc.
|
| Value Domain |
|
|
|
| Date of decision to handover
prsb03-dataelement-10397
|
|
|
|
|
| New responsible consultant
prsb03-dataelement-10398
|
|
|
| Id |
prsb03-dataelement-10398 (2018‑10‑31)
|
| Description |
The name and designation of the consultant who is accepting responsibility for the
patient’s inpatient care.
|
| Value Domain |
|
|
|
| Date handover accepted
prsb03-dataelement-10399
|
|
|
|
|
| Reason for handover
prsb03-dataelement-10400
|
|
|
| Id |
prsb03-dataelement-10400 (2018‑10‑31)
|
| Description |
A clear statement of the reason for the temporary or permanent handover of care, e.g.,
low potassium, immediately post-op, unstable medical condition
|
| Value Domain |
|
|
|
| Senior clinical contact
prsb03-dataelement-10401
|
|
|
| Id |
prsb03-dataelement-10401 (2018‑10‑31)
|
| Description |
If there is a particular requirement to call a specific person, e.g., consultant,
SpR or special intervention team
|
| Value Domain |
|
|
|
| Additional support plans
prsb03-dataelement-502
|
|
|
| Id |
prsb03-dataelement-502 (2018‑10‑31)
|
| Description |
Additional support plans |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Additional support plan name
prsb03-dataelement-10402
|
|
|
| Id |
prsb03-dataelement-10402 (2018‑10‑31)
|
| Description |
The name of the particular additional supporting plan, e.g. dieticians plan, wound
management plan, discharge management plan.
|
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Additional support plan content
prsb03-dataelement-10403
|
|
|
| Id |
prsb03-dataelement-10403 (2018‑10‑31)
|
| Description |
This is the content of any additional care and support plan which the person and/or
care professional consider should be shared with others providing care and support.
|
| Operationalization |
Free text. May be structured in different ways, eg tables, diagrams, images. This
is the content of any additional care and support plan which the individual and/or
care professional consider should be shared with others providing care and support.
It should be structured as recommended for the care and support plan and if contains
additional detail, it may be referenced here.
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person completing record
prsb03-dataelement-10404
|
|
|
| Id |
prsb03-dataelement-10404 (2018‑10‑31)
|
| Description |
This is the person contributing to an additional supporting plan. Should include their
name, role, grade, specialty, organisation, professional identifier, date and time
completed, contact details
|
| Operationalization |
Free text. Name, Role, Grade, Specialty, Organisation, Professional identifier, Date
and time completed, Contact details
|
| Value Domain |
|
| Used by
|
0 transactions, 0 templates, inherited once |
| |
|
|
|
| Planned review date/interval
prsb03-dataelement-10405
|
|
|
| Id |
prsb03-dataelement-10405 (2018‑10‑31)
|
| Description |
This is the date/interval when this information will next be reviewed. |
| Operationalization |
Date and time or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Responsibility for review
prsb03-dataelement-10406
|
|
|
| Id |
prsb03-dataelement-10406 (2018‑10‑31)
|
| Description |
This is a record of who has responsibility for arranging review of this information.
Should include their name, role and contact details.
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date this plan was last updated
prsb03-dataelement-10407
|
|
|
| Id |
prsb03-dataelement-10407 (2018‑10‑31)
|
| Description |
This is a record of the date that this information was last updated. |
| Operationalization |
Date and time |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Location
prsb03-dataelement-12080
|
|
|
| Id |
prsb03-dataelement-12080 (2019‑05‑31 15:40:38)
|
| Description |
The location where the additional support plan was prepared. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Performing professional
prsb03-dataelement-12062
|
|
|
| Id |
prsb03-dataelement-12062 (2019‑05‑31 15:36:17)
|
| Description |
The professional who prepared the additional support plan. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-12063
|
|
|
| Id |
prsb03-dataelement-12063 (2019‑05‑31 15:36:35)
|
| Concept inherits from |
prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
|
| Description |
The name of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Role
prsb03-dataelement-12064
|
|
|
| Id |
prsb03-dataelement-12064 (2019‑05‑31 15:36:35)
|
| Concept inherits from |
prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
|
| Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
| Operationalization |
NHS Data dictionary or free text
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-12065
|
|
|
| Id |
prsb03-dataelement-12065 (2019‑05‑31 15:36:35)
|
| Concept inherits from |
prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
|
| Description |
The grade of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Speciality
prsb03-dataelement-12066
|
|
|
| Id |
prsb03-dataelement-12066 (2019‑05‑31 15:36:35)
|
| Concept inherits from |
prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
|
| Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-12067
|
|
|
| Id |
prsb03-dataelement-12067 (2019‑05‑31 15:36:35)
|
| Concept inherits from |
prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
|
| Description |
Professional identifier for the professional e.g. GMC number, HCPC number etc or the
personal identifier used by the local organisation.
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisation
prsb03-dataelement-12068
|
|
|
| Id |
prsb03-dataelement-12068 (2019‑05‑31 15:36:35)
|
| Concept inherits from |
prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
|
| Description |
The name of the organisation the professional works for. |
| Operationalization |
ODS code or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-12069
|
|
|
| Id |
prsb03-dataelement-12069 (2019‑05‑31 15:36:35)
|
| Concept inherits from |
prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
|
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person completing record
prsb03-dataelement-12070
|
|
|
| Id |
prsb03-dataelement-12070 (2019‑05‑31 15:36:49)
|
| Concept inherits from |
prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
|
| Description |
Details of the person completing the record. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-12071
|
|
|
| Id |
prsb03-dataelement-12071 (2019‑05‑31 15:37:13)
|
| Concept inherits from |
prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
|
| Description |
The name of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisational role
prsb03-dataelement-12072
|
|
|
| Id |
prsb03-dataelement-12072 (2019‑05‑31 15:37:13)
|
| Concept inherits from |
prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
|
| Description |
The organisational role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Relationship |
|
| Operationalization |
NHS Data dictionary or free text.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-12073
|
|
|
| Id |
prsb03-dataelement-12073 (2019‑05‑31 15:37:13)
|
| Concept inherits from |
prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
|
| Description |
The grade of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Specialty
prsb03-dataelement-12074
|
|
|
|
|
| Organisation
prsb03-dataelement-12075
|
|
|
| Id |
prsb03-dataelement-12075 (2019‑05‑31 15:37:13)
|
| Concept inherits from |
prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
|
| Description |
The organisation the person completing the record works for. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-12076
|
|
|
| Id |
prsb03-dataelement-12076 (2019‑05‑31 15:37:13)
|
| Concept inherits from |
prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date completed
prsb03-dataelement-12077
|
|
|
| Id |
prsb03-dataelement-12077 (2019‑05‑31 15:37:13)
|
| Concept inherits from |
prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
|
| Description |
The date and time the record was completed. |
| Relationship |
|
| Operationalization |
Date and time. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-12078
|
|
|
| Id |
prsb03-dataelement-12078 (2019‑05‑31 15:37:13)
|
| Concept inherits from |
prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
|
| Description |
Contact details of the person completing the record (e.g. telephone number, email
address etc.).
|
| FHIR |
PractitionerRole.telecom |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| End of life care
prsb03-dataelement-10743
|
|
|
| Id |
prsb03-dataelement-10743 (2019‑03‑07 11:06:43)
|
| Description |
Information relating to end of life care.
N.B. This is not an end of life care plan but contains information that would be found
in an end of life care plan.
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date
prsb03-dataelement-10867
|
|
|
| Id |
prsb03-dataelement-10867 (2019‑03‑27 18:37:13)
|
| Description |
The date the end of life care information was recorded. |
| Relationship |
|
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year |
|
|
|
| Location
prsb03-dataelement-10866
|
|
|
| Id |
prsb03-dataelement-10866 (2019‑03‑27 18:36:09)
|
| Description |
The location where the end of life care information was recorded. |
| Relationship |
|
| Value Domain |
|
|
|
| Person completing record
prsb03-dataelement-10865
|
|
|
| Id |
prsb03-dataelement-10865 (2019‑03‑27 18:35:06)
|
| Description |
This is the person contributing to the end of life care information. Should include
their name, role, grade, specialty, organisation, professional identifier, date and
time completed, contact details
|
| Relationship |
|
| Operationalization |
Free text. Name, Role, Grade, Specialty, Organisation, Professional identifier, Date
and time completed, Contact details
|
| Value Domain |
|
|
|
| Consent for creation of end of life care plan
prsb03-dataelement-10769
|
|
|
| Id |
prsb03-dataelement-10769 (2019‑03‑19 13:33:24)
|
| Concept inherits from |
prsb03-dataelement-10431 (2018‑10‑31)
|
| Description |
Separate explicit consent is required for creation of an end of life care record.
This records how this consent has been granted in order to differentiate between person’s
explicit consent, best interest decision, Lasting Power of Attorney decision and withdrawal
of consent.
|
| Operationalization |
End of life care plan use case only. This is a record of consent to create an end
of life care plan.
|
| Value Domain |
|
|
|
| Date plan was created
prsb03-dataelement-10787
|
|
|
| Id |
prsb03-dataelement-10787 (2019‑03‑19 17:56:06)
|
| Description |
This is a record of the date that this end of life care plan was last updated. |
| Value Domain |
|
|
|
| Planned review date
prsb03-dataelement-10770
|
|
|
| Id |
prsb03-dataelement-10770 (2019‑03‑19 13:40:30)
|
| Concept inherits from |
prsb03-dataelement-10208 (2018‑10‑31)
|
| Description |
Date the plan is due for review. |
| Operationalization |
End of life care plan use case only. The date the plan is due for review. |
| Value Domain |
|
|
|
| Cardio-pulmonary resuscitation (CPR) decision
prsb03-dataelement-10771
|
|
|
| Id |
prsb03-dataelement-10771 (2019‑03‑19 13:42:20)
|
| Description |
Whether a decision has been made, the decision, who made the decision, the date of
decision, date for review and location of documentation. Where the person or their
family member/carer have not been informed of the clinical decision please state the
reason why.
|
| Relationship |
|
| Operationalization |
A record of the decision made and the location of the documentation. May include the
following SNOMED CT concepts from the National Information Standard (SCCI1580):450475007
For attempted cardiopulmonary resuscitation450476008
Not for attempted cardiopulmonary resuscitation
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date
prsb03-dataelement-12210
|
|
|
| Id |
prsb03-dataelement-12210 (2019‑05‑31 16:28:26)
|
| Description |
The date when the cardio-pulmonary resuscitation decision was made. |
| Relationship |
|
| Operationalization |
Date and time. |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Location
prsb03-dataelement-12211
|
|
|
| Id |
prsb03-dataelement-12211 (2019‑05‑31 16:29:12)
|
| Description |
The location where the cardio-pulmonary resuscitation decision was made. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Performing professional
prsb03-dataelement-12212
|
|
|
| Id |
prsb03-dataelement-12212 (2019‑05‑31 16:30:12)
|
| Description |
The professional who made the cardio-pulmonary resuscitation decision. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-12213
|
|
|
| Id |
prsb03-dataelement-12213 (2019‑05‑31 16:30:28)
|
| Concept inherits from |
prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
|
| Description |
The name of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Role
prsb03-dataelement-12214
|
|
|
| Id |
prsb03-dataelement-12214 (2019‑05‑31 16:30:28)
|
| Concept inherits from |
prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
|
| Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
| Operationalization |
NHS Data dictionary or free text
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-12215
|
|
|
| Id |
prsb03-dataelement-12215 (2019‑05‑31 16:30:28)
|
| Concept inherits from |
prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
|
| Description |
The grade of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Speciality
prsb03-dataelement-12216
|
|
|
| Id |
prsb03-dataelement-12216 (2019‑05‑31 16:30:28)
|
| Concept inherits from |
prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
|
| Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-12217
|
|
|
| Id |
prsb03-dataelement-12217 (2019‑05‑31 16:30:28)
|
| Concept inherits from |
prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
|
| Description |
Professional identifier for the professional e.g. GMC number, HCPC number etc or the
personal identifier used by the local organisation.
