Scenario Core information standard 2.16.840.1.113883.3.1937.777.28.3.12

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Name	Details [‑]
Core information standard prsb03-scenario-12
	Version / effective date 1 - 2018‑11‑14 12:08:13
	Description	Prompted by the Local Health and Care Record programme – commissioned by NHS England To define a key set of information required in a shared record Core information is the foundation stone of interoperability ie systems talking to one another PRSB is creating a national standard that can be used across the four nations and everywhere in the country in order that systems can interoperate. Without a standard for the core information interoperability will not happen.
Core information standard prsb03-transaction-111link
	Version / effective date 1 - 2018‑11‑14 12:08:13
	Description	Prompted by the Local Health and Care Record programme - commissioned by NH England To define a key set of information required in a shared record Core information is the foundation stone of interoperability ie systems talking to one another PRSB is creating a national standard that can be used across the four nations and everywhere in the country in order that systems can interoperate. Without a standard for the core information interoperability will not happen.
Core information standard prsb03-transaction-113link
	Version / effective date 1 - 2018‑11‑14 12:08:13     Model InformationModel
	Description	Prompted by the Local Health and Care Record programme - commissioned by NH England To define a key set of information required in a shared record Core information is the foundation stone of interoperability ie systems talking to one another PRSB is creating a national standard that can be used across the four nations and everywhere in the country in order that systems can interoperate. Without a standard for the core information interoperability will not happen.
	Actor	Sender (person) GP
	Associations	Data Set (for transaction) PRSB Record structure and content 1(2.16.840.1.113883.3.1937.777.28.1.1 / 2018‑10‑31)
	Contained concepts
	Concept Card/Conf Id Person demographics 1 … 1 Mandatory prsb03-dataelement-10868link The person's details and contact information.   Person name 1 … 1 Mandatory prsb03-dataelement-10869link The full name of the person.The legal name of the person from the Personal Demographics Service (PDS), or the name volunteered by the person   Person preferred name 0 … 1 prsb03-dataelement-10870link The name by which a person wishes to be addressed.The preferred name volunteered by the person or a preferred name given by PDS that the person has asked to be called by.   Date of birth 1 … 1 Mandatory prsb03-dataelement-10871link The date of birth of the person.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   Gender 0 … 1 prsb03-dataelement-10872link The person's stated gender.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).   Person alias 0 … * prsb03-dataelement-10873link Other name(s) associated with the person.Free text   Ethnicity 0 … 1 prsb03-dataelement-10874link The ethnicity of the person as specified by the person. 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.   Religion 0 … 1 prsb03-dataelement-10876link The religious affiliation as specified by the person. Use SNOMED CT subset 10791000000130 or free text.   Sex 0 … 1 prsb03-dataelement-10877link The person’s phenotypic sex. Determines how the person will be treated clinically.NHS Data Dictionary: person phenotypic sex classification https://www.datadictionary.nhs.uk/data_dictionary/attributes/p/person/person_phenotypic_sex_classification_de.asp?shownav=1   NHS number 0 … 1 prsb03-dataelement-10879link The unique identifier for a person within the NHS in England and Wales.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.   Other identifier 0 … * prsb03-dataelement-10880link Country specific or local identifier, e.g. Community Health Index (CHI) in Scotland. Recorded as per NHS Data Dictionary: - Local patient identifier, -Local patient identified (extended), -Health and Care number, -Community Health Index number   Person's address 1 … * Mandatory prsb03-dataelement-10881link Person’s usual place of residence, and where relevant temporary and correspondence addresses.As defined per NHS Data dictionary definition of address. Should include the type of address. May be auto generated from PDS.   Person's email address 0 … 1 prsb03-dataelement-10882link Email address of the personSet in accordance with the NHS Data Dictionary: contact email address (patient or lead contact). May be auto generated from PDS.   Person's telephone number 0 … * prsb03-dataelement-10883link Telephone contact details of the person. To include, e.g. mobile, work and home number if available.Contact details may come from PDS. Both the actual contact number and its use (work number, home number, mobile number etc.).   Communication preferences 0 … 1 prsb03-dataelement-10886link Preferred contact method, e.g. sign language, letter, phone, etc. Also preferred written communication format, e.g. large print, braille.Derived from the PDS - communication preferences   Place of birth 0 … 1 prsb03-dataelement-10884link The town and country of birth of the person.Derived from PDS   Marital status 0 … 1 prsb03-dataelement-10885link An indicator to identify the legal marital status of the person.https://www.datadictionary.nhs.uk/data_dictionary/attributes/p/person/person_marital_status_de.asp?shownav=1 GP practice 1 … 1 Mandatory prsb03-dataelement-101link Details of the person's GP practice. GP practice record entry 0 … * prsb03-dataelement-10643link 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   GP name 0 … 1 prsb03-dataelement-10003link The name of the person's GP.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.   GP practice details 0 … 1 prsb03-dataelement-10002link Name and address of the person's registered GP practice.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.   GP practice identifier 1 … 1 Mandatory prsb03-dataelement-10001link The identifier of the registered GP practice.This should be the Organisation Data Services (ODS) identifier for the practice. This includes codes to use where there is no registered GP practice.   GP opt out indicator 0 … 1 prsb03-dataelement-10004link Indication that the person has opted out of registering with a GP.SNOMED CT or free text. Alerts 0 … 1 prsb03-dataelement-10741link Details of alerts. Alerts record entry 0 … * prsb03-dataelement-10916link 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   Alert 0 … 1 prsb03-dataelement-10742link Any significant information meriting a specific and highly visible warning to any user (e.g. metallic implant, potential dangerous pet).Free text Person completing record 0 … 1 prsb03-dataelement-12399link Details of the person completing the record.   Name 0 … 1 prsb03-dataelement-12400link The name of the person completing the record.Free text.   Organisational role 0 … 1 prsb03-dataelement-12401link The organisational role of the person completing record.NHS Data dictionary or free text. https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-12402link The grade of the person completing the record.Free text.   Specialty 0 … 1 prsb03-dataelement-12403link The main specialty of the person completing the record.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   Organisation 0 … 1 prsb03-dataelement-12404link The organisation the person completing the record works for.ODS code or free text   Professional identifier 0 … 1 prsb03-dataelement-12405link Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.Free text.   Date completed 0 … 1 prsb03-dataelement-12406link The date and time the record was completed.Date and time.    Contact details 0 … 1 prsb03-dataelement-12407link Contact details of the person completing the record (e.g. telephone number, email address etc.).Free text. Legal information 0 … 1 prsb03-dataelement-520link The legal information relating to the person. Consent for information sharing 0 … 1 prsb03-dataelement-10421link 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.Free text.   Date 0 … 1 prsb03-dataelement-11713link The date when ...Date and time   Location 0 … 1 prsb03-dataelement-11714link The location where the ...ODS code or free text. Performing professional 0 … 1 prsb03-dataelement-11715link The professional who ...   Name 0 … 1 prsb03-dataelement-11716link The name of the professional.Free text.   Role 0 … 1 prsb03-dataelement-11717link The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcNHS Data dictionary or free text https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-11718link The grade of the professional.Free text.   Speciality 0 … 1 prsb03-dataelement-11719link The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS 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   Professional identifier 0 … 1 prsb03-dataelement-11720link Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.Free text.   Organisation 0 … 1 prsb03-dataelement-11721link The name of the organisation the professional works for.ODS code or free text.   Contact details 0 … 1 prsb03-dataelement-11722link Contact details of the professional (e.g. telephone number, email address etc.).Free text. Person completing record 0 … 1 prsb03-dataelement-11723link Details of the person completing the record.   Name 0 … 1 prsb03-dataelement-11724link The name of the person completing the record.Free text.   Organisational role 0 … 1 prsb03-dataelement-11725link The organisational role of the person completing record.NHS Data dictionary or free text. https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-11726link The grade of the person completing the record.Free text.   Specialty 0 … 1 prsb03-dataelement-11727link The main specialty of the person completing the record.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   Organisation 0 … 1 prsb03-dataelement-11728link The organisation the person completing the record works for.ODS code or free text   Professional identifier 0 … 1 prsb03-dataelement-11729link Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.Free text.   Date completed 0 … 1 prsb03-dataelement-11730link The date and time the record was completed.Date and time.    Contact details 0 … 1 prsb03-dataelement-11731link Contact details of the person completing the record (e.g. telephone number, email address etc.).Free text. Consent relating to child 0 … * prsb03-dataelement-10422link The person with parental responsibility or appointed guardian where a child lacks competency. Consideration of age and competency, applying Gillick competency or Fraser guidelines.Free text.   Date 0 … 1 prsb03-dataelement-11732link The date when the person with responsibility for the child was identified.Date and time    Location 0 … 1 prsb03-dataelement-11733link The location where the person with responsibility for the child was identified.ODS code or free text Performing professional 0 … 1 prsb03-dataelement-11734link The professional who identified the person responsible for the child.   Name 0 … 1 prsb03-dataelement-11735link The name of the professional.Free text.   Role 0 … 1 prsb03-dataelement-11736link The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcNHS Data dictionary or free text https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-11737link The grade of the professional.Free text.   Speciality 0 … 1 prsb03-dataelement-11738link The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS 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   Professional identifier 0 … 1 prsb03-dataelement-11739link Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.Free text.   Organisation 0 … 1 prsb03-dataelement-11740link The name of the organisation the professional works for.ODS code or free text.   Contact details 0 … 1 prsb03-dataelement-11741link Contact details of the professional (e.g. telephone number, email address etc.).Free text. Person completing record 0 … 1 prsb03-dataelement-11742link Details of the person completing the record.   Name 0 … 1 prsb03-dataelement-11743link The name of the person completing the record.Free text.   Organisational role 0 … 1 prsb03-dataelement-11744link The organisational role of the person completing record.NHS Data dictionary or free text. https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-11745link The grade of the person completing the record.Free text.   Specialty 0 … 1 prsb03-dataelement-11746link The main specialty of the person completing the record.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   Organisation 0 … 1 prsb03-dataelement-11747link The organisation the person completing the record works for.ODS code or free text   Professional identifier 0 … 1 prsb03-dataelement-11748link Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.Free text.   Date completed 0 … 1 prsb03-dataelement-11749link The date and time the record was completed.Date and time.    Contact details 0 … 1 prsb03-dataelement-11750link Contact details of the person completing the record (e.g. telephone number, email address etc.).Free text. Mental capacity assessment 0 … * prsb03-dataelement-10424link 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.Free text   Date 0 … 1 prsb03-dataelement-11688link The date when the mental capacity assessment was made.Date and time   Location 0 … 1 prsb03-dataelement-11689link The location where the mental capacity assessment was made.ODS code or free text Performing professional 0 … 1 prsb03-dataelement-11281link The professional who made the mental capacity assessment.   Name 0 … 1 prsb03-dataelement-11282link The name of the professional.Free text.   Role 0 … 1 prsb03-dataelement-11283link The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcNHS Data dictionary or free text https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-11288link The grade of the professional.Free text.   Speciality 0 … 1 prsb03-dataelement-11284link The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS 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   Professional identifier 0 … 1 prsb03-dataelement-11285link Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.Free text.   Organisation 0 … 1 prsb03-dataelement-11286link The name of the organisation the professional works for.ODS code or free text.   Contact details 0 … 1 prsb03-dataelement-11287link Contact details of the professional (e.g. telephone number, email address etc.).Free text. Person completing record 0 … 1 prsb03-dataelement-11289link Details of the person completing the record.   Name 0 … 1 prsb03-dataelement-11290link The name of the person completing the record.Free text.   Organisational role 0 … 1 prsb03-dataelement-11291link The organisational role of the person completing record.NHS Data dictionary or free text. https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-11292link The grade of the person completing the record.Free text.   Specialty 0 … 1 prsb03-dataelement-11293link The main specialty of the person completing the record.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   Organisation 0 … 1 prsb03-dataelement-11294link The organisation the person completing the record works for.ODS code or free text   Professional identifier 0 … 1 prsb03-dataelement-11295link Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.Free text.   Date completed 0 … 1 prsb03-dataelement-11296link The date and time the record was completed.Date and time.    Contact details 0 … 1 prsb03-dataelement-11297link Contact details of the person completing the record (e.g. telephone number, email address etc.).Free text.   Lasting power of attorney for personal welfare or court-appointed deputy (or equivalent) 0 … 1 prsb03-dataelement-10425link 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.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. Deprivation of Liberty Safeguards or equivalent 0 … 1 prsb03-dataelement-10426link Record of Deprivation of Liberty Safeguards (DoLS) or equivalent, including the reason for this.Free text Mental Health Act or equivalent status 0 … * prsb03-dataelement-10427link 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.Free text   Section start date 0 … 1 prsb03-dataelement-10920link The date the person was detained.Date and time   Section end date 0 … 1 prsb03-dataelement-10921link The date the person was no longer detained. Date and time   Location 0 … 1 prsb03-dataelement-11692link The location where the decision to detain the person was made under the mental health act.ODS code or free text Performing professional 0 … 1 prsb03-dataelement-11315link The professional who made the decision to detain the person under the mental health act.   Name 0 … 1 prsb03-dataelement-11316link The name of the professional.Free text.   Role 0 … 1 prsb03-dataelement-11317link The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcNHS Data dictionary or free text https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-11318link The grade of the professional.Free text.   Speciality 0 … 1 prsb03-dataelement-11319link The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS 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   Professional identifier 0 … 1 prsb03-dataelement-11320link Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.Free text.   Organisation 0 … 1 prsb03-dataelement-11321link The name of the organisation the professional works for.ODS code or free text.   Contact details 0 … 1 prsb03-dataelement-11322link Contact details of the professional (e.g. telephone number, email address etc.).Free text. Person completing record 0 … 1 prsb03-dataelement-11323link Details of the person completing the record.   Name 0 … 1 prsb03-dataelement-11324link The name of the person completing the record.Free text.   Organisational role 0 … 1 prsb03-dataelement-11325link The organisational role of the person completing record.NHS Data dictionary or free text. https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-11326link The grade of the person completing the record.Free text.   Specialty 0 … 1 prsb03-dataelement-11327link The main specialty of the person completing the record.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   Organisation 0 … 1 prsb03-dataelement-11328link The organisation the person completing the record works for.ODS code or free text   Professional identifier 0 … 1 prsb03-dataelement-11329link Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.Free text.   Date completed 0 … 1 prsb03-dataelement-11330link The date and time the record was completed.Date and time.    Contact details 0 … 1 prsb03-dataelement-11331link Contact details of the person completing the record (e.g. telephone number, email address etc.).Free text. Advance decision to refuse treatment (ADRT) 0 … 1 prsb03-dataelement-10428link 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.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. Organ and tissue donation 0 … 1 prsb03-dataelement-10430link 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. Free text. Safeguarding 0 … 1 prsb03-dataelement-271link The safeguarding details of the person. Safeguarding concerns 0 … * prsb03-dataelement-10821link Details of the safeguarding concerns    Safeguarding concerns date 0 … 1 prsb03-dataelement-10172link The date the safeguarding concerns were identified.Date and time   Safeguarding concerns end date 0 … 1 prsb03-dataelement-10766link The date safeguarding concerns ended.Date and time   Location 0 … 1 prsb03-dataelement-10173link The location where the safeguarding concerns were identified.ODS code or free text   Safeguarding concerns 0 … 1 prsb03-dataelement-10171link Identified safeguarding concerns. 999002381000000108 |Safeguarding issues simple reference set (foundation metadata concept)| https://termbrowser.nhs.uk/?perspective=full&conceptId1=999002381000000108&edition=uk-edition&release=v20181001&server=https://termbrowser.nhs.uk/sct-browser-api/snomed&langRefset=999001261000000100,999000691000001104 Performing professional 0 … 1 prsb03-dataelement-11358link The professional who identified the safeguarding concerns.   Name 0 … 1 prsb03-dataelement-11359link The name of the professional.Free text.   Role 0 … 1 prsb03-dataelement-11360link The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcNHS Data dictionary or free text https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-11361link The grade of the professional.Free text.   Speciality 0 … 1 prsb03-dataelement-11362link The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS 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   Professional identifier 0 … 1 prsb03-dataelement-11363link Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.Free text.   Organisation 0 … 1 prsb03-dataelement-11364link The name of the organisation the professional works for.ODS code or free text.   Contact details 0 … 1 prsb03-dataelement-11365link Contact details of the professional (e.g. telephone number, email address etc.).Free text. Person completing record 0 … 1 prsb03-dataelement-11366link Details of the person completing the record.   Name 0 … 1 prsb03-dataelement-11367link The name of the person completing the record.Free text.   Organisational role 0 … 1 prsb03-dataelement-11368link The organisational role of the person completing record.NHS Data dictionary or free text. https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-11369link The grade of the person completing the record.Free text.   Specialty 0 … 1 prsb03-dataelement-11370link The main specialty of the person completing the record.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   Organisation 0 … 1 prsb03-dataelement-11371link The organisation the person completing the record works for.ODS code or free text   Professional identifier 0 … 1 prsb03-dataelement-11372link Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.Free text.   Date completed 0 … 1 prsb03-dataelement-11373link The date and time the record was completed.Date and time.    Contact details 0 … 1 prsb03-dataelement-11374link Contact details of the person completing the record (e.g. telephone number, email address etc.).Free text.   Comment 0 … 1 prsb03-dataelement-10175link Further details on safeguarding concerns.Free text Looked after child 0 … * prsb03-dataelement-10797link Details of the looked after child    Looked after child start date 0 … 1 prsb03-dataelement-10746link The date the child became a looked after child.Date and time   Looked after child end date 0 … 1 prsb03-dataelement-10761link The date the child ceased to be a looked after child.Date and time   Local authority 0 … 1 prsb03-dataelement-10799link The named local authority.ODS code or free text Person completing record 0 … 1 prsb03-dataelement-11375link Details of the person completing the record.   Name 0 … 1 prsb03-dataelement-11376link The name of the person completing the record.Free text.   Organisational role 0 … 1 prsb03-dataelement-11377link The organisational role of the person completing record.NHS Data dictionary or free text. https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-11378link The grade of the person completing the record.Free text.   Specialty 0 … 1 prsb03-dataelement-11379link The main specialty of the person completing the record.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   Organisation 0 … 1 prsb03-dataelement-11380link The organisation the person completing the record works for.ODS code or free text   Professional identifier 0 … 1 prsb03-dataelement-11381link Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.Free text.   Date completed 0 … 1 prsb03-dataelement-11382link The date and time the record was completed.Date and time.    Contact details 0 … 1 prsb03-dataelement-11383link Contact details of the person completing the record (e.g. telephone number, email address etc.).Free text. Child protection plan 0 … * prsb03-dataelement-10798link Details of the child protection plan   Child protection plan start date 0 … 1 prsb03-dataelement-10747link The start date of the child protection planDate and time    Child protection plan end date 0 … 1 prsb03-dataelement-10762link The end date of the child protection planDate and time    Local authority 0 … 1 prsb03-dataelement-10748link The named local authority.ODS code or free text  Person completing record 0 … 1 prsb03-dataelement-11384link Details of the person completing the record.   