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draft Transaction Local authority information 2.16.840.1.113883.3.1937.777.28.4.136

Data Set PRSB Record structure and content 2.16.840.1.113883.3.1937.777.28.1.1

Name Id
draft Local authority information (1.1) 2.16.840.1.113883.3.1937.777.28.4.136
Version / effective date Expiration date
2020‑03‑25 16:17:36
Description
Name Details [‑]
folder draft Person demographics 1 … 1 Mandatory
prsb03-dataelement-10868
Id prsb03-dataelement-10868 (2019‑03‑27 19:02:25)
Cardinality 1 … 1 Mandatory
Context This section contains the person’s demographic and contact details including key identifiers e.g. name, date of birth, NHS number, address etc. The PDS (Personal Demographics Service) should be used as the source of this information. This section is mandatory.
Description The person's details and contact information.
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Person name 1 … 1 Mandatory
prsb03-dataelement-10869
Id prsb03-dataelement-10869 (2019‑03‑27 19:05:18) 1
Cardinality 1 … 1 Mandatory
Description Details of the person's name
Relationship
target Used by one transaction, 0 templates, inherited 0 times
 
draft Person first name 0 … 1
prsb03-dataelement-13799
Id prsb03-dataelement-13799 (2020‑11‑09 16:09:39)
Cardinality 0 … 1
Description The first name(s) of the person. This includes middle names.
Rationale Patient.name.given
Operationalization NHS data dictionary :- Person given name
Value Domain
Property
max length
35
target Used by one transaction, 0 templates, inherited 0 times
 
draft Person family name 0 … *
prsb03-dataelement-13800
Id prsb03-dataelement-13800 (2020‑11‑09 16:43:41)
Cardinality 0 … *
Description The family name or surname of the person
Rationale Patient.name.family
Operationalization NHS data dictionary : - Person family name

Value Domain
Property
max length
35
target Used by one transaction, 0 templates, inherited 0 times
 
draft Person preferred name 0 … 1
prsb03-dataelement-10870
Id prsb03-dataelement-10870 (2019‑03‑27 19:06:43)
Cardinality 0 … 1
Description 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.
Relationship
Rationale Patient.name
Operationalization NHS data dictionary: - Person full name
Value Domain
Property
max length
70
target Used by one transaction, 0 templates, inherited 0 times
 
draft Title 0 … 1
prsb03-dataelement-13089
Id prsb03-dataelement-13089 (2020‑06‑04 17:22:32) 0.1
Cardinality 0 … 1
Description Person's title
Rationale Patient.name.prefix
Operationalization NHS data dictionary: - Person title
Value Domain
Property
max length
35
target Used by one transaction, 0 templates, inherited 0 times
 
draft Person name suffix 0 … 1
prsb03-dataelement-13798
Id prsb03-dataelement-13798 (2020‑11‑08 22:52:48)
Cardinality 0 … 1
Description A textual suffix that may be added to the end of a PERSON's name, for example, OBE, MBE, BSc, JP, GM
Rationale Patient.name.suffix
Operationalization NHS data dictionary: - Person suffix
Value Domain
Property
max length
35
target Used by one transaction, 0 templates, inherited 0 times
 
draft Person full name 0 … 1
prsb03-dataelement-13801
Id prsb03-dataelement-13801 (2020‑11‑09 17:03:29)
Cardinality 0 … 1
Context This data item entry is mandatory. Due to the possibility of transposition errors and different person’s sharing the same name, person name alone is not usually a sufficient identifier
Description The full name of the person in text representation.
Rationale Patient.name.text
Operationalization NHS data dictionary :- Patient full name
Value Domain
Property
max length
70
target Used by one transaction, 0 templates, inherited 0 times
 
draft Date of birth 1 … 1 Mandatory
prsb03-dataelement-10871
Id prsb03-dataelement-10871 (2019‑03‑27 19:08:01) 1
Cardinality 1 … 1 Mandatory
Context This data item entry is mandatory. Due to the possibility of transposition errors and different person’s sharing the same date of birth, this element alone is not usually a sufficient identifier.
Description The date of birth of the person.

Properties

FHIR Patient.birthDate
Relationship
Rationale Patient.birthdate
Source NHS NSS : - https://www.ndc.scot.nhs.uk/Dictionary-A-Z/Definitions/index.asp?Search=D&ID=186&Title=Date%20of%20Birth
Operationalization NHS data dictionary:- Person birth date
Value Domain
Property
Timestamp precision
day, month and year
target Used by one transaction, 0 templates, inherited 0 times
 
draft Gender 0 … 1
prsb03-dataelement-10872
Id prsb03-dataelement-10872 (2019‑03‑27 19:08:52) 1
Cardinality 0 … 1
Context Sex is not contained in the standalone version of the Local Authority Information (for shared health and care records standards). However, local implementors deciding to add the sex data item from the core information standard to their local record should note the following: Sex and gender data items may cause accidental disclosure of gender reassignment without consent. This is because both fields are included in the demographic model. Having both may show a difference and therefore disclose gender reassignment without consent. It is unlawful to disclose, without consent, a person’s gender reassignment with or without a gender reassignment certificate. (ISB-000362 - ISB Standards Guidance – Sex, Gender and Transgender - Data Capture (2016)) This risk can be mitigated by appropriate implementation in a shared care record; refer to the Digital Social Care Information clinical safety case report and hazard log for more information.
Description The person's stated gender.

Properties

FHIR Patient.gender
Relationship
Rationale Patient.gender
Source NHS Wales : - https://fhir.standards.wales/CodeSystem/GenderIdentity
Operationalization NHS data dictionary :- Person stated gender code

Value Domain
Property
max length
1
target Used by one transaction, 0 templates, inherited 0 times
 
draft NHS number 0 … 1
prsb03-dataelement-10879
Id prsb03-dataelement-10879 (2019‑03‑27 19:16:57) 1
Cardinality 0 … 1
Context NHS number (or equivalent, e.g. CHI number in Scotland), is a national indicator for matching records across health and social care and is likely to be the primary identifier however existing national guidance should be followed, including how to handle patients without an NHS number, for example, overseas visitors. It is recognised that local authorities face issues in tracing, validating, storing and holding the NHS number. However, the use of NHS number or equivalent is a legal requirement for local authorities unless they are unable to reasonably comply – The Health and Social Care (Safety and Quality Act) 2015
Description The unique identifier for a person within the NHS in England and Wales.

Properties

FHIR Patient.identifier.nhsnumber
Relationship
Rationale Patient.identifier(nhsnumber)
Operationalization NHS data dictionary:- NHS number
Value Domain
Property
max length
10
target Used by one transaction, 0 templates, inherited 0 times
 
draft Other identifier 0 … *
prsb03-dataelement-10880
Id prsb03-dataelement-10880 (2019‑03‑27 19:18:59)
Cardinality 0 … *
Context The use of NHS number or equivalent identifier is a legal requirement for local authorities unless they are unable to reasonably comply – The Health and Social Care (Safety and Quality Act) 2015. Existing national guidance should be followed, including how to handle patients without an NHS number or equivalent, for example, overseas visitors. NB: If the person does not have an NHS number or equivalent the local authority may choose not to share local identifiers deemed not relevant for sharing to the record.
Description Country specific or local identifier, e.g. Community Health Index (CHI) in Scotland.
Relationship
Operationalization
Value Domain
Property
max length
20
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Person's address 1 … 1 Mandatory
prsb03-dataelement-10881
Id prsb03-dataelement-10881 (2019‑03‑27 19:19:27)
Cardinality 1 … 1 Mandatory
Context The person’s correct address can be a potential source of error. Include the person’s current place of residence as the primary address.
Description Person’s usual place of residence, and where relevant temporary and correspondence addresses.

Properties

FHIR Patient.Address
Relationship
target Used by one transaction, 0 templates, inherited 0 times
 
draft Address line 1 0 … 1
prsb03-dataelement-13082
Id prsb03-dataelement-13082 (2020‑05‑29 15:28:51)
Cardinality 0 … 1
Description Person's first line of address.
Rationale Patient.address.line
Operationalization
NHS data dictionary :-  Address line 1

Value Domain
Property
max length
35
target Used by one transaction, 0 templates, inherited 0 times
 
draft Address line 2 0 … 1
prsb03-dataelement-13083
Id prsb03-dataelement-13083 (2020‑05‑29 15:32:41)
Cardinality 0 … 1
Description Person's second line of address.
Rationale Patient.address.city
Operationalization
NHS data dictionary :- Address line 2

Value Domain
Property
max length
35
target Used by one transaction, 0 templates, inherited 0 times
 
draft Address line 3 0 … 1
prsb03-dataelement-13084
Id prsb03-dataelement-13084 (2020‑05‑29 15:35:34)
Cardinality 0 … 1
Description Person's third line of address.
Rationale Patient.address.district
Operationalization
NHS data dictionary : - Address line 3
Value Domain
Property
max length
35
target Used by one transaction, 0 templates, inherited 0 times
 
draft Address line 4 0 … 1
prsb03-dataelement-13085
Id prsb03-dataelement-13085 (2020‑06‑01 11:29:56)
Cardinality 0 … 1
Description Person's fourth line of address.
Rationale Patient.address.state
Operationalization
NHS data dictionary : - Address line 4

Value Domain
Property
max length
35
target Used by one transaction, 0 templates, inherited 0 times
 
draft Address line 5 0 … 1
prsb03-dataelement-13086
Id prsb03-dataelement-13086 (2020‑06‑01 11:32:10)
Cardinality 0 … 1
Description Person's fifth line of address.
Rationale Patient.address.country
Operationalization NHS data dictionary : - Address line 5

Value Domain
Property
max length
35
target Used by one transaction, 0 templates, inherited 0 times
 
draft Postcode 0 … 1
prsb03-dataelement-13087
Id prsb03-dataelement-13087 (2020‑06‑01 11:40:09)
Cardinality 0 … 1
Description The person's postcode.
Rationale Patient.address.postalcode
Operationalization NHS data dictionary :- Postcode of usual address

Value Domain
Property
max length
8
target Used by one transaction, 0 templates, inherited 0 times
 
draft Date of death 0 … 1
prsb03-dataelement-12963
Id prsb03-dataelement-12963 (2020‑03‑25 16:55:17)
Cardinality 0 … 1
Context Key contextual information.
Description The date of death of the person.
Relationship
Operationalization NHS data dictionary :- Person death date
Value Domain
Property
Timestamp precision default
day, month and year 10
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Alerts 0 … 1
prsb03-dataelement-10741
Id prsb03-dataelement-10741 (2019‑03‑06 17:55:12)
Cardinality 0 … 1
Context This section allows for the sharing of alerts, which should be determined locally. They might, for example, include the fact that the person has a dangerous dog. It is important that alerts are managed and removed when they are no longer relevant – e.g. “the dangerous dog” alert if the dog is no longer present. The alerts displayed to users viewing the core information may vary by use case and user’s role. 
Description Details of alerts.
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Alerts record entry 0 … *
prsb03-dataelement-10916
Id prsb03-dataelement-10916 (2019‑04‑09 12:53:12)
Cardinality 0 … *
Description This is an alerts record entry. There may be 0 to many record entries under a section. Each record entry is made up of a number of elements or data items
target Used by one transaction, 0 templates, inherited 0 times
 
draft Alert 1 … 1
prsb03-dataelement-10742
Id prsb03-dataelement-10742 (2019‑03‑06 18:10:58)
Cardinality 1 … 1
Description Any significant information meriting a specific and highly visible warning to any user (e.g. metallic implant, potential dangerous pet).
Operationalization Free text
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Person completing record 0 … 1
prsb03-dataelement-12399
Id prsb03-dataelement-12399 (2019‑06‑05 13:09:30)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
Description Details of the person completing the record.
Relationship
target Used by one transaction, 0 templates, inherited 0 times
 
draft Name 0 … 1
prsb03-dataelement-12400
Id prsb03-dataelement-12400 (2019‑06‑05 13:10:34)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
Description The name of the person completing the record.
Relationship
Rationale Composition.author.Practitioner.name
Operationalization Free text.
Value Domain
Property
max length
70
target Used by one transaction, 0 templates, inherited 0 times
 
draft Role 0 … 1
prsb03-dataelement-12401
Id prsb03-dataelement-12401 (2019‑06‑05 13:10:34)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
Description The organisational role of the person completing record.