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisation
prsb03-dataelement-12218
|
|
|
| Id |
prsb03-dataelement-12218 (2019‑05‑31 16:30:28)
|
| Concept inherits from |
prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
|
| Description |
The name of the organisation the professional works for. |
| Operationalization |
ODS code or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-12219
|
|
|
| Id |
prsb03-dataelement-12219 (2019‑05‑31 16:30:28)
|
| Concept inherits from |
prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
|
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person completing record
prsb03-dataelement-12220
|
|
|
| Id |
prsb03-dataelement-12220 (2019‑05‑31 16:30:40)
|
| Concept inherits from |
prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
|
| Description |
Details of the person completing the record. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-12221
|
|
|
| Id |
prsb03-dataelement-12221 (2019‑05‑31 16:31:04)
|
| Concept inherits from |
prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
|
| Description |
The name of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisational role
prsb03-dataelement-12222
|
|
|
| Id |
prsb03-dataelement-12222 (2019‑05‑31 16:31:04)
|
| Concept inherits from |
prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
|
| Description |
The organisational role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Relationship |
|
| Operationalization |
NHS Data dictionary or free text.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-12223
|
|
|
| Id |
prsb03-dataelement-12223 (2019‑05‑31 16:31:04)
|
| Concept inherits from |
prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
|
| Description |
The grade of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Specialty
prsb03-dataelement-12224
|
|
|
|
|
| Organisation
prsb03-dataelement-12225
|
|
|
| Id |
prsb03-dataelement-12225 (2019‑05‑31 16:31:04)
|
| Concept inherits from |
prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
|
| Description |
The organisation the person completing the record works for. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-12226
|
|
|
| Id |
prsb03-dataelement-12226 (2019‑05‑31 16:31:04)
|
| Concept inherits from |
prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date completed
prsb03-dataelement-12227
|
|
|
| Id |
prsb03-dataelement-12227 (2019‑05‑31 16:31:04)
|
| Concept inherits from |
prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
|
| Description |
The date and time the record was completed. |
| Relationship |
|
| Operationalization |
Date and time. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-12228
|
|
|
| Id |
prsb03-dataelement-12228 (2019‑05‑31 16:31:04)
|
| Concept inherits from |
prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
|
| Description |
Contact details of the person completing the record (e.g. telephone number, email
address etc.).
|
| FHIR |
PractitionerRole.telecom |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Individual requirement
prsb03-dataelement-10772
|
|
|
| Id |
prsb03-dataelement-10772 (2019‑03‑19 17:03:23)
|
| Concept inherits from |
prsb03-dataelement-10060 (2018‑10‑31)
|
| Description |
Individual requirement that a person has. These may be communication, cultural, cognitive
or mobility needs.
|
| FHIR |
Patient. nhsCommunications |
|
| Operationalization |
Information volunteered by the person or their representative or carer, or known about
locally.Text or coded text (SNOMED CT), constrained as specified in SCCI1605.
Accessible Information standard
Accessible information - communications support refset ^999002121000000109https://dd4c.hscic.gov.uk/dd4c/publishedmetadatas/intid/657
Accessible information - requires communications professional refset ^999002141000000102https://dd4c.hscic.gov.uk/dd4c/publishedmetadatas/intid/660
Accessible information - requires specific contact method refset ^999002151000000104https://dd4c.hscic.gov.uk/dd4c/publishedmetadatas/intid/658
Accessible information -
requires specific information format refset ^999002131000000106https://dd4c.hscic.gov.uk/dd4c/publishedmetadatas/intid/659
|
| Value Domain |
|
|
|
| Relevant contacts
prsb03-dataelement-10773
|
|
|
| Id |
prsb03-dataelement-10773 (2019‑03‑19 17:07:45)
|
| Concept inherits from |
prsb03-dataelement-10029 (2018‑10‑31)
|
| Description |
Include the most important contacts including:
* Personal contacts e.g., next of kin, in case of emergency contact, lasting power
of attorney, dependents, informal carers etc.
* Health/care professional contacts e.g., social worker, hospital clinician, care
coordinator, key worker, Independent Mental Capacity Advocate (IMCA) etc.
Name, relationship, role (if formal role), contact details and availability, e.g.
out of hours.
|
|
|
| Operationalization |
Details of relevant contacts, such as carers or family members, as recorded on the
local system, or volunteered by the patient. This will be a free text list of relevant
contacts.
|
| Value Domain |
|
|
|
| Estimated prognosis
prsb03-dataelement-10774
|
|
|
| Id |
prsb03-dataelement-10774 (2019‑03‑19 17:09:08)
|
| Concept inherits from |
prsb03-dataelement-10202 (2018‑10‑31)
|
| Description |
Where a person is terminally ill this is a clinical judgment indicating the anticipated
period of time until death. E.g., last days, weeks, months or year of life. Also include
the date the prognosis was made.
|
| Operationalization |
End of life care plan use case only. The prognosis estimated by a clinician. |
| Value Domain |
|
|
|
| Estimated prognosis
prsb03-dataelement-10745
|
|
|
| Id |
prsb03-dataelement-10745 (2019‑03‑07 11:10:45)
|
| Description |
Where a person is terminally ill this is a clinical judgment indicating the anticipated
period of time until death e.g. last days, weeks, months or year of life.
|
| Relationship |
|
| Operationalization |
End of life care plan use case only.
Free text.
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date
prsb03-dataelement-12229
|
|
|
| Id |
prsb03-dataelement-12229 (2019‑05‑31 16:31:46)
|
| Description |
The date when the estimated prognosis was made. |
| Relationship |
|
| Operationalization |
Date and time |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Location
prsb03-dataelement-12230
|
|
|
| Id |
prsb03-dataelement-12230 (2019‑05‑31 16:32:37)
|
| Description |
The location where the estimated prognosis was made. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Performing professional
prsb03-dataelement-12231
|
|
|
| Id |
prsb03-dataelement-12231 (2019‑05‑31 16:33:17)
|
| Description |
The professional who made the estimated prognosis. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-12232
|
|
|
| Id |
prsb03-dataelement-12232 (2019‑05‑31 16:33:33)
|
| Concept inherits from |
prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
|
| Description |
The name of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Role
prsb03-dataelement-12233
|
|
|
| Id |
prsb03-dataelement-12233 (2019‑05‑31 16:33:33)
|
| Concept inherits from |
prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
|
| Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
| Operationalization |
NHS Data dictionary or free text
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-12234
|
|
|
| Id |
prsb03-dataelement-12234 (2019‑05‑31 16:33:33)
|
| Concept inherits from |
prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
|
| Description |
The grade of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Speciality
prsb03-dataelement-12235
|
|
|
| Id |
prsb03-dataelement-12235 (2019‑05‑31 16:33:33)
|
| Concept inherits from |
prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
|
| Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-12236
|
|
|
| Id |
prsb03-dataelement-12236 (2019‑05‑31 16:33:33)
|
| Concept inherits from |
prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
|
| Description |
Professional identifier for the professional e.g. GMC number, HCPC number etc or the
personal identifier used by the local organisation.
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisation
prsb03-dataelement-12237
|
|
|
| Id |
prsb03-dataelement-12237 (2019‑05‑31 16:33:33)
|
| Concept inherits from |
prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
|
| Description |
The name of the organisation the professional works for. |
| Operationalization |
ODS code or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-12238
|
|
|
| Id |
prsb03-dataelement-12238 (2019‑05‑31 16:33:33)
|
| Concept inherits from |
prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
|
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person completing record
prsb03-dataelement-12239
|
|
|
| Id |
prsb03-dataelement-12239 (2019‑05‑31 16:33:44)
|
| Concept inherits from |
prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
|
| Description |
Details of the person completing the record. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-12240
|
|
|
| Id |
prsb03-dataelement-12240 (2019‑05‑31 16:34:04)
|
| Concept inherits from |
prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
|
| Description |
The name of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisational role
prsb03-dataelement-12241
|
|
|
| Id |
prsb03-dataelement-12241 (2019‑05‑31 16:34:04)
|
| Concept inherits from |
prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
|
| Description |
The organisational role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Relationship |
|
| Operationalization |
NHS Data dictionary or free text.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-12242
|
|
|
| Id |
prsb03-dataelement-12242 (2019‑05‑31 16:34:04)
|
| Concept inherits from |
prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
|
| Description |
The grade of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Specialty
prsb03-dataelement-12243
|
|
|
|
|
| Organisation
prsb03-dataelement-12244
|
|
|
| Id |
prsb03-dataelement-12244 (2019‑05‑31 16:34:04)
|
| Concept inherits from |
prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
|
| Description |
The organisation the person completing the record works for. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-12245
|
|
|
| Id |
prsb03-dataelement-12245 (2019‑05‑31 16:34:04)
|
| Concept inherits from |
prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date completed
prsb03-dataelement-12246
|
|
|
| Id |
prsb03-dataelement-12246 (2019‑05‑31 16:34:04)
|
| Concept inherits from |
prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
|
| Description |
The date and time the record was completed. |
| Relationship |
|
| Operationalization |
Date and time. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-12247
|
|
|
| Id |
prsb03-dataelement-12247 (2019‑05‑31 16:34:04)
|
| Concept inherits from |
prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
|
| Description |
Contact details of the person completing the record (e.g. telephone number, email
address etc.).
|
| FHIR |
PractitionerRole.telecom |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Awareness of prognosis
prsb03-dataelement-10775
|
|
|
| Id |
prsb03-dataelement-10775 (2019‑03‑19 17:09:45)
|
| Description |
Description of the level of awareness the person and or their carer/family has regarding
their estimated prognosis.
|
| Relationship |
|
| Operationalization |
End of life care plan use case only.
Free text.
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date
prsb03-dataelement-12248
|
|
|
| Id |
prsb03-dataelement-12248 (2019‑05‑31 16:35:21)
|
| Description |
The date when the assessment of the level of awareness of the prognosis was made. |
| Relationship |
|
| Operationalization |
Date and time |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Location
prsb03-dataelement-12249
|
|
|
| Id |
prsb03-dataelement-12249 (2019‑05‑31 16:36:50)
|
| Description |
The location where the assessment of the level of awareness of the prognosis was made. |
| Relationship |
|
| Operationalization |
ODS code and free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Performing professional
prsb03-dataelement-12250
|
|
|
| Id |
prsb03-dataelement-12250 (2019‑05‑31 16:37:30)
|
| Description |
The professional who made the assessment of the level of awareness of the prognosis. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-12251
|
|
|
| Id |
prsb03-dataelement-12251 (2019‑05‑31 16:37:48)
|
| Concept inherits from |
prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
|
| Description |
The name of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Role
prsb03-dataelement-12252
|
|
|
| Id |
prsb03-dataelement-12252 (2019‑05‑31 16:37:48)
|
| Concept inherits from |
prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
|
| Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
| Operationalization |
NHS Data dictionary or free text
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-12253
|
|
|
| Id |
prsb03-dataelement-12253 (2019‑05‑31 16:37:48)
|
| Concept inherits from |
prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
|
| Description |
The grade of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Speciality
prsb03-dataelement-12254
|
|
|
| Id |
prsb03-dataelement-12254 (2019‑05‑31 16:37:48)
|
| Concept inherits from |
prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
|
| Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-12255
|
|
|
| Id |
prsb03-dataelement-12255 (2019‑05‑31 16:37:48)
|
| Concept inherits from |
prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
|
| Description |
Professional identifier for the professional e.g. GMC number, HCPC number etc or the
personal identifier used by the local organisation.