Name 0 … 1 prsb03-dataelement-11385link The name of the person completing the record.Free text.   Organisational role 0 … 1 prsb03-dataelement-11386link The organisational role of the person completing record.NHS Data dictionary or free text. https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-11387link The grade of the person completing the record.Free text.   Specialty 0 … 1 prsb03-dataelement-11388link The main specialty of the person completing the record.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   Organisation 0 … 1 prsb03-dataelement-11389link The organisation the person completing the record works for.ODS code or free text   Professional identifier 0 … 1 prsb03-dataelement-11390link Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.Free text.   Date completed 0 … 1 prsb03-dataelement-11391link The date and time the record was completed.Date and time.    Contact details 0 … 1 prsb03-dataelement-11392link Contact details of the person completing the record (e.g. telephone number, email address etc.).Free text. Unborn child protection plan 0 … * prsb03-dataelement-10923link Details of the unborn child protection plan.   Unborn child protection plan start date 0 … 1 prsb03-dataelement-10924link Start date of the unborn child protection plan.Date and time    Unborn child protection plan end date 0 … 1 prsb03-dataelement-10925link End date of the unborn child protection plan.Date and time    Local authority 0 … 1 prsb03-dataelement-10926link The named local authority.ODS code and free text  Person completing record 0 … 1 prsb03-dataelement-11393link Details of the person completing the record.   Name 0 … 1 prsb03-dataelement-11394link The name of the person completing the record.Free text.   Organisational role 0 … 1 prsb03-dataelement-11395link The organisational role of the person completing record.NHS Data dictionary or free text. https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-11396link The grade of the person completing the record.Free text.   Specialty 0 … 1 prsb03-dataelement-11397link The main specialty of the person completing the record.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   Organisation 0 … 1 prsb03-dataelement-11398link The organisation the person completing the record works for.ODS code or free text   Professional identifier 0 … 1 prsb03-dataelement-11399link Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.Free text.   Date completed 0 … 1 prsb03-dataelement-11400link The date and time the record was completed.Date and time.    Contact details 0 … 1 prsb03-dataelement-11401link Contact details of the person completing the record (e.g. telephone number, email address etc.).Free text. Individual requirements 0 … 1 prsb03-dataelement-160link The individual requirements of the person. Accessible information - requires specific information format 0 … 1 prsb03-dataelement-11032link The specific format the person requires in order for information to be accessible.SNOMED CT refset ^999002151000000104 https://dd4c.hscic.gov.uk/dd4c/publishedmetadatas/intid/658   Date 0 … 1 prsb03-dataelement-11697link The date the accessible information requirement was identified.Date and time    Location 0 … 1 prsb03-dataelement-11698link The location where the accessible information requirement was identified.ODS code and free text  Performing professional 0 … 1 prsb03-dataelement-11402link The professional who identified the accessible information requirement.   Name 0 … 1 prsb03-dataelement-11403link The name of the professional.Free text.   Role 0 … 1 prsb03-dataelement-11404link The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcNHS Data dictionary or free text https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-11405link The grade of the professional.Free text.   Speciality 0 … 1 prsb03-dataelement-11406link The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS 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   Professional identifier 0 … 1 prsb03-dataelement-11407link Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.Free text.   Organisation 0 … 1 prsb03-dataelement-11408link The name of the organisation the professional works for.ODS code or free text.   Contact details 0 … * prsb03-dataelement-11409link Contact details of the professional (e.g. telephone number, email address etc.).Free text. Person completing record 0 … 1 prsb03-dataelement-11410link Details of the person completing the record.   Name 0 … 1 prsb03-dataelement-11411link The name of the person completing the record.Free text.   Organisational role 0 … 1 prsb03-dataelement-11412link The organisational role of the person completing record.NHS Data dictionary or free text. https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-11413link The grade of the person completing the record.Free text.   Specialty 0 … 1 prsb03-dataelement-11414link The main specialty of the person completing the record.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   Organisation 0 … 1 prsb03-dataelement-11415link The organisation the person completing the record works for.ODS code or free text   Professional identifier 0 … 1 prsb03-dataelement-11416link Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.Free text.   Date completed 0 … 1 prsb03-dataelement-11417link The date and time the record was completed.Date and time.    Contact details 0 … * prsb03-dataelement-11418link Contact details of the person completing the record (e.g. telephone number, email address etc.).Free text. Accessible information - requires specific contact method 0 … 1 prsb03-dataelement-10063link The contact method the person requires in order for information to be accessible. SNOMED CT Requires specific contact method Refset ^999002151000000104 https://dd4c.hscic.gov.uk/dd4c/publishedmetadatas/intid/658   Date 0 … 1 prsb03-dataelement-11699link The date the accessible information requirement was identified.Date and time   Location 0 … 1 prsb03-dataelement-11700link The location where the accessible information requirement was identified.ODS code or free text  Performing professional 0 … 1 prsb03-dataelement-11419link The professional who identified the accessible information requirement.   Name 0 … 1 prsb03-dataelement-11420link The name of the professional.Free text.   Role 0 … 1 prsb03-dataelement-11421link The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcNHS Data dictionary or free text https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-11422link The grade of the professional.Free text.   Speciality 0 … 1 prsb03-dataelement-11423link The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS 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   Professional identifier 0 … 1 prsb03-dataelement-11424link Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.Free text.   Organisation 0 … 1 prsb03-dataelement-11425link The name of the organisation the professional works for.ODS code or free text.   Contact details 0 … * prsb03-dataelement-11426link Contact details of the professional (e.g. telephone number, email address etc.).Free text. Person completing record 0 … 1 prsb03-dataelement-11427link Details of the person completing the record.   Name 0 … 1 prsb03-dataelement-11428link The name of the person completing the record.Free text.   Organisational role 0 … 1 prsb03-dataelement-11429link The organisational role of the person completing record.NHS Data dictionary or free text. https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-11430link The grade of the person completing the record.Free text.   Specialty 0 … 1 prsb03-dataelement-11431link The main specialty of the person completing the record.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   Organisation 0 … 1 prsb03-dataelement-11432link The organisation the person completing the record works for.ODS code or free text   Professional identifier 0 … 1 prsb03-dataelement-11433link Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.Free text.   Date completed 0 … 1 prsb03-dataelement-11434link The date and time the record was completed.Date and time.    Contact details 0 … * prsb03-dataelement-11435link Contact details of the person completing the record (e.g. telephone number, email address etc.).Free text. Accessible information - requires communication support 0 … 1 prsb03-dataelement-10062link The communication support the person requires in order for information to be accessible.SNOMED CT  Refset ^999002151000000104 https://dd4c.hscic.gov.uk/dd4c/publishedmetadatas/intid/658   Date 0 … 1 prsb03-dataelement-11701link The date the accessible information requirement was identified.Date and time   Location 0 … 1 prsb03-dataelement-11702link The location where the accessible information requirement was identified.ODS code or free text Performing professional 0 … 1 prsb03-dataelement-11436link The professional who identified the accessible information requirement.   Name 0 … 1 prsb03-dataelement-11437link The name of the professional.Free text.   Role 0 … 1 prsb03-dataelement-11438link The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcNHS Data dictionary or free text https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-11439link The grade of the professional.Free text.   Speciality 0 … 1 prsb03-dataelement-11440link The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS 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   Professional identifier 0 … 1 prsb03-dataelement-11441link Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.Free text.   Organisation 0 … 1 prsb03-dataelement-11442link The name of the organisation the professional works for.ODS code or free text.   Contact details 0 … * prsb03-dataelement-11443link Contact details of the professional (e.g. telephone number, email address etc.).Free text. Person completing record 0 … 1 prsb03-dataelement-11444link Details of the person completing the record.   Name 0 … 1 prsb03-dataelement-11445link The name of the person completing the record.Free text.   Organisational role 0 … 1 prsb03-dataelement-11446link The organisational role of the person completing record.NHS Data dictionary or free text. https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-11447link The grade of the person completing the record.Free text.   Specialty 0 … 1 prsb03-dataelement-11448link The main specialty of the person completing the record.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   Organisation 0 … 1 prsb03-dataelement-11449link The organisation the person completing the record works for.ODS code or free text   Professional identifier 0 … 1 prsb03-dataelement-11450link Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.Free text.   Date completed 0 … 1 prsb03-dataelement-11451link The date and time the record was completed.Date and time.    Contact details 0 … * prsb03-dataelement-11452link Contact details of the person completing the record (e.g. telephone number, email address etc.).Free text. Accessible information - requires communication professional 0 … 1 prsb03-dataelement-10061link Identifies that the person needs support from a communication professional in order for information to be accessible.SNOMED CT Refset ^999002141000000102 https://dd4c.hscic.gov.uk/dd4c/publishedmetadatas/intid/660   Date 0 … 1 prsb03-dataelement-11703link The date the accessible information requirement was identified.Date and time    Location 0 … 1 prsb03-dataelement-11704link The location where the accessible information requirement was identified.ODS code or free text Performing professional 0 … 1 prsb03-dataelement-11453link The professional who identified the accessible information requirement.   Name 0 … 1 prsb03-dataelement-11454link The name of the professional.Free text.   Role 0 … 1 prsb03-dataelement-11455link The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcNHS Data dictionary or free text https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-11456link The grade of the professional.Free text.   Speciality 0 … 1 prsb03-dataelement-11457link The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS 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   Professional identifier 0 … 1 prsb03-dataelement-11458link Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.Free text.   Organisation 0 … 1 prsb03-dataelement-11459link The name of the organisation the professional works for.ODS code or free text.   Contact details 0 … * prsb03-dataelement-11460link Contact details of the professional (e.g. telephone number, email address etc.).Free text. Person completing record 0 … 1 prsb03-dataelement-11461link Details of the person completing the record.   Name 0 … 1 prsb03-dataelement-11462link The name of the person completing the record.Free text.   Organisational role 0 … 1 prsb03-dataelement-11463link The organisational role of the person completing record.NHS Data dictionary or free text. https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-11464link The grade of the person completing the record.Free text.   Specialty 0 … 1 prsb03-dataelement-11465link The main specialty of the person completing the record.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   Organisation 0 … 1 prsb03-dataelement-11466link The organisation the person completing the record works for.ODS code or free text   Professional identifier 0 … 1 prsb03-dataelement-11467link Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.Free text.   Date completed 0 … 1 prsb03-dataelement-11468link The date and time the record was completed.Date and time.    Contact details 0 … * prsb03-dataelement-11469link Contact details of the person completing the record (e.g. telephone number, email address etc.).Free text. Cognition 0 … * prsb03-dataelement-10066link The cognitive impairment to be considered when communicating with the person, child or their primary carer. SNOMED CT or free text   Date 0 … 1 prsb03-dataelement-11705link The date when the cognitive impairment was identified.Date and time    Location 0 … 1 prsb03-dataelement-11706link The location where the cognitive impairment was identified.ODS code or free text Performing professional 0 … 1 prsb03-dataelement-11470link The professional who identified the cognitive impairment.   Name 0 … 1 prsb03-dataelement-11471link The name of the professional.Free text.   Role 0 … 1 prsb03-dataelement-11472link The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcNHS Data dictionary or free text https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-11473link The grade of the professional.Free text.   Speciality 0 … 1 prsb03-dataelement-11474link The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS 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   Professional identifier 0 … 1 prsb03-dataelement-11475link Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.Free text.   Organisation 0 … 1 prsb03-dataelement-11476link The name of the organisation the professional works for.ODS code or free text.   Contact details 0 … * prsb03-dataelement-11477link Contact details of the professional (e.g. telephone number, email address etc.).Free text. Person completing record 0 … 1 prsb03-dataelement-11478link Details of the person completing the record.   Name 0 … 1 prsb03-dataelement-11479link The name of the person completing the record.Free text.   Organisational role 0 … 1 prsb03-dataelement-11480link The organisational role of the person completing record.NHS Data dictionary or free text. https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-11481link The grade of the person completing the record.Free text.   Specialty 0 … 1 prsb03-dataelement-11482link The main specialty of the person completing the record.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   Organisation 0 … 1 prsb03-dataelement-11483link The organisation the person completing the record works for.ODS code or free text   Professional identifier 0 … 1 prsb03-dataelement-11484link Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.Free text.   Date completed 0 … 1 prsb03-dataelement-11485link The date and time the record was completed.Date and time.    Contact details 0 … * prsb03-dataelement-11486link Contact details of the person completing the record (e.g. telephone number, email address etc.).Free text. Mobility needs 0 … * prsb03-dataelement-10067link The mobility needs of the person that allows movement between two spaces and achieves participation and a degree of independence.SNOMED CT or free text   Date 0 … 1 prsb03-dataelement-11707link The date when the mobility needs were identified.Date and time   Location 0 … 1 prsb03-dataelement-11710link The location where the mobility needs were identified.ODS code or free text Performing professional 0 … 1 prsb03-dataelement-11487link The professional who identified the mobility needs.   Name 0 … 1 prsb03-dataelement-11488link The name of the professional.Free text.   Role 0 … 1 prsb03-dataelement-11489link The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcNHS Data dictionary or free text https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-11490link The grade of the professional.Free text.   Speciality 0 … 1 prsb03-dataelement-11491link The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS 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   Professional identifier 0 … 1 prsb03-dataelement-11492link Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.Free text.   Organisation 0 … 1 prsb03-dataelement-11493link The name of the organisation the professional works for.ODS code or free text.   Contact details 0 … * prsb03-dataelement-11494link Contact details of the professional (e.g. telephone number, email address etc.).Free text. Person completing record 0 … 1 prsb03-dataelement-11495link Details of the person completing the record.   Name 0 … 1 prsb03-dataelement-11496link The name of the person completing the record.Free text.   Organisational role 0 … 1 prsb03-dataelement-11497link The organisational role of the person completing record.NHS Data dictionary or free text. https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-11498link The grade of the person completing the record.Free text.   Specialty 0 … 1 prsb03-dataelement-11499link The main specialty of the person completing the record.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   Organisation 0 … 1 prsb03-dataelement-11500link The organisation the person completing the record works for.ODS code or free text   Professional identifier 0 … 1 prsb03-dataelement-11501link Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.Free text.   Date completed 0 … 1 prsb03-dataelement-11502link The date and time the record was completed.Date and time.    Contact details 0 … * prsb03-dataelement-11503link Contact details of the person completing the record (e.g. telephone number, email address etc.).Free text. Other individual requirements 0 … * prsb03-dataelement-10835link Other individual requirements that a person may have.Free text   Date 0 … 1 prsb03-dataelement-11711link The date when the other individual requirements were identified.Date and time    Location 0 … 1 prsb03-dataelement-11712link The location where the other individual requirements were identified.ODS code or free text Performing professional 0 … 1 prsb03-dataelement-11504link The professional who identified the other individual requirements.   Name 0 … 1 prsb03-dataelement-11505link The name of the professional.Free text.   Role 0 … 1 prsb03-dataelement-11506link The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcNHS Data dictionary or free text https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-11507link The grade of the professional.Free text.   Speciality 0 … 1 prsb03-dataelement-11508link The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS 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   Professional identifier 0 … 1 prsb03-dataelement-11509link Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.Free text.   Organisation 0 … 1 prsb03-dataelement-11510link The name of the organisation the professional works for.ODS code or free text.   Contact details 0 … * prsb03-dataelement-11511link Contact details of the professional (e.g. telephone number, email address etc.).Free text. Person completing record 0 … 1 prsb03-dataelement-11512link Details of the person completing the record.   Name 0 … 1 prsb03-dataelement-11513link The name of the person completing the record.Free text.   Organisational role 0 … 1 prsb03-dataelement-11514link The organisational role of the person completing record.NHS Data dictionary or free text. https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-11515link The grade of the person completing the record.Free text.   Specialty 0 … 1 prsb03-dataelement-11516link The main specialty of the person completing the record.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   Organisation 0 … 1 prsb03-dataelement-11517link The organisation the person completing the record works for.ODS code or free text   Professional identifier 0 … 1 prsb03-dataelement-11518link Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.Free text.   Date completed 0 … 1 prsb03-dataelement-11519link The date and time the record was completed.Date and time.    Contact details 0 … * prsb03-dataelement-11520link Contact details of the person completing the record (e.g. telephone number, email address etc.).Free text. Professional contacts 0 … 1 prsb03-dataelement-452link The details of the person’s professional contacts. Professional contacts record entry 0 … * prsb03-dataelement-10767link 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 0 … 1 prsb03-dataelement-10352link The name of the professional with responsibility for the care of the person.Free text.   Role 0 … 1 prsb03-dataelement-10353link The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcNHS 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   Speciality 0 … 1 prsb03-dataelement-10354link The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS 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   Team 0 … 1 prsb03-dataelement-10355link The name of the team.Free text   Organisation 0 … 1 prsb03-dataelement-10356link The name of the organisation.ODS code or free text    Contact details 0 … 1 prsb03-dataelement-10357link Contact details of the professional (e.g. telephone number, email address etc.).Free text   Start date 0 … 1 prsb03-dataelement-10358link The start date of the professional relationship with the person.Date and time    End date 0 … 1 prsb03-dataelement-10359link The end date of the professional relationship with the person.Date and time  Personal contacts 0 … 1 prsb03-dataelement-445link The details of the individual's personal contacts. Personal contacts record entry 0 … * prsb03-dataelement-10768link 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.   Name 1 … 1 Mandatory prsb03-dataelement-10345link The name of the personal contact.Free text   Relationship 0 … 1 prsb03-dataelement-10346link The relationship the personal contact has to the person, e.g. father, grandmother, family friend etc.FHIR value set recommended. https://www.hl7.org/fhir/valueset-relatedperson-relationshiptype.html   Next of Kin 0 … 1 prsb03-dataelement-10349link A flag that identifies the personal contact is the next of kinYes or No   Contact details 0 … 1 prsb03-dataelement-10350link Contact details of the personal contact (e.g. telephone number, email address etc.)Free Text   Comments 0 … 1 prsb03-dataelement-10937link Notes on the significance of the personal contact to the person.Free text Participation in research 0 … 1 prsb03-dataelement-168link Participation in research Participation in research record entry 0 … * prsb03-dataelement-10646link 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.   Name of research study 0 … 1 prsb03-dataelement-10068link Name of the research study/trial and/or drug/interventionFree text    Identification code 0 … 1 prsb03-dataelement-10739link Identification code of research studyFree text Person completing record 0 … 1 prsb03-dataelement-12201link Details of the person completing the record.   