Properties

FHIR PractitionerRole.code of the practitioner completing the record
Relationship
Rationale Composition.author.Practitioner.PractitionerRole.code
Operationalization FHIR value set :- SDSjobrole
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Grade 0 … 1
prsb03-dataelement-12402
Id prsb03-dataelement-12402 (2019‑06‑05 13:10:34)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
Description The grade of the person completing the record.
Relationship
Rationale PractitionerRole.code
Operationalization Free text.
Value Domain
Property
max length
150
target Used by one transaction, 0 templates, inherited 0 times
 
draft Specialty 0 … 1
prsb03-dataelement-12403
Id prsb03-dataelement-12403 (2019‑06‑05 13:10:34)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11293 (2019‑05‑30 12:25:39)
Description The main specialty of the person completing the record.

Properties

FHIR PractitionerRole.specialty
Relationship
Rationale PractitionerRole.speciality
Operationalization NHS data dictionary :- Activity treatment function code
Value Domain
Property
max length
3
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Organisation 0 … 1
prsb03-dataelement-12404
Id prsb03-dataelement-12404 (2019‑06‑05 13:10:34)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
Description The organisation the person completing the record works for.
Relationship
target Used by one transaction, 0 templates, inherited 0 times
 
draft Professional identifier 0 … 1
prsb03-dataelement-12405
Id prsb03-dataelement-12405 (2019‑06‑05 13:10:34)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
Description Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.

Properties

FHIR PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional)
Relationship
Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
Operationalization NHS data dictionary :- Professional registration identifier
Value Domain
Property
max length
32
target Used by one transaction, 0 templates, inherited 0 times
 
draft Date completed 0 … 1
prsb03-dataelement-12406
Id prsb03-dataelement-12406 (2019‑06‑05 13:10:34)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
Description The date and time the record was completed.
Relationship
Rationale Composition.date
Operationalization Date and time.
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by one transaction, 0 templates, inherited 0 times
 
draft Contact details 0 … 1
prsb03-dataelement-12407
Id prsb03-dataelement-12407 (2019‑06‑05 13:10:34)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
Description Contact details of the person completing the record.

Properties

FHIR PractitionerRole.telecom
Relationship
Rationale Practitioner.telecom

PractitionerRole.telecom

Organisation.telcom
Operationalization NHS data dictionary : - UK telephone number
Value Domain
Property
max length
35
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Legal information 0 … 1
prsb03-dataelement-520
Id prsb03-dataelement-520 (2018‑10‑31)
Cardinality 0 … 1
Context This section identifies where there is legal or formal documentation relating to the care of the person. This includes Lasting Power of Attorney (LPA), Deprivation of Liberty Safeguards (DoLS), Mental Capacity Assessments (MCAs) and Mental Health Act (MHA) status. The documentation may be available centrally as part of shared care records or held locally as part of the persons social care records. Copies of the legal documents should be made available where possible as these may have a direct bearing on treatment. 
Description The legal information relating to the person.
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Mental capacity assessment 0 … 1
prsb03-dataelement-10424
Id prsb03-dataelement-10424 (2018‑10‑31)
Cardinality 0 … 1
Context Mental capacity needs to be assessed at each decision point, for instance where decisions around treatment, discharge, support needs, living situation or other factors need to be made. Hence there should be provisions for more than one mental capacity assessment to be shared. If sharing the outcome of a mental capacity assessment it is important to record to which decision it relates. The mental capacity assessment is based on one of the following Acts, Mental Capacity Act 2005 (England and Wales) Adults with Incapacity Act 2000 (Scotland) Mental Capacity Act 2016 (Northern Ireland)
Description Details of the persons mental capacity assessment
target Used by one transaction, 0 templates, inherited 2 times
 
draft Date 0 … 1
prsb03-dataelement-11688
Id prsb03-dataelement-11688 (2019‑05‑31 11:50:22)
Cardinality 0 … 1
Context Key contextual information
Description The date when the mental capacity assessment was made.
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by one transaction, 0 templates, inherited 3 times
 
folder draft Location 0 … 1
prsb03-dataelement-11689
Id prsb03-dataelement-11689 (2019‑05‑31 11:51:04)
Cardinality 0 … 1
Context Key contextual information
Description The location where the mental capacity assessment was made.
target Used by one transaction, 0 templates, inherited 3 times
 
draft Coded value 0 … 1
prsb03-dataelement-13449
Id prsb03-dataelement-13449 (2020‑08‑27 16:43:20)
Cardinality 0 … 1
Description The coded value for location
Operationalization
NHS data dictionary : - Organisation code

Value Domain
Property
min length max length
3 5
target Used by one transaction, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13450
Id prsb03-dataelement-13450 (2020‑08‑27 16:43:57)
Cardinality 0 … 1
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by one transaction, 0 templates, inherited 3 times
 
draft Mental capacity assessment 0 … 1
prsb03-dataelement-13724
Id prsb03-dataelement-13724 (2020‑09‑16 11:32:28)
Cardinality 0 … 1
Description Whether an assessment of the mental capacity of the (adult) person has been undertaken, if so, what capacity the decision relates to and the outcome of the assessment. Also record best interests decision if person lacks capacity.
Operationalization Free text
Value Domain
Property
max length
150
target Used by one transaction, 0 templates, inherited 0 times
 
draft Location of document 0 … 1
prsb03-dataelement-13779
Id prsb03-dataelement-13779 (2020‑10‑16 16:40:41)
Cardinality 0 … 1
Description The location of the mental capacity assessment information.
Relationship
Operationalization Free text or URL
Value Domain
Property
max length
150
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Performing professional 0 … 1
prsb03-dataelement-11281
Id prsb03-dataelement-11281 (2019‑05‑30 11:53:30)
Cardinality 0 … 1
Description The professional who made the mental capacity assessment.
target Used by one transaction, 0 templates, inherited 3 times
 
draft Name 0 … 1
prsb03-dataelement-11282
Id prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
Cardinality 0 … 1
Description The name of the professional.
Rationale Practitioner.name
Operationalization Free text.
Value Domain
Property
max length
70
target Used by one transaction, 0 templates, inherited 61 times
 
draft Role 0 … 1
prsb03-dataelement-11283
Id prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
Cardinality 0 … 1
Description The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etc
Rationale Practitioner.PractitionerRole.code
Operationalization FHIR value set :- SDSjobroletype
Value Domain
target Used by one transaction, 0 templates, inherited 60 times
 
draft Grade 0 … 1
prsb03-dataelement-11288
Id prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
Cardinality 0 … 1
Description The grade of the professional.
Rationale PractitionerRole.code
Operationalization Free text
Value Domain
Property
max length
150
target Used by one transaction, 0 templates, inherited 61 times
 
draft Speciality 0 … 1
prsb03-dataelement-11284
Id prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
Cardinality 0 … 1
Description The specialty of the professional e.g. physiotherapy, oncology, mental health etc
Rationale PractitionerRole.speciality
Operationalization NHS data dictionary - Activity treatment function code
Value Domain
Property
max length
3
target Used by one transaction, 0 templates, inherited 60 times
 
draft Professional identifier 0 … 1
prsb03-dataelement-11285
Id prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
Cardinality 0 … 1
Description Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.
Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
Operationalization NHS data dictionary : - Professional registration identifier
Value Domain
Property
max length
32
target Used by one transaction, 0 templates, inherited 61 times
 
folder draft Organisation 0 … 1
prsb03-dataelement-11286
Id prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
Cardinality 0 … 1
Description The name of the organisation the professional works for.
target Used by one transaction, 0 templates, inherited 61 times
 
draft Coded value 0 … 1
prsb03-dataelement-13521
Id prsb03-dataelement-13521 (2020‑09‑04 13:43:41)
Cardinality 0 … 1
Description The coded value for location
Rationale Practitioner.PractitionerRole.organisation.Name
Operationalization NHS data dictionary: - Organisation data service
Value Domain
Property
min length max length
3 7
target Used by one transaction, 0 templates, inherited once
 
draft Free text 0 … 1
prsb03-dataelement-13522
Id prsb03-dataelement-13522 (2020‑09‑04 13:45:47)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by one transaction, 0 templates, inherited once
 
draft Contact details 0 … 1
prsb03-dataelement-11287
Id prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
Cardinality 0 … 1
Description Contact details of the professional
Rationale Practitioner.telecom

PractitionerRole.telecom

Organisation.telcom
Operationalization NHS data dictionary - UK phone number
Value Domain
Property
max length
35
target Used by one transaction, 0 templates, inherited 61 times
 
folder draft Person completing record 0 … 1
prsb03-dataelement-11289
Id prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
Cardinality 0 … 1
Description Details of the person completing the record.
Relationship
target Used by one transaction, 0 templates, inherited 67 times
 
draft Name 0 … 1
prsb03-dataelement-11290
Id prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
Cardinality 0 … 1
Description The name of the person completing the record.
Relationship
Rationale Composition.author.Practitioner.name
Operationalization Free text.
Value Domain
Property
max length
70
target Used by one transaction, 0 templates, inherited 69 times
 
draft Role 0 … 1
prsb03-dataelement-11291
Id prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
Cardinality 0 … 1
Description The organisational role of the person completing record.

Properties

FHIR PractitionerRole.code of the practitioner completing the record
Relationship
Rationale Composition.author.Practitioner.PractitionerRole.code
Operationalization FHIR value set :- SDSjobrole
Value Domain
target Used by one transaction, 0 templates, inherited 69 times
 
draft Grade 0 … 1
prsb03-dataelement-11292
Id prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
Cardinality 0 … 1
Description The grade of the person completing the record.
Relationship
Rationale PractitionerRole.code
Operationalization Free text.
Value Domain
Property
max length
150
target Used by one transaction, 0 templates, inherited 69 times
 
draft Specialty 0 … 1
prsb03-dataelement-11293
Id prsb03-dataelement-11293 (2019‑05‑30 12:25:39)
Cardinality 0 … 1
Description The main specialty of the person completing the record.

Properties

FHIR PractitionerRole.specialty
Relationship
Rationale PractitionerRole.speciality
Operationalization NHS data dictionary :- Activity treatment function code
Value Domain
Property
max length
3
target Used by one transaction, 0 templates, inherited 69 times
 
folder draft Organisation 0 … 1
prsb03-dataelement-11294
Id prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
Cardinality 0 … 1
Description The organisation the person completing the record works for.
Relationship
target Used by one transaction, 0 templates, inherited 69 times
 
draft Coded value 0 … 1
prsb03-dataelement-13523
Id prsb03-dataelement-13523 (2020‑09‑04 13:52:48)
Cardinality 0 … 1
Description The coded value for location
Rationale Composition.author.Practitioner.PractitionerRole.organisation.Name
Operationalization NHS data dictionary : - Organisation data service
Value Domain
Property
min length max length
3 7
target Used by one transaction, 0 templates, inherited once
 
draft Free text 0 … 1
prsb03-dataelement-13524
Id prsb03-dataelement-13524 (2020‑09‑04 13:54:04)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by one transaction, 0 templates, inherited once
 
draft Professional identifier 0 … 1
prsb03-dataelement-11295
Id prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
Cardinality 0 … 1
Description Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.