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisation
prsb03-dataelement-12256
|
|
|
| Id |
prsb03-dataelement-12256 (2019‑05‑31 16:37:48)
|
| Concept inherits from |
prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
|
| Description |
The name of the organisation the professional works for. |
| Operationalization |
ODS code or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-12257
|
|
|
| Id |
prsb03-dataelement-12257 (2019‑05‑31 16:37:48)
|
| Concept inherits from |
prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
|
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person completing record
prsb03-dataelement-12258
|
|
|
| Id |
prsb03-dataelement-12258 (2019‑05‑31 16:38:00)
|
| Concept inherits from |
prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
|
| Description |
Details of the person completing the record. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-12259
|
|
|
| Id |
prsb03-dataelement-12259 (2019‑05‑31 16:38:20)
|
| Concept inherits from |
prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
|
| Description |
The name of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisational role
prsb03-dataelement-12260
|
|
|
| Id |
prsb03-dataelement-12260 (2019‑05‑31 16:38:20)
|
| Concept inherits from |
prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
|
| Description |
The organisational role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Relationship |
|
| Operationalization |
NHS Data dictionary or free text.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-12261
|
|
|
| Id |
prsb03-dataelement-12261 (2019‑05‑31 16:38:20)
|
| Concept inherits from |
prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
|
| Description |
The grade of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Specialty
prsb03-dataelement-12262
|
|
|
|
|
| Organisation
prsb03-dataelement-12263
|
|
|
| Id |
prsb03-dataelement-12263 (2019‑05‑31 16:38:20)
|
| Concept inherits from |
prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
|
| Description |
The organisation the person completing the record works for. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-12264
|
|
|
| Id |
prsb03-dataelement-12264 (2019‑05‑31 16:38:20)
|
| Concept inherits from |
prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date completed
prsb03-dataelement-12265
|
|
|
| Id |
prsb03-dataelement-12265 (2019‑05‑31 16:38:20)
|
| Concept inherits from |
prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
|
| Description |
The date and time the record was completed. |
| Relationship |
|
| Operationalization |
Date and time. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-12266
|
|
|
| Id |
prsb03-dataelement-12266 (2019‑05‑31 16:38:20)
|
| Concept inherits from |
prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
|
| Description |
Contact details of the person completing the record (e.g. telephone number, email
address etc.).
|
| FHIR |
PractitionerRole.telecom |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Services and care
prsb03-dataelement-10776
|
|
|
| Id |
prsb03-dataelement-10776 (2019‑03‑19 17:11:22)
|
| Description |
The description of services and care providing support for person’s health and social
wellbeing.
|
| Relationship |
|
| Operationalization |
This is the free text record of services and care as provided by the person or their
representative.
|
| Value Domain |
|
|
|
| Advance statement
prsb03-dataelement-10777
|
|
|
| Id |
prsb03-dataelement-10777 (2019‑03‑19 17:12:20)
|
| Description |
Written requests and preferences made by a person with capacity conveying their wishes,
beliefs and values for their future care should they lose capacity. Include the location
of the document if known.
|
| Relationship |
|
| Operationalization |
Coded text and/or text.
A record of the presence of an advance statement using the following SNOMED CT concept
from the National Information Standard (SCCI1580): SNOMED CT: 816281000000101.
Has advance statement (Mental Capacity Act 2005). The content of the advance statement
should also be included as text or attached as a document where available.
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date
prsb03-dataelement-12267
|
|
|
| Id |
prsb03-dataelement-12267 (2019‑05‑31 16:39:20)
|
| Description |
The date when the advanced statements was made. |
| Relationship |
|
| Operationalization |
Date and time |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Location
prsb03-dataelement-12268
|
|
|
| Id |
prsb03-dataelement-12268 (2019‑05‑31 16:39:59)
|
| Description |
The location where the advanced statement was made. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Performing professional
prsb03-dataelement-12269
|
|
|
| Id |
prsb03-dataelement-12269 (2019‑05‑31 16:40:44)
|
| Description |
The professional who made the advance statement. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-12270
|
|
|
| Id |
prsb03-dataelement-12270 (2019‑05‑31 16:41:01)
|
| Concept inherits from |
prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
|
| Description |
The name of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Role
prsb03-dataelement-12271
|
|
|
| Id |
prsb03-dataelement-12271 (2019‑05‑31 16:41:01)
|
| Concept inherits from |
prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
|
| Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
| Operationalization |
NHS Data dictionary or free text
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-12272
|
|
|
| Id |
prsb03-dataelement-12272 (2019‑05‑31 16:41:01)
|
| Concept inherits from |
prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
|
| Description |
The grade of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Speciality
prsb03-dataelement-12273
|
|
|
| Id |
prsb03-dataelement-12273 (2019‑05‑31 16:41:01)
|
| Concept inherits from |
prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
|
| Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-12274
|
|
|
| Id |
prsb03-dataelement-12274 (2019‑05‑31 16:41:01)
|
| Concept inherits from |
prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
|
| Description |
Professional identifier for the professional e.g. GMC number, HCPC number etc or the
personal identifier used by the local organisation.
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisation
prsb03-dataelement-12275
|
|
|
| Id |
prsb03-dataelement-12275 (2019‑05‑31 16:41:01)
|
| Concept inherits from |
prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
|
| Description |
The name of the organisation the professional works for. |
| Operationalization |
ODS code or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-12276
|
|
|
| Id |
prsb03-dataelement-12276 (2019‑05‑31 16:41:01)
|
| Concept inherits from |
prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
|
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person completing record
prsb03-dataelement-12277
|
|
|
| Id |
prsb03-dataelement-12277 (2019‑05‑31 16:41:55)
|
| Concept inherits from |
prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
|
| Description |
Details of the person completing the record. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-12278
|
|
|
| Id |
prsb03-dataelement-12278 (2019‑05‑31 16:42:15)
|
| Concept inherits from |
prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
|
| Description |
The name of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisational role
prsb03-dataelement-12279
|
|
|
| Id |
prsb03-dataelement-12279 (2019‑05‑31 16:42:15)
|
| Concept inherits from |
prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
|
| Description |
The organisational role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Relationship |
|
| Operationalization |
NHS Data dictionary or free text.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-12280
|
|
|
| Id |
prsb03-dataelement-12280 (2019‑05‑31 16:42:15)
|
| Concept inherits from |
prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
|
| Description |
The grade of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Specialty
prsb03-dataelement-12281
|
|
|
|
|
| Organisation
prsb03-dataelement-12282
|
|
|
| Id |
prsb03-dataelement-12282 (2019‑05‑31 16:42:15)
|
| Concept inherits from |
prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
|
| Description |
The organisation the person completing the record works for. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-12283
|
|
|
| Id |
prsb03-dataelement-12283 (2019‑05‑31 16:42:15)
|
| Concept inherits from |
prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date completed
prsb03-dataelement-12284
|
|
|
| Id |
prsb03-dataelement-12284 (2019‑05‑31 16:42:15)
|
| Concept inherits from |
prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
|
| Description |
The date and time the record was completed. |
| Relationship |
|
| Operationalization |
Date and time. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-12285
|
|
|
| Id |
prsb03-dataelement-12285 (2019‑05‑31 16:42:15)
|
| Concept inherits from |
prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
|
| Description |
Contact details of the person completing the record (e.g. telephone number, email
address etc.).
|
| FHIR |
PractitionerRole.telecom |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Anticipatory actions
prsb03-dataelement-10786
|
|
|
| Id |
prsb03-dataelement-10786 (2019‑03‑19 17:23:36)
|
| Description |
Guidance on specific interventions or actions that may be required or should be avoided
in specific situations.
|
| Relationship |
|
| Operationalization |
Free text
A statement of anticipatory actions. Usually expressed as: in the event of X do Y.
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date
prsb03-dataelement-12286
|
|
|
| Id |
prsb03-dataelement-12286 (2019‑05‑31 16:48:34)
|
| Description |
The date when the anticipatory actions were identified. |
| Relationship |
|
| Operationalization |
Date and time |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Location
prsb03-dataelement-12287
|
|
|
| Id |
prsb03-dataelement-12287 (2019‑05‑31 16:49:03)
|
| Description |
The location where the anticipatory actions were identified. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Performing professional
prsb03-dataelement-12288
|
|
|
| Id |
prsb03-dataelement-12288 (2019‑05‑31 16:49:45)
|
| Description |
The professional who identified the anticipatory actions. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-12289
|
|
|
| Id |
prsb03-dataelement-12289 (2019‑05‑31 16:50:03)
|
| Concept inherits from |
prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
|
| Description |
The name of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Role
prsb03-dataelement-12290
|
|
|
| Id |
prsb03-dataelement-12290 (2019‑05‑31 16:50:03)
|
| Concept inherits from |
prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
|
| Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
| Operationalization |
NHS Data dictionary or free text
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-12291
|
|
|
| Id |
prsb03-dataelement-12291 (2019‑05‑31 16:50:03)
|
| Concept inherits from |
prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
|
| Description |
The grade of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Speciality
prsb03-dataelement-12292
|
|
|
| Id |
prsb03-dataelement-12292 (2019‑05‑31 16:50:03)
|
| Concept inherits from |
prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
|
| Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-12293
|
|
|
| Id |
prsb03-dataelement-12293 (2019‑05‑31 16:50:03)
|
| Concept inherits from |
prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
|
| Description |
Professional identifier for the professional e.g. GMC number, HCPC number etc or the
personal identifier used by the local organisation.
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisation
prsb03-dataelement-12294
|
|
|
| Id |
prsb03-dataelement-12294 (2019‑05‑31 16:50:03)
|
| Concept inherits from |
prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
|
| Description |
The name of the organisation the professional works for. |
| Operationalization |
ODS code or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-12295
|
|
|
| Id |
prsb03-dataelement-12295 (2019‑05‑31 16:50:03)
|
| Concept inherits from |
prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
|
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person completing record
prsb03-dataelement-12296
|
|
|
| Id |
prsb03-dataelement-12296 (2019‑05‑31 16:50:15)
|
| Concept inherits from |
prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
|
| Description |
Details of the person completing the record. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-12297
|
|
|
| Id |
prsb03-dataelement-12297 (2019‑05‑31 16:50:40)
|
| Concept inherits from |
prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
|
| Description |
The name of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisational role
prsb03-dataelement-12298
|
|
|
| Id |
prsb03-dataelement-12298 (2019‑05‑31 16:50:40)
|
| Concept inherits from |
prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
|
| Description |
The organisational role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Relationship |
|
| Operationalization |
NHS Data dictionary or free text.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-12299
|
|
|
| Id |
prsb03-dataelement-12299 (2019‑05‑31 16:50:40)
|
| Concept inherits from |
prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
|
| Description |
The grade of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Specialty
prsb03-dataelement-12300
|
|
|
|
|
| Organisation
prsb03-dataelement-12301
|
|
|
| Id |
prsb03-dataelement-12301 (2019‑05‑31 16:50:40)
|
| Concept inherits from |
prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
|
| Description |
The organisation the person completing the record works for. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-12302
|
|
|
| Id |
prsb03-dataelement-12302 (2019‑05‑31 16:50:40)
|
| Concept inherits from |
prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date completed
prsb03-dataelement-12303
|
|
|
| Id |
prsb03-dataelement-12303 (2019‑05‑31 16:50:40)
|
| Concept inherits from |
prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
|
| Description |
The date and time the record was completed. |
| Relationship |
|
| Operationalization |
Date and time. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-12304
|
|
|
| Id |
prsb03-dataelement-12304 (2019‑05‑31 16:50:40)
|
| Concept inherits from |
prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
|
| Description |
Contact details of the person completing the record (e.g. telephone number, email
address etc.).