Name 0 … 1 prsb03-dataelement-12202link The name of the person completing the record.Free text.   Organisational role 0 … 1 prsb03-dataelement-12203link The organisational role of the person completing record.NHS Data dictionary or free text. https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-12204link The grade of the person completing the record.Free text.   Specialty 0 … 1 prsb03-dataelement-12205link The main specialty of the person completing the record.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   Organisation 0 … 1 prsb03-dataelement-12206link The organisation the person completing the record works for.ODS code or free text   Professional identifier 0 … 1 prsb03-dataelement-12207link Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.Free text.   Date completed 0 … 1 prsb03-dataelement-12208link The date and time the record was completed.Date and time.    Contact details 0 … 1 prsb03-dataelement-12209link Contact details of the person completing the record (e.g. telephone number, email address etc.).Free text. Referral details 0 … 1 prsb03-dataelement-105link The details of the referral. Referral details record entry 0 … * prsb03-dataelement-10917link 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.   Date 0 … 1 prsb03-dataelement-10006link The date of referralDate and time  Referrer details 0 … 1 prsb03-dataelement-10005link The details of the referrer. This could be the person, GP surgery, department, specialty, sub-specialty, educational institution, mental health team etc.   Name 0 … 1 prsb03-dataelement-10971link The name of the referrer.Free text    Role 0 … 1 prsb03-dataelement-10972link Role of the referrer. NHS Data dictionary or free text https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-10973link The grade of the referrer.Free text   Team 0 … 1 prsb03-dataelement-12409link The team or department of the referrer.Free text   Specialty 0 … 1 prsb03-dataelement-12410link The specialty of the referrer.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   Service 0 … 1 prsb03-dataelement-12411link The service of the referrer.SNOMED CT or free text. 999000381000000107 |Correspondence care setting type simple reference set (foundation metadata concept)|   Organisation 0 … 1 prsb03-dataelement-10974link The organisation of the referrer.ODS code or free text    Contact details 0 … 1 prsb03-dataelement-10975link The contact details of the referrer.Free text   Referral method 0 … 1 prsb03-dataelement-10007link 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.Allow National Codes only 1 Fax 2 Phone 3 Secure Messaging 4 Secure Email 5 Letter 6 NHS E-Referral Service 7 Self Referral   Reason for referral 0 … 1 prsb03-dataelement-10011link 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. 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 Clinical urgency of referral 0 … 1 prsb03-dataelement-10010link Referrer’s assessment of urgency (e.g. urgent, routine). PRIORITY TYPE (NHS Data Dictionary)  https://www.datadictionary.nhs.uk/data_dictionary/attributes/p/prio/priority_type_de.asp?shownav=1   Reason for urgency of referral 0 … 1 prsb03-dataelement-10976link The reason for urgency of referral if not routine.Free text Referral to 0 … 1 prsb03-dataelement-10008link 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.   Name 0 … 1 prsb03-dataelement-10977link Name of person the referral is to be sent to.Free text   Role 0 … 1 prsb03-dataelement-10978link Role of person where the referral is to be sent to. NHS Data dictionary or free text https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-10979link The grade of the person where the referral is sent to.Free text   Team 0 … 1 prsb03-dataelement-10982link The team or department of the person where the referral is being sent toFree text.   Specialty 0 … 1 prsb03-dataelement-10983link The specialty the referral is being sent to e.g. physiotherapy, oncology, mental health etc 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   Organisation 0 … 1 prsb03-dataelement-10980link The organisation of where the referral is to be sent.ODS code or Free text    Contact details 0 … 1 prsb03-dataelement-10981link The contact details of where the referral is to be sent.Free text.   Referral criteria 0 … 1 prsb03-dataelement-10014link Records whether specific criteria required for referral, to a particular service, have been met (may be nationally or locally determined).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.   Return response to 0 … 1 prsb03-dataelement-10015link Name of professional communicated with, if not the referrerFree text. Contacts with professionals 0 … 1 prsb03-dataelement-169link The details of the person’s contact with a professional. Contacts with professionals record entry 0 … * prsb03-dataelement-10718link 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.   Date of contact 0 … 1 prsb03-dataelement-10069link Date and time of the contact. Date and time.   Location of contact 0 … 1 prsb03-dataelement-10075link The location where the contact took place.ODS code or free text.   Seen by 0 … 1 prsb03-dataelement-10077link The professional that saw the person. May be a SNOMED CT term 307839005 or free text Responsible professional 0 … 1 prsb03-dataelement-10072link 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).   Name 0 … 1 prsb03-dataelement-10988link The name of the responsible professional. Free text   Role 0 … 1 prsb03-dataelement-10989link The role of the responsible professionalNHS Data dictionary or free text  https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Location type 0 … 1 prsb03-dataelement-10076link The type of location where the contact took place e.g. person's home 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   Contact type 0 … 1 prsb03-dataelement-10070link Type of contact e.g. GP consultation, outpatient attendance  NHS Data dictionary - Care contact type https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_contact_type_de.asp?shownav=1   Consultation method 0 … 1 prsb03-dataelement-10071link Consultation method used e.g. face to face, telephoneNHS 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   Specialty 0 … 1 prsb03-dataelement-10073link The specialty e.g. physiotherapy, oncology, mental health etcNHS 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   Service 0 … 1 prsb03-dataelement-10074link The service that was provided.SNOMED CT or free text 999000381000000107 |Correspondence care setting type simple reference set (foundation metadata concept)| Professionals present 0 … * prsb03-dataelement-10078link The name, role of the additional individuals or team members including consultant(s), nurse consultant(s), allied health professional(s), social worker(s)   Name 0 … 1 prsb03-dataelement-10990link The name of the professional presentFree text   Role 0 … 1 prsb03-dataelement-10991link The role of the professional present. NHS Data dictionary or free text https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Outcome of contact 0 … 1 prsb03-dataelement-10080link This records the outcome of the contact.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 Admission details 0 … 1 prsb03-dataelement-181link Admission details Admission details record entry 0 … * prsb03-dataelement-10918link 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.   Date of admission 0 … 1 prsb03-dataelement-10085link Date and time the person was admitted to hospital.The date and time of admission as recorded on the Patient Administration System (PAS)   Admitted to 0 … 1 prsb03-dataelement-10090link The hospital the person was admitted to.ODS code or free text Responsible consultant 0 … 1 prsb03-dataelement-10087link The consultant who has overall responsibility for the person (may not actually see the person)   Name 0 … 1 prsb03-dataelement-10992link The name of the responsible consultant.Free text.   Role 0 … 1 prsb03-dataelement-10993link The role of the responsible consultant.NHS Data dictionary or free text https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Reason for admission 0 … 1 prsb03-dataelement-10081link 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.SNOMED CT or free text.   Admission method 0 … 1 prsb03-dataelement-10082link How the person was admitted to hospital e.g. elective, emergency, maternity, transfer etc.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   Legal status on admission 0 … 1 prsb03-dataelement-10083link Whether the person was admitted as informal or formal/detained.Free text    Source of admission 0 … 1 prsb03-dataelement-10084link Where the person was immediately prior to admission, e.g. usual place of residence, temporary place of residence, penal establishment.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 Individual accompanying person 0 … 1 prsb03-dataelement-10088link Details of the accompanying individual and the extent to which they have provided the information about the person.   Name 0 … 1 prsb03-dataelement-10984link Name of individual accompanying person.Free text   Role 0 … 1 prsb03-dataelement-10985link Role of the individual accompanying the person. NHS Data dictionary or free text https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Relationship 0 … 1 prsb03-dataelement-10986link Relationship of individual accompanying the person.Free text or https://www.hl7.org/fhir/valueset-relatedperson-relationshiptype.html    Comment 0 … 1 prsb03-dataelement-12447link Information about the extent to which the accompanying individual provided  information about the person.Free text.   Speciality 0 … 1 prsb03-dataelement-10089link The specialty e.g. physiotherapy, oncology, mental health etc 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 Discharge details 0 … 1 prsb03-dataelement-191link Discharge details Discharge details record entry 0 … * prsb03-dataelement-10919link 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.   Date of discharge 0 … 1 prsb03-dataelement-10096link The date and time of dischargeThe date and time of discharge as recorded by the PAS or discharging system.   Discharge location 0 … 1 prsb03-dataelement-10095link The hospital the person was discharged from.ODS code Discharging consultant 0 … 1 prsb03-dataelement-10093link The consultant responsible for the person at time of discharge.   Name 0 … 1 prsb03-dataelement-10994link The name of the discharging consultantFree text   Role 0 … 1 prsb03-dataelement-10995link The role of the discharging consultantNHS Data dictionary or free text https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Discharge method 0 … 1 prsb03-dataelement-10098link 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.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   Discharging specialty 0 … 1 prsb03-dataelement-10094link The specialty of the consultant responsible for the person at the time of discharge.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   Discharging department 0 … 1 prsb03-dataelement-10987link The department from which the person is discharged.Free text   Legal status on discharge 0 … 1 prsb03-dataelement-10097link Whether the person was discharged as informal or formal/detained.Free text Discharge destination 0 … 1 prsb03-dataelement-10099link   Discharge destination 0 … 1 prsb03-dataelement-10100link The destination of the person on discharge from hospital e.g. usual place of residence, NHS run care home.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   Discharge address 0 … 1 prsb03-dataelement-10101link Address to which the person is discharged if not the usual place of residence.Free text. Future appointments 0 … 1 prsb03-dataelement-10720link Details of future appointments. Future appointments record entry 0 … * prsb03-dataelement-10721link 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.   Date of appointment 0 … 1 prsb03-dataelement-10722link Date and time of future appointment.Date and time    Appointment status 0 … 1 prsb03-dataelement-10723link The status of the appointment e.g. proposed, booked, confirmed, rejected.Free text   Reason for appointment 0 … 1 prsb03-dataelement-10724link Reason this appointment is scheduledFree text. The reason for the appointment e.g. diagnosis, investigation, treatment or assessment   Location of future appointment 0 … 1 prsb03-dataelement-10726link The location of the appointment.ODS code or free text   Specialty 0 … 1 prsb03-dataelement-10727link The specialty e.g. physiotherapy, oncology, mental health etc.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   Service 0 … 1 prsb03-dataelement-10728link The service being provided.SNOMED CT or free text 999000381000000107 |Correspondence care setting type simple reference set (foundation metadata concept)| Professional seeing the person 0 … 1 prsb03-dataelement-10729link The name and role of the professional e.g. consultant, care worker, nurse consultant.   Name 0 … 1 prsb03-dataelement-12413link The name of the professional seeing the person.Free text   Role 0 … 1 prsb03-dataelement-12414link The role of the professional seeing the person. NHS Data dictionary or free text https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1 Vaccinations 0 … 1 prsb03-dataelement-10685link Details of vaccinations. Vaccinations record entry 0 … * prsb03-dataelement-10686link 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.    Date 0 … 1 prsb03-dataelement-10695link The date on which the vaccination was administered or the reported/partial date on which it was reported.Date and time   Location 0 … 1 prsb03-dataelement-10759link The location where the vaccine was administered.ODS code or free text Performing professional 0 … 1 prsb03-dataelement-12184link The professional who administered the vaccine.   Name 0 … 1 prsb03-dataelement-12185link The name of the professional.Free text.   Role 0 … 1 prsb03-dataelement-12186link The role the professional has in relation to the person.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   Grade 0 … 1 prsb03-dataelement-12187link The grade of the professional.Free text.   Speciality 0 … 1 prsb03-dataelement-12188link The specialty of the professional.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   Professional identifier 0 … 1 prsb03-dataelement-12189link Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.Free text.   Organisation 0 … 1 prsb03-dataelement-12190link The name of the organisation the professional works for.ODS code or free text.   Contact details 0 … 1 prsb03-dataelement-12191link Contact details of the professional (e.g. telephone number, email address etc.).Free text.   Vaccine product 1 … 1 Mandatory prsb03-dataelement-10687link Vaccine product administered.VMP (Virtual Medicinal Product) or AMP (actual medicinal product)   Vaccine procedure 1 … 1 Mandatory prsb03-dataelement-10688link The procedure which was used to administer the vaccine.Free text or SNOMED Code (refsets to be developed e.g. children)   Manufacturer 0 … 1 prsb03-dataelement-10698link Name of vaccine manufacturer.Derived from GS1 code or Free text    Body site 0 … 1 prsb03-dataelement-10691link Body site vaccine was administered.Choice of • Text • Coded text – constraint: SiteOfMedicationAdministration. Any valid site for the administration of a medication. Constraint binding: [SNOMED-CT]subset= SiteOfMedicationAdministration site code    Route 0 … 1 prsb03-dataelement-10692link How the vaccine entered the body.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.   Indication 0 … 1 prsb03-dataelement-10693link The clinical indication or reason for administering the vaccine.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)   Dose amount 0 … 1 prsb03-dataelement-10694link Amount of vaccine administered.This will be free text or coded units of measure (from DM+D)   Dose sequence  0 … 1 prsb03-dataelement-10824link Nominal position in a series of vaccines.SNOMED CT    Outcome status 0 … 1 prsb03-dataelement-10838link Whether the vaccine was administered or not, including the reason whySNOMED CT  Person completing record 0 … 1 prsb03-dataelement-12192link Details of the person completing the record.   Name 0 … 1 prsb03-dataelement-12193link The name of the person completing the record.Free text.   Organisational role 0 … 1 prsb03-dataelement-12194link The organisational role of the person completing record.NHS Data dictionary or free text. https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-12195link The grade of the person completing the record.Free text.   Specialty 0 … 1 prsb03-dataelement-12196link The main specialty of the person completing the record.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   Organisation 0 … 1 prsb03-dataelement-12197link The organisation the person completing the record works for.ODS code or free text   Professional identifier 0 … 1 prsb03-dataelement-12198link Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.Free text.   Date completed 0 … 1 prsb03-dataelement-12199link The date and time the record was completed.Date and time.    Contact details 0 … 1 prsb03-dataelement-12200link Contact details of the person completing the record (e.g. telephone number, email address etc.).Free text. Reported 0 … 1 prsb03-dataelement-10825link A flag to indicate the information was reported to a professionalYes or No  Problem list 0 … 1 prsb03-dataelement-10927link A summary of the problems that require investigation or treatment. Problem list record entry 0 … * prsb03-dataelement-10928link 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.   Date 0 … 1 prsb03-dataelement-10929link The date the problem was identified. Date and time Performing professional 0 … 1 prsb03-dataelement-12133link The professional who identified the problem.   Name 0 … 1 prsb03-dataelement-12134link The name of the professional.Free text.   Role 0 … 1 prsb03-dataelement-12135link The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcNHS Data dictionary or free text https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-12136link The grade of the professional.Free text.   Speciality 0 … 1 prsb03-dataelement-12137link The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS 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   Professional identifier 0 … 1 prsb03-dataelement-12138link Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.Free text.   Organisation 0 … 1 prsb03-dataelement-12139link The name of the organisation the professional works for.ODS code or free text.   Contact details 0 … 1 prsb03-dataelement-12140link Contact details of the professional (e.g. telephone number, email address etc.).Free text.   Location 0 … 1 prsb03-dataelement-10931link The location the problem was identified.ODS code or free text   Problem 1 … 1 Mandatory prsb03-dataelement-10932link 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’SNOMED CT or free text   Onset date 0 … 1 prsb03-dataelement-10933link A date or estimated date that the problem beganDate and time   End Date 0 … 1 prsb03-dataelement-10934link The date or estimated date the problem was resolved.Date and time.   Stage of disease 0 … 1 prsb03-dataelement-10935link The stage of the disease where relevant.Free text Person completing record 0 … 1 prsb03-dataelement-12141link Details of the person completing the record.   Name 0 … 1 prsb03-dataelement-12142link The name of the person completing the record.Free text.   Organisational role 0 … 1 prsb03-dataelement-12143link The organisational role of the person completing record.NHS Data dictionary or free text. https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-12144link The grade of the person completing the record.Free text.   Specialty 0 … 1 prsb03-dataelement-12145link The main specialty of the person completing the record.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   Organisation 0 … 1 prsb03-dataelement-12146link The organisation the person completing the record works for.ODS code or free text   Professional identifier 0 … 1 prsb03-dataelement-12147link Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.Free text.   Date completed 0 … 1 prsb03-dataelement-12148link The date and time the record was completed.Date and time.    Contact details 0 … 1 prsb03-dataelement-12149link Contact details of the person completing the record (e.g. telephone number, email address etc.).Free text.   Comment 0 … * prsb03-dataelement-10936link Supporting text may be given covering the problem. Free text Procedures 0 … 1 prsb03-dataelement-238link The details of any procedures performed. Procedure record entry 0 … * prsb03-dataelement-10652link 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.   Date 0 … 1 prsb03-dataelement-10138link The date the procedure was performed.Date and time.   Location 0 … 1 prsb03-dataelement-10139link The location where the procedure was performed.ODS code or free text Performing professional 0 … 1 prsb03-dataelement-12150link The professional who performed the procedure.   Name 0 … 1 prsb03-dataelement-12151link The name of the professional.Free text.   Role 0 … 1 prsb03-dataelement-12152link The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcNHS Data dictionary or free text https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-12153link The grade of the professional.Free text.   Speciality 0 … 1 prsb03-dataelement-12154link The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS 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   Professional identifier 0 … 1 prsb03-dataelement-12155link Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.Free text.   Organisation 0 … 1 prsb03-dataelement-12156link The name of the organisation the professional works for.ODS code or free text.   Contact details 0 … 1 prsb03-dataelement-12157link Contact details of the professional (e.g. telephone number, email address etc.).Free text.   Procedure 1 … 1 Mandatory prsb03-dataelement-10141link The therapeutic or diagnostic procedure performed. Choice of<<71388002 Procedure OR<<129125009 Procedure with explicit context Or Free text   Anatomical site 0 … 1 prsb03-dataelement-10142link The body site of the procedure<<91723000 anatomical structure   Laterality 0 … 1 prsb03-dataelement-10143link Laterality of the procedureSNOMED CT or free text   Complications related to procedure 0 … 1 prsb03-dataelement-10144link 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.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.   Specific anesthesia issues 0 … 1 prsb03-dataelement-10145link Details of any adverse reaction to any anesthetic agents including local anesthesia. Problematic intubation, transfusion reaction, etc.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.. Person completing record 0 … 1 prsb03-dataelement-12158link Details of the person completing the record.   Name 0 … 1 prsb03-dataelement-12159link The name of the person completing the record.Free text.   Organisational role 0 … 1 prsb03-dataelement-12160link The organisational role of the person completing record.NHS Data dictionary or free text. https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-12161link The grade of the person completing the record.Free text.   Specialty 0 … 1 prsb03-dataelement-12162link The main specialty of the person completing the record.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   Organisation 0 … 1 prsb03-dataelement-12163link The organisation the person completing the record works for.ODS code or free text   Professional identifier 0 … 1 prsb03-dataelement-12164link Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.Free text.   Date completed 0 … 1 prsb03-dataelement-12165link The date and time the record was completed.Date and time.    Contact details 0 … 1 prsb03-dataelement-12166link Contact details of the person completing the record (e.g. telephone number, email address etc.).Free text.   Comment 0 … 1 prsb03-dataelement-10146link Any further textual comment to clarify such as statement that information is partial or incomplete. Also indicate the outcome of the procedure.Free text Social context 0 … 1 prsb03-dataelement-136link The social setting in which the person lives, such as their household, occupational history, and lifestyle factors. Household composition 0 … 1 prsb03-dataelement-10036link Description of the household composition e.g. lives alone, lives with family, lives with partner, etc. SNOMED CT or free text.   