Properties

FHIR PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional)
Relationship
Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
Operationalization NHS data dictionary :- Professional registration identifier
Value Domain
Property
max length
32
target Used by one transaction, 0 templates, inherited 69 times
 
draft Date completed 0 … 1
prsb03-dataelement-11296
Id prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
Cardinality 0 … 1
Description The date and time the record was completed.
Relationship
Rationale Composition.date
Operationalization Date and time.
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by one transaction, 0 templates, inherited 69 times
 
draft Contact details 0 … 1
prsb03-dataelement-11297
Id prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
Cardinality 0 … 1
Description Contact details of the person completing the record.

Properties

FHIR PractitionerRole.telecom
Relationship
Rationale Practitioner.telecom

PractitionerRole.telecom

Organisation.telcom
Operationalization NHS data dictionary : - UK telephone number
Value Domain
Property
max length
35
target Used by one transaction, 0 templates, inherited 69 times
 
folder draft Lasting power of attorney for personal welfare or court-appointed deputy (or equivalent) 0 … 1
prsb03-dataelement-10425
Id prsb03-dataelement-10425 (2018‑10‑31)
Cardinality 0 … 1
Context 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.
Description Details of the person's LPA record or equivalent
target Used by one transaction, 0 templates, inherited once
 
draft Date 0 … 1
prsb03-dataelement-13630
Id prsb03-dataelement-13630 (2020‑09‑08 20:03:11)
Cardinality 0 … 1
Description The date the LPA was recorded
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Location 0 … 1
prsb03-dataelement-13631
Id prsb03-dataelement-13631 (2020‑09‑08 20:04:28)
Cardinality 0 … 1
Description The location where the LPA was given
Relationship
target Used by one transaction, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-13632
Id prsb03-dataelement-13632 (2020‑09‑08 20:05:20)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13453 (2020‑08‑27 16:54:58)
Description The coded value for location
Operationalization NHS data dictionary : - Organisation code



Value Domain
Property
min length max length
3 9
target Used by one transaction, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13633
Id prsb03-dataelement-13633 (2020‑09‑08 20:05:20)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13454 (2020‑08‑27 16:56:28)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Lasting power of attorney for personal welfare or court appointed deputy (or equivalent) 0 … 1
prsb03-dataelement-13634
Id prsb03-dataelement-13634 (2020‑09‑08 20:05:47)
Cardinality 0 … 1
Description Record of one or more people who have been given power (LPA) by the person when they had capacity to make decisions about their health and welfare should they lose capacity to make those decisions. To be valid, an LPA must have been registered with the Court of Protection. If life-sustaining treatment is being considered the LPA document must state specifically that the attorney has been given power to consent to or refuse life-sustaining treatment. Details of any person (deputy) appointed by the court to make decisions about the person’s health and welfare. A deputy does not have the power to refuse life-sustaining treatment.
target Used by one transaction, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-13636
Id prsb03-dataelement-13636 (2020‑09‑08 20:10:08)
Cardinality 0 … 1
Description The coded value for the LPA
Operationalization SNOMED CT: - ^999001951000000107 |Personal welfare lasting power of attorney findings simple reference set (foundation metadata concept)|
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Location of document 0 … 1
prsb03-dataelement-13776
Id prsb03-dataelement-13776 (2020‑10‑12 13:50:45)
Cardinality 0 … 1
Description The location of the LPA information
Operationalization Free text or URL
Value Domain
Property
max length
150
target Used by one transaction, 0 templates, inherited 0 times
 
draft Name of LPA 0 … 1
prsb03-dataelement-13635
Id prsb03-dataelement-13635 (2020‑09‑08 20:08:39)
Cardinality 0 … 1
Description The names of any appointed people or deputies
Operationalization Free text
Value Domain
Property
max length
150
target Used by one transaction, 0 templates, inherited 0 times
 
draft Contact details 0 … 1
prsb03-dataelement-13637
Id prsb03-dataelement-13637 (2020‑09‑08 20:11:29)
Cardinality 0 … 1
Description The contact details of the LPA
Operationalization NHS data dictionary:- UK telephone number
Value Domain
Property
max length
35
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Performing professional 0 … 1
prsb03-dataelement-13638
Id prsb03-dataelement-13638 (2020‑09‑08 20:13:16)
Cardinality 0 … 1
Description The professional who took the details of the LPA or equivalent
Relationship
target Used by one transaction, 0 templates, inherited 0 times
 
draft Name 0 … 1
prsb03-dataelement-13639
Id prsb03-dataelement-13639 (2020‑09‑08 20:13:55)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13463 (2020‑09‑02 12:38:25)
Description The name of the professional.
Rationale Practitioner.name
Operationalization Free text.
Value Domain
Property
max length
70
target Used by one transaction, 0 templates, inherited 0 times
 
draft Role 0 … 1
prsb03-dataelement-13640
Id prsb03-dataelement-13640 (2020‑09‑08 20:13:55)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13464 (2020‑09‑02 12:38:25)
Description The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etc
Rationale Practitioner.PractitionerRole.code
Operationalization FHIR value set :- SDSjobroletype
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Grade 0 … 1
prsb03-dataelement-13641
Id prsb03-dataelement-13641 (2020‑09‑08 20:13:55)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13465 (2020‑09‑02 12:38:25)
Description The grade of the professional.
Rationale PractitionerRole.code
Operationalization Free text
Value Domain
Property
max length
150
target Used by one transaction, 0 templates, inherited 0 times
 
draft Speciality 0 … 1
prsb03-dataelement-13642
Id prsb03-dataelement-13642 (2020‑09‑08 20:13:55)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13466 (2020‑09‑02 12:38:25)
Description The specialty of the professional e.g. physiotherapy, oncology, mental health etc
Rationale PractitionerRole.speciality
Operationalization NHS data dictionary - Activity treatment function code
Value Domain
Property
max length
3
target Used by one transaction, 0 templates, inherited 0 times
 
draft Professional identifier 0 … 1
prsb03-dataelement-13643
Id prsb03-dataelement-13643 (2020‑09‑08 20:13:55)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13467 (2020‑09‑02 12:38:25)
Description Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.
Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
Operationalization NHS data dictionary : - Professional registration identifier
Value Domain
Property
max length
32
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Organisation 0 … 1
prsb03-dataelement-13644
Id prsb03-dataelement-13644 (2020‑09‑08 20:13:55)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13468 (2020‑09‑02 12:38:25)
Description The name of the organisation the professional works for.
target Used by one transaction, 0 templates, inherited 0 times
 
draft Contact details 0 … 1
prsb03-dataelement-13645
Id prsb03-dataelement-13645 (2020‑09‑08 20:13:55)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13469 (2020‑09‑02 12:38:25)
Description Contact details of the professional
Rationale Practitioner.telecom

PractitionerRole.telecom

Organisation.telcom
Operationalization NHS data dictionary - UK phone number
Value Domain
Property
max length
35
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Person completing record 0 … 1
prsb03-dataelement-13646
Id prsb03-dataelement-13646 (2020‑09‑08 20:14:17)
Cardinality 0 … 1
Description Details of the person who took the LPA.
Relationship
target Used by one transaction, 0 templates, inherited 0 times
 
draft Name 0 … 1
prsb03-dataelement-13647
Id prsb03-dataelement-13647 (2020‑09‑08 20:14:49)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13493 (2020‑09‑02 17:10:59)
Description The name of the person completing the record.
Relationship
Rationale Composition.author.Practitioner.name
Operationalization Free text.
Value Domain
Property
max length
70
target Used by one transaction, 0 templates, inherited 0 times
 
draft Role 0 … 1
prsb03-dataelement-13648
Id prsb03-dataelement-13648 (2020‑09‑08 20:14:49)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13494 (2020‑09‑02 17:10:59)
Description The organisational role of the person completing record.

Properties

FHIR PractitionerRole.code of the practitioner completing the record
Relationship
Rationale Composition.author.Practitioner.PractitionerRole.code
Operationalization FHIR value set :- SDSjobrole
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Grade 0 … 1
prsb03-dataelement-13649
Id prsb03-dataelement-13649 (2020‑09‑08 20:14:49)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13495 (2020‑09‑02 17:10:59)
Description The grade of the person completing the record.
Relationship
Rationale PractitionerRole.code
Operationalization Free text.
Value Domain
Property
max length
150
target Used by one transaction, 0 templates, inherited 0 times
 
draft Specialty 0 … 1
prsb03-dataelement-13650
Id prsb03-dataelement-13650 (2020‑09‑08 20:14:49)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13496 (2020‑09‑02 17:10:59)
Description The main specialty of the person completing the record.

Properties

FHIR PractitionerRole.specialty
Relationship
Rationale PractitionerRole.speciality
Operationalization NHS data dictionary :- Activity treatment function code
Value Domain
Property
max length
3
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Organisation 0 … 1
prsb03-dataelement-13651
Id prsb03-dataelement-13651 (2020‑09‑08 20:14:49)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13497 (2020‑09‑02 17:10:59)
Description The organisation the person completing the record works for.
Relationship
target Used by one transaction, 0 templates, inherited 0 times
 
draft Professional identifier 0 … 1
prsb03-dataelement-13652
Id prsb03-dataelement-13652 (2020‑09‑08 20:14:49)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13498 (2020‑09‑02 17:10:59)
Description Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.

Properties

FHIR PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional)
Relationship
Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
Operationalization NHS data dictionary :- Professional registration identifier
Value Domain
Property
max length
32
target Used by one transaction, 0 templates, inherited 0 times
 
draft Date completed 0 … 1
prsb03-dataelement-13653
Id prsb03-dataelement-13653 (2020‑09‑08 20:14:49)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13499 (2020‑09‑02 17:10:59)
Description The date and time the record was completed.
Relationship
Rationale Composition.date
Operationalization Date and time.
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by one transaction, 0 templates, inherited 0 times
 
draft Contact details 0 … 1
prsb03-dataelement-13654
Id prsb03-dataelement-13654 (2020‑09‑08 20:14:49)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13500 (2020‑09‑02 17:10:59)
Description Contact details of the person completing the record.

Properties

FHIR PractitionerRole.telecom
Relationship
Rationale Practitioner.telecom

PractitionerRole.telecom

Organisation.telcom
Operationalization NHS data dictionary : - UK telephone number
Value Domain
Property
max length
35
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Deprivation of Liberty Safeguards or equivalent 0 … 1
prsb03-dataelement-10426
Id prsb03-dataelement-10426 (2018‑10‑31)
Cardinality 0 … 1
Context Deprivation of Liberty Safeguards (DoLs) has been replaced by the Liberty Protection Safeguards Scheme (LPS). Deprivations of liberty are authorised in advance by the legally responsible body. The Local authority is responsible in cases except where the location is an NHS hospital or where there are Continuing Health Care arrangements. The target date for implementation of LPS is April 1 2022 (See link above). 
Description Details of the person's Deprivation of Liberty Safeguards (DoLS) or equivalent
target Used by one transaction, 0 templates, inherited once
 
draft Application date 0 … 1
prsb03-dataelement-13068
Id prsb03-dataelement-13068 (2020‑05‑21 18:04:27)
Cardinality 0 … 1
Description The date the application was made
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by one transaction, 0 templates, inherited 0 times
 
draft Application status 0 … 1
prsb03-dataelement-13069
Id prsb03-dataelement-13069 (2020‑05‑21 18:05:36)
Cardinality 0 … 1
Description The status of the DOLs application.
Operationalization Free text : - Requested or authorised
Value Domain
Property
max length
10
Example Requested
Example Authorised
target Used by one transaction, 0 templates, inherited 0 times
 
draft Deprivation of liberty safeguards or equivalent 0 … 1
prsb03-dataelement-13626
Id prsb03-dataelement-13626 (2020‑09‑08 19:49:07)
Cardinality 0 … 1
Description Record of Deprivation of Liberty Safeguards (DoLS) or equivalent, including the reason for this.
Operationalization Free text
Value Domain
Property
max length
150
target Used by one transaction, 0 templates, inherited 0 times
 