|
| FHIR |
PractitionerRole.telecom |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Anticipatory medicines/equipment
prsb03-dataelement-10785
|
|
|
| Id |
prsb03-dataelement-10785 (2019‑03‑19 17:21:30)
|
| Description |
A statement regarding the availability or location of the anticipatory medicines/equipment. |
| Relationship |
|
| Operationalization |
Free text |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date
prsb03-dataelement-12305
|
|
|
| Id |
prsb03-dataelement-12305 (2019‑05‑31 16:52:30)
|
| Description |
The date when the statement regarding anticipatory medicines/equipment was made. |
| Relationship |
|
| Operationalization |
Date and time |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Location
prsb03-dataelement-12306
|
|
|
| Id |
prsb03-dataelement-12306 (2019‑05‑31 16:53:01)
|
| Description |
The location where the statement regarding anticipatory medicines/equipment was made. |
| Relationship |
|
| Operationalization |
ODS code and free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Performing professional
prsb03-dataelement-12307
|
|
|
| Id |
prsb03-dataelement-12307 (2019‑05‑31 16:53:39)
|
| Description |
The professional who made the statement regarding anticipatory medicines/equipment
was made.
|
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-12308
|
|
|
| Id |
prsb03-dataelement-12308 (2019‑05‑31 16:53:59)
|
| Concept inherits from |
prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
|
| Description |
The name of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Role
prsb03-dataelement-12309
|
|
|
| Id |
prsb03-dataelement-12309 (2019‑05‑31 16:53:59)
|
| Concept inherits from |
prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
|
| Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
| Operationalization |
NHS Data dictionary or free text
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-12310
|
|
|
| Id |
prsb03-dataelement-12310 (2019‑05‑31 16:53:59)
|
| Concept inherits from |
prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
|
| Description |
The grade of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Speciality
prsb03-dataelement-12311
|
|
|
| Id |
prsb03-dataelement-12311 (2019‑05‑31 16:53:59)
|
| Concept inherits from |
prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
|
| Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-12312
|
|
|
| Id |
prsb03-dataelement-12312 (2019‑05‑31 16:53:59)
|
| Concept inherits from |
prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
|
| Description |
Professional identifier for the professional e.g. GMC number, HCPC number etc or the
personal identifier used by the local organisation.
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisation
prsb03-dataelement-12313
|
|
|
| Id |
prsb03-dataelement-12313 (2019‑05‑31 16:53:59)
|
| Concept inherits from |
prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
|
| Description |
The name of the organisation the professional works for. |
| Operationalization |
ODS code or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-12314
|
|
|
| Id |
prsb03-dataelement-12314 (2019‑05‑31 16:53:59)
|
| Concept inherits from |
prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
|
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person completing record
prsb03-dataelement-12315
|
|
|
| Id |
prsb03-dataelement-12315 (2019‑05‑31 16:54:10)
|
| Concept inherits from |
prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
|
| Description |
Details of the person completing the record. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-12316
|
|
|
| Id |
prsb03-dataelement-12316 (2019‑05‑31 16:54:34)
|
| Concept inherits from |
prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
|
| Description |
The name of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisational role
prsb03-dataelement-12317
|
|
|
| Id |
prsb03-dataelement-12317 (2019‑05‑31 16:54:34)
|
| Concept inherits from |
prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
|
| Description |
The organisational role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Relationship |
|
| Operationalization |
NHS Data dictionary or free text.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-12318
|
|
|
| Id |
prsb03-dataelement-12318 (2019‑05‑31 16:54:34)
|
| Concept inherits from |
prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
|
| Description |
The grade of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Specialty
prsb03-dataelement-12319
|
|
|
|
|
| Organisation
prsb03-dataelement-12320
|
|
|
| Id |
prsb03-dataelement-12320 (2019‑05‑31 16:54:34)
|
| Concept inherits from |
prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
|
| Description |
The organisation the person completing the record works for. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-12321
|
|
|
| Id |
prsb03-dataelement-12321 (2019‑05‑31 16:54:34)
|
| Concept inherits from |
prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date completed
prsb03-dataelement-12322
|
|
|
| Id |
prsb03-dataelement-12322 (2019‑05‑31 16:54:34)
|
| Concept inherits from |
prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
|
| Description |
The date and time the record was completed. |
| Relationship |
|
| Operationalization |
Date and time. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-12323
|
|
|
| Id |
prsb03-dataelement-12323 (2019‑05‑31 16:54:34)
|
| Concept inherits from |
prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
|
| Description |
Contact details of the person completing the record (e.g. telephone number, email
address etc.).
|
| FHIR |
PractitionerRole.telecom |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Advance decision to refuse treatment (ADRT)
prsb03-dataelement-10778
|
|
|
| Id |
prsb03-dataelement-10778 (2019‑03‑19 17:13:11)
|
| Concept inherits from |
prsb03-dataelement-10428 (2018‑10‑31)
|
| Description |
A record of an advance decision to refuse one or more specific types of future treatment,
made by a person who had capacity at the time of recording the decision.
The decision only applies when the person no longer has the capacity to consent to
or refuse the specific treatment being considered.
An ADRT must be in writing, signed and witnessed.
If the ADRT is refusing life-sustaining treatment it must state specifically that
the treatment is refused even if the person’s life is at risk.
|
| Operationalization |
SNOMED CT codes (see National Information Standard (SCCI1580) and associated text.
Where available a copy of the ADRT may be appended to the record.
Where there has been a change in the ADRT this should be noted in the record in free
text.
|
|
|
| Lasting power of attorney for personal welfare or court-appointed deputy (or equivalent)
prsb03-dataelement-10779
|
|
|
| Id |
prsb03-dataelement-10779 (2019‑03‑19 17:13:37)
|
| Concept inherits from |
prsb03-dataelement-10425 (2018‑10‑31)
|
| Description |
Record of one or more people who have been given power (LPA) by the person when they
had capacity to make decisions about their health and welfare should they lose capacity
to make those decisions.
To be valid, an LPA must have been registered with the Court of Protection.
If life-sustaining treatment is being considered the LPA document must state specifically
that the attorney has been given power to consent to or refuse life-sustaining treatment.
Details of any person (deputy) appointed by the court to make decisions about the
person’s health and welfare.
A deputy does not have the power to refuse life-sustaining treatment.
|
| Operationalization |
The name of the LPA should be recorded.
The authority of the LPA should be recorded as SNOMED CT codes (see National Information
Standard (SCCI1580) and associated text must be displayed.
Where available a copy of the documentation may be appended to the record.
The contact details of the LPA should be recorded under the personal contacts heading.
|
| Value Domain |
|
|
|
| Preferred place of death
prsb03-dataelement-10780
|
|
|
| Id |
prsb03-dataelement-10780 (2019‑03‑19 17:14:33)
|
| Description |
The preferences that a person has identified as their preferred place to die. |
| Relationship |
|
| Operationalization |
End of life care plan use case only. Preferences will be identified as 1st/2nd choice
etc as given by the person. Each recorded preference should include the name of the
place that the person has identified. It may also include coded values from the National
Information Standard (SCCI1580), together with the associated text:10: Hospital (Acute/Community/Other)20:
Private residence21: Patient's own home22: Other private residence (eg relatives home,
carers home)30: Hospice (inpatient specialist palliative care)40: Care Home50: Other
(free
text eg secure and detained settings)517111000000103
Preferred place of death: patient unable to express preference517131000000106
Preferred place of death: discussion not appropriate766391000000108
Preferred place of death: patient declined discussion517161000000101
Preferred place of death: patient undecided
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date
prsb03-dataelement-12324
|
|
|
| Id |
prsb03-dataelement-12324 (2019‑05‑31 16:55:33)
|
| Description |
The date when the preferred place of death was identified. |
| Relationship |
|
| Operationalization |
Date and time |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Location
prsb03-dataelement-12325
|
|
|
| Id |
prsb03-dataelement-12325 (2019‑05‑31 16:56:07)
|
| Description |
The location where the preferred place of death was identified. |
| Relationship |
|
| Operationalization |
ODS code and free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Performing professional
prsb03-dataelement-12326
|
|
|
| Id |
prsb03-dataelement-12326 (2019‑05‑31 16:56:54)
|
| Description |
The professional who identified the preferred place of death. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-12327
|
|
|
| Id |
prsb03-dataelement-12327 (2019‑05‑31 16:57:14)
|
| Concept inherits from |
prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
|
| Description |
The name of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Role
prsb03-dataelement-12328
|
|
|
| Id |
prsb03-dataelement-12328 (2019‑05‑31 16:57:14)
|
| Concept inherits from |
prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
|
| Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
| Operationalization |
NHS Data dictionary or free text
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-12329
|
|
|
| Id |
prsb03-dataelement-12329 (2019‑05‑31 16:57:14)
|
| Concept inherits from |
prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
|
| Description |
The grade of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Speciality
prsb03-dataelement-12330
|
|
|
| Id |
prsb03-dataelement-12330 (2019‑05‑31 16:57:14)
|
| Concept inherits from |
prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
|
| Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-12331
|
|
|
| Id |
prsb03-dataelement-12331 (2019‑05‑31 16:57:14)
|
| Concept inherits from |
prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
|
| Description |
Professional identifier for the professional e.g. GMC number, HCPC number etc or the
personal identifier used by the local organisation.
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisation
prsb03-dataelement-12332
|
|
|
| Id |
prsb03-dataelement-12332 (2019‑05‑31 16:57:14)
|
| Concept inherits from |
prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
|
| Description |
The name of the organisation the professional works for. |
| Operationalization |
ODS code or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-12333
|
|
|
| Id |
prsb03-dataelement-12333 (2019‑05‑31 16:57:14)
|
| Concept inherits from |
prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
|
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person completing record
prsb03-dataelement-12334
|
|
|
| Id |
prsb03-dataelement-12334 (2019‑05‑31 16:57:26)
|
| Concept inherits from |
prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
|
| Description |
Details of the person completing the record. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-12335
|
|
|
| Id |
prsb03-dataelement-12335 (2019‑05‑31 16:57:52)
|
| Concept inherits from |
prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
|
| Description |
The name of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisational role
prsb03-dataelement-12336
|
|
|
| Id |
prsb03-dataelement-12336 (2019‑05‑31 16:57:52)
|
| Concept inherits from |
prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
|
| Description |
The organisational role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Relationship |
|
| Operationalization |
NHS Data dictionary or free text.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-12337
|
|
|
| Id |
prsb03-dataelement-12337 (2019‑05‑31 16:57:52)
|
| Concept inherits from |
prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
|
| Description |
The grade of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Specialty
prsb03-dataelement-12338
|
|
|
|
|
| Organisation
prsb03-dataelement-12339
|
|
|
| Id |
prsb03-dataelement-12339 (2019‑05‑31 16:57:52)
|
| Concept inherits from |
prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
|
| Description |
The organisation the person completing the record works for. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-12340
|
|
|
| Id |
prsb03-dataelement-12340 (2019‑05‑31 16:57:52)
|
| Concept inherits from |
prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date completed
prsb03-dataelement-12341
|
|
|
| Id |
prsb03-dataelement-12341 (2019‑05‑31 16:57:52)
|
| Concept inherits from |
prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
|
| Description |
The date and time the record was completed. |
| Relationship |
|
| Operationalization |
Date and time. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-12342
|
|
|
| Id |
prsb03-dataelement-12342 (2019‑05‑31 16:57:52)
|
| Concept inherits from |
prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
|
| Description |
Contact details of the person completing the record (e.g. telephone number, email
address etc.).
|
| FHIR |
PractitionerRole.telecom |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Agreed with person or legitimate person's representative
prsb03-dataelement-10784
|
|
|
| Id |
prsb03-dataelement-10784 (2019‑03‑19 17:19:34)
|
| Description |
Indicates whether the person or legitimate representative has agreed the entire plan
or individual aspects of treatment, expected outcomes, risks and alternative treatments.