Date 0 … 1 prsb03-dataelement-11770link The date when the household composition was taken.Date and time.   Location 0 … 1 prsb03-dataelement-11771link The location where the household composition was taken.ODS code or free text Performing professional 0 … 1 prsb03-dataelement-11648link The professional who took the household composition.   Name 0 … 1 prsb03-dataelement-11649link The name of the professional.Free text.   Role 0 … 1 prsb03-dataelement-11650link The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcNHS Data dictionary or free text https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-11651link The grade of the professional.Free text.   Speciality 0 … 1 prsb03-dataelement-11652link The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS 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   Professional identifier 0 … 1 prsb03-dataelement-11653link Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.Free text.   Organisation 0 … 1 prsb03-dataelement-11654link The name of the organisation the professional works for.ODS code or free text.   Contact details 0 … 1 prsb03-dataelement-11655link Contact details of the professional (e.g. telephone number, email address etc.).Free text. Person completing record 0 … 1 prsb03-dataelement-11521link Details of the person completing the record.   Name 0 … 1 prsb03-dataelement-11522link The name of the person completing the record.Free text.   Organisational role 0 … 1 prsb03-dataelement-11523link The organisational role of the person completing record.NHS Data dictionary or free text. https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-11524link The grade of the person completing the record.Free text.   Specialty 0 … 1 prsb03-dataelement-11525link The main specialty of the person completing the record.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   Organisation 0 … 1 prsb03-dataelement-11526link The organisation the person completing the record works for.ODS code or free text   Professional identifier 0 … 1 prsb03-dataelement-11527link Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.Free text.   Date completed 0 … 1 prsb03-dataelement-11528link The date and time the record was completed.Date and time.    Contact details 0 … 1 prsb03-dataelement-11529link Contact details of the person completing the record (e.g. telephone number, email address etc.).Free text. Occupational history 0 … 1 prsb03-dataelement-10037link The current and/or previous occupation of the person.SNOMED CT 999001571000000109 Occupation simple reference set (foundation metadata concept) or free text   Date 0 … 1 prsb03-dataelement-11772link The date when the occupational history was taken.Date and time.   Location 0 … 1 prsb03-dataelement-11773link The location where the occupational history was taken.ODS code or free text Performing professional 0 … 1 prsb03-dataelement-11656link The professional who took the occupational history.   Name 0 … 1 prsb03-dataelement-11657link The name of the professional.Free text.   Role 0 … 1 prsb03-dataelement-11658link The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcNHS Data dictionary or free text https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-11659link The grade of the professional.Free text.   Speciality 0 … 1 prsb03-dataelement-11660link The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS 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   Professional identifier 0 … 1 prsb03-dataelement-11661link Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.Free text.   Organisation 0 … 1 prsb03-dataelement-11662link The name of the organisation the professional works for.ODS code or free text.   Contact details 0 … 1 prsb03-dataelement-11663link Contact details of the professional (e.g. telephone number, email address etc.).Free text. Person completing record 0 … 1 prsb03-dataelement-11530link Details of the person completing the record.   Name 0 … 1 prsb03-dataelement-11531link The name of the person completing the record.Free text.   Organisational role 0 … 1 prsb03-dataelement-11532link The organisational role of the person completing record.NHS Data dictionary or free text. https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-11533link The grade of the person completing the record.Free text.   Specialty 0 … 1 prsb03-dataelement-11534link The main specialty of the person completing the record.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   Organisation 0 … 1 prsb03-dataelement-11535link The organisation the person completing the record works for.ODS code or free text   Professional identifier 0 … 1 prsb03-dataelement-11536link Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.Free text.   Date completed 0 … 1 prsb03-dataelement-11537link The date and time the record was completed.Date and time.    Contact details 0 … 1 prsb03-dataelement-11538link Contact details of the person completing the record (e.g. telephone number, email address etc.).Free text. Educational history 0 … 1 prsb03-dataelement-10038link The current and/or previous relevant educational history of the person.Free text.   Date 0 … 1 prsb03-dataelement-11774link The date when the educational history was taken.Date and time.   Location 0 … 1 prsb03-dataelement-11775link The location where the education history was taken.ODS code or free text Performing professional 0 … 1 prsb03-dataelement-11776link The professional who took the educational history.   Name 0 … 1 prsb03-dataelement-11777link The name of the professional.Free text.   Role 0 … 1 prsb03-dataelement-11778link The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcNHS Data dictionary or free text https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-11779link The grade of the professional.Free text.   Speciality 0 … 1 prsb03-dataelement-11780link The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS 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   Professional identifier 0 … 1 prsb03-dataelement-11781link Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.Free text.   Organisation 0 … 1 prsb03-dataelement-11782link The name of the organisation the professional works for.ODS code or free text.   Contact details 0 … 1 prsb03-dataelement-11783link Contact details of the professional (e.g. telephone number, email address etc.).Free text. Person completing record 0 … 1 prsb03-dataelement-11539link Details of the person completing the record.   Name 0 … 1 prsb03-dataelement-11540link The name of the person completing the record.Free text.   Organisational role 0 … 1 prsb03-dataelement-11541link The organisational role of the person completing record.NHS Data dictionary or free text. https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-11542link The grade of the person completing the record.Free text.   Specialty 0 … 1 prsb03-dataelement-11543link The main specialty of the person completing the record.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   Organisation 0 … 1 prsb03-dataelement-11544link The organisation the person completing the record works for.ODS code or free text   Professional identifier 0 … 1 prsb03-dataelement-11545link Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.Free text.   Date completed 0 … 1 prsb03-dataelement-11546link The date and time the record was completed.Date and time.    Contact details 0 … 1 prsb03-dataelement-11547link Contact details of the person completing the record (e.g. telephone number, email address etc.).Free text. Lifestyle choices 0 … 1 prsb03-dataelement-10039link 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 habitsSNOMED CT or free text.   Date 0 … 1 prsb03-dataelement-11784link The date when the lifestyle choices were taken.Date and time.   Location 0 … 1 prsb03-dataelement-11785link The location where the lifestyle choices were taken.ODS code or free text Performing professional 0 … 1 prsb03-dataelement-11786link The professional who took the lifestyle choices.   Name 0 … 1 prsb03-dataelement-11787link The name of the professional.Free text.   Role 0 … 1 prsb03-dataelement-11788link The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcNHS Data dictionary or free text https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-11789link The grade of the professional.Free text.   Speciality 0 … 1 prsb03-dataelement-11790link The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS 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   Professional identifier 0 … 1 prsb03-dataelement-11791link Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.Free text.   Organisation 0 … 1 prsb03-dataelement-11792link The name of the organisation the professional works for.ODS code or free text.   Contact details 0 … 1 prsb03-dataelement-11793link Contact details of the professional (e.g. telephone number, email address etc.).Free text. Person completing record 0 … 1 prsb03-dataelement-11548link Details of the person completing the record.   Name 0 … 1 prsb03-dataelement-11549link The name of the person completing the record.Free text.   Organisational role 0 … 1 prsb03-dataelement-11550link The organisational role of the person completing record.NHS Data dictionary or free text. https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-11551link The grade of the person completing the record.Free text.   Specialty 0 … 1 prsb03-dataelement-11552link The main specialty of the person completing the record.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   Organisation 0 … 1 prsb03-dataelement-11553link The organisation the person completing the record works for.ODS code or free text   Professional identifier 0 … 1 prsb03-dataelement-11554link Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.Free text.   Date completed 0 … 1 prsb03-dataelement-11555link The date and time the record was completed.Date and time.    Contact details 0 … 1 prsb03-dataelement-11556link Contact details of the person completing the record (e.g. telephone number, email address etc.).Free text. Smoking status 0 … 1 prsb03-dataelement-10040link Latest or current smoking status.SNOMED CT or free text.   Date 0 … 1 prsb03-dataelement-11794link The date when the smoking status was taken.Date and time   Location 0 … 1 prsb03-dataelement-11795link The location where the smoking status was taken.ODS code or free text Performing professional 0 … 1 prsb03-dataelement-11796link The professional who took the smoking status.   Name 0 … 1 prsb03-dataelement-11797link The name of the professional.Free text.   Role 0 … 1 prsb03-dataelement-11798link The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcNHS Data dictionary or free text https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-11799link The grade of the professional.Free text.   Speciality 0 … 1 prsb03-dataelement-11800link The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS 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   Professional identifier 0 … 1 prsb03-dataelement-11801link Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.Free text.   Organisation 0 … 1 prsb03-dataelement-11802link The name of the organisation the professional works for.ODS code or free text.   Contact details 0 … 1 prsb03-dataelement-11803link Contact details of the professional (e.g. telephone number, email address etc.).Free text. Person completing record 0 … 1 prsb03-dataelement-11557link Details of the person completing the record.   Name 0 … 1 prsb03-dataelement-11558link The name of the person completing the record.Free text.   Organisational role 0 … 1 prsb03-dataelement-11559link The organisational role of the person completing record.NHS Data dictionary or free text. https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-11560link The grade of the person completing the record.Free text.   Specialty 0 … 1 prsb03-dataelement-11561link The main specialty of the person completing the record.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   Organisation 0 … 1 prsb03-dataelement-11562link The organisation the person completing the record works for.ODS code or free text   Professional identifier 0 … 1 prsb03-dataelement-11563link Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.Free text.   Date completed 0 … 1 prsb03-dataelement-11564link The date and time the record was completed.Date and time.    Contact details 0 … 1 prsb03-dataelement-11565link Contact details of the person completing the record (e.g. telephone number, email address etc.).Free text. Alcohol intake 0 … 1 prsb03-dataelement-10041link Latest or current alcohol consumption.SNOMED CT or free text.   Date 0 … 1 prsb03-dataelement-11804link The date when the alcohol intake was noted.Date and time   Location 0 … 1 prsb03-dataelement-11805link The location where the alcohol intake was noted.ODS code or free text Performing professional 0 … 1 prsb03-dataelement-11806link The professional who noted the alcohol intake.   Name 0 … 1 prsb03-dataelement-11807link The name of the professional.Free text.   Role 0 … 1 prsb03-dataelement-11808link The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcNHS Data dictionary or free text https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-11809link The grade of the professional.Free text.   Speciality 0 … 1 prsb03-dataelement-11810link The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS 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   Professional identifier 0 … 1 prsb03-dataelement-11811link Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.Free text.   Organisation 0 … 1 prsb03-dataelement-11812link The name of the organisation the professional works for.ODS code or free text.   Contact details 0 … 1 prsb03-dataelement-11813link Contact details of the professional (e.g. telephone number, email address etc.).Free text. Person completing record 0 … 1 prsb03-dataelement-11566link Details of the person completing the record.   Name 0 … 1 prsb03-dataelement-11567link The name of the person completing the record.Free text.   Organisational role 0 … 1 prsb03-dataelement-11568link The organisational role of the person completing record.NHS Data dictionary or free text. https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-11569link The grade of the person completing the record.Free text.   Specialty 0 … 1 prsb03-dataelement-11570link The main specialty of the person completing the record.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   Organisation 0 … 1 prsb03-dataelement-11571link The organisation the person completing the record works for.ODS code or free text   Professional identifier 0 … 1 prsb03-dataelement-11572link Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.Free text.   Date completed 0 … 1 prsb03-dataelement-11573link The date and time the record was completed.Date and time.    Contact details 0 … 1 prsb03-dataelement-11574link Contact details of the person completing the record (e.g. telephone number, email address etc.).Free text. Drug/substance use 0 … 1 prsb03-dataelement-10042link Latest or current drug/ substance use.Free text.   Date 0 … 1 prsb03-dataelement-11814link The date when the drug/substance use was noted.Date and time   Location 0 … 1 prsb03-dataelement-11815link The location where the drug/substance use was noted. ODS code or free text Performing professional 0 … 1 prsb03-dataelement-11816link The professional who noted the drug/substance use.   Name 0 … 1 prsb03-dataelement-11817link The name of the professional.Free text.   Role 0 … 1 prsb03-dataelement-11818link The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcNHS Data dictionary or free text https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-11819link The grade of the professional.Free text.   Speciality 0 … 1 prsb03-dataelement-11820link The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS 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   Professional identifier 0 … 1 prsb03-dataelement-11821link Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.Free text.   Organisation 0 … 1 prsb03-dataelement-11822link The name of the organisation the professional works for.ODS code or free text.   Contact details 0 … 1 prsb03-dataelement-11823link Contact details of the professional (e.g. telephone number, email address etc.).Free text. Person completing record 0 … 1 prsb03-dataelement-11575link Details of the person completing the record.   Name 0 … 1 prsb03-dataelement-11576link The name of the person completing the record.Free text.   Organisational role 0 … 1 prsb03-dataelement-11577link The organisational role of the person completing record.NHS Data dictionary or free text. https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-11578link The grade of the person completing the record.Free text.   Specialty 0 … 1 prsb03-dataelement-11579link The main specialty of the person completing the record.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   Organisation 0 … 1 prsb03-dataelement-11580link The organisation the person completing the record works for.ODS code or free text   Professional identifier 0 … 1 prsb03-dataelement-11581link Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.Free text.   Date completed 0 … 1 prsb03-dataelement-11582link The date and time the record was completed.Date and time.    Contact details 0 … 1 prsb03-dataelement-11583link Contact details of the person completing the record (e.g. telephone number, email address etc.).Free text. Social circumstances 0 … 1 prsb03-dataelement-10043link A person’s social background, network and personal circumstances, e.g. housing. This should include whether the person is a carer. SNOMED CT or free text.   Date 0 … 1 prsb03-dataelement-11824link The date when the social circumstances were taken.Date and time   Location 0 … 1 prsb03-dataelement-11825link The location where the social circumstances were taken.ODS code or free text Performing professional 0 … 1 prsb03-dataelement-11826link The professional who took the social circumstances.   Name 0 … 1 prsb03-dataelement-11827link The name of the professional.Free text.   Role 0 … 1 prsb03-dataelement-11828link The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcNHS Data dictionary or free text https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-11829link The grade of the professional.Free text.   Speciality 0 … 1 prsb03-dataelement-11830link The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS 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   Professional identifier 0 … 1 prsb03-dataelement-11831link Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.Free text.   Organisation 0 … 1 prsb03-dataelement-11832link The name of the organisation the professional works for.ODS code or free text.   Contact details 0 … 1 prsb03-dataelement-11833link Contact details of the professional (e.g. telephone number, email address etc.).Free text. Person completing record 0 … 1 prsb03-dataelement-11584link Details of the person completing the record.   Name 0 … 1 prsb03-dataelement-11585link The name of the person completing the record.Free text.   Organisational role 0 … 1 prsb03-dataelement-11586link The organisational role of the person completing record.NHS Data dictionary or free text. https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-11587link The grade of the person completing the record.Free text.   Specialty 0 … 1 prsb03-dataelement-11588link The main specialty of the person completing the record.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   Organisation 0 … 1 prsb03-dataelement-11589link The organisation the person completing the record works for.ODS code or free text   Professional identifier 0 … 1 prsb03-dataelement-11590link Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.Free text.   Date completed 0 … 1 prsb03-dataelement-11591link The date and time the record was completed.Date and time.    Contact details 0 … 1 prsb03-dataelement-11592link Contact details of the person completing the record (e.g. telephone number, email address etc.).Free text. Access 0 … 1 prsb03-dataelement-10045link Special access requirements e.g. key safe, coded lock, which door to use, stretcher access, etc.Free text.   Date 0 … 1 prsb03-dataelement-11844link The date when the special access requirements were taken.Date and time   Location 0 … 1 prsb03-dataelement-11845link The location where the special access requirements were taken.ODS code or free text Performing professional 0 … 1 prsb03-dataelement-11846link The professional who took the special access requirements.   Name 0 … 1 prsb03-dataelement-11847link The name of the professional.Free text.   Role 0 … 1 prsb03-dataelement-11848link The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcNHS Data dictionary or free text https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-11849link The grade of the professional.Free text.   Speciality 0 … 1 prsb03-dataelement-11850link The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS 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   Professional identifier 0 … 1 prsb03-dataelement-11851link Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.Free text.   Organisation 0 … 1 prsb03-dataelement-11852link The name of the organisation the professional works for.ODS code or free text.   Contact details 0 … 1 prsb03-dataelement-11853link Contact details of the professional (e.g. telephone number, email address etc.).Free text. Person completing record 0 … 1 prsb03-dataelement-11602link Details of the person completing the record.   Name 0 … 1 prsb03-dataelement-11603link The name of the person completing the record.Free text.   Organisational role 0 … 1 prsb03-dataelement-11604link The organisational role of the person completing record.NHS Data dictionary or free text. https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-11605link The grade of the person completing the record.Free text.   Specialty 0 … 1 prsb03-dataelement-11606link The main specialty of the person completing the record.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   Organisation 0 … 1 prsb03-dataelement-11607link The organisation the person completing the record works for.ODS code or free text   Professional identifier 0 … 1 prsb03-dataelement-11608link Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.Free text.   Date completed 0 … 1 prsb03-dataelement-11609link The date and time the record was completed.Date and time.    Contact details 0 … 1 prsb03-dataelement-11610link Contact details of the person completing the record (e.g. telephone number, email address etc.).Free text. Dependants 0 … 1 prsb03-dataelement-10046link Provide details of any responsibility the person has for dependants. In the case of children provide date of birth of the child. Free text.   Date 0 … 1 prsb03-dataelement-11854link The date when the dependents details were taken.Date and time   Location 0 … 1 prsb03-dataelement-11855link The location where the dependents details were taken.ODS code or free text Performing professional 0 … 1 prsb03-dataelement-11856link The professional who took the dependents details.   Name 0 … 1 prsb03-dataelement-11857link The name of the professional.Free text.   Role 0 … 1 prsb03-dataelement-11858link The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcNHS Data dictionary or free text https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-11859link The grade of the professional.Free text.   Speciality 0 … 1 prsb03-dataelement-11860link The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS 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   Professional identifier 0 … 1 prsb03-dataelement-11861link Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.Free text.   Organisation 0 … 1 prsb03-dataelement-11862link The name of the organisation the professional works for.ODS code or free text.   Contact details 0 … 1 prsb03-dataelement-11863link Contact details of the professional (e.g. telephone number, email address etc.).Free text. Person completing record 0 … 1 prsb03-dataelement-11611link Details of the person completing the record.   Name 0 … 1 prsb03-dataelement-11612link The name of the person completing the record.Free text.   