draft Start date of authorisation 0 … 1
prsb03-dataelement-13071
Id prsb03-dataelement-13071 (2020‑05‑21 18:16:32)
Cardinality 0 … 1
Context This data item entry (along with planned or actual end date of authorisation, below) ensures the end user can ascertain which LPS schemes are currently active and which are historical.
Description The date the DOLs was authorised.
Operationalization Data and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by one transaction, 0 templates, inherited 0 times
 
draft Planned or actual end date of authorisation 0 … 1
prsb03-dataelement-13072
Id prsb03-dataelement-13072 (2020‑05‑21 18:18:19)
Cardinality 0 … 1
Context This data item entry (along with start date of authorisation, above) ensures the end user can ascertain which LPS schemes are currently active and which are historical.
Description The planned or actual end date of authorisation.
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Performing professional 0 … 1
prsb03-dataelement-13073
Id prsb03-dataelement-13073 (2020‑05‑21 18:20:41)
Cardinality 0 … 1
Description The professional who applied for the DOLs.
Relationship
target Used by one transaction, 0 templates, inherited 0 times
 
draft Name 0 … 1
prsb03-dataelement-13074
Id prsb03-dataelement-13074 (2020‑05‑21 18:21:29)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
Description The name of the professional.
Rationale Practitioner.name
Operationalization Free text.
Value Domain
Property
max length
70
target Used by one transaction, 0 templates, inherited 0 times
 
draft Role 0 … 1
prsb03-dataelement-13075
Id prsb03-dataelement-13075 (2020‑05‑21 18:21:29)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
Description The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etc
Rationale Practitioner.PractitionerRole.code
Operationalization FHIR value set :- SDSjobroletype
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Grade 0 … 1
prsb03-dataelement-13076
Id prsb03-dataelement-13076 (2020‑05‑21 18:21:29)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
Description The grade of the professional.
Rationale PractitionerRole.code
Operationalization Free text
Value Domain
Property
max length
150
target Used by one transaction, 0 templates, inherited 0 times
 
draft Speciality 0 … 1
prsb03-dataelement-13077
Id prsb03-dataelement-13077 (2020‑05‑21 18:21:29)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
Description The specialty of the professional e.g. physiotherapy, oncology, mental health etc
Rationale PractitionerRole.speciality
Operationalization NHS data dictionary - Activity treatment function code
Value Domain
Property
max length
3
target Used by one transaction, 0 templates, inherited 0 times
 
draft Professional identifier 0 … 1
prsb03-dataelement-13078
Id prsb03-dataelement-13078 (2020‑05‑21 18:21:29)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
Description Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.
Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
Operationalization NHS data dictionary : - Professional registration identifier
Value Domain
Property
max length
32
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Organisation 0 … 1
prsb03-dataelement-13079
Id prsb03-dataelement-13079 (2020‑05‑21 18:21:29)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
Description The name of the organisation the professional works for.
target Used by one transaction, 0 templates, inherited 0 times
 
draft Contact details 0 … 1
prsb03-dataelement-13080
Id prsb03-dataelement-13080 (2020‑05‑21 18:21:29)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
Description Contact details of the professional
Rationale Practitioner.telecom

PractitionerRole.telecom

Organisation.telcom
Operationalization NHS data dictionary - UK phone number
Value Domain
Property
max length
35
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Mental health act or equivalent status 0 … 1
prsb03-dataelement-10427
Id prsb03-dataelement-10427 (2018‑10‑31)
Cardinality 0 … 1
Context There can be more than one record of ‘Mental health act status’ (a record of a decision to detain the person diagnosed with a mental disorder under the Mental Health Act or equivalent, recorded as free text for this element).
Description Details of the persons mental health act record
target Used by one transaction, 0 templates, inherited once
 
draft Section start date 0 … 1
prsb03-dataelement-10920
Id prsb03-dataelement-10920 (2019‑04‑26 14:17:19)
Cardinality 0 … 1
Context This data item entry (along with section end date below) ensures the end user can ascertain which of a person’s Mental Health Act or equivalent status entries are contemporaneous and which are historical.
Description The date the person was detained.
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by one transaction, 0 templates, inherited 0 times
 
draft Section end date 0 … 1
prsb03-dataelement-10921
Id prsb03-dataelement-10921 (2019‑04‑26 14:19:05)
Cardinality 0 … 1
Context This data item entry (along with section start date above) ensures the end user can ascertain which of a person’s Mental Health Act or equivalent status entries are contemporaneous and which are historical.
Description The date the person was no longer detained.
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Location 0 … 1
prsb03-dataelement-11692
Id prsb03-dataelement-11692 (2019‑05‑31 12:51:56)
Cardinality 0 … 1
Description The location where the decision to detain the person was made under the mental health act.
Relationship
target Used by one transaction, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-13453
Id prsb03-dataelement-13453 (2020‑08‑27 16:54:58)
Cardinality 0 … 1
Description The coded value for location
Operationalization NHS data dictionary : - Organisation code



Value Domain
Property
min length max length
3 9
target Used by one transaction, 0 templates, inherited once
 
draft Free text 0 … 1
prsb03-dataelement-13454
Id prsb03-dataelement-13454 (2020‑08‑27 16:56:28)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by one transaction, 0 templates, inherited once
 
folder draft Mental health act or equivalent status 0 … 1
prsb03-dataelement-13627
Id prsb03-dataelement-13627 (2020‑09‑08 19:52:25)
Cardinality 0 … 1
Description Record where a person diagnosed with a mental disorder is formally detained under the Mental health act or equivalent, including the section number. If person subject to Community Treatment Order or Conditional Discharge (or equivalent) record here.
target Used by one transaction, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-13628
Id prsb03-dataelement-13628 (2020‑09‑08 19:57:06)
Cardinality 0 … 1
Description The coded value for mental health act
Operationalization NHS data dictionary: - Mental health act legal status classification code
Value Domain
Property
max length
2
Example Formally detained under Mental Health Act Section 2
target Used by one transaction, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13629
Id prsb03-dataelement-13629 (2020‑09‑08 19:58:49)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by one transaction, 0 templates, inherited 0 times
 
draft Supporting information 0 … 1
prsb03-dataelement-13755
Id prsb03-dataelement-13755 (2020‑09‑29 11:48:32)
Cardinality 0 … 1
Description If person subject to Community Treatment Order or Conditional Discharge (or equivalent) record here.
Operationalization NHS data dictionary : - Community treatment order
Value Domain
Property
max length
150
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Performing professional 0 … 1
prsb03-dataelement-11315
Id prsb03-dataelement-11315 (2019‑05‑30 12:53:22)
Cardinality 0 … 1
Description The professional who made the decision to detain the person under the mental health act.
Relationship
target Used by one transaction, 0 templates, inherited 0 times
 
draft Name 0 … 1
prsb03-dataelement-11316
Id prsb03-dataelement-11316 (2019‑05‑30 12:53:54)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
Description The name of the professional.
Rationale Practitioner.name
Operationalization Free text.
Value Domain
Property
max length
70
target Used by one transaction, 0 templates, inherited 0 times
 
draft Role 0 … 1
prsb03-dataelement-11317
Id prsb03-dataelement-11317 (2019‑05‑30 12:53:54)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
Description The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etc
Rationale Practitioner.PractitionerRole.code
Operationalization FHIR value set :- SDSjobroletype
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Grade 0 … 1
prsb03-dataelement-11318
Id prsb03-dataelement-11318 (2019‑05‑30 12:53:54)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
Description The grade of the professional.
Rationale PractitionerRole.code
Operationalization Free text
Value Domain
Property
max length
150
target Used by one transaction, 0 templates, inherited 0 times
 
draft Speciality 0 … 1
prsb03-dataelement-11319
Id prsb03-dataelement-11319 (2019‑05‑30 12:53:54)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
Description The specialty of the professional e.g. physiotherapy, oncology, mental health etc
Rationale PractitionerRole.speciality
Operationalization NHS data dictionary - Activity treatment function code
Value Domain
Property
max length
3
target Used by one transaction, 0 templates, inherited 0 times
 
draft Professional identifier 0 … 1
prsb03-dataelement-11320
Id prsb03-dataelement-11320 (2019‑05‑30 12:53:54)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
Description Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.
Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
Operationalization NHS data dictionary : - Professional registration identifier
Value Domain
Property
max length
32
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Organisation 0 … 1
prsb03-dataelement-11321
Id prsb03-dataelement-11321 (2019‑05‑30 12:53:54)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
Description The name of the organisation the professional works for.
target Used by one transaction, 0 templates, inherited 0 times
 
draft Contact details 0 … 1
prsb03-dataelement-11322
Id prsb03-dataelement-11322 (2019‑05‑30 12:53:54)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
Description Contact details of the professional
Rationale Practitioner.telecom

PractitionerRole.telecom

Organisation.telcom
Operationalization NHS data dictionary - UK phone number
Value Domain
Property
max length
35
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Person completing record 0 … 1
prsb03-dataelement-11323
Id prsb03-dataelement-11323 (2019‑05‑30 12:54:57)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
Description Details of the person completing the record.
Relationship
target Used by one transaction, 0 templates, inherited 0 times
 
draft Name 0 … 1
prsb03-dataelement-11324
Id prsb03-dataelement-11324 (2019‑05‑30 12:55:19)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
Description The name of the person completing the record.
Relationship
Rationale Composition.author.Practitioner.name
Operationalization Free text.
Value Domain
Property
max length
70
target Used by one transaction, 0 templates, inherited 0 times
 
draft Role 0 … 1
prsb03-dataelement-11325
Id prsb03-dataelement-11325 (2019‑05‑30 12:55:19)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
Description The organisational role of the person completing record.

Properties

FHIR PractitionerRole.code of the practitioner completing the record
Relationship
Rationale Composition.author.Practitioner.PractitionerRole.code
Operationalization FHIR value set :- SDSjobrole
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Grade 0 … 1
prsb03-dataelement-11326
Id prsb03-dataelement-11326 (2019‑05‑30 12:55:19)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
Description The grade of the person completing the record.
Relationship
Rationale PractitionerRole.code
Operationalization Free text.
Value Domain
Property
max length
150
target Used by one transaction, 0 templates, inherited 0 times
 
draft Specialty 0 … 1
prsb03-dataelement-11327
Id prsb03-dataelement-11327 (2019‑05‑30 12:55:19)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11293 (2019‑05‑30 12:25:39)
Description The main specialty of the person completing the record.

Properties

FHIR PractitionerRole.specialty
Relationship
Rationale PractitionerRole.speciality
Operationalization NHS data dictionary :- Activity treatment function code
Value Domain
Property
max length
3
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Organisation 0 … 1
prsb03-dataelement-11328
Id prsb03-dataelement-11328 (2019‑05‑30 12:55:19)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
Description The organisation the person completing the record works for.
Relationship
target Used by one transaction, 0 templates, inherited 0 times
 
draft Professional identifier 0 … 1
prsb03-dataelement-11329
Id prsb03-dataelement-11329 (2019‑05‑30 12:55:19)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
Description Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.

Properties

FHIR PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional)
Relationship
Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
Operationalization NHS data dictionary :- Professional registration identifier
Value Domain
Property
max length
32
target Used by one transaction, 0 templates, inherited 0 times
 
draft Date completed 0 … 1
prsb03-dataelement-11330
Id prsb03-dataelement-11330 (2019‑05‑30 12:55:19)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
Description The date and time the record was completed.
Relationship
Rationale Composition.date
Operationalization Date and time.
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by one transaction, 0 templates, inherited 0 times
 
draft Contact details 0 … 1
prsb03-dataelement-11331
Id prsb03-dataelement-11331 (2019‑05‑30 12:55:19)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
Description Contact details of the person completing the record.