|
| Relationship |
|
| Operationalization |
A record of the agreement of the decisions made, Free text |
|
|
| Date
prsb03-dataelement-12343
|
|
|
| Id |
prsb03-dataelement-12343 (2019‑05‑31 16:58:33)
|
| Concept inherits from |
prsb03-dataelement-11688 (2019‑05‑31 11:50:22)
|
| Description |
The date when the mental capacity assessment was made. |
| Operationalization |
Date and time |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year |
|
|
|
| Location
prsb03-dataelement-12344
|
|
|
| Id |
prsb03-dataelement-12344 (2019‑05‑31 16:59:03)
|
| Concept inherits from |
prsb03-dataelement-11689 (2019‑05‑31 11:51:04)
|
| Description |
The location where the mental capacity assessment was made. |
| Operationalization |
ODS code or free text |
| Value Domain |
|
|
|
| Performing professional
prsb03-dataelement-12345
|
|
|
|
|
| Name
prsb03-dataelement-12346
|
|
|
|
|
| Role
prsb03-dataelement-12347
|
|
|
| Id |
prsb03-dataelement-12347 (2019‑05‑31 17:00:07)
|
| Concept inherits from |
prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
|
| Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
| Operationalization |
NHS Data dictionary or free text
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
|
|
| Grade
prsb03-dataelement-12348
|
|
|
|
|
| Speciality
prsb03-dataelement-12349
|
|
|
| Id |
prsb03-dataelement-12349 (2019‑05‑31 17:00:07)
|
| Concept inherits from |
prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
|
| Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
|
|
| Professional identifier
prsb03-dataelement-12350
|
|
|
| Id |
prsb03-dataelement-12350 (2019‑05‑31 17:00:07)
|
| Concept inherits from |
prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
|
| Description |
Professional identifier for the professional e.g. GMC number, HCPC number etc or the
personal identifier used by the local organisation.
|
| Operationalization |
Free text. |
| Value Domain |
|
|
|
| Organisation
prsb03-dataelement-12351
|
|
|
| Id |
prsb03-dataelement-12351 (2019‑05‑31 17:00:07)
|
| Concept inherits from |
prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
|
| Description |
The name of the organisation the professional works for. |
| Operationalization |
ODS code or free text. |
| Value Domain |
|
|
|
| Contact details
prsb03-dataelement-12352
|
|
|
| Id |
prsb03-dataelement-12352 (2019‑05‑31 17:00:07)
|
| Concept inherits from |
prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
|
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text. |
| Value Domain |
|
|
|
| Person completing record
prsb03-dataelement-12353
|
|
|
|
|
| Name
prsb03-dataelement-12354
|
|
|
|
|
| Organisational role
prsb03-dataelement-12355
|
|
|
| Id |
prsb03-dataelement-12355 (2019‑05‑31 17:00:42)
|
| Concept inherits from |
prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
|
| Description |
The organisational role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Relationship |
|
| Operationalization |
NHS Data dictionary or free text.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
|
|
| Grade
prsb03-dataelement-12356
|
|
|
|
|
| Specialty
prsb03-dataelement-12357
|
|
|
|
|
| Organisation
prsb03-dataelement-12358
|
|
|
| Id |
prsb03-dataelement-12358 (2019‑05‑31 17:00:42)
|
| Concept inherits from |
prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
|
| Description |
The organisation the person completing the record works for. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
|
|
| Professional identifier
prsb03-dataelement-12359
|
|
|
| Id |
prsb03-dataelement-12359 (2019‑05‑31 17:00:42)
|
| Concept inherits from |
prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
|
|
| Date completed
prsb03-dataelement-12360
|
|
|
|
|
| Contact details
prsb03-dataelement-12361
|
|
|
| Id |
prsb03-dataelement-12361 (2019‑05‑31 17:00:42)
|
| Concept inherits from |
prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
|
| Description |
Contact details of the person completing the record (e.g. telephone number, email
address etc.).
|
| FHIR |
PractitionerRole.telecom |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
|
|
| Preferred place of care
prsb03-dataelement-10781
|
|
|
| Id |
prsb03-dataelement-10781 (2019‑03‑19 17:15:36)
|
| Description |
The preferences that the person has identified as their preferred place to receive
care.
|
| Relationship |
|
| Operationalization |
Free Text |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date
prsb03-dataelement-12362
|
|
|
| Id |
prsb03-dataelement-12362 (2019‑05‑31 17:01:43)
|
| Description |
The date when the preferred place of care was identified. |
| Relationship |
|
| Operationalization |
Date and time |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Location
prsb03-dataelement-12363
|
|
|
| Id |
prsb03-dataelement-12363 (2019‑05‑31 17:02:33)
|
| Description |
The location where the preferred place of care was identified. |
| Relationship |
|
| Operationalization |
ODS code or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Performing professional
prsb03-dataelement-12364
|
|
|
| Id |
prsb03-dataelement-12364 (2019‑05‑31 17:03:08)
|
| Description |
The professional who identified the preferred place of care. |
| Relationship |
|
| Operationalization |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-12365
|
|
|
| Id |
prsb03-dataelement-12365 (2019‑05‑31 17:03:28)
|
| Concept inherits from |
prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
|
| Description |
The name of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Role
prsb03-dataelement-12366
|
|
|
| Id |
prsb03-dataelement-12366 (2019‑05‑31 17:03:28)
|
| Concept inherits from |
prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
|
| Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
| Operationalization |
NHS Data dictionary or free text
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-12367
|
|
|
| Id |
prsb03-dataelement-12367 (2019‑05‑31 17:03:28)
|
| Concept inherits from |
prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
|
| Description |
The grade of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Speciality
prsb03-dataelement-12368
|
|
|
| Id |
prsb03-dataelement-12368 (2019‑05‑31 17:03:28)
|
| Concept inherits from |
prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
|
| Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-12369
|
|
|
| Id |
prsb03-dataelement-12369 (2019‑05‑31 17:03:28)
|
| Concept inherits from |
prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
|
| Description |
Professional identifier for the professional e.g. GMC number, HCPC number etc or the
personal identifier used by the local organisation.
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisation
prsb03-dataelement-12370
|
|
|
| Id |
prsb03-dataelement-12370 (2019‑05‑31 17:03:28)
|
| Concept inherits from |
prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
|
| Description |
The name of the organisation the professional works for. |
| Operationalization |
ODS code or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-12371
|
|
|
| Id |
prsb03-dataelement-12371 (2019‑05‑31 17:03:28)
|
| Concept inherits from |
prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
|
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person completing record
prsb03-dataelement-12372
|
|
|
| Id |
prsb03-dataelement-12372 (2019‑05‑31 17:03:40)
|
| Concept inherits from |
prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
|
| Description |
Details of the person completing the record. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-12373
|
|
|
| Id |
prsb03-dataelement-12373 (2019‑05‑31 17:04:03)
|
| Concept inherits from |
prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
|
| Description |
The name of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisational role
prsb03-dataelement-12374
|
|
|
| Id |
prsb03-dataelement-12374 (2019‑05‑31 17:04:03)
|
| Concept inherits from |
prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
|
| Description |
The organisational role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Relationship |
|
| Operationalization |
NHS Data dictionary or free text.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-12375
|
|
|
| Id |
prsb03-dataelement-12375 (2019‑05‑31 17:04:03)
|
| Concept inherits from |
prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
|
| Description |
The grade of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Specialty
prsb03-dataelement-12376
|
|
|
|
|
| Organisation
prsb03-dataelement-12377
|
|
|
| Id |
prsb03-dataelement-12377 (2019‑05‑31 17:04:03)
|
| Concept inherits from |
prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
|
| Description |
The organisation the person completing the record works for. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-12378
|
|
|
| Id |
prsb03-dataelement-12378 (2019‑05‑31 17:04:03)
|
| Concept inherits from |
prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date completed
prsb03-dataelement-12379
|
|
|
| Id |
prsb03-dataelement-12379 (2019‑05‑31 17:04:03)
|
| Concept inherits from |
prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
|
| Description |
The date and time the record was completed. |
| Relationship |
|
| Operationalization |
Date and time. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-12380
|
|
|
| Id |
prsb03-dataelement-12380 (2019‑05‑31 17:04:03)
|
| Concept inherits from |
prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
|
| Description |
Contact details of the person completing the record (e.g. telephone number, email
address etc.).
|
| FHIR |
PractitionerRole.telecom |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Actual place of death
prsb03-dataelement-10782
|
|
|
| Id |
prsb03-dataelement-10782 (2019‑03‑19 17:17:13)
|
| Concept inherits from |
prsb03-dataelement-10211 (2018‑10‑31)
|
| Description |
The location where the person actually died as recorded on the death certificate.
If the person died somewhere other than their preferred place, record the reasons
why this happened.
|
| Operationalization |
End of life care plan use case only. Include coded values from the National Information
Standard (SCCI1580), together with the associated text. Free text details of the variance.
|
| Value Domain |
|
|
|
| Date of death
prsb03-dataelement-10783
|
|
|
| Id |
prsb03-dataelement-10783 (2019‑03‑19 17:17:37)
|
| Concept inherits from |
prsb03-dataelement-10213 (2018‑10‑31)
|
| Description |
The date on which a person died or is officially deemed to have died, as recorded
on the death certificate.
|
|
|
| Operationalization |
End of life care plan use case only. Exactly as recorded on the death certificate. |
| Value Domain |
|
|
|
| Date this plan was last updated
prsb03-dataelement-10788
|
|
|
| Id |
prsb03-dataelement-10788 (2019‑03‑19 18:00:25)
|
| Concept inherits from |
prsb03-dataelement-10412 (2018‑10‑31)
|
| Description |
This is a record of the date that this care and support plan was last updated. |
| Operationalization |
Date and time |
| Value Domain |
|
|
|
| Person completing record
prsb03-dataelement-10789
|
|
|
| Id |
prsb03-dataelement-10789 (2019‑03‑19 18:02:49)
|
| Description |
This is the person contributing to the end of life care plan. Should include their
name, role, grade, specialty, organisation, professional identifier, date and time
completed, contact details
|
| Relationship |
|
| Operationalization |
Free text. Name, Role, Grade, Specialty, Organisation, Professional identifier, Date
and time completed, Contact details
|
| Value Domain |
|
|
|
| Cardio-pulmonary resuscitation (CPR) decision
prsb03-dataelement-10744
|
|
|
| Id |
prsb03-dataelement-10744 (2019‑03‑07 11:07:59)
|
| Concept inherits from |
prsb03-dataelement-10207 (2018‑10‑31)
|
| Description |
Whether a decision has been made, the decision, who made the decision, the date of
decision, date for review and location of documentation. Where the person or their
family member/carer have not been informed of the clinical decision please state the
reason why.
|
| Operationalization |
A record of the decision made and the location of the documentation. May include the
following SNOMED CT concepts from the National Information Standard (SCCI1580):450475007
For attempted cardiopulmonary resuscitation450476008
Not for attempted cardiopulmonary resuscitation
|
| Value Domain |
|
|
|
| Crisis Care Plan
prsb03-dataelement-300
|
|
|
|
|
| Care funding details
prsb03-dataelement-10200
|
|
|
| Id |
prsb03-dataelement-10200 (2018‑10‑31)
|
| Description |
A record of the funding source and any conditions or limitations associated. |
| Operationalization |
End of life care plan use case only. Free text. |
| Value Domain |
|
|
|
| Priorities of care
prsb03-dataelement-10201
|
|
|
| Id |
prsb03-dataelement-10201 (2018‑10‑31)
|
| Description |
The priorities agreed between the person and their health/care team, where the person
has capacity:
*to get better; please consider all treatment to prolong life.