Organisational role 0 … 1 prsb03-dataelement-11613link The organisational role of the person completing record.NHS Data dictionary or free text. https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-11614link The grade of the person completing the record.Free text.   Specialty 0 … 1 prsb03-dataelement-11615link The main specialty of the person completing the record.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   Organisation 0 … 1 prsb03-dataelement-11616link The organisation the person completing the record works for.ODS code or free text   Professional identifier 0 … 1 prsb03-dataelement-11617link Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.Free text.   Date completed 0 … 1 prsb03-dataelement-11618link The date and time the record was completed.Date and time.    Contact details 0 … 1 prsb03-dataelement-11619link Contact details of the person completing the record (e.g. telephone number, email address etc.).Free text. Accommodation status 0 … 1 prsb03-dataelement-10047link An indication of the type of accommodation where the person lives. This should be based on the main or permanent residence.SNOMED CT or free text.   Date 0 … 1 prsb03-dataelement-11864link The date when the accommodation status was taken.Date and time   Location 0 … 1 prsb03-dataelement-11865link The location where the accommodation was taken.ODS code or free text Performing professional 0 … 1 prsb03-dataelement-11866link The professional who took the accommodation status.   Name 0 … 1 prsb03-dataelement-11867link The name of the professional.Free text.   Role 0 … 1 prsb03-dataelement-11868link The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcNHS Data dictionary or free text https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-11869link The grade of the professional.Free text.   Speciality 0 … 1 prsb03-dataelement-11870link The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS 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   Professional identifier 0 … 1 prsb03-dataelement-11871link Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.Free text.   Organisation 0 … 1 prsb03-dataelement-11872link The name of the organisation the professional works for.ODS code or free text.   Contact details 0 … 1 prsb03-dataelement-11873link Contact details of the professional (e.g. telephone number, email address etc.).Free text. Person completing record 0 … 1 prsb03-dataelement-11874link Details of the person completing the record.   Name 0 … 1 prsb03-dataelement-11875link The name of the person completing the record.Free text.   Organisational role 0 … 1 prsb03-dataelement-11876link The organisational role of the person completing record.NHS Data dictionary or free text. https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-11877link The grade of the person completing the record.Free text.   Specialty 0 … 1 prsb03-dataelement-11878link The main specialty of the person completing the record.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   Organisation 0 … 1 prsb03-dataelement-11879link The organisation the person completing the record works for.ODS code or free text   Professional identifier 0 … 1 prsb03-dataelement-11880link Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.Free text.   Date completed 0 … 1 prsb03-dataelement-11881link The date and time the record was completed.Date and time.    Contact details 0 … 1 prsb03-dataelement-11882link Contact details of the person completing the record (e.g. telephone number, email address etc.).Free text. Household environment 0 … 1 prsb03-dataelement-10051link Factors in the household which impact the person's health and wellbeing, to include smoking in the home, alcohol/substance use etc.SNOMED CT or free text.   Date 0 … 1 prsb03-dataelement-11883link The date when the household environment details were taken.Date and time   Location 0 … 1 prsb03-dataelement-11884link The location where the household environment details were taken.ODS code or free text Performing professional 0 … 1 prsb03-dataelement-11885link The professional who took the household environment details.   Name 0 … 1 prsb03-dataelement-11886link The name of the professional.Free text.   Role 0 … 1 prsb03-dataelement-11887link The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcNHS Data dictionary or free text https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-11888link The grade of the professional.Free text.   Speciality 0 … 1 prsb03-dataelement-11889link The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS 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   Professional identifier 0 … 1 prsb03-dataelement-11890link Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.Free text.   Organisation 0 … 1 prsb03-dataelement-11891link The name of the organisation the professional works for.ODS code or free text.   Contact details 0 … 1 prsb03-dataelement-11892link Contact details of the professional (e.g. telephone number, email address etc.).Free text. Person completing record 0 … 1 prsb03-dataelement-11621link Details of the person completing the record.   Name 0 … 1 prsb03-dataelement-11622link The name of the person completing the record.Free text.   Organisational role 0 … 1 prsb03-dataelement-11623link The organisational role of the person completing record.NHS Data dictionary or free text. https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-11624link The grade of the person completing the record.Free text.   Specialty 0 … 1 prsb03-dataelement-11625link The main specialty of the person completing the record.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   Organisation 0 … 1 prsb03-dataelement-11626link The organisation the person completing the record works for.ODS code or free text   Professional identifier 0 … 1 prsb03-dataelement-11627link Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.Free text.   Date completed 0 … 1 prsb03-dataelement-11628link The date and time the record was completed.Date and time.    Contact details 0 … 1 prsb03-dataelement-11629link Contact details of the person completing the record (e.g. telephone number, email address etc.).Free text. Services and care 0 … 1 prsb03-dataelement-10044link The services and care provided for the person. Services and care record entry 0 … * prsb03-dataelement-12421link 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.   Service provided 0 … 1 prsb03-dataelement-12448link Details of the service providing support for the person's health or well-being.SNOMED CT or free text.   Service start date 0 … 1 prsb03-dataelement-11834link The date service started to be provided.Date and time   Service end date 0 … 1 prsb03-dataelement-12420link The date service stopped being provided.Date and time   Location 0 … 1 prsb03-dataelement-11835link The location where the service is or was provided.ODS code or free text Performing professional 0 … 1 prsb03-dataelement-11836link The professional providing the service.Free text   Name 0 … 1 prsb03-dataelement-11837link The name of the professional.Free text.   Role 0 … 1 prsb03-dataelement-11838link The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcNHS Data dictionary or free text https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-11839link The grade of the professional.Free text.   Speciality 0 … 1 prsb03-dataelement-11840link The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS 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   Professional identifier 0 … 1 prsb03-dataelement-11841link Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.Free text.   Organisation 0 … 1 prsb03-dataelement-11842link The name of the organisation the professional works for.ODS code or free text.   Contact details 0 … 1 prsb03-dataelement-11843link Contact details of the professional (e.g. telephone number, email address etc.).Free text. Person completing record 0 … 1 prsb03-dataelement-11593link Details of the person completing the record.   Name 0 … 1 prsb03-dataelement-11594link The name of the person completing the record.Free text.   Organisational role 0 … 1 prsb03-dataelement-11595link The organisational role of the person completing record.NHS Data dictionary or free text. https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-11596link The grade of the person completing the record.Free text.   Specialty 0 … 1 prsb03-dataelement-11597link The main specialty of the person completing the record.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   Organisation 0 … 1 prsb03-dataelement-11598link The organisation the person completing the record works for.ODS code or free text   Professional identifier 0 … 1 prsb03-dataelement-11599link Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.Free text.   Date completed 0 … 1 prsb03-dataelement-11600link The date and time the record was completed.Date and time.    Contact details 0 … 1 prsb03-dataelement-11601link Contact details of the person completing the record (e.g. telephone number, email address etc.).Free text. Family history 0 … 1 prsb03-dataelement-251link Family history Family history record entry 0 … * prsb03-dataelement-10653link 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.   Date 0 … 1 prsb03-dataelement-10153link The date the family history was taken.Date and time   Location 0 … 1 prsb03-dataelement-10851link The location where the family history was taken.ODS code or free text. Performing professional 0 … 1 prsb03-dataelement-11640link The professional who took the family history.   Name 0 … 1 prsb03-dataelement-11641link The name of the professional.Free text.   Role 0 … 1 prsb03-dataelement-11642link The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcNHS Data dictionary or free text https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-11643link The grade of the professional.Free text.   Speciality 0 … 1 prsb03-dataelement-11644link The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS 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   Professional identifier 0 … 1 prsb03-dataelement-11645link Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.Free text.   Organisation 0 … 1 prsb03-dataelement-11646link The name of the organisation the professional works for.ODS code or free text.   Contact details 0 … 1 prsb03-dataelement-11647link Contact details of the professional (e.g. telephone number, email address etc.).Free text.   Relationship to person 0 … 1 prsb03-dataelement-10155link The relationship of the family member with the condition to the person.SNOMED CT or Free text   Condition or diagnosis 0 … 1 prsb03-dataelement-10152link The condition or diagnosis of the family member deemed to be significant to the care or health of the person. Free text or SNOMED CT 999000771000000106 Family history simple reference set (foundation metadata concept) Person completing record 0 … 1 prsb03-dataelement-11630link Details of the person completing the record.   Name 0 … 1 prsb03-dataelement-11631link The name of the person completing the record.Free text.   Organisational role 0 … 1 prsb03-dataelement-11632link The organisational role of the person completing record.NHS Data dictionary or free text. https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-11633link The grade of the person completing the record.Free text.   Specialty 0 … 1 prsb03-dataelement-11634link The main specialty of the person completing the record.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   Organisation 0 … 1 prsb03-dataelement-11635link The organisation the person completing the record works for.ODS code or free text   Professional identifier 0 … 1 prsb03-dataelement-11636link Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.Free text.   Date completed 0 … 1 prsb03-dataelement-11637link The date and time the record was completed.Date and time.    Contact details 0 … 1 prsb03-dataelement-11638link Contact details of the person completing the record (e.g. telephone number, email address etc.).Free text.   Comment 0 … 1 prsb03-dataelement-10156link Any further textual comment.Free text Investigation results 0 … 1 prsb03-dataelement-257link Investigation results Investigation results record entry 0 … * prsb03-dataelement-10654link 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.   Date 0 … 1 prsb03-dataelement-10157link The date and time when the investigation was performedDate and time Performing professional 0 … 1 prsb03-dataelement-12099link The professional who performed the investigation.   Name 0 … 1 prsb03-dataelement-12100link The name of the professional.Free text.   Role 0 … 1 prsb03-dataelement-12101link The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcNHS Data dictionary or free text https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-12102link The grade of the professional.Free text.   Speciality 0 … 1 prsb03-dataelement-12103link The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS 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   Professional identifier 0 … 1 prsb03-dataelement-12104link Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.Free text.   Organisation 0 … 1 prsb03-dataelement-12105link The name of the organisation the professional works for.ODS code or free text.   Contact details 0 … 1 prsb03-dataelement-12106link Contact details of the professional (e.g. telephone number, email address etc.).Free text.   Location 0 … 1 prsb03-dataelement-10159link The location where the investigation took place.ODS code or free text.   Investigation 1 … 1 Mandatory prsb03-dataelement-10160link The investigation performed.Text or coded text (SNOMED CT).   Investigation result 0 … 1 prsb03-dataelement-10161link For each investigation, the result of the investigation.  This can include a report which may have results for multiple tests.  Free text. Structured investigation result 0 … 1 prsb03-dataelement-12415link A structured set of information for each investigation result.   Value 0 … 1 prsb03-dataelement-12416link The value of the investigation result.Free text   Units 0 … 1 prsb03-dataelement-12417link The units of the investigation result.Free text   Reference ranges 0 … 1 prsb03-dataelement-12418link The reference range for the investigation result.Free text   Abnormal indicator 0 … 1 prsb03-dataelement-12419link Indicator if the investigation is abnormal. Abnormal or Normal Person completing record 0 … 1 prsb03-dataelement-12107link Details of the person completing the record.   Name 0 … 1 prsb03-dataelement-12108link The name of the person completing the record.Free text.   Organisational role 0 … 1 prsb03-dataelement-12109link The organisational role of the person completing record.NHS Data dictionary or free text. https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-12110link The grade of the person completing the record.Free text.   Specialty 0 … 1 prsb03-dataelement-12111link The main specialty of the person completing the record.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   Organisation 0 … 1 prsb03-dataelement-12112link The organisation the person completing the record works for.ODS code or free text   Professional identifier 0 … 1 prsb03-dataelement-12113link Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.Free text.   Date completed 0 … 1 prsb03-dataelement-12114link The date and time the record was completed.Date and time.    Contact details 0 … 1 prsb03-dataelement-12115link Contact details of the person completing the record (e.g. telephone number, email address etc.).Free text. Investigations requested 0 … 1 prsb03-dataelement-10730link Details of any investigations requested Investigations requested record entry 0 … * prsb03-dataelement-10731link 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.   Date 0 … 1 prsb03-dataelement-10732link The date the investigation was requested.Date and time   Location 0 … 1 prsb03-dataelement-10736link The location where the investigation was requested. ODS code or free text. Performing professional 0 … 1 prsb03-dataelement-12081link The professional who requested the investigation.   Name 0 … 1 prsb03-dataelement-12082link The name of the professional.Free text.   Role 0 … 1 prsb03-dataelement-12083link The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcNHS Data dictionary or free text https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-12084link The grade of the professional.Free text.   Speciality 0 … 1 prsb03-dataelement-12085link The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS 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   Professional identifier 0 … 1 prsb03-dataelement-12086link Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.Free text.   Organisation 0 … 1 prsb03-dataelement-12087link The name of the organisation the professional works for.ODS code or free text.   Contact details 0 … 1 prsb03-dataelement-12088link Contact details of the professional (e.g. telephone number, email address etc.).Free text.   Investigation requested 1 … 1 Mandatory prsb03-dataelement-10733link 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)Free text or SNOMED. Further work is in progress for pathology on the unified test list which should be incorporated later   Status of request 0 … 1 prsb03-dataelement-10734link The status of the investigation request.draft | active | suspended | completed | entered-in-error | cancelled   Reason for request 0 … 1 prsb03-dataelement-10737link An explanation or justification for why this investigation is being requested. SNOMED CT or text.   Request priority 0 … 1 prsb03-dataelement-10738link The urgency of the investigation requested. routine | urgent | asap | stat Person completing record 0 … 1 prsb03-dataelement-12090link Details of the person completing the record.   Name 0 … 1 prsb03-dataelement-12091link The name of the person completing the record.Free text.   Organisational role 0 … 1 prsb03-dataelement-12092link The organisational role of the person completing record.NHS Data dictionary or free text. https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-12093link The grade of the person completing the record.Free text.   Specialty 0 … 1 prsb03-dataelement-12094link The main specialty of the person completing the record.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   Organisation 0 … 1 prsb03-dataelement-12095link The organisation the person completing the record works for.ODS code or free text   Professional identifier 0 … 1 prsb03-dataelement-12096link Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.Free text.   Date completed 0 … 1 prsb03-dataelement-12097link The date and time the record was completed.Date and time.    Contact details 0 … 1 prsb03-dataelement-12098link Contact details of the person completing the record (e.g. telephone number, email address etc.).Free text. Examination findings 0 … 1 prsb03-dataelement-557link Examination findings Examination findings record entry 0 … * prsb03-dataelement-10662link 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.   Date 0 … 1 prsb03-dataelement-10462link The date the examination was performed.Date and time Performing professional 0 … 1 prsb03-dataelement-12116link The professional who performed the examiniation.   Name 0 … 1 prsb03-dataelement-12117link The name of the professional.Free text.   Role 0 … 1 prsb03-dataelement-12118link The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcNHS Data dictionary or free text https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-12119link The grade of the professional.Free text.   Speciality 0 … 1 prsb03-dataelement-12120link The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS 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   Professional identifier 0 … 1 prsb03-dataelement-12121link Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.Free text.   Organisation 0 … 1 prsb03-dataelement-12122link The name of the organisation the professional works for.ODS code or free text.   Contact details 0 … 1 prsb03-dataelement-12123link Contact details of the professional (e.g. telephone number, email address etc.).Free text.   Location 0 … 1 prsb03-dataelement-10461link The location where the examination was performed.ODS code or free text.   Examination findings 0 … 1 prsb03-dataelement-10458link The record of findings from the examinations performed.SNOMED CT or free text   Observations 0 … 1 prsb03-dataelement-10464link The record of essential physiological measurements, e.g., heart rate, blood pressure, temperature, pulse, height, weight, respiratory rate, oxygen saturation.SNOMED CT or free text. Person completing record 0 … 1 prsb03-dataelement-12124link Details of the person completing the record.   Name 0 … 1 prsb03-dataelement-12125link The name of the person completing the record.Free text.   Organisational role 0 … 1 prsb03-dataelement-12126link The organisational role of the person completing record.NHS Data dictionary or free text. https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-12127link The grade of the person completing the record.Free text.   Specialty 0 … 1 prsb03-dataelement-12128link The main specialty of the person completing the record.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   Organisation 0 … 1 prsb03-dataelement-12129link The organisation the person completing the record works for.ODS code or free text   Professional identifier 0 … 1 prsb03-dataelement-12130link Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.Free text.   Date completed 0 … 1 prsb03-dataelement-12131link The date and time the record was completed.Date and time.    Contact details 0 … 1 prsb03-dataelement-12132link Contact details of the person completing the record (e.g. telephone number, email address etc.).Free text.   Comments 0 … 1 prsb03-dataelement-10476link Any further textual comment to clarify such as the statement that information is partial or incomplete.Free text Current pregnancy 0 … 1 prsb03-dataelement-10814link Pregnancy status of the person.   Pregnancy state 0 … 1 prsb03-dataelement-10815link A flag that indicates whether the person is pregnant. Yes or No   Expected delivery date 0 … 1 prsb03-dataelement-10813link The expected delivery date of the person. Date and time Assessments 0 … 1 prsb03-dataelement-262link Assessment. Assessments record entry 0 … * prsb03-dataelement-11664link 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.   Date 0 … 1 prsb03-dataelement-10763link The date the assessment was done.Date and time.   Location 0 … 1 prsb03-dataelement-10764link The location where the assessment was done.ODS code  or free text. Performing professional 0 … 1 prsb03-dataelement-12382link The professional who did the assessment.   Name 0 … 1 prsb03-dataelement-12383link The name of the professional.Free text.   Role 0 … 1 prsb03-dataelement-12384link The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcNHS Data dictionary or free text https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-12385link The grade of the professional.Free text.   Speciality 0 … 1 prsb03-dataelement-12386link The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS 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   Professional identifier 0 … 1 prsb03-dataelement-12387link Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.Free text.   Organisation 0 … 1 prsb03-dataelement-12388link The name of the organisation the professional works for.ODS code or free text.   Contact details 0 … 1 prsb03-dataelement-12389link Contact details of the professional (e.g. telephone number, email address etc.).Free text.   Assessment type 0 … 1 prsb03-dataelement-10822link The type of the assessment e.g. social care needs assessment.Free text   Assessment summary 0 … 1 prsb03-dataelement-10754link The summary of the assessment Free text Person completing record 0 … 1 prsb03-dataelement-11752link Details of the person completing the record.   Name 0 … 1 prsb03-dataelement-11753link The name of the person completing the record.Free text.   Organisational role 0 … 1 prsb03-dataelement-11754link The organisational role of the person completing record.NHS Data dictionary or free text. https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-11755link The grade of the person completing the record.Free text.   Specialty 0 … 1 prsb03-dataelement-11756link The main specialty of the person completing the record.