Properties

FHIR PractitionerRole.telecom
Relationship
Rationale Practitioner.telecom

PractitionerRole.telecom

Organisation.telcom
Operationalization NHS data dictionary : - UK telephone number
Value Domain
Property
max length
35
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Safeguarding 0 … 1
prsb03-dataelement-271
Id prsb03-dataelement-271 (2018‑10‑31)
Cardinality 0 … 1
Context This section includes any concerns in relation to safeguarding and is applicable to children and adults. This section includes whether a child is looked after and indicates the presence of a Child Protection Plan or Unborn Child Protection Plan. There may be situations where it is not safe to share information in this section with the person to whom it relates, although the first choice should be to share this information with the person at risk or harm. so local implementations may need to apply filters in these cases. Appropriate policies and technical solutions need to be in place for these situations. Access must be controlled to this information as per SCCI1609: Child Protection - Information Sharing.
Description The safeguarding details of the person.
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Safeguarding concerns 0 … *
prsb03-dataelement-10821
Id prsb03-dataelement-10821 (2019‑03‑21 12:14:49)
Cardinality 0 … *
Description Details of safeguarding concerns
target Used by one transaction, 0 templates, inherited 0 times
 
draft Safeguarding concerns date 0 … 1
prsb03-dataelement-10172
Id prsb03-dataelement-10172 (2018‑10‑31)
Cardinality 0 … 1
Context Key contextual information. In the context of local authority information this would be the date the local authority was notified of the concern. This data item entry (along with safeguarding concerns end date, below) ensures the end user can ascertain which of a person’s safeguarding concern entries are contemporaneous and which are historical.
Description The date the safeguarding concerns were identified.
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by one transaction, 0 templates, inherited 0 times
 
draft Safeguarding concerns end date 0 … 1
prsb03-dataelement-10766
Id prsb03-dataelement-10766 (2019‑03‑18 17:51:29)
Cardinality 0 … 1
Context Key contextual information. In this context, this would be the date the safeguarding concern was closed (irrespective of whether an enquiry was triggered). This data item entry (along with safeguarding concerns start date, above) ensures the end user can ascertain which of a person’s safeguarding concern entries are contemporaneous and which are historical. 
Description The date safeguarding concerns ended.
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Location 0 … 1
prsb03-dataelement-10173
Id prsb03-dataelement-10173 (2018‑10‑31)
Cardinality 0 … 1
Description The location where the safeguarding concerns were identified.
target Used by one transaction, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-13437
Id prsb03-dataelement-13437 (2020‑08‑14 15:30:27)
Cardinality 0 … 1
Description The coded value of location
Operationalization NHS data dictionary : - Organisation code

Value Domain
Property
min length max length
3 9
target Used by one transaction, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13438
Id prsb03-dataelement-13438 (2020‑08‑14 15:32:13)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Safeguarding concerns 0 … 1
prsb03-dataelement-10171
Id prsb03-dataelement-10171 (2018‑10‑31)
Cardinality 0 … 1
Context It is recognised that local authorities may not record the details of safeguarding concerns as a matter of policy. In such scenarios, health organisations enquiring about a safeguarding flag may be directed to the local Multi-Agency Safeguarding Hub (MASH) team.
Description Identified safeguarding concerns.

Properties

FHIR Composition.text
target Used by one transaction, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-13756
Id prsb03-dataelement-13756 (2020‑09‑29 12:22:26)
Cardinality 0 … 1
Description The coded value for safeguarding concerns
Operationalization SNOMED CT : - 999002381000000108 | Safeguarding issues simple reference set (foundation metadata concept) |
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13757
Id prsb03-dataelement-13757 (2020‑09‑29 12:23:18)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Performing professional 0 … 1
prsb03-dataelement-11358
Id prsb03-dataelement-11358 (2019‑05‑30 13:51:50)
Cardinality 0 … 1
Description The professional who identified the safeguarding concerns.
Relationship
target Used by one transaction, 0 templates, inherited 0 times
 
draft Name 0 … 1
prsb03-dataelement-11359
Id prsb03-dataelement-11359 (2019‑05‑30 13:52:16)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
Description The name of the professional.
Rationale Practitioner.name
Operationalization Free text.
Value Domain
Property
max length
70
target Used by one transaction, 0 templates, inherited 0 times
 
draft Role 0 … 1
prsb03-dataelement-11360
Id prsb03-dataelement-11360 (2019‑05‑30 13:52:16)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
Description The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etc
Rationale Practitioner.PractitionerRole.code
Operationalization FHIR value set :- SDSjobroletype
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Grade 0 … 1
prsb03-dataelement-11361
Id prsb03-dataelement-11361 (2019‑05‑30 13:52:16)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
Description The grade of the professional.
Rationale PractitionerRole.code
Operationalization Free text
Value Domain
Property
max length
150
target Used by one transaction, 0 templates, inherited 0 times
 
draft Speciality 0 … 1
prsb03-dataelement-11362
Id prsb03-dataelement-11362 (2019‑05‑30 13:52:16)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
Description The specialty of the professional e.g. physiotherapy, oncology, mental health etc
Rationale PractitionerRole.speciality
Operationalization NHS data dictionary - Activity treatment function code
Value Domain
Property
max length
3
target Used by one transaction, 0 templates, inherited 0 times
 
draft Professional identifier 0 … 1
prsb03-dataelement-11363
Id prsb03-dataelement-11363 (2019‑05‑30 13:52:16)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
Description Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.
Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
Operationalization NHS data dictionary : - Professional registration identifier
Value Domain
Property
max length
32
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Organisation 0 … 1
prsb03-dataelement-11364
Id prsb03-dataelement-11364 (2019‑05‑30 13:52:16)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
Description The name of the organisation the professional works for.
target Used by one transaction, 0 templates, inherited 0 times
 
draft Contact details 0 … 1
prsb03-dataelement-11365
Id prsb03-dataelement-11365 (2019‑05‑30 13:52:16)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
Description Contact details of the professional
Rationale Practitioner.telecom

PractitionerRole.telecom

Organisation.telcom
Operationalization NHS data dictionary - UK phone number
Value Domain
Property
max length
35
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Person completing record 0 … 1
prsb03-dataelement-11366
Id prsb03-dataelement-11366 (2019‑05‑30 13:53:06)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
Description Details of the person completing the record.
Relationship
target Used by one transaction, 0 templates, inherited 0 times
 
draft Name 0 … 1
prsb03-dataelement-11367
Id prsb03-dataelement-11367 (2019‑05‑30 13:53:34)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
Description The name of the person completing the record.
Relationship
Rationale Composition.author.Practitioner.name
Operationalization Free text.
Value Domain
Property
max length
70
target Used by one transaction, 0 templates, inherited 0 times
 
draft Role 0 … 1
prsb03-dataelement-11368
Id prsb03-dataelement-11368 (2019‑05‑30 13:53:34)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
Description The organisational role of the person completing record.

Properties

FHIR PractitionerRole.code of the practitioner completing the record
Relationship
Rationale Composition.author.Practitioner.PractitionerRole.code
Operationalization FHIR value set :- SDSjobrole
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Grade 0 … 1
prsb03-dataelement-11369
Id prsb03-dataelement-11369 (2019‑05‑30 13:53:34)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
Description The grade of the person completing the record.
Relationship
Rationale PractitionerRole.code
Operationalization Free text.
Value Domain
Property
max length
150
target Used by one transaction, 0 templates, inherited 0 times
 
draft Specialty 0 … 1
prsb03-dataelement-11370
Id prsb03-dataelement-11370 (2019‑05‑30 13:53:34)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11293 (2019‑05‑30 12:25:39)
Description The main specialty of the person completing the record.

Properties

FHIR PractitionerRole.specialty
Relationship
Rationale PractitionerRole.speciality
Operationalization NHS data dictionary :- Activity treatment function code
Value Domain
Property
max length
3
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Organisation 0 … 1
prsb03-dataelement-11371
Id prsb03-dataelement-11371 (2019‑05‑30 13:53:34)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
Description The organisation the person completing the record works for.
Relationship
target Used by one transaction, 0 templates, inherited 0 times
 
draft Professional identifier 0 … 1
prsb03-dataelement-11372
Id prsb03-dataelement-11372 (2019‑05‑30 13:53:34)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
Description Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.

Properties

FHIR PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional)
Relationship
Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
Operationalization NHS data dictionary :- Professional registration identifier
Value Domain
Property
max length
32
target Used by one transaction, 0 templates, inherited 0 times
 
draft Date completed 0 … 1
prsb03-dataelement-11373
Id prsb03-dataelement-11373 (2019‑05‑30 13:53:34)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
Description The date and time the record was completed.
Relationship
Rationale Composition.date
Operationalization Date and time.
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by one transaction, 0 templates, inherited 0 times
 
draft Contact details 0 … 1
prsb03-dataelement-11374
Id prsb03-dataelement-11374 (2019‑05‑30 13:53:34)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
Description Contact details of the person completing the record.

Properties

FHIR PractitionerRole.telecom
Relationship
Rationale Practitioner.telecom

PractitionerRole.telecom

Organisation.telcom
Operationalization NHS data dictionary : - UK telephone number
Value Domain
Property
max length
35
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Local authority 0 … 1
prsb03-dataelement-13298
Id prsb03-dataelement-13298 (2020‑08‑06 12:38:23)
Cardinality 0 … 1
Context Key contextual information.
Description The details of the Local Authority that is responsible for providing care and support to the person.
target Used by one transaction, 0 templates, inherited 0 times
 
draft Organisation code 0 … 1
prsb03-dataelement-13299
Id prsb03-dataelement-13299 (2020‑08‑06 12:39:25)
Cardinality 0 … 1
Description The ODS (Organisation Data Service) code of the local authority that is responsible for providing care and support to the person.
Operationalization NHS data dictionary :- Organisation data service
Value Domain
Property
min length max length
3 5
target Used by one transaction, 0 templates, inherited 0 times
 
draft Local authority name 0 … 1
prsb03-dataelement-13300
Id prsb03-dataelement-13300 (2020‑08‑06 12:40:27)
Cardinality 0 … 1
Description The name of the local authority that is responsible for providing care and support to the person.
Operationalization Free text
Value Domain
Property
max length
150
target Used by one transaction, 0 templates, inherited 0 times
 
draft Social services team 0 … 1
prsb03-dataelement-13301
Id prsb03-dataelement-13301 (2020‑08‑06 12:41:15)
Cardinality 0 … 1
Description The name of the local authority social services team or department that is responsible for undertaking the care and support assessment for the person.
Operationalization Free text
Value Domain
Property
max length
150
target Used by one transaction, 0 templates, inherited 0 times
 
draft Local authority contact name 0 … 1
prsb03-dataelement-13302
Id prsb03-dataelement-13302 (2020‑08‑06 12:42:09)
Cardinality 0 … 1
Description The name of the person at the local authority who is responsible for liaising with the hospital in relation to the person’s discharge.
Operationalization Free text
Value Domain
Property
max length
35
target Used by one transaction, 0 templates, inherited 0 times
 
draft Local authority contact details 0 … 1
prsb03-dataelement-13303
Id prsb03-dataelement-13303 (2020‑08‑06 12:43:10)
Cardinality 0 … 1
Description The contact details of the person at the local authority who is responsible for liaising with the hospital in relation to the person’s discharge.
Operationalization Free text
Value Domain
Property
max length
150
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Professional contacts 0 … 1
prsb03-dataelement-452
Id prsb03-dataelement-452 (2018‑10‑31)
Cardinality 0 … 1
Context This section includes current and historic details of health and care professionals, teams or organisations involved in the care of the person and held in local authority records. Third sector organisations can be included.
Description The details of the person’s professional contacts.
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Professional contacts record entry 0 … *
prsb03-dataelement-10767
Id prsb03-dataelement-10767 (2019‑03‑18 18:07:16)
Cardinality 0 … *
Description This is a professional contacts record entry. There may be 0 to many record entries under a section. Each record entry is made up of a number of elements or data items.
target Used by one transaction, 0 templates, inherited 2 times
 
draft Name 0 … 1
prsb03-dataelement-10352
Id prsb03-dataelement-10352 (2018‑10‑31)
Cardinality 0 … 1
Description The name of the professional with responsibility for the care of the person.
Operationalization Free text
Value Domain
Property
max length
70
target Used by one transaction, 0 templates, inherited 2 times
 