*to achieve a balance between getting better and ensuring good quality of life; please
consider selected treatments. *comfort; please consider all treatments aimed at symptom
control.
|
| Operationalization |
A record of the priorities of care agreed by the person and their health/care team.
This may include the following statements from the Resuscitation Council work:*to
get better; please consider all treatment to prolong life. *to achieve a balance between
getting better and ensuring good quality of life; please consider selected treatments.*comfort;
please consider all treatments aimed at symptom control.
|
| Value Domain |
|
|
|
| Estimated prognosis
prsb03-dataelement-10202
|
|
|
| Id |
prsb03-dataelement-10202 (2018‑10‑31)
|
| Description |
Where a person is terminally ill this is a clinical judgment indicating the anticipated
period of time until death. E.g., last days, weeks, months or year of life. Also include
the date the prognosis was made.
|
| Operationalization |
End of life care plan use case only. The prognosis estimated by a clinician. |
| Value Domain |
|
| Used by
|
0 transactions, 0 templates, inherited once |
| |
|
|
|
| Awareness of prognosis
prsb03-dataelement-10203
|
|
|
| Id |
prsb03-dataelement-10203 (2018‑10‑31)
|
| Description |
Description of the level of awareness the person and or their carer/family has regarding
their estimated prognosis.
|
| Operationalization |
End of life care plan use case only. The awareness statement made by a clinician. |
| Value Domain |
|
|
|
| Anticipatory actions
prsb03-dataelement-10204
|
|
|
| Id |
prsb03-dataelement-10204 (2018‑10‑31)
|
| Description |
Please provide guidance on specific interventions or actions that may be required
or should be avoided in specific situations.
|
| Operationalization |
A statement of anticipatory actions. Usually expressed as: in the event of X do Y. |
| Value Domain |
|
|
|
| Anticipatory medicines/equipment
prsb03-dataelement-10205
|
|
|
| Id |
prsb03-dataelement-10205 (2018‑10‑31)
|
| Description |
Medicines or equipment available in the event of a crisis and their location. |
| Operationalization |
A statement regarding the availability or location of the anticipatory medicines/equipment. |
| Value Domain |
|
|
|
| Agreed with person or legitimate representative
prsb03-dataelement-10206
|
|
|
| Id |
prsb03-dataelement-10206 (2018‑10‑31)
|
| Description |
Indicates whether the crisis care plan was discussed and agreed with the person or
legitimate representative. If agreement cannot be obtained the reason for this should
be documented.
|
| Operationalization |
A record of the agreement of the decisions made. |
| Value Domain |
|
|
|
| Cardio-pulmonary resuscitation (CPR) decision
prsb03-dataelement-10207
|
|
|
| Id |
prsb03-dataelement-10207 (2018‑10‑31)
|
| Description |
Whether a decision has been made, the decision, who made the decision, the date of
decision, date for review and location of documentation. Where the person or their
family member/carer have not been informed of the clinical decision please state the
reason why.
|
| Operationalization |
A record of the decision made and the location of the documentation. May include the
following SNOMED CT concepts from the National Information Standard (SCCI1580):450475007
For attempted cardiopulmonary resuscitation450476008
Not for attempted cardiopulmonary resuscitation
|
| Value Domain |
|
| Used by
|
0 transactions, 0 templates, inherited once |
| |
|
|
|
| Actions taken in anticipation of death
prsb03-dataelement-10210
|
|
|
| Id |
prsb03-dataelement-10210 (2018‑10‑31)
|
| Description |
Plan or statement of intent that has been agreed to facilitate certification of death
and/or funeral arrangements e.g. anticipatory discussions with coroner to arrange
funeral within 24 hours etc.
|
| Operationalization |
End of life care plan use case only. Free text. |
| Value Domain |
|
|
|
| Planned review date
prsb03-dataelement-10208
|
|
|
| Id |
prsb03-dataelement-10208 (2018‑10‑31)
|
| Description |
Date the plan is due for review. |
| Operationalization |
End of life care plan use case only. The date the plan is due for review. |
| Value Domain |
|
| Used by
|
0 transactions, 0 templates, inherited once |
| |
|
|
|
| After death
prsb03-dataelement-309
|
|
|
|
|
| Certification of death
prsb03-dataelement-10209
|
|
|
| Id |
prsb03-dataelement-10209 (2018‑10‑31)
|
| Description |
If person is in their last weeks of life, is there a doctor who has seen the person
recently who could potentially sign a death certificate? Provide contact details.
|
| Operationalization |
End of life care plan use case only. Free text of the name and contact details of
the doctor.
|
| Value Domain |
|
|
|
| Actual place of death
prsb03-dataelement-10211
|
|
|
| Id |
prsb03-dataelement-10211 (2018‑10‑31)
|
| Description |
The location where the person actually died as recorded on the death certificate.
If the person died somewhere other than their preferred place, record the reasons
why this happened.
|
| Operationalization |
End of life care plan use case only. Include coded values from the National Information
Standard (SCCI1580), together with the associated text. Free text details of the variance.
|
| Value Domain |
|
| Used by
|
0 transactions, 0 templates, inherited once |
| |
|
|
|
| Cause of death
prsb03-dataelement-10212
|
|
|
| Id |
prsb03-dataelement-10212 (2018‑10‑31)
|
| Description |
The cause of death as recorded on the death certificate. |
| Operationalization |
End of life care plan use case only. Exactly as recorded on the death certificate. |
| Value Domain |
|
|
|
| Date of death
prsb03-dataelement-10213
|
|
|
| Id |
prsb03-dataelement-10213 (2018‑10‑31)
|
| Description |
The date on which a person died or is officially deemed to have died, as recorded
on the death certificate.
|
|
|
| Operationalization |
End of life care plan use case only. Exactly as recorded on the death certificate. |
| Value Domain |
|
| Used by
|
0 transactions, 0 templates, inherited once |
| |
This concept is inherited by concept
Date of death in dataset prsb03-dataelement-10783
|
|
|
| Personal comment/plan
prsb03-dataelement-581
|
|
|
|
|
| Date
prsb03-dataelement-10481
|
|
|
|
|
| Person Details
prsb03-dataelement-10482
|
|
|
| Id |
prsb03-dataelement-10482 (2018‑10‑31)
|
| Description |
Who recorded the comment and what relationship they are to the woman |
| Value Domain |
|
|
|
| Personal comment
prsb03-dataelement-10483
|
|
|
| Id |
prsb03-dataelement-10483 (2018‑10‑31)
|
| Description |
Free text comment recorded by the woman or her representative |
| Value Domain |
|
|
|
| Maternity Personalised Care Plan
prsb03-dataelement-10484
|
|
|
| Id |
prsb03-dataelement-10484 (2018‑10‑31)
|
| Description |
Personalised care plan details to include the data and plan details |
| Value Domain |
|
| Used by
|
0 transactions, 0 templates, inherited once |
| |
|
|
|
| Pregnancy episode details
prsb03-dataelement-585
|
|
|
|
|
| Pregnancy ID
prsb03-dataelement-10485
|
|
|
| Id |
prsb03-dataelement-10485 (2018‑10‑31)
|
| Description |
Identifier used to tie together data relating to a specific pregnancy, allowing specific
contacts and activities carried out (e.g. scans, tests, observations, findings, diagnoses)
to be linked back to the booking appointment for that pregnancy
|
| Value Domain |
|
|
|
| Fetal Identifier
prsb03-dataelement-10486
|
|
|
| Id |
prsb03-dataelement-10486 (2018‑10‑31)
|
| Description |
Identifier which allows woman babies to be identified in the event of multiple births,
and in turn allow specific conditions to be attributed to specific babies and linked
to labour/antenatal test details
|
| Value Domain |
|
|
|
| Maternity Episode Start Date
prsb03-dataelement-10487
|
|
|
|
|
| Maternity Episode End Date
prsb03-dataelement-10488
|
|
|
|
|
| Maternity Episode End Reason
prsb03-dataelement-10489
|
|
|
| Id |
prsb03-dataelement-10489 (2018‑10‑31)
|
| Description |
The reason that the woman was discharged from maternity services. |
| Value Domain |
|
|
|
| Pregnancy outcome delivery and birth
prsb03-dataelement-590
|
|
|
|
|
| Date
prsb03-dataelement-10490
|
|
|
| Id |
prsb03-dataelement-10490 (2018‑10‑31)
|
| Description |
The date on which the pregnancy outcome/delivery/birth details were recorded |
| Value Domain |
|
| Used by
|
0 transactions, 0 templates, inherited once |
| |
This concept is inherited by concept
Date in dataset prsb03-dataelement-10829
|
|
|
| Location
prsb03-dataelement-10491
|
|
|
| Id |
prsb03-dataelement-10491 (2018‑10‑31)
|
| Description |
The location where the pregnancy outcome/delivery/birth details was recorded |
| Value Domain |
|
| Used by
|
0 transactions, 0 templates, inherited once |
| |
This concept is inherited by concept
Location in dataset prsb03-dataelement-10830
|
|
|
| Performing Professional
prsb03-dataelement-10492
|
|
|
| Id |
prsb03-dataelement-10492 (2018‑10‑31)
|
| Description |
Details of the professional recording the pregnancy outcome/delivery/birth details
(including name and role).
|
| Value Domain |
|
| Used by
|
0 transactions, 0 templates, inherited once |
| |
|
|
|
| Pregnancy Outcome
prsb03-dataelement-10493
|
|
|
| Id |
prsb03-dataelement-10493 (2018‑10‑31)
|
| Description |
The pregnancy outcome of each fetus |
| Value Domain |
|
| Used by
|
0 transactions, 0 templates, inherited once |
| |
This concept is inherited by concept
Pregnancy Outcome in dataset prsb03-dataelement-10828
|
|
|
| •Birth
prsb03-dataelement-10494
|
|
|
|
|
| Labour onset method
prsb03-dataelement-10495
|
|
|
| Id |
prsb03-dataelement-10495 (2018‑10‑31)
|
| Description |
Details of the method by which the process of labour began, or delivery by caesarean
section occurred.