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   Organisation 0 … 1 prsb03-dataelement-11757link The organisation the person completing the record works for.ODS code or free text   Professional identifier 0 … 1 prsb03-dataelement-11758link Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.Free text.   Date completed 0 … 1 prsb03-dataelement-11759link The date and time the record was completed.Date and time.    Contact details 0 … 1 prsb03-dataelement-11760link Contact details of the person completing the record (e.g. telephone number, email address etc.).Free text. Structured assessment 0 … 1 prsb03-dataelement-10655link Details of the structured assessment.   Structured assessment name 0 … 1 prsb03-dataelement-11751link Structured assessment name e.g. New York Heart Failure, Glasgow Coma scale, Activities of Daily Living (ADL) etc.SNOMED CT or free text   Assessment score 0 … 1 prsb03-dataelement-10162link The structured assessment score.SNOMED CT or free text.   Assessment value 0 … 1 prsb03-dataelement-10163link The structured assessment value.Free text, alphanumeric or SNOMED CT   Subscale score 0 … * prsb03-dataelement-10169link The subscale score of the structured assessment.SNOMED CT or free text.   Subscale value 0 … * prsb03-dataelement-10170link The subscale value of the structured assessment.Free text, alphanumeric or SNOMED CT.   Comment 0 … 1 prsb03-dataelement-10164link Supporting text may be given regarding the assessment.Free text Formulation 0 … 1 prsb03-dataelement-11666link Details of the person's formulation. Formulation record entry 0 … * prsb03-dataelement-11667link 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.   Date 0 … 1 prsb03-dataelement-11669link The date of the formulation was made.Date and time.   Location 0 … 1 prsb03-dataelement-11670link The location where the formulation was made.ODS code or free text. Performing professional 0 … 1 prsb03-dataelement-11671link The professional who made the formulation.   Name 0 … 1 prsb03-dataelement-11672link The name of the professional.Free text.   Role 0 … 1 prsb03-dataelement-11673link The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcNHS Data dictionary or free text https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-11674link The grade of the professional.Free text.   Speciality 0 … 1 prsb03-dataelement-11675link The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS 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   Professional identifier 0 … 1 prsb03-dataelement-11676link Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.Free text.   Organisation 0 … 1 prsb03-dataelement-11677link The name of the organisation the professional works for.ODS code or free text.   Contact details 0 … 1 prsb03-dataelement-11678link Contact details of the professional (e.g. telephone number, email address etc.).Free text.   Formulation 1 … 1 Mandatory prsb03-dataelement-11668link 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.Free text Person completing record 0 … 1 prsb03-dataelement-11679link Details of the person completing the record.   Name 0 … 1 prsb03-dataelement-11680link The name of the person completing the record.Free text.   Organisational role 0 … 1 prsb03-dataelement-11681link The organisational role of the person completing record.NHS Data dictionary or free text. https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-11682link The grade of the person completing the record.Free text.   Specialty 0 … 1 prsb03-dataelement-11683link The main specialty of the person completing the record.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   Organisation 0 … 1 prsb03-dataelement-11684link The organisation the person completing the record works for.ODS code or free text   Professional identifier 0 … 1 prsb03-dataelement-11685link Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.Free text.   Date completed 0 … 1 prsb03-dataelement-11686link The date and time the record was completed.Date and time.    Contact details 0 … 1 prsb03-dataelement-11687link Contact details of the person completing the record (e.g. telephone number, email address etc.).Free text. Risks 0 … 1 prsb03-dataelement-276link Details of any risks related to the person. Risks to self 0 … * prsb03-dataelement-10176link Risks the person poses to themselves, e.g., suicide, overdose, self-harm, self-neglect.Free Text.   Start date of risk 0 … 1 prsb03-dataelement-11893link The start date of the risk.Date and time   End date of risk 0 … 1 prsb03-dataelement-11894link The date the risk ended.Date and time   Location 0 … 1 prsb03-dataelement-11895link The location where the risk was identified.ODS code or text Performing professional 0 … 1 prsb03-dataelement-11896link The professional who identified the risk.   Name 0 … 1 prsb03-dataelement-11897link The name of the professional.Free text.   Role 0 … 1 prsb03-dataelement-11898link The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcNHS Data dictionary or free text https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-11899link The grade of the professional.Free text.   Speciality 0 … 1 prsb03-dataelement-11900link The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS 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   Professional identifier 0 … 1 prsb03-dataelement-11901link Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.Free text.   Organisation 0 … 1 prsb03-dataelement-11902link The name of the organisation the professional works for.ODS code or free text.   Contact details 0 … 1 prsb03-dataelement-11903link Contact details of the professional (e.g. telephone number, email address etc.).Free text. Person completing record 0 … 1 prsb03-dataelement-11904link Details of the person completing the record.   Name 0 … 1 prsb03-dataelement-11905link The name of the person completing the record.Free text.   Organisational role 0 … 1 prsb03-dataelement-11906link The organisational role of the person completing record.NHS Data dictionary or free text. https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-11907link The grade of the person completing the record.Free text.   Specialty 0 … 1 prsb03-dataelement-11908link The main specialty of the person completing the record.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   Organisation 0 … 1 prsb03-dataelement-11909link The organisation the person completing the record works for.ODS code or free text   Professional identifier 0 … 1 prsb03-dataelement-11910link Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.Free text.   Date completed 0 … 1 prsb03-dataelement-11911link The date and time the record was completed.Date and time.    Contact details 0 … 1 prsb03-dataelement-11912link Contact details of the person completing the record (e.g. telephone number, email address etc.).Free text. Risks to others 0 … * prsb03-dataelement-10177link Risks to professionals or others.Free text.   Start date of risk 0 … 1 prsb03-dataelement-11913link The start date of the risk.Date and time   End date of risk 0 … 1 prsb03-dataelement-11914link The date the risk ended.Date and time   Location 0 … 1 prsb03-dataelement-11915link The location where the risk to others was identified.ODS code or text Performing professional 0 … 1 prsb03-dataelement-11916link The professional who identifies the risk to others.   Name 0 … 1 prsb03-dataelement-11917link The name of the professional.Free text.   Role 0 … 1 prsb03-dataelement-11918link The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcNHS Data dictionary or free text https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-11919link The grade of the professional.Free text.   Speciality 0 … 1 prsb03-dataelement-11920link The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS 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   Professional identifier 0 … 1 prsb03-dataelement-11921link Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.Free text.   Organisation 0 … 1 prsb03-dataelement-11922link The name of the organisation the professional works for.ODS code or free text.   Contact details 0 … 1 prsb03-dataelement-11923link Contact details of the professional (e.g. telephone number, email address etc.).Free text. Person completing record 0 … 1 prsb03-dataelement-11924link Details of the person completing the record.   Name 0 … 1 prsb03-dataelement-11925link The name of the person completing the record.Free text.   Organisational role 0 … 1 prsb03-dataelement-11926link The organisational role of the person completing record.NHS Data dictionary or free text. https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-11927link The grade of the person completing the record.Free text.   Specialty 0 … 1 prsb03-dataelement-11928link The main specialty of the person completing the record.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   Organisation 0 … 1 prsb03-dataelement-11929link The organisation the person completing the record works for.ODS code or free text   Professional identifier 0 … 1 prsb03-dataelement-11930link Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.Free text.   Date completed 0 … 1 prsb03-dataelement-11931link The date and time the record was completed.Date and time.    Contact details 0 … 1 prsb03-dataelement-11932link Contact details of the person completing the record (e.g. telephone number, email address etc.).Free text. Risk from others 0 … * prsb03-dataelement-10178link Risks to the person from an identified individual e.g. family member etc.Free Text.   Start date of risk 0 … 1 prsb03-dataelement-11933link The start date of the risk.Date and time   End date of risk 0 … 1 prsb03-dataelement-11934link The date the risk ended.Date and time   Location 0 … 1 prsb03-dataelement-11935link The location where the risk from others was identified.ODS code or text Performing professional 0 … 1 prsb03-dataelement-11936link The professional who identified the risk from others.   Name 0 … 1 prsb03-dataelement-11937link The name of the professional.Free text.   Role 0 … 1 prsb03-dataelement-11938link The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcNHS Data dictionary or free text https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-11939link The grade of the professional.Free text.   Speciality 0 … 1 prsb03-dataelement-11940link The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS 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   Professional identifier 0 … 1 prsb03-dataelement-11941link Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.Free text.   Organisation 0 … 1 prsb03-dataelement-11942link The name of the organisation the professional works for.ODS code or free text.   Contact details 0 … 1 prsb03-dataelement-11943link Contact details of the professional (e.g. telephone number, email address etc.).Free text. Person completing record 0 … 1 prsb03-dataelement-11944link Details of the person completing the record.   Name 0 … 1 prsb03-dataelement-11945link The name of the person completing the record.Free text.   Organisational role 0 … 1 prsb03-dataelement-11946link The organisational role of the person completing record.NHS Data dictionary or free text. https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-11947link The grade of the person completing the record.Free text.   Specialty 0 … 1 prsb03-dataelement-11948link The main specialty of the person completing the record.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   Organisation 0 … 1 prsb03-dataelement-11949link The organisation the person completing the record works for.ODS code or free text   Professional identifier 0 … 1 prsb03-dataelement-11950link Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.Free text.   Date completed 0 … 1 prsb03-dataelement-11951link The date and time the record was completed.Date and time.    Contact details 0 … 1 prsb03-dataelement-11952link Contact details of the person completing the record (e.g. telephone number, email address etc.).Free text. Risk of accidents 0 … * prsb03-dataelement-10751link Risks the person poses to themselves from accidents.Free text.   Start date of risk 0 … 1 prsb03-dataelement-11953link The start date of the risk.Date and time   End date of risk 0 … 1 prsb03-dataelement-11954link The date the risk ended.Date and time   Location 0 … 1 prsb03-dataelement-11955link The location where the risk of accidents was identified.ODS code or text Performing professional 0 … 1 prsb03-dataelement-11956link The professional who identified the risk of accidents.   Name 0 … 1 prsb03-dataelement-11957link The name of the professional.Free text.   Role 0 … 1 prsb03-dataelement-11958link The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcNHS Data dictionary or free text https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-11959link The grade of the professional.Free text.   Speciality 0 … 1 prsb03-dataelement-11960link The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS 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   Professional identifier 0 … 1 prsb03-dataelement-11961link Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.Free text.   Organisation 0 … 1 prsb03-dataelement-11962link The name of the organisation the professional works for.ODS code or free text.   Contact details 0 … 1 prsb03-dataelement-11963link Contact details of the professional (e.g. telephone number, email address etc.).Free text. Person completing record 0 … 1 prsb03-dataelement-11964link Details of the person completing the record.   Name 0 … 1 prsb03-dataelement-11965link The name of the person completing the record.Free text.   Organisational role 0 … 1 prsb03-dataelement-11966link The organisational role of the person completing record.NHS Data dictionary or free text. https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-11967link The grade of the person completing the record.Free text.   Specialty 0 … 1 prsb03-dataelement-11968link The main specialty of the person completing the record.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   Organisation 0 … 1 prsb03-dataelement-11969link The organisation the person completing the record works for.ODS code or free text   Professional identifier 0 … 1 prsb03-dataelement-11970link Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.Free text.   Date completed 0 … 1 prsb03-dataelement-11971link The date and time the record was completed.Date and time.    Contact details 0 … 1 prsb03-dataelement-11972link Contact details of the person completing the record (e.g. telephone number, email address etc.).Free text. Other risks 0 … * prsb03-dataelement-10802link Other risks, factors or behaviours relating to the person.Free text.   Start date of risk 0 … 1 prsb03-dataelement-11973link The start date of the risk.Date and time   End date of risk 0 … 1 prsb03-dataelement-11974link The date the risk ended.Date and time   Location 0 … 1 prsb03-dataelement-11975link The location where the other risks were identified.ODS code or text Performing professional 0 … 1 prsb03-dataelement-11976link The professional who identified the other risks.   Name 0 … 1 prsb03-dataelement-11977link The name of the professional.Free text.   Role 0 … 1 prsb03-dataelement-11978link The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcNHS Data dictionary or free text https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-11979link The grade of the professional.Free text.   Speciality 0 … 1 prsb03-dataelement-11980link The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS 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   Professional identifier 0 … 1 prsb03-dataelement-11981link Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.Free text.   Organisation 0 … 1 prsb03-dataelement-11982link The name of the organisation the professional works for.ODS code or free text.   Contact details 0 … 1 prsb03-dataelement-11983link Contact details of the professional (e.g. telephone number, email address etc.).Free text. Person completing record 0 … 1 prsb03-dataelement-11984link Details of the person completing the record.   Name 0 … 1 prsb03-dataelement-11985link The name of the person completing the record.Free text.   Organisational role 0 … 1 prsb03-dataelement-11986link The organisational role of the person completing record.NHS Data dictionary or free text. https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-11987link The grade of the person completing the record.Free text.   Specialty 0 … 1 prsb03-dataelement-11988link The main specialty of the person completing the record.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   Organisation 0 … 1 prsb03-dataelement-11989link The organisation the person completing the record works for.ODS code or free text   Professional identifier 0 … 1 prsb03-dataelement-11990link Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.Free text.   Date completed 0 … 1 prsb03-dataelement-11991link The date and time the record was completed.Date and time.    Contact details 0 … 1 prsb03-dataelement-11992link Contact details of the person completing the record (e.g. telephone number, email address etc.).Free text. Allergies and adverse reactions 0 … 1 prsb03-dataelement-282link Allergies and adverse reactions Allergies and adverse reactions record entry 0 … * prsb03-dataelement-10657link 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.   Causative agent 1 … 1 Mandatory prsb03-dataelement-10182link 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”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 Reaction details cluster 0 … 1 prsb03-dataelement-10658link Details of the reaction.   Date 0 … 1 prsb03-dataelement-10190link 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.Date and time    Location 0 … 1 prsb03-dataelement-10846link Details of where the allergy was identified.ODS code or free text   Substance 0 … 1 prsb03-dataelement-11665link The substance, or a class of substances, that is considered to be responsible for the adverse reaction.SNOMED CT or free text    Description of reaction 0 … 1 prsb03-dataelement-10183link A description of the manifestation of the allergic or adverse reaction experienced by the person. For example, skin rash.Choice of TextCoded text – constraint: SNOMED CT. Anything under <<404684003 clinical finding (finding) )   Severity 0 … 1 prsb03-dataelement-10184link A description of the severity of the reactionCoded textMild [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))   Certainty 0 … 1 prsb03-dataelement-10185link A description of the certainty that the stated causative agent caused the allergic or adverse reaction.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))   Comment 0 … 1 prsb03-dataelement-10189link Any additional comment or clarification about the adverse reaction.Free text   Type of reaction 0 … 1 prsb03-dataelement-10186link The type of reaction experienced by the person (allergic, adverse, intolerance)Coded text :-Allergy Intolerance Not known   Evidence 0 … 1 prsb03-dataelement-10187link Results of investigations that confirmed the certainty of the diagnosis. Examples might include results of skin prick allergy testsFree text   Date first experienced 0 … 1 prsb03-dataelement-10188link When the reaction was first experienced. May be a date or partial date (e.g. year) or text (e.g. during childhood)Date and time or free text. Performing professional 0 … 1 prsb03-dataelement-12010link The professional who identified the reaction.   Name 0 … 1 prsb03-dataelement-12011link The name of the professional.Free text.   Role 0 … 1 prsb03-dataelement-12012link The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcNHS Data dictionary or free text https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-12013link The grade of the professional.Free text.   Speciality 0 … 1 prsb03-dataelement-12014link The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS 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   Professional identifier 0 … 1 prsb03-dataelement-12015link Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.Free text.   Organisation 0 … 1 prsb03-dataelement-12016link The name of the organisation the professional works for.ODS code or free text.   Contact details 0 … 1 prsb03-dataelement-12017link Contact details of the professional (e.g. telephone number, email address etc.).Free text. Person completing record 0 … 1 prsb03-dataelement-12018link Details of the person completing the record.   Name 0 … 1 prsb03-dataelement-12019link The name of the person completing the record.Free text.   Organisational role 0 … 1 prsb03-dataelement-12020link The organisational role of the person completing record.NHS Data dictionary or free text. https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-12021link The grade of the person completing the record.Free text.   Specialty 0 … 1 prsb03-dataelement-12022link The main specialty of the person completing the record.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   Organisation 0 … 1 prsb03-dataelement-12023link The organisation the person completing the record works for.ODS code or free text   Professional identifier 0 … 1 prsb03-dataelement-12024link Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.Free text.   Date completed 0 … 1 prsb03-dataelement-12025link The date and time the record was completed.Date and time.    Contact details 0 … 1 prsb03-dataelement-12026link Contact details of the person completing the record (e.g. telephone number, email address etc.).Free text. Medications and medical devices 0 … 1 prsb03-dataelement-636link Medications and medical devices Medication item entry 0 … * prsb03-dataelement-10663link 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. Medication item cluster 0 … 1 prsb03-dataelement-10664link Medication item cluster   Date 0 … 1 prsb03-dataelement-10843link The date on which the medication or medical device was prescribed.Date and time    Location 0 … 1 prsb03-dataelement-10844link The location where the medication or the medical device was prescribed.ODS code or free text. Performing professional 0 … 1 prsb03-dataelement-12002link The professional who prescribed the medication or medical device.   Name 0 … 1 prsb03-dataelement-12003link The name of the professional.Free text.   Role 0 … 1 prsb03-dataelement-12004link The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcNHS Data dictionary or free text https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-12005link The grade of the professional.Free text.   Speciality 0 … 1 prsb03-dataelement-12006link The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS 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   Professional identifier 0 … 1 prsb03-dataelement-12007link Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.Free text.   Organisation 0 … 1 prsb03-dataelement-12008link The name of the organisation the professional works for.ODS code or free text.   Contact details 0 … 1 prsb03-dataelement-12009link Contact details of the professional (e.g. telephone number, email address etc.).Free text.   Medication name 1 … 1 Mandatory prsb03-dataelement-10536link May be generic name or brand name.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   Form 0 … 1 prsb03-dataelement-10537link The form of the medication e.g. capsule, drops, tablet, lotion etc.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   Route 0 … 1 prsb03-dataelement-10538link The route by which the medication is administered e.g. oral, IM, IVFree text or SNOMED CT NHS e-Prescribing route of administration subset refset ^999000051000001100   Site 0 … 1 prsb03-dataelement-10540link The anatomical site at which the medication is to be administered.TextCoded text - constraint: SiteOfMedicationAdministration. Any valid site for the administration of a medication. Constraint binding: [SNOMED-CT]subset= SiteOfMedicationAdministration   Method 0 … 1 prsb03-dataelement-10541link The technique or method by which the medication is to be administered.Free text   Dose directions description 0 … 1 prsb03-dataelement-10544link 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”. Free text Structured dose direction cluster 0 … 1 prsb03-dataelement-11639link 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.   