draft Role 0 … 1
prsb03-dataelement-10353
Id prsb03-dataelement-10353 (2018‑10‑31)
Cardinality 0 … 1
Context NB: ‘Social worker’ is a protected title. Use free text for workers in adult social care who are not social workers.
Description The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker, key worker, care home manager, care coordinator, LA hospital liaison person, care home contact, hospital clinician, Independent Mental Capacity Advocate (IMCA) etc
Operationalization FHIR value set : - SDSjobrole
Value Domain
target Used by one transaction, 0 templates, inherited 2 times
 
draft Key worker 0 … 1
prsb03-dataelement-12973
Id prsb03-dataelement-12973 (2020‑04‑06 20:02:00)
Cardinality 0 … 1
Description A flag that identifies the personal contact is the key worker assigned to the person.
Operationalization Flag : - Yes or No
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Speciality 0 … 1
prsb03-dataelement-10354
Id prsb03-dataelement-10354 (2018‑10‑31)
Cardinality 0 … 1
Description The specialty of the professional e.g. physiotherapy, oncology, mental health etc
Operationalization NHS data dictionary : - Activity treatment function code
Value Domain
Property
max length
3
target Used by one transaction, 0 templates, inherited 2 times
 
draft Team 0 … 1
prsb03-dataelement-10355
Id prsb03-dataelement-10355 (2018‑10‑31)
Cardinality 0 … 1
Description The name of the team.
Operationalization Free text
Value Domain
Property
max length
35
target Used by one transaction, 0 templates, inherited 2 times
 
folder draft Organisation 0 … 1
prsb03-dataelement-10356
Id prsb03-dataelement-10356 (2018‑10‑31)
Cardinality 0 … 1
Description The name of the organisation.
target Used by one transaction, 0 templates, inherited 2 times
 
draft Coded value 0 … 1
prsb03-dataelement-13564
Id prsb03-dataelement-13564 (2020‑09‑04 18:18:34)
Cardinality 0 … 1
Description The coded value for location
Operationalization NHS data dictionary : - Organisation data service
Value Domain
Property
min length max length
3 5
target Used by one transaction, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13565
Id prsb03-dataelement-13565 (2020‑09‑04 18:19:37)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by one transaction, 0 templates, inherited 0 times
 
draft Contact details 0 … 1
prsb03-dataelement-10357
Id prsb03-dataelement-10357 (2018‑10‑31)
Cardinality 0 … 1
Description Contact details of the professional (e.g. telephone number, email address etc.).
Operationalization Free text
Value Domain
Property
max length
35
target Used by one transaction, 0 templates, inherited 2 times
 
draft Start date 0 … 1
prsb03-dataelement-10358
Id prsb03-dataelement-10358 (2018‑10‑31)
Cardinality 0 … 1
Context This data item entry (along with end date below) ensures the end user can ascertain which professional relationships are contemporaneous and which are historical.
Description The start date of the professional relationship with the person.
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by one transaction, 0 templates, inherited 2 times
 
draft End date 0 … 1
prsb03-dataelement-10359
Id prsb03-dataelement-10359 (2018‑10‑31)
Cardinality 0 … 1
Context This data item entry (along with start date above) ensures the end user can ascertain which professional relationships are contemporaneous and which are historical.
Description The end date of the professional relationship with the person.
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by one transaction, 0 templates, inherited 2 times
 
folder draft Personal contacts 0 … 1
prsb03-dataelement-445
Id prsb03-dataelement-445 (2018‑10‑31)
Cardinality 0 … 1
Context This section includes the personal contacts (e.g. family, friends, relatives etc.). Comments should be used to share information such as if a particular contact should be called in an emergency etc. 
Description The details of the individual's personal contacts.
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Personal contacts record entry 0 … *
prsb03-dataelement-10768
Id prsb03-dataelement-10768 (2019‑03‑19 13:05:13)
Cardinality 0 … *
Description This is personal contacts record entry. There may be 0 to many record entries under a section. Each record entry is made up of a number of elements or data items.
target Used by one transaction, 0 templates, inherited 0 times
 
draft Name 0 … 1
prsb03-dataelement-10345
Id prsb03-dataelement-10345 (2018‑10‑31)
Cardinality 0 … 1
Description The name of the personal contact.
Operationalization Free text
Value Domain
Property
max length
70
target Used by one transaction, 0 templates, inherited 0 times
 
draft Relationship 0 … 1
prsb03-dataelement-10346
Id prsb03-dataelement-10346 (2018‑10‑31)
Cardinality 0 … 1
Description The relationship the personal contact has to the person, e.g. father, grandmother, family friend etc.
Operationalization FHIR value set : - Related person
Value Domain
Property
default
10
target Used by one transaction, 0 templates, inherited 0 times
 
draft Relationship type 0 … *
prsb03-dataelement-12968
Id prsb03-dataelement-12968 (2020‑04‑06 13:13:10)
Cardinality 0 … *
Context NB: The term ‘next of kin’ has no legal basis. See here for further information.
Description Additional roles the person performs on behalf of the other (e.g. Carer, Next of Kin, Emergency Contact, Dependent, etc.)
Operationalization Free text
Value Domain
Property
max length
150
target Used by one transaction, 0 templates, inherited 0 times
 
draft Parental Responsibility 0 … 1
prsb03-dataelement-10347
Id prsb03-dataelement-10347 (2018‑10‑31)
Cardinality 0 … 1
Description Flag to indicate whether the personal contact has parental responsibility
Operationalization Flag ; - Yes or No
Value Domain
Property
max length
3
target Used by one transaction, 0 templates, inherited 0 times
 
draft Household member 0 … 1
prsb03-dataelement-10348
Id prsb03-dataelement-10348 (2018‑10‑31)
Cardinality 0 … 1
Description Status identifying whether the personal contact is a member of the same household
Operationalization Flag : - Yes or No
Value Domain
Property
max length
3
target Used by one transaction, 0 templates, inherited 0 times
 
draft Contact details 0 … 1
prsb03-dataelement-10350
Id prsb03-dataelement-10350 (2018‑10‑31)
Cardinality 0 … 1
Description Contact details of the personal contact (e.g. telephone number, email address etc.)
Operationalization Free Text
Value Domain
Property
max length
70
target Used by one transaction, 0 templates, inherited 0 times
 
draft NHS Number 0 … 1
prsb03-dataelement-10351
Id prsb03-dataelement-10351 (2018‑10‑31)
Cardinality 0 … 1
Description The NHS number of the personal contact
Operationalization NHS data dictionary:- NHS NUMBER
Value Domain
Property
max length
10
target Used by one transaction, 0 templates, inherited once
 
draft Comments 0 … 1
prsb03-dataelement-10937
Id prsb03-dataelement-10937 (2019‑05‑02 17:15:44)
Cardinality 0 … 1
Description Notes on the significance of the personal contact to the person.
Operationalization Free text
Value Domain
Property
max length
150
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Referral details 0 … 1
prsb03-dataelement-105
Id prsb03-dataelement-105 (2018‑10‑31)
Cardinality 0 … 1
Context This section includes a record of the current referrals made by the local authority but may also include details of other referrals that a local authority wishes to share. This section includes a record of current and historic referrals. Referral details includes the service a person is being referred from. A service may not always be coded. If the service is known, and a code is available, it should be included otherwise the service should be described in free text
Description The details of the referral.
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Referral details record entry 0 … *
prsb03-dataelement-10917
Id prsb03-dataelement-10917 (2019‑04‑09 15:59:55)
Cardinality 0 … *
Description This is the referral details record entry. There may be 0 to many record entries under a section. Each record entry is made up of a number of elements or data items.
target Used by one transaction, 0 templates, inherited 0 times
 
draft Date 0 … 1
prsb03-dataelement-10006
Id prsb03-dataelement-10006 (2018‑10‑31)
Cardinality 0 … 1
Description The date of referral
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Referrer details 0 … 1
prsb03-dataelement-10005
Id prsb03-dataelement-10005 (2018‑10‑31)
Cardinality 0 … 1
Description The details of the referrer.

This could be the person, GP surgery, department, specialty, sub-specialty, educational institution, mental health team etc.

Properties

FHIR Encounter.incomingreferral
target Used by one transaction, 0 templates, inherited 0 times
 
draft Name 0 … 1
prsb03-dataelement-10971
Id prsb03-dataelement-10971 (2019‑05‑22 16:29:39)
Cardinality 0 … 1
Description The name of the referrer.
Operationalization Free text
Value Domain
Property
max length
70
target Used by one transaction, 0 templates, inherited 0 times
 
draft Role 0 … 1
prsb03-dataelement-10972
Id prsb03-dataelement-10972 (2019‑05‑22 16:30:25)
Cardinality 0 … 1
Description Role of the referrer.
Operationalization FHIR value set : - sdsjobrole
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Grade 0 … 1
prsb03-dataelement-10973
Id prsb03-dataelement-10973 (2019‑05‑22 16:31:10)
Cardinality 0 … 1
Description The grade of the referrer.
Operationalization Free text
Value Domain
Property
max length
150
target Used by one transaction, 0 templates, inherited 0 times
 
draft Team 0 … 1
prsb03-dataelement-12409
Id prsb03-dataelement-12409 (2019‑06‑05 18:11:50)
Cardinality 0 … 1
Description The team or department of the referrer.
Operationalization Free text
Value Domain
Property
max length
150
target Used by one transaction, 0 templates, inherited 0 times
 
draft Specialty 0 … 1
prsb03-dataelement-12410
Id prsb03-dataelement-12410 (2019‑06‑05 18:12:15)
Cardinality 0 … 1
Description The specialty of the referrer.
Operationalization NHS data dictionary - Activity treatment function code
Value Domain
Property
max length
3
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Service 0 … 1
prsb03-dataelement-12411
Id prsb03-dataelement-12411 (2019‑06‑05 18:20:01)
Cardinality 0 … 1
Description The service of the referrer.
target Used by one transaction, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-13397
Id prsb03-dataelement-13397 (2020‑08‑10 19:10:14)
Cardinality 0 … 1
Description The coded value for service
Operationalization SNOMED CT: - 1127531000000102 |Services simple reference set (foundation metadata concept)|
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13398
Id prsb03-dataelement-13398 (2020‑08‑10 19:11:12)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Organisation 0 … 1
prsb03-dataelement-10974
Id prsb03-dataelement-10974 (2019‑05‑22 16:31:40)
Cardinality 0 … 1
Description The organisation of the referrer.
target Used by one transaction, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-13399
Id prsb03-dataelement-13399 (2020‑08‑10 19:14:38)
Cardinality 0 … 1
Description The coded value for organisation code
Operationalization NHS data dictionary : - Organisation data service
Value Domain
Property
min length max length
3 5
target Used by one transaction, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13400
Id prsb03-dataelement-13400 (2020‑08‑10 19:17:07)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by one transaction, 0 templates, inherited 0 times
 
draft Contact details 0 … 1
prsb03-dataelement-10975
Id prsb03-dataelement-10975 (2019‑05‑22 16:33:49)
Cardinality 0 … 1
Description The contact details of the referrer.
Operationalization Free text
Value Domain
Property
max length
70
target Used by one transaction, 0 templates, inherited 0 times
 
draft Referral type 0 … 1
prsb03-dataelement-12967
Id prsb03-dataelement-12967 (2020‑04‑03 18:18:08)
Cardinality 0 … 1
Description An indication of the type of referral (e.g. 'Hospital Discharge Notification to Social Care', 'GP Referral', etc.)
Value Domain
Property
max length
150
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Reason for referral 0 … 1
prsb03-dataelement-10011
Id prsb03-dataelement-10011 (2018‑10‑31)
Cardinality 0 … 1
Context In a social care context other reasons for referral may include, for assessment of a person with dementia, accommodation needs, social care needs assessment etc.
Description The reason for the referral, e.g. diagnosis, treatment, transfer of care due to relocation, investigation, second opinion, management of the patient (e.g. palliative care), or carer's concerns.
Operationalization Free text
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Referral to 0 … 1
prsb03-dataelement-10008
Id prsb03-dataelement-10008 (2018‑10‑31)
Cardinality 0 … 1
Description Details of where the referral is to be sent.