|
| Value Domain |
|
|
|
| Date and time of Established Labour
prsb03-dataelement-10496
|
|
|
| Id |
prsb03-dataelement-10496 (2018‑10‑31)
|
| Description |
The Date/time when established labour is confirmed - regular painful contractions
and progressive cervical dilatation
|
| Value Domain |
|
|
|
| Date and time Fully Dilated
prsb03-dataelement-10497
|
|
|
| Id |
prsb03-dataelement-10497 (2018‑10‑31)
|
| Description |
The date and time that the woman is deemed to be fully dilated |
| Value Domain |
|
|
|
| Duration of 1st Stage
prsb03-dataelement-10498
|
|
|
| Id |
prsb03-dataelement-10498 (2018‑10‑31)
|
| Description |
A derived field based on the time of established labour to the time of full dilation |
| Value Domain |
|
|
|
| Onset of 2nd Stage of Labour
prsb03-dataelement-10499
|
|
|
| Id |
prsb03-dataelement-10499 (2018‑10‑31)
|
| Description |
The date and time that the second stage of labour was deemed to start |
| Value Domain |
|
|
|
| Date and time pushing commenced
prsb03-dataelement-10500
|
|
|
|
|
| Location of birth
prsb03-dataelement-10501
|
|
|
| Id |
prsb03-dataelement-10501 (2018‑10‑31)
|
| Description |
The place of birth (including the address and organisation name where relevant). |
| Value Domain |
|
|
|
| Delivery place type
prsb03-dataelement-10502
|
|
|
| Id |
prsb03-dataelement-10502 (2018‑10‑31)
|
| Description |
The type of place in which the baby was born (e.g. Private health facility, domestic
address, NHS hospital, midwifery led unit etc. )
|
| Value Domain |
|
|
|
| Birth Attendants
prsb03-dataelement-10503
|
|
|
|
|
| Ruptured Membranes Date/Time
prsb03-dataelement-10504
|
|
|
|
|
| Duration of Rupture of Membranes
prsb03-dataelement-10505
|
|
|
| Id |
prsb03-dataelement-10505 (2018‑10‑31)
|
| Description |
The duration in hours and minutes as derived using the date of rupture versus current
date time
|
| Value Domain |
|
|
|
| Anaesthesia type
prsb03-dataelement-10506
|
|
|
| Id |
prsb03-dataelement-10506 (2018‑10‑31)
|
| Description |
The specific type of anaesthesia used to carry out the procedure (if applicable) |
| Value Domain |
|
|
|
| Pain Relief
prsb03-dataelement-10507
|
|
|
| Id |
prsb03-dataelement-10507 (2018‑10‑31)
|
| Description |
A record of pain relief used during labour and delivery where not anaesthetic or medication |
| Value Domain |
|
|
|
| Delivery Decision Date/Time
prsb03-dataelement-10508
|
|
|
|
|
| Delivery Decision Made by
prsb03-dataelement-10509
|
|
|
| Id |
prsb03-dataelement-10509 (2018‑10‑31)
|
| Description |
The details of the clinician making the decision to deliver |
| Value Domain |
|
|
|
| Reason for delivery decision
prsb03-dataelement-10510
|
|
|
|
|
| Date and Time of Delivery
prsb03-dataelement-10511
|
|
|
| Id |
prsb03-dataelement-10511 (2018‑10‑31)
|
| Description |
The date and time of the delivery of the baby |
| Value Domain |
|
| Used by
|
0 transactions, 0 templates, inherited once |
| |
|
|
|
| Duration of second stage
prsb03-dataelement-10512
|
|
|
| Id |
prsb03-dataelement-10512 (2018‑10‑31)
|
| Description |
Derived field from the onset of the second stage to the date and time of delivery |
| Value Domain |
|
|
|
| Types of delivery (attempted)
prsb03-dataelement-10513
|
|
|
| Id |
prsb03-dataelement-10513 (2018‑10‑31)
|
| Description |
The type(s) of delivery for the baby that was attempted, but was not the final delivery
method
|
| Value Domain |
|
|
|
| Type of delivery
prsb03-dataelement-10514
|
|
|
| Id |
prsb03-dataelement-10514 (2018‑10‑31)
|
| Description |
Type of delivery for the baby, e.g. Spontaneous vaginal, vacuum extraction, breech
extraction, elective caesarean section etc.
|
| Value Domain |
|
|
|
| Length of Labour
prsb03-dataelement-10515
|
|
|
| Id |
prsb03-dataelement-10515 (2018‑10‑31)
|
| Description |
The length of the stages of labour and duration of the rupture of membranes (derived
field)
|
| Value Domain |
|
|
|
| Delayed Cord Clamping/duration
prsb03-dataelement-10516
|
|
|
|
|
| Placenta Delivery Method
prsb03-dataelement-10517
|
|
|
| Id |
prsb03-dataelement-10517 (2018‑10‑31)
|
| Description |
The method by which the placenta was removed through physiological, active or manual
means. Where more than one method is used, the final method should be recorded.
|
| Value Domain |
|
|
|
| End of Third Stage
prsb03-dataelement-10518
|
|
|
| Id |
prsb03-dataelement-10518 (2018‑10‑31)
|
| Description |
The date and time of the end of the third stage of labour |
| Value Domain |
|
|
|
| Third stage duration
prsb03-dataelement-10519
|
|
|
| Id |
prsb03-dataelement-10519 (2018‑10‑31)
|
| Description |
The duration of the third stage of labour derived between the start of the third stage
and the delivery of the placenta
|
| Value Domain |
|
|
|
| Examination of Placenta
prsb03-dataelement-10520
|
|
|
| Id |
prsb03-dataelement-10520 (2018‑10‑31)
|
| Description |
A visual examination of the placenta to check completeness |
| Value Domain |
|
|
|
| Placenta Disposal
prsb03-dataelement-10521
|
|
|
|
|
| Placenta sent for histology
prsb03-dataelement-10522
|
|
|
| Id |
prsb03-dataelement-10522 (2018‑10‑31)
|
| Description |
An indication as to whether the placenta was sent for histology |
| Value Domain |
|
|
|
| Umbilical Cord Number of Vessels
prsb03-dataelement-10523
|
|
|
|
|
| Total Blood Loss
prsb03-dataelement-10524
|
|
|
| Id |
prsb03-dataelement-10524 (2018‑10‑31)
|
| Description |
The total volume of blood loss in mls following delivery |
| Value Domain |
|
|
|
| Comments
prsb03-dataelement-10525
|
|
|
| Id |
prsb03-dataelement-10525 (2018‑10‑31)
|
| Description |
Supporting text may be given covering regarding the outcome of the checks and actions
taken.
|
| Value Domain |
|
|
|
| Scan details
prsb03-dataelement-626
|
|
|
|
|
| Date
prsb03-dataelement-10526
|
|
|
|
|
| Performing Professional
prsb03-dataelement-10527
|
|
|
| Id |
prsb03-dataelement-10527 (2018‑10‑31)
|
| Description |
Details of the professional performing the scan (including name and role) |
| Value Domain |
|
|
|
| Location
prsb03-dataelement-10528
|
|
|
|
|
| Scan
prsb03-dataelement-10529
|
|
|
|
|
| Scan finding
prsb03-dataelement-10530
|
|
|
| Id |
prsb03-dataelement-10530 (2018‑10‑31)
|
| Description |
For each pregnancy scan, the finding of the scan (this includes the result value,
with unit of observation and reference interval where applicable.
|
| Value Domain |
|
|
|
| Comment
prsb03-dataelement-10531
|
|
|
|
|
| Professional comment
prsb03-dataelement-632
|
|
|
|
|
| Date
prsb03-dataelement-10532
|
|
|
| Id |
prsb03-dataelement-10532 (2018‑10‑31)
|
| Description |
The date on which the professional summary/comment was recorded |
| Value Domain |
|
|
|
| Location
prsb03-dataelement-10533
|
|
|
| Id |
prsb03-dataelement-10533 (2018‑10‑31)
|
| Description |
The location where the professional summary/comment was recorded.
|
| Value Domain |
|
|
|
| Performing Professional
prsb03-dataelement-10534
|
|
|
| Id |
prsb03-dataelement-10534 (2018‑10‑31)
|
| Description |
Details of the professional performing the professional summary/comment (including
name and role)
|
| Value Domain |
|
|
|
| Professional summary
prsb03-dataelement-10535
|
|
|
| Id |
prsb03-dataelement-10535 (2018‑10‑31)
|
| Description |
Summary of the encounter. Where possible, very brief. This may include interpretation
of findings and results, opinion and specific action(s). Planned actions will be recorded
under ‘plan’
|
| Value Domain |
|
|
|
| Documents (including correspondence and images)
prsb03-dataelement-10820
|
|
|
| Id |
prsb03-dataelement-10820 (2019‑03‑20 19:07:55)
|
| Description |
Details about documents related to the person. |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Documents
prsb03-dataelement-11259
|
|
|
| Id |
prsb03-dataelement-11259 (2019‑05‑29 13:34:07)
|
| Description |
This is the documents record entry. There may be 0 to many record entries under a
section. Each record entry is made up of a number of elements or data items.
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Author
prsb03-dataelement-10938
|
|
|
| Id |
prsb03-dataelement-10938 (2019‑05‑16 15:22:35)
|
| Description |
The author of the document. |
| Operationalization |
Free text |
| Value Domain |
|
|
|
| Date
prsb03-dataelement-10943
|
|
|
| Id |
prsb03-dataelement-10943 (2019‑05‑16 15:34:53)
|
| Description |
The date and time the document was created. |
| Operationalization |
Date and time |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Performing professional
prsb03-dataelement-12422
|
|
|
| Id |
prsb03-dataelement-12422 (2019‑06‑13 15:09:45)
|
| Description |
The professional who authored the document. |
| Relationship |
|
| Operationalization |
Free text. |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-12423
|
|
|
| Id |
prsb03-dataelement-12423 (2019‑06‑13 15:10:21)
|
| Concept inherits from |
prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
|
| Description |
The name of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Role
prsb03-dataelement-12424
|
|
|
| Id |
prsb03-dataelement-12424 (2019‑06‑13 15:10:21)
|
| Concept inherits from |
prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
|
| Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
| Operationalization |
NHS Data dictionary or free text
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-12425
|
|
|
| Id |
prsb03-dataelement-12425 (2019‑06‑13 15:10:21)
|
| Concept inherits from |
prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
|
| Description |
The grade of the professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Speciality
prsb03-dataelement-12426
|
|
|
| Id |
prsb03-dataelement-12426 (2019‑06‑13 15:10:21)
|
| Concept inherits from |
prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
|
| Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-12427
|
|
|
| Id |
prsb03-dataelement-12427 (2019‑06‑13 15:10:21)
|
| Concept inherits from |
prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
|
| Description |
Professional identifier for the professional e.g. GMC number, HCPC number etc or the
personal identifier used by the local organisation.
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisation
prsb03-dataelement-12428
|
|
|
| Id |
prsb03-dataelement-12428 (2019‑06‑13 15:10:21)
|
| Concept inherits from |
prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
|
| Description |
The name of the organisation the professional works for. |
| Operationalization |
ODS code or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-12429
|
|
|
| Id |
prsb03-dataelement-12429 (2019‑06‑13 15:10:21)
|
| Concept inherits from |
prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
|
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Documentation location
prsb03-dataelement-10946
|
|
|
| Id |
prsb03-dataelement-10946 (2019‑05‑16 16:01:41)
|
| Description |
The URL for the document. |
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Confidentiality
prsb03-dataelement-10942
|
|
|
|
|
| Class
prsb03-dataelement-10940
|
|
|
| Id |
prsb03-dataelement-10940 (2019‑05‑16 15:29:15)
|
| Description |
The document type e.g. report, summary, images, treatment plan, patient preferences,
workflow
|
| Operationalization |
SNOMED CT or free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Document title
prsb03-dataelement-10944
|
|
|
| Id |
prsb03-dataelement-10944 (2019‑05‑16 15:58:49)
|
| Description |
The title of the document. |
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Document name
prsb03-dataelement-10945
|
|
|
| Id |
prsb03-dataelement-10945 (2019‑05‑16 16:00:44)
|
| Description |
The name of the document.
This should align to the PRSB document naming standard.
Where the document is a KOS document this field (designated typeCode) is used to carry
the DICOM Imaging procedure:
This attribute shall be populated by the XDS-I Imaging Document Source from a code
in the Procedure Code Sequence (0008,1032) of the performed procedure with which the
document is associated.