Structured dose amount 0 … 1 prsb03-dataelement-10554link 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.As per FHIR Dose Syntax Implementation Guidance (NHS Digital): https://developer.nhs.uk/apis/dose-syntax-implementation/   Structured dose timing 0 … 1 prsb03-dataelement-10555link 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.As per FHIR Dose Syntax Implementation Guidance (NHS Digital): https://developer.nhs.uk/apis/dose-syntax-implementation/   Dose direction duration 0 … 1 prsb03-dataelement-10548link Recommendation of the time period for which the medication should be continued, including direction not to discontinue.Choice of Coded TextContinue 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   Additional instructions 0 … 1 prsb03-dataelement-10545link 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. 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 &quot;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 Course details cluster 0 … 1 prsb03-dataelement-10561link Details of the overall course of medication.   Course status 0 … 1 prsb03-dataelement-10666link The status of this prescription.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.]   Indication 0 … 1 prsb03-dataelement-10546link Reason for medication being prescribed, where known.A free text or Coded text term giving the clinical indication or reason for ordering the medication. Coded terms are preferable.   Start date/time 0 … 1 prsb03-dataelement-10667link The date and/or time that the medication course should begin.Date and time    End date/time 0 … 1 prsb03-dataelement-10557link The date and/or time that the medication course should finish.Date and time   Link to indication record 0 … 1 prsb03-dataelement-10668link A link to the record which contains the indication for this medication order.Free text with URL    Comment/recommendation 0 … 1 prsb03-dataelement-10547link Suggestions about duration and/or review, ongoing monitoring requirements, advice on starting, discontinuing or changing medication.Free text. Additional comment or recommendation about the medication course e.g. 'Patient named supply', 'unlicensed medication', 'Foreign brand' or monitoring recommendations Medication change summary cluster 0 … 1 prsb03-dataelement-10568link Records the changes made to medication.   Status 0 … 1 prsb03-dataelement-10669link The nature of any change made to the medication.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]   Indication 0 … 1 prsb03-dataelement-10670link Reason for change in medication, e.g. sub-therapeutic dose, person intolerant. A free text or coded text term giving the clinical indication or reason for change in medication.   Date of change 0 … 1 prsb03-dataelement-10671link The date of the change - addition, or amendmentDate and time   Description of amendment 0 … 1 prsb03-dataelement-10672link Where a change is made to the medication i.e. one drug stopped and another started or eg dose, frequency or route is changed.Free text   Total dose daily quantity 0 … 1 prsb03-dataelement-10665link 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. Free text.  Person completing record 0 … 1 prsb03-dataelement-11993link Details of the person completing the record.   Name 0 … 1 prsb03-dataelement-11994link The name of the person completing the record.Free text.   Organisational role 0 … 1 prsb03-dataelement-11995link The organisational role of the person completing record.NHS Data dictionary or free text. https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-11996link The grade of the person completing the record.Free text.   Specialty 0 … 1 prsb03-dataelement-11997link The main specialty of the person completing the record.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   Organisation 0 … 1 prsb03-dataelement-11998link The organisation the person completing the record works for.ODS code or free text   Professional identifier 0 … 1 prsb03-dataelement-11999link Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.Free text.   Date completed 0 … 1 prsb03-dataelement-12000link The date and time the record was completed.Date and time.    Contact details 0 … 1 prsb03-dataelement-12001link Contact details of the person completing the record (e.g. telephone number, email address etc.).Free text. Medication discontinued entry 0 … * prsb03-dataelement-10576link Medication discontinued entry   Name of discontinued medication 1 … 1 Mandatory prsb03-dataelement-10577link The name of the medication or medical device being discontinuedChoice 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   Status 0 … 1 prsb03-dataelement-12472link The status of any change made to the medication.Free text   Indication 0 … 1 prsb03-dataelement-10579link The clinical indication for any changes in medication statusA free text or coded text term giving the clinical indication or reason for change in medication.   Date of change 0 … 1 prsb03-dataelement-10580link The date of the discontinuationDate and time   Comment 0 … 1 prsb03-dataelement-10582link Any additional comment about the discontinuation.Free text Medical devices entry 0 … * prsb03-dataelement-10583link Medical devices   Medical device 0 … 1 prsb03-dataelement-10673link Any medical device that isn't prescribed.Free text.   Comments 0 … 1 prsb03-dataelement-11280link Any information regarding the medical device.Free text  Plan and requested actions 0 … 1 prsb03-dataelement-535link The details of planned investigations, procedures and treatment, and whether this plan has been agreed with the person or their legitimate representative. Plan and requested actions record entry 0 … * prsb03-dataelement-10661link 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.   Date 0 … 1 prsb03-dataelement-10445link The date on which the plan and requested actions were prepared.Date and time Performing professional 0 … 1 prsb03-dataelement-12167link The professional who prepared the plan and requested actions.   Name 0 … 1 prsb03-dataelement-12168link The name of the professional.Free text.   Role 0 … 1 prsb03-dataelement-12169link The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcNHS Data dictionary or free text https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-12170link The grade of the professional.Free text.   Speciality 0 … 1 prsb03-dataelement-12171link The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS 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   Professional identifier 0 … 1 prsb03-dataelement-12172link Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.Free text.   Organisation 0 … 1 prsb03-dataelement-12173link The name of the organisation the professional works for.ODS code or free text.   Contact details 0 … 1 prsb03-dataelement-12174link Contact details of the professional (e.g. telephone number, email address etc.).Free text.   Location 0 … 1 prsb03-dataelement-10842link The location where the plan and requested actions were prepared.ODS code or free text   Actions for professionals 0 … 1 prsb03-dataelement-10436link 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.A record of the planned and requested actions. May be structured (table), with actions, names, dates, status, location, strategies, or free text   Actions for person or their carer 0 … 1 prsb03-dataelement-10437link For each action the following should be identified:outcome expectations, including person’s expectations.A record of the planned and requested actions. May be structured (table), with actions, names, dates, status, location, strategies, or free text.   Agreed with the person or their legitimate representative 0 … 1 prsb03-dataelement-10438link Indicates whether the person or their legitimate representative has agreed the entire plan or individual aspects of treatment, expected outcomes, risks and alternative treatments.A record of the agreement of the decisions made, Free text   Outcome of plan and requested actions 0 … * prsb03-dataelement-10950link The details of the outcome of the plan and requested actions.Free text. Person completing record 0 … 1 prsb03-dataelement-12175link Details of the person completing the record.   Name 0 … 1 prsb03-dataelement-12176link The name of the person completing the record.Free text.   Organisational role 0 … 1 prsb03-dataelement-12177link The organisational role of the person completing record.NHS Data dictionary or free text. https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-12178link The grade of the person completing the record.Free text.   Specialty 0 … 1 prsb03-dataelement-12179link The main specialty of the person completing the record.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   Organisation 0 … 1 prsb03-dataelement-12180link The organisation the person completing the record works for.ODS code or free text   Professional identifier 0 … 1 prsb03-dataelement-12181link Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.Free text.   Date completed 0 … 1 prsb03-dataelement-12182link The date and time the record was completed.Date and time.    Contact details 0 … 1 prsb03-dataelement-12183link Contact details of the person completing the record (e.g. telephone number, email address etc.).Free text. About me 0 … 1 prsb03-dataelement-466link About me   About me 0 … 1 prsb03-dataelement-10366link 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.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.   Date 0 … 1 prsb03-dataelement-10367link This is a record of the date that this information was last updated.Date and Time   Supported to write this by 0 … 1 prsb03-dataelement-10368link 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.Free text Care and support plan 0 … 1 prsb03-dataelement-508link Care and support plan   Strengths 0 … * prsb03-dataelement-10419link Any strengths and assets the person has relating to their goals and hopes about their health and well-being.Free text   Needs, concerns or health problems 0 … * prsb03-dataelement-10414link Needs, concerns or health problems the person has that relating to their health and well-being.Free text. May be linked to the problem list from the person’s record to avoid duplication.   Goals and hopes 0 … * prsb03-dataelement-10413link 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.Free text. May be SNOMED CT coded. Coded status of goal: Achieved, partially achieved, not achieved, Not applicable Actions and activities 0 … * prsb03-dataelement-10408link Actions or activities the person or others plan to take to achieve the person's goals and the resources required to do this.    Stage goal 0 … 1 prsb03-dataelement-10674link A  specific sub-goal that is related to the overall goal as agreed by the person in collaboration with a professional.Free text   What 0 … 1 prsb03-dataelement-10675link What the action is and how it is to be carried out?Free text.   Who 0 … 1 prsb03-dataelement-10676link 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.Free text.   When 0 … 1 prsb03-dataelement-10677link Planned date, time, or interval, as relevantDate and time or free text.   Suggested strategies 0 … 1 prsb03-dataelement-10678link Suggested strategies for potential problems.Free text.   Status 0 … 1 prsb03-dataelement-10679link The status of the action or activity e.g. started, not started, completed, not applicable.Free text.   Confidence 0 … 1 prsb03-dataelement-10680link How confident the person feels to carry it outFree text.   Outcome 0 … 1 prsb03-dataelement-10681link The outcome of the stage goalFree text.   Date last updated 0 … 1 prsb03-dataelement-10682link Date when action/activity record was last updatedDate and time   Review date 0 … 1 prsb03-dataelement-10683link When the stage goal and action need to be reviewed.Date and time.   Agreed with person or legitimate representative 0 … 1 prsb03-dataelement-10409link Indicates whether the plan was discussed and agreed with the person or legitimate representative.A record of the agreement of the decisions made.   Care funding source 0 … 1 prsb03-dataelement-10410link A reference to the funding source and any conditions or limitations associated.Free text   Date this plan was last updated 0 … 1 prsb03-dataelement-10412link This is a record of the date that this care and support plan was last updated.Date and time   Other care planning documents 0 … * prsb03-dataelement-10415link 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.Free text.   Outcomes 0 … * prsb03-dataelement-10416link Outcomes of each of the person’s goals, aims and targets. Includes comments recorded by the person, date and status.Free text.May be SNOMED CT coded. Coded text: fully achieved, partially achieved, not achieved, on-going, no longer applicable.   Planned review date/interval 0 … 1 prsb03-dataelement-10417link This is the date/interval when this information will next be reviewed.Date and time or free text.   Responsibility for review 0 … 1 prsb03-dataelement-10418link This is a record of who has responsibility for arranging review of this information. Should include their name, role and contact details.Free text.   Location 0 … 1 prsb03-dataelement-12044link The location where the care and support plan was prepared.ODS code or free text Performing professional 0 … 1 prsb03-dataelement-12027link The professional who prepared the care and support plan.   Name 0 … 1 prsb03-dataelement-12028link The name of the professional.Free text.   Role 0 … 1 prsb03-dataelement-12029link The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcNHS Data dictionary or free text https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-12030link The grade of the professional.Free text.   Speciality 0 … 1 prsb03-dataelement-12031link The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS 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   Professional identifier 0 … 1 prsb03-dataelement-12032link Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.Free text.   Organisation 0 … 1 prsb03-dataelement-12033link The name of the organisation the professional works for.ODS code or free text.   Contact details 0 … 1 prsb03-dataelement-12034link Contact details of the professional (e.g. telephone number, email address etc.).Free text. Person completing record 0 … 1 prsb03-dataelement-12035link Details of the person completing the record.   Name 0 … 1 prsb03-dataelement-12036link The name of the person completing the record.Free text.   Organisational role 0 … 1 prsb03-dataelement-12037link The organisational role of the person completing record.NHS Data dictionary or free text. https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-12038link The grade of the person completing the record.Free text.   Specialty 0 … 1 prsb03-dataelement-12039link The main specialty of the person completing the record.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   Organisation 0 … 1 prsb03-dataelement-12040link The organisation the person completing the record works for.ODS code or free text   Professional identifier 0 … 1 prsb03-dataelement-12041link Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.Free text.   Date completed 0 … 1 prsb03-dataelement-12042link The date and time the record was completed.Date and time.    Contact details 0 … 1 prsb03-dataelement-12043link Contact details of the person completing the record (e.g. telephone number, email address etc.).Free text. Contingency plans 0 … * prsb03-dataelement-469link Contingency plans.   Agreed with person or legitimate representative 0 … 1 prsb03-dataelement-10369link Indicates whether the plan was discussed and agreed with the person or legitimate representative.Free text   Anticipatory medicines/equipment 0 … * prsb03-dataelement-10370link Medicines or equipment available that may be required in specific situations and their location.Free text. A statement regarding the availability or location of the anticipatory medicines/equipment.   Contingency plan name 0 … 1 prsb03-dataelement-10371link Name of the contingency plan – what condition or circumstances it is addressing.SNOMED CT or free text.   Date this plan was last updated 0 … 1 prsb03-dataelement-10372link The date that this contingency plan was last updated.Date and time   Planned review date/interval 0 … 1 prsb03-dataelement-10373link This is the date/interval when this contingency plan will next be reviewed.Date and time or free text.   Responsibility for review 0 … 1 prsb03-dataelement-10374link This is who has responsibility for arranging review of this information. Should include their name, role and contact details.Free text.   Trigger factors 0 … * prsb03-dataelement-10375link Signs to watch out for that may indicate a significant change in health or other circumstances.Free text. A statement of trigger factors.   What should happen 0 … * prsb03-dataelement-10376link 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.Free text. A statement of suggested actions. Usually expressed as: in the event of X do Y.   Who should be contacted 0 … * prsb03-dataelement-10377link Who should be contacted in the event of significant problems or deterioration in health or wellbeing. E.g. name, role and contact details.Free text. This may be obtained from the record of professional or personal contacts elsewhere in the person’s record.   Location 0 … 1 prsb03-dataelement-12079link The location where the contingency plan was prepared.ODS code or free text Performing professional 0 … 1 prsb03-dataelement-12045link The professional who prepared the contingency plans.   Name 0 … 1 prsb03-dataelement-12046link The name of the professional.Free text.   Role 0 … 1 prsb03-dataelement-12047link The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcNHS Data dictionary or free text https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-12048link The grade of the professional.Free text.   Speciality 0 … 1 prsb03-dataelement-12049link The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS 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   Professional identifier 0 … 1 prsb03-dataelement-12050link Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.Free text.   Organisation 0 … 1 prsb03-dataelement-12051link The name of the organisation the professional works for.ODS code or free text.   Contact details 0 … 1 prsb03-dataelement-12052link Contact details of the professional (e.g. telephone number, email address etc.).Free text. Person completing record 0 … 1 prsb03-dataelement-12053link Details of the person completing the record.   Name 0 … 1 prsb03-dataelement-12054link The name of the person completing the record.Free text.   Organisational role 0 … 1 prsb03-dataelement-12055link The organisational role of the person completing record.NHS Data dictionary or free text. https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-12056link The grade of the person completing the record.Free text.   Specialty 0 … 1 prsb03-dataelement-12057link The main specialty of the person completing the record.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   Organisation 0 … 1 prsb03-dataelement-12058link The organisation the person completing the record works for.ODS code or free text   Professional identifier 0 … 1 prsb03-dataelement-12059link Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.Free text.   Date completed 0 … 1 prsb03-dataelement-12060link The date and time the record was completed.Date and time.    Contact details 0 … 1 prsb03-dataelement-12061link Contact details of the person completing the record (e.g. telephone number, email address etc.).Free text. Additional support plans 0 … * prsb03-dataelement-502link Additional support plans   Additional support plan name 0 … 1 prsb03-dataelement-10402link The name of the particular additional supporting plan, e.g. dieticians plan, wound management plan, discharge management plan.Free text   Additional support plan content 0 … 1 prsb03-dataelement-10403link 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.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.   Planned review date/interval 0 … 1 prsb03-dataelement-10405link This is the date/interval when this information will next be reviewed.Date and time or free text.   Responsibility for review 0 … 1 prsb03-dataelement-10406link This is a record of who has responsibility for arranging review of this information. Should include their name, role and contact details.Free text.    Date this plan was last updated 0 … 1 prsb03-dataelement-10407link This is a record of the date that this information was last updated.Date and time   Location 0 … 1 prsb03-dataelement-12080link The location where the additional support plan was prepared.ODS code or free text  Performing professional 0 … 1 prsb03-dataelement-12062link The professional who prepared the additional support plan.   Name 0 … 1 prsb03-dataelement-12063link The name of the professional.Free text.   Role 0 … 1 prsb03-dataelement-12064link The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcNHS Data dictionary or free text https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-12065link The grade of the professional.Free text.   Speciality 0 … 1 prsb03-dataelement-12066link The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS 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   Professional identifier 0 … 1 prsb03-dataelement-12067link Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.Free text.   Organisation 0 … 1 prsb03-dataelement-12068link The name of the organisation the professional works for.ODS code or free text.   Contact details 0 … 1 prsb03-dataelement-12069link Contact details of the professional (e.g. telephone number, email address etc.).Free text. Person completing record 0 … 1 prsb03-dataelement-12070link Details of the person completing the record.   Name 0 … 1 prsb03-dataelement-12071link The name of the person completing the record.Free text.   Organisational role 0 … 1 prsb03-dataelement-12072link The organisational role of the person completing record.NHS Data dictionary or free text. https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-12073link The grade of the person completing the record.Free text.   Specialty 0 … 1 prsb03-dataelement-12074link The main specialty of the person completing the record.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   Organisation 0 … 1 prsb03-dataelement-12075link The organisation the person completing the record works for.ODS code or free text   Professional identifier 0 … 1 prsb03-dataelement-12076link Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.Free text.   Date completed 0 … 1 prsb03-dataelement-12077link The date and time the record was completed.Date and time.    Contact details 0 … 1 prsb03-dataelement-12078link Contact details of the person completing the record (e.g. telephone number, email address etc.).Free text. End of life care 0 … 1 prsb03-dataelement-10743link 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. Cardio-pulmonary resuscitation (CPR) decision 0 … 1 prsb03-dataelement-10771link 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.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   Date 0 … 1 prsb03-dataelement-12210link The date when the cardio-pulmonary resuscitation decision was made.Date and time.    Location 0 … 1 prsb03-dataelement-12211link The location where the cardio-pulmonary resuscitation decision was made.ODS code or free text Performing professional 0 … 1 prsb03-dataelement-12212link The professional who made the cardio-pulmonary resuscitation decision.   Name 0 … 1 prsb03-dataelement-12213link The name of the professional.Free text.   Role 0 … 1 prsb03-dataelement-12214link The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcNHS Data dictionary or free text https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-12215link The grade of the professional.Free text.   Speciality 0 … 1 prsb03-dataelement-12216link The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS 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   Professional identifier 0 … 1 prsb03-dataelement-12217link Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.Free text.   Organisation 0 … 1 prsb03-dataelement-12218link The name of the organisation the professional works for.ODS code or free text.   Contact details 0 … 1 prsb03-dataelement-12219link Contact details of the professional (e.g. telephone number, email address etc.).Free text. Person completing record 0 … 1 prsb03-dataelement-12220link Details of the person completing the record.   