If not an individual, this could be a service, e.g. GP surgery, department, specialty, subspecialty, educational institution, mental health etc.
target Used by one transaction, 0 templates, inherited 0 times
 
draft Name 0 … 1
prsb03-dataelement-10977
Id prsb03-dataelement-10977 (2019‑05‑22 17:56:22)
Cardinality 0 … 1
Description Name of person the referral is to be sent to.
Operationalization Free text
Value Domain
Property
max length
70
target Used by one transaction, 0 templates, inherited 0 times
 
draft Role 0 … 1
prsb03-dataelement-10978
Id prsb03-dataelement-10978 (2019‑05‑22 17:56:39)
Cardinality 0 … 1
Description Role of person where the referral is to be sent to.
Operationalization FHIR value set : - sdsjobrole
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Grade 0 … 1
prsb03-dataelement-10979
Id prsb03-dataelement-10979 (2019‑05‑22 17:56:51)
Cardinality 0 … 1
Description The grade of the person where the referral is sent to.
Operationalization Free text
Value Domain
Property
max length
150
target Used by one transaction, 0 templates, inherited 0 times
 
draft Team 0 … 1
prsb03-dataelement-10982
Id prsb03-dataelement-10982 (2019‑05‑22 17:59:49)
Cardinality 0 … 1
Description The team or department of the person where the referral is being sent to
Operationalization Free text.
Value Domain
Property
max length
150
target Used by one transaction, 0 templates, inherited 0 times
 
draft Specialty 0 … 1
prsb03-dataelement-10983
Id prsb03-dataelement-10983 (2019‑05‑22 18:00:28)
Cardinality 0 … 1
Description The specialty the referral is being sent to e.g. physiotherapy, oncology, mental health etc
Operationalization NHS data dictionary - Activity treatment function code
Value Domain
Property
max length
3
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Service 0 … 1
prsb03-dataelement-12412
Id prsb03-dataelement-12412 (2019‑06‑05 18:20:52)
Cardinality 0 … 1
Description The service of where the referral is sent to.
target Used by one transaction, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-13509
Id prsb03-dataelement-13509 (2020‑09‑03 17:50:24)
Cardinality 0 … 1
Description The coded value for service
Operationalization SNOMED CT: - 1127531000000102 |Services simple reference set (foundation metadata concept)|
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13510
Id prsb03-dataelement-13510 (2020‑09‑03 17:51:06)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Organisation 0 … 1
prsb03-dataelement-10980
Id prsb03-dataelement-10980 (2019‑05‑22 17:57:10)
Cardinality 0 … 1
Description The organisation of where the referral is to be sent.
target Used by one transaction, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-13511
Id prsb03-dataelement-13511 (2020‑09‑03 17:54:29)
Cardinality 0 … 1
Description The coded value for organisation
Operationalization NHS data dictionary :- Organisation data service
Value Domain
Property
min length max length
3 5
target Used by one transaction, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13512
Id prsb03-dataelement-13512 (2020‑09‑03 17:55:57)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by one transaction, 0 templates, inherited 0 times
 
draft Contact details 0 … 1
prsb03-dataelement-10981
Id prsb03-dataelement-10981 (2019‑05‑22 17:57:26)
Cardinality 0 … 1
Description The contact details of where the referral is to be sent.
Operationalization Free text.
Value Domain
Property
max length
70
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Services and care 0 … 1
prsb03-dataelement-10044
Id prsb03-dataelement-10044 (2018‑10‑31)
Cardinality 0 … 1
Context This section is a record of the services being provided (or that have previously been provided) by the local authority or arranged by the local authority and provided by a care agency or other service provider.
Description The services and care provided for the person.
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Services and care record entry 0 … *
prsb03-dataelement-12421
Id prsb03-dataelement-12421 (2019‑06‑11 16:55:24)
Cardinality 0 … *
Description This is a services and care record entry. There may be 0 to many record entries under a section. Each record entry is made up of a number of elements or data items.
target Used by one transaction, 0 templates, inherited 0 times
 
draft Social care package name 0 … 1
prsb03-dataelement-12965
Id prsb03-dataelement-12965 (2020‑04‑03 17:21:47)
Cardinality 0 … 1
Description Name of specific type of package being provided (e.g. Reablement, Home Based Care XYZ, etc)
Operationalization Free text
Value Domain
Property
max length
150
target Used by one transaction, 0 templates, inherited 0 times
 
draft Social care package type 0 … 1
prsb03-dataelement-12966
Id prsb03-dataelement-12966 (2020‑04‑03 17:25:36)
Cardinality 0 … 1
Description Higher level categorisation of package type, e.g. Adults Home Support
Operationalization Free text
Value Domain
Property
max length
150
target Used by one transaction, 0 templates, inherited 0 times
 
draft Service start date 0 … 1
prsb03-dataelement-11834
Id prsb03-dataelement-11834 (2019‑05‑31 14:28:13)
Cardinality 0 … 1
Context This data item entry (along with service end date) ensures the end user can ascertain which services are contemporaneous and which are historical.
Description The date service started to be provided.
Relationship
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by one transaction, 0 templates, inherited 0 times
 
draft Service end date 0 … 1
prsb03-dataelement-12420
Id prsb03-dataelement-12420 (2019‑06‑07 19:30:52)
Cardinality 0 … 1
Context This data item entry (along with service start date) ensures the end user can ascertain which services are contemporaneous and which are historical.
Description The date the service is planned to be ended or the actual end date.
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Local authority 0 … 1
prsb03-dataelement-11835
Id prsb03-dataelement-11835 (2019‑05‑31 14:28:42)
Cardinality 0 … 1
Context If a care agency or other professional or organisation is providing the care package. The professional or organisation providing the service, along with contact details should be made available where possible (in the ‘Performing professional’ subsection of Services and care – see PRSB Core Information Standard).
Description The name of the local authority providing the care package.
Relationship
target Used by one transaction, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-13566
Id prsb03-dataelement-13566 (2020‑09‑04 18:45:25)
Cardinality 0 … 1
Description The coded value for local authority
Operationalization NHS data dictionary: - Organisation data service
Value Domain
Property
min length max length
3 5
target Used by one transaction, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13567
Id prsb03-dataelement-13567 (2020‑09‑04 18:46:37)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by one transaction, 0 templates, inherited 0 times
 
draft Care funding source 0 … 1
prsb03-dataelement-13067
Id prsb03-dataelement-13067 (2020‑05‑21 13:41:46)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-10410 (2018‑10‑31)
Description A reference to the funding source and any conditions or limitations associated.
Operationalization Free text
Value Domain
Property
max length
150
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Person completing record 0 … 1
prsb03-dataelement-11593
Id prsb03-dataelement-11593 (2019‑05‑30 14:59:53)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
Description Details of the person completing the record.
Relationship
target Used by one transaction, 0 templates, inherited 0 times
 
draft Name 0 … 1
prsb03-dataelement-11594
Id prsb03-dataelement-11594 (2019‑05‑30 15:00:18)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
Description The name of the person completing the record.
Relationship
Rationale Composition.author.Practitioner.name
Operationalization Free text.
Value Domain
Property
max length
70
target Used by one transaction, 0 templates, inherited 0 times
 
draft Role 0 … 1
prsb03-dataelement-11595
Id prsb03-dataelement-11595 (2019‑05‑30 15:00:18)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
Description The organisational role of the person completing record.

Properties

FHIR PractitionerRole.code of the practitioner completing the record
Relationship
Rationale Composition.author.Practitioner.PractitionerRole.code
Operationalization FHIR value set :- SDSjobrole
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Grade 0 … 1
prsb03-dataelement-11596
Id prsb03-dataelement-11596 (2019‑05‑30 15:00:18)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
Description The grade of the person completing the record.
Relationship
Rationale PractitionerRole.code
Operationalization Free text.
Value Domain
Property
max length
150
target Used by one transaction, 0 templates, inherited 0 times
 
draft Specialty 0 … 1
prsb03-dataelement-11597
Id prsb03-dataelement-11597 (2019‑05‑30 15:00:18)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11293 (2019‑05‑30 12:25:39)
Description The main specialty of the person completing the record.

Properties

FHIR PractitionerRole.specialty
Relationship
Rationale PractitionerRole.speciality
Operationalization NHS data dictionary :- Activity treatment function code
Value Domain
Property
max length
3
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Organisation 0 … 1
prsb03-dataelement-11598
Id prsb03-dataelement-11598 (2019‑05‑30 15:00:18)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
Description The organisation the person completing the record works for.
Relationship
target Used by one transaction, 0 templates, inherited 0 times
 
draft Professional identifier 0 … 1
prsb03-dataelement-11599
Id prsb03-dataelement-11599 (2019‑05‑30 15:00:18)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
Description Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.

Properties

FHIR PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional)
Relationship
Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
Operationalization NHS data dictionary :- Professional registration identifier
Value Domain
Property
max length
32
target Used by one transaction, 0 templates, inherited 0 times
 
draft Date completed 0 … 1
prsb03-dataelement-11600
Id prsb03-dataelement-11600 (2019‑05‑30 15:00:18)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
Description The date and time the record was completed.
Relationship
Rationale Composition.date
Operationalization Date and time.
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by one transaction, 0 templates, inherited 0 times
 
draft Contact details 0 … 1
prsb03-dataelement-11601
Id prsb03-dataelement-11601 (2019‑05‑30 15:00:18)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
Description Contact details of the person completing the record.

Properties

FHIR PractitionerRole.telecom
Relationship
Rationale Practitioner.telecom

PractitionerRole.telecom

Organisation.telcom
Operationalization NHS data dictionary : - UK telephone number
Value Domain
Property
max length
35
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Primary support reason 0 … 1
prsb03-dataelement-12974
Id prsb03-dataelement-12974 (2020‑04‑06 20:09:53)
Cardinality 0 … 1
Context Data entry should include one of the six primary support reason classifications and/or subclassifications, described in the Equalities and Classifications Framework (EQ-CL). In addition, examples may be given.
Description The primary support reason for social care.
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Primary support reason record entry 0 … *
prsb03-dataelement-12975
Id prsb03-dataelement-12975 (2020‑04‑06 20:14:11)
Cardinality 0 … *
Description This is a primary support reason 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.
target Used by one transaction, 0 templates, inherited 0 times
 
draft Primary support reason 0 … 1
prsb03-dataelement-12976
Id prsb03-dataelement-12976 (2020‑04‑06 20:15:36)
Cardinality 0 … 1
Description The Primary Support Reason used to classify a person for National Reporting on Short and Long Term Services (SALT) e.g. Learning disability support, mental health support, physical support
Operationalization Free text
Value Domain
Property
max length
150
target Used by one transaction, 0 templates, inherited 0 times
 
draft Active 0 … 1
prsb03-dataelement-13305
Id prsb03-dataelement-13305 (2020‑08‑06 13:21:08)
Cardinality 0 … 1
Context As local authorities may record multiple primary support reasons over time, but only one is active (reason for funding). This flag is necessary to easily distinguish the current support reason.
Description Flag to indicate whether the primary support reason is currently active
Operationalization Flag: - Yes or No
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Start date 0 … 1
prsb03-dataelement-13306
Id prsb03-dataelement-13306 (2020‑08‑06 13:22:22)
Cardinality 0 … 1
Context Key contextual information. This data item entry provides the end user with historical context relating to the primary support reason.
Description The date a primary support reason was authorised as active.
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by one transaction, 0 templates, inherited 0 times
 