Values may be found in a suitable DICOM browser
|
| Operationalization |
Snomed CT code
As per the
https://theprsb.org/wp-content/uploads/2018/11/Clinical-document-indexing-standards_NHS-Scotland.pdf
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Document MIME type
prsb03-dataelement-10949
|
|
|
| Id |
prsb03-dataelement-10949 (2019‑05‑16 16:57:32)
|
| Description |
MIME type of the document e.g. application, pdf |
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Person completing record
prsb03-dataelement-12430
|
|
|
| Id |
prsb03-dataelement-12430 (2019‑06‑13 15:22:00)
|
| Concept inherits from |
prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
|
| Description |
Details of the person completing the record. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name
prsb03-dataelement-12431
|
|
|
| Id |
prsb03-dataelement-12431 (2019‑06‑13 15:22:28)
|
| Concept inherits from |
prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
|
| Description |
The name of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Organisational role
prsb03-dataelement-12432
|
|
|
| Id |
prsb03-dataelement-12432 (2019‑06‑13 15:22:28)
|
| Concept inherits from |
prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
|
| Description |
The organisational role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Relationship |
|
| Operationalization |
NHS Data dictionary or free text.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Grade
prsb03-dataelement-12433
|
|
|
| Id |
prsb03-dataelement-12433 (2019‑06‑13 15:22:28)
|
| Concept inherits from |
prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
|
| Description |
The grade of the person completing the record. |
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Specialty
prsb03-dataelement-12434
|
|
|
|
|
| Organisation
prsb03-dataelement-12435
|
|
|
| Id |
prsb03-dataelement-12435 (2019‑06‑13 15:22:28)
|
| Concept inherits from |
prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
|
| Description |
The organisation the person completing the record works for. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Professional identifier
prsb03-dataelement-12436
|
|
|
| Id |
prsb03-dataelement-12436 (2019‑06‑13 15:22:28)
|
| Concept inherits from |
prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Date completed
prsb03-dataelement-12437
|
|
|
| Id |
prsb03-dataelement-12437 (2019‑06‑13 15:22:28)
|
| Concept inherits from |
prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
|
| Description |
The date and time the record was completed. |
| Relationship |
|
| Operationalization |
Date and time. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details
prsb03-dataelement-12438
|
|
|
| Id |
prsb03-dataelement-12438 (2019‑06‑13 15:22:28)
|
| Concept inherits from |
prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
|
| Description |
Contact details of the person completing the record (e.g. telephone number, email
address etc.).
|
| FHIR |
PractitionerRole.telecom |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Service
prsb03-dataelement-11163
|
|
|
| Id |
prsb03-dataelement-11163 (2019‑05‑28 11:31:34)
|
| Description |
The high level imaging speciality code e.g. (R-3027B, SRT, “Radiology”) |
| Operationalization |
SNOMED CT or free text 999000381000000107 |Correspondence care setting type simple
reference set (foundation metadata concept)|
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Comments
prsb03-dataelement-10941
|
|
|
| Id |
prsb03-dataelement-10941 (2019‑05‑16 15:31:26)
|
| Description |
Comments associated with the document. |
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Additional information required for images.
prsb03-dataelement-12449
|
|
|
| Id |
prsb03-dataelement-12449 (2019‑06‑19 15:45:51)
|
| Description |
Additional information required for images. |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Image procedure
prsb03-dataelement-12450
|
|
|
|
|
| Image procedure date
prsb03-dataelement-12451
|
|
|
| Id |
prsb03-dataelement-12451 (2019‑06‑19 15:53:41)
|
| Description |
The date and time the image procedure was performed. |
| Operationalization |
Date and time |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Performing professional
prsb03-dataelement-12452
|
|
|
| Id |
prsb03-dataelement-12452 (2019‑06‑19 15:54:56)
|
| Description |
The professional who performed the image procedure. |
| Relationship |
|
|
|
| Name
prsb03-dataelement-12453
|
|
|
|
|
| Role
prsb03-dataelement-12454
|
|
|
| Id |
prsb03-dataelement-12454 (2019‑06‑19 15:55:27)
|
| Concept inherits from |
prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
|
| Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
| Operationalization |
NHS Data dictionary or free text
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
|
|
| Grade
prsb03-dataelement-12455
|
|
|
|
|
| Speciality
prsb03-dataelement-12456
|
|
|
| Id |
prsb03-dataelement-12456 (2019‑06‑19 15:55:27)
|
| Concept inherits from |
prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
|
| Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
|
|
| Professional identifier
prsb03-dataelement-12457
|
|
|
| Id |
prsb03-dataelement-12457 (2019‑06‑19 15:55:27)
|
| Concept inherits from |
prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
|
| Description |
Professional identifier for the professional e.g. GMC number, HCPC number etc or the
personal identifier used by the local organisation.
|
| Operationalization |
Free text. |
| Value Domain |
|
|
|
| Organisation
prsb03-dataelement-12458
|
|
|
| Id |
prsb03-dataelement-12458 (2019‑06‑19 15:55:27)
|
| Concept inherits from |
prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
|
| Description |
The name of the organisation the professional works for. |
| Operationalization |
ODS code or free text. |
| Value Domain |
|
|
|
| Contact details
prsb03-dataelement-12459
|
|
|
| Id |
prsb03-dataelement-12459 (2019‑06‑19 15:55:27)
|
| Concept inherits from |
prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
|
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text. |
| Value Domain |
|
|
|
| Images
prsb03-dataelement-11158
|
|
|
|
|
| Performing professional
prsb03-dataelement-12439
|
|
|
|
|
| Name
prsb03-dataelement-12440
|
|
|
|
|
| Role
prsb03-dataelement-12441
|
|
|
| Id |
prsb03-dataelement-12441 (2019‑06‑13 16:21:54)
|
| Concept inherits from |
prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
|
| Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
| Operationalization |
NHS Data dictionary or free text
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
|
| Value Domain |
|
|
|
| Grade
prsb03-dataelement-12442
|
|
|
|
|
| Speciality
prsb03-dataelement-12443
|
|
|
| Id |
prsb03-dataelement-12443 (2019‑06‑13 16:21:54)
|
| Concept inherits from |
prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
|
| Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS Data Dictionary - MAIN SPECIALTY CODE
https://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp?shownav=1?query=%22MAIN+SPECIALTY+CODE%22&rank=100&shownav=1
|
| Value Domain |
|
|
|
| Professional identifier
prsb03-dataelement-12444
|
|
|
| Id |
prsb03-dataelement-12444 (2019‑06‑13 16:21:54)
|
| Concept inherits from |
prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
|
| Description |
Professional identifier for the professional e.g. GMC number, HCPC number etc or the
personal identifier used by the local organisation.
|
| Operationalization |
Free text. |
| Value Domain |
|
|
|
| Organisation
prsb03-dataelement-12445
|
|
|
| Id |
prsb03-dataelement-12445 (2019‑06‑13 16:21:54)
|
| Concept inherits from |
prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
|
| Description |
The name of the organisation the professional works for. |
| Operationalization |
ODS code or free text. |
| Value Domain |
|
|
|
| Contact details
prsb03-dataelement-12446
|
|
|
| Id |
prsb03-dataelement-12446 (2019‑06‑13 16:21:54)
|
| Concept inherits from |
prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
|
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text. |
| Value Domain |
|
|
|
| Image capture date
prsb03-dataelement-11159
|
|
|
| Id |
prsb03-dataelement-11159 (2019‑05‑28 11:20:13)
|
| Description |
The date and time when the image was captured. |
| Operationalization |
Date and time |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Image ID
prsb03-dataelement-12460
|
|
|
| Id |
prsb03-dataelement-12460 (2019‑06‑19 15:59:56)
|
| Description |
A unique image identifier generated by the system. |
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Image location
prsb03-dataelement-12461
|
|
|
| Id |
prsb03-dataelement-12461 (2019‑06‑19 16:02:10)
|
| Description |
The URL for the image |
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| mimeType
prsb03-dataelement-11162
|
|
|
| Id |
prsb03-dataelement-11162 (2019‑05‑28 11:26:27)
|
| Description |
The type of image. |
| Operationalization |
Free text |
| Value Domain |
|
|
|
| Imagine capture date
prsb03-dataelement-11164
|
|
|
| Id |
prsb03-dataelement-11164 (2019‑05‑28 16:35:28)
|
| Description |
The date and time when the image was captured. |
| Operationalization |
Date and time |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year |
|
|
|
| Imagine procedure
prsb03-dataelement-11165
|
|
|
| Id |
prsb03-dataelement-11165 (2019‑05‑28 16:39:02)
|
| Description |
The procedure used to capture the image. |
| Operationalization |
DICOM code set or free text. |
| Value Domain |
|
|
|
| Unique id
prsb03-dataelement-11166
|
|
|
| Id |
prsb03-dataelement-11166 (2019‑05‑28 16:53:10)
|
| Description |
Image generated id. |
| Operationalization |
Free text. |
| Value Domain |
|
|
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| Format code
prsb03-dataelement-11161
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| Id |
prsb03-dataelement-11161 (2019‑05‑28 11:25:19)
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| Description |
The format code of the document which provides information on how to display the document. |
| Operationalization |
Free text |
| Value Domain |
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| Used by
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one transaction, 0 templates, inherited 0 times |
| |
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| Event code list
prsb03-dataelement-11160
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| Id |
prsb03-dataelement-11160 (2019‑05‑28 11:21:24)
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| Description |
The type of image (acquisition modality) and the anatomical site imaged. |
| Operationalization |
DICOM code or free text. |
| Value Domain |
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| Used by
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one transaction, 0 templates, inherited 0 times |
| |
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| Person completing record
prsb03-dataelement-12462
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| Name
prsb03-dataelement-12463
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| Organisational role
prsb03-dataelement-12464
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|
| Id |
prsb03-dataelement-12464 (2019‑06‑19 16:09:03)
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| Concept inherits from |
prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
|
| Description |
The organisational role of the person completing record. |
| FHIR |
PractitionerRole.code of the practitioner completing the record |
|
| Relationship |
|
| Operationalization |
NHS Data dictionary or free text.
https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1
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| Value Domain |
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| Grade
prsb03-dataelement-12465
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| Specialty
prsb03-dataelement-12466
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| Organisation
prsb03-dataelement-12467
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| Id |
prsb03-dataelement-12467 (2019‑06‑19 16:09:03)
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| Concept inherits from |
prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
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| Description |
The organisation the person completing the record works for. |
| Relationship |
|
| Operationalization |
ODS code or free text |
| Value Domain |
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| Professional identifier
prsb03-dataelement-12468
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|
| Id |
prsb03-dataelement-12468 (2019‑06‑19 16:09:03)
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| Concept inherits from |
prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
|
| Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
| FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
| Relationship |
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| Operationalization |
Free text. |
| Value Domain |
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| Date completed
prsb03-dataelement-12469
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| Contact details
prsb03-dataelement-12470
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|
| Id |
prsb03-dataelement-12470 (2019‑06‑19 16:09:03)
|
| Concept inherits from |
prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
|
| Description |
Contact details of the person completing the record (e.g. telephone number, email
address etc.).
|
| FHIR |
PractitionerRole.telecom |
|
| Relationship |
|
| Operationalization |
Free text. |
| Value Domain |
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| Comments
prsb03-dataelement-12471
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|
| Id |
prsb03-dataelement-12471 (2019‑06‑19 16:09:28)
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| Description |
Comments associated with the imaging |
| Operationalization |
Free text |
| Value Domain |
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| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
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| Publication author
prsb03-dataelement-10947
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|
| Id |
prsb03-dataelement-10947 (2019‑05‑16 16:02:55)
|
| Description |
The publication author of the document. |
| Operationalization |
This attribute contains the sub- attributes: Institution, Person, Role, Specialty,
Telecommunication.
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| Value Domain |
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| Date published
prsb03-dataelement-10948
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|
| Id |
prsb03-dataelement-10948 (2019‑05‑16 16:06:34)
|
| Description |
The date the document is published. |
| Operationalization |
Date or time |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year |
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| Document status
prsb03-dataelement-10939
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 Test
prsb03-dataelement-12478
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| Attachments
prsb03-dataelement-10915
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|
| Id |
prsb03-dataelement-10915 (2019‑04‑02 15:49:23)
|
| Concept inherits from |
prsb03-dataelement-10012 (2018‑10‑31)
|
| Description |
Documents included as attachments which accompany the communication Data items:
* number of attachments
* type of attachments
* attached documents.
|
| Operationalization |
Number of attachments by category: present, pending, missing.
Supporting narrative: text for each attachment
Attachments: various formats, eg jpeg, word
Metadata about the attachments: document name standard under development by PRSB.
Possibly use FHIR 'composition'.
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| Value Domain |
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