Name 0 … 1 prsb03-dataelement-12221link The name of the person completing the record.Free text.   Organisational role 0 … 1 prsb03-dataelement-12222link The organisational role of the person completing record.NHS Data dictionary or free text. https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-12223link The grade of the person completing the record.Free text.   Specialty 0 … 1 prsb03-dataelement-12224link The main specialty of the person completing the record.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   Organisation 0 … 1 prsb03-dataelement-12225link The organisation the person completing the record works for.ODS code or free text   Professional identifier 0 … 1 prsb03-dataelement-12226link Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.Free text.   Date completed 0 … 1 prsb03-dataelement-12227link The date and time the record was completed.Date and time.    Contact details 0 … 1 prsb03-dataelement-12228link Contact details of the person completing the record (e.g. telephone number, email address etc.).Free text. Estimated prognosis 0 … 1 prsb03-dataelement-10745link 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. End of life care plan use case only.  Free text.   Date 0 … 1 prsb03-dataelement-12229link The date when the estimated prognosis was made.Date and time   Location 0 … 1 prsb03-dataelement-12230link The location where the estimated prognosis was made.ODS code or free text Performing professional 0 … 1 prsb03-dataelement-12231link The professional who made the estimated prognosis.   Name 0 … 1 prsb03-dataelement-12232link The name of the professional.Free text.   Role 0 … 1 prsb03-dataelement-12233link The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcNHS Data dictionary or free text https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-12234link The grade of the professional.Free text.   Speciality 0 … 1 prsb03-dataelement-12235link The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS 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   Professional identifier 0 … 1 prsb03-dataelement-12236link Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.Free text.   Organisation 0 … 1 prsb03-dataelement-12237link The name of the organisation the professional works for.ODS code or free text.   Contact details 0 … 1 prsb03-dataelement-12238link Contact details of the professional (e.g. telephone number, email address etc.).Free text. Person completing record 0 … 1 prsb03-dataelement-12239link Details of the person completing the record.   Name 0 … 1 prsb03-dataelement-12240link The name of the person completing the record.Free text.   Organisational role 0 … 1 prsb03-dataelement-12241link The organisational role of the person completing record.NHS Data dictionary or free text. https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-12242link The grade of the person completing the record.Free text.   Specialty 0 … 1 prsb03-dataelement-12243link The main specialty of the person completing the record.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   Organisation 0 … 1 prsb03-dataelement-12244link The organisation the person completing the record works for.ODS code or free text   Professional identifier 0 … 1 prsb03-dataelement-12245link Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.Free text.   Date completed 0 … 1 prsb03-dataelement-12246link The date and time the record was completed.Date and time.    Contact details 0 … 1 prsb03-dataelement-12247link Contact details of the person completing the record (e.g. telephone number, email address etc.).Free text. Awareness of prognosis 0 … 1 prsb03-dataelement-10775link Description of the level of awareness the person and or their carer/family has regarding their estimated prognosis. End of life care plan use case only.  Free text.   Date 0 … 1 prsb03-dataelement-12248link The date when the assessment of the level of awareness of the prognosis was made.Date and time   Location 0 … 1 prsb03-dataelement-12249link The location where the assessment of the level of awareness of the prognosis was made.ODS code and free text Performing professional 0 … 1 prsb03-dataelement-12250link The professional who made the assessment of the level of awareness of the prognosis.   Name 0 … 1 prsb03-dataelement-12251link The name of the professional.Free text.   Role 0 … 1 prsb03-dataelement-12252link The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcNHS Data dictionary or free text https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-12253link The grade of the professional.Free text.   Speciality 0 … 1 prsb03-dataelement-12254link The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS 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   Professional identifier 0 … 1 prsb03-dataelement-12255link Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.Free text.   Organisation 0 … 1 prsb03-dataelement-12256link The name of the organisation the professional works for.ODS code or free text.   Contact details 0 … 1 prsb03-dataelement-12257link Contact details of the professional (e.g. telephone number, email address etc.).Free text. Person completing record 0 … 1 prsb03-dataelement-12258link Details of the person completing the record.   Name 0 … 1 prsb03-dataelement-12259link The name of the person completing the record.Free text.   Organisational role 0 … 1 prsb03-dataelement-12260link The organisational role of the person completing record.NHS Data dictionary or free text. https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-12261link The grade of the person completing the record.Free text.   Specialty 0 … 1 prsb03-dataelement-12262link The main specialty of the person completing the record.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   Organisation 0 … 1 prsb03-dataelement-12263link The organisation the person completing the record works for.ODS code or free text   Professional identifier 0 … 1 prsb03-dataelement-12264link Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.Free text.   Date completed 0 … 1 prsb03-dataelement-12265link The date and time the record was completed.Date and time.    Contact details 0 … 1 prsb03-dataelement-12266link Contact details of the person completing the record (e.g. telephone number, email address etc.).Free text. Advance statement 0 … 1 prsb03-dataelement-10777link 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.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.   Date 0 … 1 prsb03-dataelement-12267link The date when the advanced statements was made.Date and time   Location 0 … 1 prsb03-dataelement-12268link The location where the advanced statement was made.ODS code or free text Performing professional 0 … 1 prsb03-dataelement-12269link The professional who made the advance statement.   Name 0 … 1 prsb03-dataelement-12270link The name of the professional.Free text.   Role 0 … 1 prsb03-dataelement-12271link The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcNHS Data dictionary or free text https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-12272link The grade of the professional.Free text.   Speciality 0 … 1 prsb03-dataelement-12273link The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS 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   Professional identifier 0 … 1 prsb03-dataelement-12274link Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.Free text.   Organisation 0 … 1 prsb03-dataelement-12275link The name of the organisation the professional works for.ODS code or free text.   Contact details 0 … 1 prsb03-dataelement-12276link Contact details of the professional (e.g. telephone number, email address etc.).Free text. Person completing record 0 … 1 prsb03-dataelement-12277link Details of the person completing the record.   Name 0 … 1 prsb03-dataelement-12278link The name of the person completing the record.Free text.   Organisational role 0 … 1 prsb03-dataelement-12279link The organisational role of the person completing record.NHS Data dictionary or free text. https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-12280link The grade of the person completing the record.Free text.   Specialty 0 … 1 prsb03-dataelement-12281link The main specialty of the person completing the record.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   Organisation 0 … 1 prsb03-dataelement-12282link The organisation the person completing the record works for.ODS code or free text   Professional identifier 0 … 1 prsb03-dataelement-12283link Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.Free text.   Date completed 0 … 1 prsb03-dataelement-12284link The date and time the record was completed.Date and time.    Contact details 0 … 1 prsb03-dataelement-12285link Contact details of the person completing the record (e.g. telephone number, email address etc.).Free text. Anticipatory actions 0 … * prsb03-dataelement-10786link Guidance on specific interventions or actions that may be required or should be avoided in specific situations. Free text A statement of anticipatory actions. Usually expressed as: in the event of X do Y.   Date 0 … 1 prsb03-dataelement-12286link The date when the anticipatory actions were identified.Date and time   Location 0 … 1 prsb03-dataelement-12287link The location where the anticipatory actions were identified.ODS code or free text Performing professional 0 … 1 prsb03-dataelement-12288link The professional who identified the anticipatory actions.   Name 0 … 1 prsb03-dataelement-12289link The name of the professional.Free text.   Role 0 … 1 prsb03-dataelement-12290link The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcNHS Data dictionary or free text https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-12291link The grade of the professional.Free text.   Speciality 0 … 1 prsb03-dataelement-12292link The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS 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   Professional identifier 0 … 1 prsb03-dataelement-12293link Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.Free text.   Organisation 0 … 1 prsb03-dataelement-12294link The name of the organisation the professional works for.ODS code or free text.   Contact details 0 … 1 prsb03-dataelement-12295link Contact details of the professional (e.g. telephone number, email address etc.).Free text. Person completing record 0 … 1 prsb03-dataelement-12296link Details of the person completing the record.   Name 0 … 1 prsb03-dataelement-12297link The name of the person completing the record.Free text.   Organisational role 0 … 1 prsb03-dataelement-12298link The organisational role of the person completing record.NHS Data dictionary or free text. https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-12299link The grade of the person completing the record.Free text.   Specialty 0 … 1 prsb03-dataelement-12300link The main specialty of the person completing the record.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   Organisation 0 … 1 prsb03-dataelement-12301link The organisation the person completing the record works for.ODS code or free text   Professional identifier 0 … 1 prsb03-dataelement-12302link Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.Free text.   Date completed 0 … 1 prsb03-dataelement-12303link The date and time the record was completed.Date and time.    Contact details 0 … 1 prsb03-dataelement-12304link Contact details of the person completing the record (e.g. telephone number, email address etc.).Free text. Anticipatory medicines/equipment 0 … * prsb03-dataelement-10785link A statement regarding the availability or location of the anticipatory medicines/equipment.Free text   Date 0 … 1 prsb03-dataelement-12305link The date when the statement regarding anticipatory medicines/equipment was made.Date and time   Location 0 … 1 prsb03-dataelement-12306link The location where the statement regarding anticipatory medicines/equipment was made.ODS code and free text Performing professional 0 … 1 prsb03-dataelement-12307link The professional who made the statement regarding anticipatory medicines/equipment was made.   Name 0 … 1 prsb03-dataelement-12308link The name of the professional.Free text.   Role 0 … 1 prsb03-dataelement-12309link The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcNHS Data dictionary or free text https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-12310link The grade of the professional.Free text.   Speciality 0 … 1 prsb03-dataelement-12311link The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS 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   Professional identifier 0 … 1 prsb03-dataelement-12312link Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.Free text.   Organisation 0 … 1 prsb03-dataelement-12313link The name of the organisation the professional works for.ODS code or free text.   Contact details 0 … 1 prsb03-dataelement-12314link Contact details of the professional (e.g. telephone number, email address etc.).Free text. Person completing record 0 … 1 prsb03-dataelement-12315link Details of the person completing the record.   Name 0 … 1 prsb03-dataelement-12316link The name of the person completing the record.Free text.   Organisational role 0 … 1 prsb03-dataelement-12317link The organisational role of the person completing record.NHS Data dictionary or free text. https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-12318link The grade of the person completing the record.Free text.   Specialty 0 … 1 prsb03-dataelement-12319link The main specialty of the person completing the record.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   Organisation 0 … 1 prsb03-dataelement-12320link The organisation the person completing the record works for.ODS code or free text   Professional identifier 0 … 1 prsb03-dataelement-12321link Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.Free text.   Date completed 0 … 1 prsb03-dataelement-12322link The date and time the record was completed.Date and time.    Contact details 0 … 1 prsb03-dataelement-12323link Contact details of the person completing the record (e.g. telephone number, email address etc.).Free text. Preferred place of death 0 … 1 prsb03-dataelement-10780link The preferences that a person has identified as their preferred place to die.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   Date 0 … 1 prsb03-dataelement-12324link The date when the preferred place of death was identified.Date and time   Location 0 … 1 prsb03-dataelement-12325link The location where the preferred place of death was identified.ODS code and free text Performing professional 0 … 1 prsb03-dataelement-12326link The professional who identified the preferred place of death.   Name 0 … 1 prsb03-dataelement-12327link The name of the professional.Free text.   Role 0 … 1 prsb03-dataelement-12328link The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcNHS Data dictionary or free text https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-12329link The grade of the professional.Free text.   Speciality 0 … 1 prsb03-dataelement-12330link The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS 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   Professional identifier 0 … 1 prsb03-dataelement-12331link Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.Free text.   Organisation 0 … 1 prsb03-dataelement-12332link The name of the organisation the professional works for.ODS code or free text.   Contact details 0 … 1 prsb03-dataelement-12333link Contact details of the professional (e.g. telephone number, email address etc.).Free text. Person completing record 0 … 1 prsb03-dataelement-12334link Details of the person completing the record.   Name 0 … 1 prsb03-dataelement-12335link The name of the person completing the record.Free text.   Organisational role 0 … 1 prsb03-dataelement-12336link The organisational role of the person completing record.NHS Data dictionary or free text. https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-12337link The grade of the person completing the record.Free text.   Specialty 0 … 1 prsb03-dataelement-12338link The main specialty of the person completing the record.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   Organisation 0 … 1 prsb03-dataelement-12339link The organisation the person completing the record works for.ODS code or free text   Professional identifier 0 … 1 prsb03-dataelement-12340link Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.Free text.   Date completed 0 … 1 prsb03-dataelement-12341link The date and time the record was completed.Date and time.    Contact details 0 … 1 prsb03-dataelement-12342link Contact details of the person completing the record (e.g. telephone number, email address etc.).Free text. Preferred place of care 0 … 1 prsb03-dataelement-10781link The preferences that the person has identified as their preferred place to receive care.Free Text   Date 0 … 1 prsb03-dataelement-12362link The date when the preferred place of care was identified.Date and time   Location 0 … 1 prsb03-dataelement-12363link The location where the preferred place of care was identified.ODS code or free text. Performing professional 0 … 1 prsb03-dataelement-12364link The professional who identified the preferred place of care.   Name 0 … 1 prsb03-dataelement-12365link The name of the professional.Free text.   Role 0 … 1 prsb03-dataelement-12366link The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcNHS Data dictionary or free text https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-12367link The grade of the professional.Free text.   Speciality 0 … 1 prsb03-dataelement-12368link The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS 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   Professional identifier 0 … 1 prsb03-dataelement-12369link Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.Free text.   Organisation 0 … 1 prsb03-dataelement-12370link The name of the organisation the professional works for.ODS code or free text.   Contact details 0 … 1 prsb03-dataelement-12371link Contact details of the professional (e.g. telephone number, email address etc.).Free text. Person completing record 0 … 1 prsb03-dataelement-12372link Details of the person completing the record.   Name 0 … 1 prsb03-dataelement-12373link The name of the person completing the record.Free text.   Organisational role 0 … 1 prsb03-dataelement-12374link The organisational role of the person completing record.NHS Data dictionary or free text. https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-12375link The grade of the person completing the record.Free text.   Specialty 0 … 1 prsb03-dataelement-12376link The main specialty of the person completing the record.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   Organisation 0 … 1 prsb03-dataelement-12377link The organisation the person completing the record works for.ODS code or free text   Professional identifier 0 … 1 prsb03-dataelement-12378link Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.Free text.   Date completed 0 … 1 prsb03-dataelement-12379link The date and time the record was completed.Date and time.    Contact details 0 … 1 prsb03-dataelement-12380link Contact details of the person completing the record (e.g. telephone number, email address etc.).Free text. Documents (including correspondence and images) 0 … 1 prsb03-dataelement-10820link Details about documents related to the person.   Documents 0 … * prsb03-dataelement-11259link 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.   Date 0 … 1 prsb03-dataelement-10943link The date and time the document was created.Date and time Performing professional 0 … 1 prsb03-dataelement-12422link The professional who authored the document.Free text.   Name 0 … 1 prsb03-dataelement-12423link The name of the professional.Free text.   Role 0 … 1 prsb03-dataelement-12424link The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcNHS Data dictionary or free text https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-12425link The grade of the professional.Free text.   Speciality 0 … 1 prsb03-dataelement-12426link The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS 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   Professional identifier 0 … 1 prsb03-dataelement-12427link Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.Free text.   Organisation 0 … 1 prsb03-dataelement-12428link The name of the organisation the professional works for.ODS code or free text.   Contact details 0 … 1 prsb03-dataelement-12429link Contact details of the professional (e.g. telephone number, email address etc.).Free text.   Documentation location 0 … 1 prsb03-dataelement-10946link The URL for the document.Free text   Confidentiality 0 … 1 prsb03-dataelement-10942link The code specifying the level of confidentiality of the document. Free text, recommend the use of the FHIR values set. https://www.hl7.org/fhir/v3/ConfidentialityClassification/vs.html   Class 0 … 1 prsb03-dataelement-10940link The document type e.g. report, summary, images, treatment plan, patient preferences, workflowSNOMED CT or free text.   Document title 0 … 1 prsb03-dataelement-10944link The title of the document.Free text   Document name 0 … 1 prsb03-dataelement-10945link 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 Snomed CT code As per the https://theprsb.org/wp-content/uploads/2018/11/Clinical-document-indexing-standards_NHS-Scotland.pdf   Document MIME type 0 … 1 prsb03-dataelement-10949link MIME type of the document e.g. application, pdfFree text Person completing record 0 … 1 prsb03-dataelement-12430link Details of the person completing the record.   Name 0 … 1 prsb03-dataelement-12431link The name of the person completing the record.Free text.   Organisational role 0 … 1 prsb03-dataelement-12432link The organisational role of the person completing record.NHS Data dictionary or free text. https://www.datadictionary.nhs.uk/data_dictionary/attributes/c/card/care_professional_type_de.asp?shownav=1   Grade 0 … 1 prsb03-dataelement-12433link The grade of the person completing the record.Free text.   Specialty 0 … 1 prsb03-dataelement-12434link The main specialty of the person completing the record.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   Organisation 0 … 1 prsb03-dataelement-12435link The organisation the person completing the record works for.ODS code or free text   Professional identifier 0 … 1 prsb03-dataelement-12436link Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.Free text.   Date completed 0 … 1 prsb03-dataelement-12437link The date and time the record was completed.Date and time.    Contact details 0 … 1 prsb03-dataelement-12438link Contact details of the person completing the record (e.g. telephone number, email address etc.).Free text.   Service 0 … 1 prsb03-dataelement-11163link The high level imaging speciality code e.g. (R-3027B, SRT, “Radiology”)SNOMED CT or free text 999000381000000107 |Correspondence care setting type simple reference set (foundation metadata concept)|   Comments 0 … 1 prsb03-dataelement-10941link Comments associated with the document.Free text Additional information required for images. 0 … 1 prsb03-dataelement-12449link Additional information required for images.   Image procedure 0 … 1 prsb03-dataelement-12450link The procedure used to capture the imageFree text  Using DICOM code set https://dicom.innolitics.com/ciods   Image procedure date 0 … 1 prsb03-dataelement-12451link The date and time the image procedure was performed.Date and time Images 0 … 1 prsb03-dataelement-11158link   Image capture date 0 … 1 prsb03-dataelement-11159link The date and time when the image was captured.Date and time   Image ID 0 … 1 prsb03-dataelement-12460link A unique image identifier generated by the system.  Free text   Image location 0 … 1 prsb03-dataelement-12461link The URL for the imageFree text    Format code 0 … 1 prsb03-dataelement-11161link The format code of the document which provides information on how to display the document. Free text   Event code list 0 … 1 prsb03-dataelement-11160link The type of image (acquisition modality) and the anatomical site imaged.  DICOM code or free text.   Comments 0 … 1 prsb03-dataelement-12471link Comments associated with the imagingFree text