draft End date 0 … 1
prsb03-dataelement-13307
Id prsb03-dataelement-13307 (2020‑08‑06 13:22:57)
Cardinality 0 … 1
Context Key contextual information. This data item entry provides the end user with historical context relating to the primary support reason.
Description The end date of authorisation.
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Assessments 0 … 1
prsb03-dataelement-262
Id prsb03-dataelement-262 (2018‑10‑31)
Cardinality 0 … 1
Description Details of the person's assessments
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Assessments record entry 0 … *
prsb03-dataelement-11664
Id prsb03-dataelement-11664 (2019‑05‑30 19:29:51)
Cardinality 0 … *
Description This is the assessments 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.
target Used by one transaction, 0 templates, inherited 0 times
 
draft Date 0 … 1
prsb03-dataelement-10763
Id prsb03-dataelement-10763 (2019‑03‑18 13:51:22)
Cardinality 0 … 1
Description The date the assessment was done.
Relationship
Operationalization Date and time.
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Location 0 … 1
prsb03-dataelement-10764
Id prsb03-dataelement-10764 (2019‑03‑18 13:51:59)
Cardinality 0 … 1
Description The location where the assessment was done.
Relationship
Operationalization ODS code or free text.
target Used by one transaction, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-13570
Id prsb03-dataelement-13570 (2020‑09‑07 15:40:22)
Cardinality 0 … 1
Description The coded value for location
Operationalization NHS data dictionary: - Organisation data service
Value Domain
Property
min length max length
3 5
target Used by one transaction, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13571
Id prsb03-dataelement-13571 (2020‑09‑07 15:41:51)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by one transaction, 0 templates, inherited 0 times
 
draft Assessment type 0 … 1
prsb03-dataelement-10822
Id prsb03-dataelement-10822 (2019‑03‑21 12:55:22)
Cardinality 0 … 1
Description The type of the assessment e.g. social care needs assessment.
Operationalization Free text
Value Domain
Property
max length
150
target Used by one transaction, 0 templates, inherited 0 times
 
draft Assessment summary 0 … 1
prsb03-dataelement-10754
Id prsb03-dataelement-10754 (2019‑03‑07 18:21:12)
Cardinality 0 … 1
Description The summary of the assessment
Operationalization Free text
Value Domain
Property
max length
250
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Structured assessment 0 … 1
prsb03-dataelement-10655
Id prsb03-dataelement-10655 (2018‑11‑13 12:15:56)
Cardinality 0 … 1
Description Details of the structured assessment.
target Used by one transaction, 0 templates, inherited 0 times
 
draft Structured assessment name 0 … 1
prsb03-dataelement-11751
Id prsb03-dataelement-11751 (2019‑05‑31 13:52:26)
Cardinality 0 … 1
Description Structured assessment name e.g. New York Heart Failure, Glasgow Coma scale, Activities of Daily Living (ADL) etc.
Operationalization SNOMED CT
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Assessment score 0 … 1
prsb03-dataelement-10162
Id prsb03-dataelement-10162 (2018‑10‑31)
Cardinality 0 … 1
Description The structured assessment score.
Operationalization Free text.
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Assessment value 0 … 1
prsb03-dataelement-10163
Id prsb03-dataelement-10163 (2018‑10‑31)
Cardinality 0 … 1
Description The structured assessment value.
Operationalization Numeric
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Global score 0 … 1
prsb03-dataelement-10166
Id prsb03-dataelement-10166 (2018‑10‑31)
Cardinality 0 … 1
Description The total global score from the assessment.
Operationalization Free text
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Subscale score 0 … 1
prsb03-dataelement-10169
Id prsb03-dataelement-10169 (2018‑10‑31)
Cardinality 0 … 1
Description The subscale score of the structured assessment.
Operationalization Free text.
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Subscale value 0 … 1
prsb03-dataelement-10170
Id prsb03-dataelement-10170 (2018‑10‑31)
Cardinality 0 … 1
Description The subscale value of the structured assessment.
Operationalization Numeric
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Performing professional 0 … 1
prsb03-dataelement-12382
Id prsb03-dataelement-12382 (2019‑06‑03 16:02:23)
Cardinality 0 … 1
Description The professional who did the assessment.
Relationship
target Used by one transaction, 0 templates, inherited 0 times
 
draft Name 0 … 1
prsb03-dataelement-12383
Id prsb03-dataelement-12383 (2019‑06‑03 16:02:46)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
Description The name of the professional.
Rationale Practitioner.name
Operationalization Free text.
Value Domain
Property
max length
70
target Used by one transaction, 0 templates, inherited 0 times
 
draft Role 0 … 1
prsb03-dataelement-12384
Id prsb03-dataelement-12384 (2019‑06‑03 16:02:46)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
Description The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etc
Rationale Practitioner.PractitionerRole.code
Operationalization FHIR value set :- SDSjobroletype
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Grade 0 … 1
prsb03-dataelement-12385
Id prsb03-dataelement-12385 (2019‑06‑03 16:02:46)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
Description The grade of the professional.
Rationale PractitionerRole.code
Operationalization Free text
Value Domain
Property
max length
150
target Used by one transaction, 0 templates, inherited 0 times
 
draft Speciality 0 … 1
prsb03-dataelement-12386
Id prsb03-dataelement-12386 (2019‑06‑03 16:02:46)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
Description The specialty of the professional e.g. physiotherapy, oncology, mental health etc
Rationale PractitionerRole.speciality
Operationalization NHS data dictionary - Activity treatment function code
Value Domain
Property
max length
3
target Used by one transaction, 0 templates, inherited 0 times
 
draft Professional identifier 0 … 1
prsb03-dataelement-12387
Id prsb03-dataelement-12387 (2019‑06‑03 16:02:46)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
Description Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.
Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
Operationalization NHS data dictionary : - Professional registration identifier
Value Domain
Property
max length
32
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Organisation 0 … 1
prsb03-dataelement-12388
Id prsb03-dataelement-12388 (2019‑06‑03 16:02:46)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
Description The name of the organisation the professional works for.
target Used by one transaction, 0 templates, inherited 0 times
 
draft Contact details 0 … 1
prsb03-dataelement-12389
Id prsb03-dataelement-12389 (2019‑06‑03 16:02:46)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
Description Contact details of the professional
Rationale Practitioner.telecom

PractitionerRole.telecom

Organisation.telcom
Operationalization NHS data dictionary - UK phone number
Value Domain
Property
max length
35
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Person completing record 0 … 1
prsb03-dataelement-11752
Id prsb03-dataelement-11752 (2019‑05‑31 14:08:29)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
Description Details of the person completing the record.
Relationship
target Used by one transaction, 0 templates, inherited 0 times
 
draft Name 0 … 1
prsb03-dataelement-11753
Id prsb03-dataelement-11753 (2019‑05‑31 14:08:52)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
Description The name of the person completing the record.
Relationship
Rationale Composition.author.Practitioner.name
Operationalization Free text.
Value Domain
Property
max length
70
target Used by one transaction, 0 templates, inherited 0 times
 
draft Role 0 … 1
prsb03-dataelement-11754
Id prsb03-dataelement-11754 (2019‑05‑31 14:08:52)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
Description The organisational role of the person completing record.

Properties

FHIR PractitionerRole.code of the practitioner completing the record
Relationship
Rationale Composition.author.Practitioner.PractitionerRole.code
Operationalization FHIR value set :- SDSjobrole
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Grade 0 … 1
prsb03-dataelement-11755
Id prsb03-dataelement-11755 (2019‑05‑31 14:08:52)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
Description The grade of the person completing the record.
Relationship
Rationale PractitionerRole.code
Operationalization Free text.
Value Domain
Property
max length
150
target Used by one transaction, 0 templates, inherited 0 times
 
draft Specialty 0 … 1
prsb03-dataelement-11756
Id prsb03-dataelement-11756 (2019‑05‑31 14:08:52)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11293 (2019‑05‑30 12:25:39)
Description The main specialty of the person completing the record.

Properties

FHIR PractitionerRole.specialty
Relationship
Rationale PractitionerRole.speciality
Operationalization NHS data dictionary :- Activity treatment function code
Value Domain
Property
max length
3
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Organisation 0 … 1
prsb03-dataelement-11757
Id prsb03-dataelement-11757 (2019‑05‑31 14:08:52)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
Description The organisation the person completing the record works for.
Relationship
target Used by one transaction, 0 templates, inherited 0 times
 
draft Professional identifier 0 … 1
prsb03-dataelement-11758
Id prsb03-dataelement-11758 (2019‑05‑31 14:08:52)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
Description Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.

Properties

FHIR PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional)
Relationship
Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
Operationalization NHS data dictionary :- Professional registration identifier
Value Domain
Property
max length
32
target Used by one transaction, 0 templates, inherited 0 times
 
draft Date completed 0 … 1
prsb03-dataelement-11759
Id prsb03-dataelement-11759 (2019‑05‑31 14:08:52)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
Description The date and time the record was completed.
Relationship
Rationale Composition.date
Operationalization Date and time.
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by one transaction, 0 templates, inherited 0 times
 
draft Contact details 0 … 1
prsb03-dataelement-11760
Id prsb03-dataelement-11760 (2019‑05‑31 14:08:52)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
Description Contact details of the person completing the record.

Properties

FHIR PractitionerRole.telecom
Relationship
Rationale Practitioner.telecom

PractitionerRole.telecom

Organisation.telcom
Operationalization NHS data dictionary : - UK telephone number
Value Domain
Property
max length
35
target Used by one transaction, 0 templates, inherited 0 times
 
draft Comment 0 … 1
prsb03-dataelement-10164
Id prsb03-dataelement-10164 (2018‑10‑31)
Cardinality 0 … 1
Description Supporting text may be given regarding the assessment.
Operationalization Free text
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Equipment and adaptations 0 … 1
prsb03-dataelement-12969
Id prsb03-dataelement-12969 (2020‑04‑06 18:25:26)
Cardinality 0 … 1
Context It is recognised that detailed data about the type of equipment provided by the local authority to the patient are generally not recorded in a structured way in social care. Details relating to equipment, such as review or maintenance requirements may be obtainable from assisted living services the contact details of which, can be stored in local or shared care records under ‘Comment’. Major and/or minor adaptations should also be entered in this section. Note that some equipment may be considered to be part of medical devices in the CIS – See Core Information Standard Implementation Guidance (update in progress).
Description Details of equipment/asset (or modifications) that the Local Authority has provided to the patient.
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Equipment record entry 0 … *
prsb03-dataelement-12970
Id prsb03-dataelement-12970 (2020‑04‑06 18:27:46)
Cardinality 0 … *
Description This is a equipment record entry. There may be 1 to many record entries under a section.
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Equipment name 0 … 1
prsb03-dataelement-12971
Id prsb03-dataelement-12971 (2020‑04‑06 19:22:47)
Cardinality 0 … 1
Description The name of the equipment (e.g. 'Keysafe', 'Handrail' 'Lifeline Alarm', etc.)
target Used by one transaction, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-13780
Id prsb03-dataelement-13780 (2020‑10‑21 16:01:39)
Cardinality 0 … 1
Description The coded value for equipment name
Operationalization SNOMED CT
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13782
Id prsb03-dataelement-13782 (2020‑10‑21 16:08:03)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by one transaction, 0 templates, inherited 0 times
 
draft Date 0 … 1
prsb03-dataelement-13066
Id prsb03-dataelement-13066 (2020‑05‑18 17:47:43)
Cardinality 0 … 1
Description
The date the equipment was issued.
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by one transaction, 0 templates, inherited 0 times
 
draft Comment 0 … 1
prsb03-dataelement-12972
Id prsb03-dataelement-12972 (2020‑04‑06 19:25:30)
Cardinality 0 … 1
Context For smaller equipment issued by the local authority details that could be recorded under this element as free text include ordering, implementation date, six weeks review and annual review etc.
Description Any further details about the equipment, e.g. position of handrail(s) within the person's home
Operationalization Free text
Value Domain
Property
max length
150
target Used by one transaction, 0 templates, inherited 0 times