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draft Transaction Personalised care and support plan 2.16.840.1.113883.3.1937.777.28.4.208

Data Set PRSB Record structure and content 2.16.840.1.113883.3.1937.777.28.1.1

Name Id
draft Personalised care and support plan (1.3) 2.16.840.1.113883.3.1937.777.28.4.208
Version / effective date Expiration date
2021‑01‑08 14:21:57
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
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 1 … 1 Mandatory
prsb03-dataelement-13799
Id prsb03-dataelement-13799 (2020‑11‑09 16:09:39)
Cardinality 1 … 1 Mandatory
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 1 … 1 Mandatory
prsb03-dataelement-13800
Id prsb03-dataelement-13800 (2020‑11‑09 16:43:41)
Cardinality 1 … 1 Mandatory
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
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
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
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 Person alias 0 … *
prsb03-dataelement-10873
Id prsb03-dataelement-10873 (2019‑03‑27 19:10:48) 1
Cardinality 0 … *
Description Other name(s) associated with the person.
Relationship
Operationalization Free text
Value Domain
Property
max length
70
target Used by one transaction, 0 templates, inherited 0 times
 
draft Ethnicity 0 … 1
prsb03-dataelement-10874
Id prsb03-dataelement-10874 (2019‑03‑27 19:11:37) 1
Cardinality 0 … 1
Description The ethnicity of the person as specified by the person.
Relationship
Rationale Patient.extension(ethnicCategory)
Source NHS_Wales: https://fhir.standards.wales/CodeSystem/DataStandardsWales-Ethnicity

NHS_NSS: https://www.ndc.scot.nhs.uk/Dictionary-A-Z/Definitions/index.asp?Search=E&ID=243&Title=Ethnic%20Group
Operationalization NHS data dictionary :- Ethnic category
Value Domain
Property
max length
2
target Used by one transaction, 0 templates, inherited 0 times
 
draft Religion 0 … 1
prsb03-dataelement-10876
Id prsb03-dataelement-10876 (2019‑03‑27 19:15:05) 1
Cardinality 0 … 1
Description The religious affiliation as specified by the person.
Relationship
Rationale Patient.extension(religiousAffiliation)
Source NHS NSS: - https://www.ndc.scot.nhs.uk/Dictionary-A-Z/Definitions/index.asp?Search=R&ID=795&Title=Religion
Operationalization SNOMED_CT: ^999000531000000100 |Religious or other belief system affiliation simple reference set (foundation metadata concept)|
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Sex 0 … 1
prsb03-dataelement-10877
Id prsb03-dataelement-10877 (2019‑03‑27 19:15:45) 1
Cardinality 0 … 1
notice There is an open issue with this item:
Description The person’s phenotypic sex. Determines how the person will be treated clinically.
Relationship
Operationalization NHS data dictionary:- person phenotypic sex classification
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
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 … *
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
prsb03-dataelement-10881
Id prsb03-dataelement-10881 (2019‑03‑27 19:19:27)
Cardinality 1 … 1
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 1 … 1 Mandatory
prsb03-dataelement-13082
Id prsb03-dataelement-13082 (2020‑05‑29 15:28:51)
Cardinality 1 … 1 Mandatory
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 1 … 1 Mandatory
prsb03-dataelement-13087
Id prsb03-dataelement-13087 (2020‑06‑01 11:40:09)
Cardinality 1 … 1 Mandatory
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 Address type 0 … 1
prsb03-dataelement-13221
Id prsb03-dataelement-13221 (2020‑07‑08 15:58:39)
Cardinality 0 … 1
Description The type of address e.g. Main address, Temp address
Rationale Patient.address.use
Operationalization NHS data dictionary : - Address association type
Value Domain
Property
max length
1
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Person's contact details 0 … 1
prsb03-dataelement-13804
Id prsb03-dataelement-13804 (2020‑11‑25 18:32:36)
Cardinality 0 … 1
Description Details of the person's contact information.
target Used by one transaction, 0 templates, inherited 0 times
 
draft Preferred contact method 0 … 1
prsb03-dataelement-10886
Id prsb03-dataelement-10886 (2019‑03‑27 19:29:17)
Cardinality 0 … 1
Description Preferred contact method, e.g. email, letter, phone, text message etc.
Relationship
Operationalization NHS data dictionary :- Communication contact method
Value Domain
Property
max length
1
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Person's telephone number details 0 … 1
prsb03-dataelement-10883
Id prsb03-dataelement-10883 (2019‑03‑27 19:22:39)
Cardinality 0 … 1
Description The person's telephone number details

Properties

FHIR Patient.telecom
Relationship
target Used by one transaction, 0 templates, inherited 0 times
 
draft Person's telephone number 0 … 1
prsb03-dataelement-13808
Id prsb03-dataelement-13808 (2020‑11‑26 16:51:24)
Cardinality 0 … 1
Description The person's telephone number
Rationale Patient.contact.telecon.value
Operationalization NHS data dictionary : - UK telephone number
Value Domain
Property
max length
35
target Used by one transaction, 0 templates, inherited 0 times
 
draft Person's telephone number type 0 … 1
prsb03-dataelement-13805
Id prsb03-dataelement-13805 (2020‑11‑25 18:37:54)
Cardinality 0 … 1
Description The contact type e.g. home, mobile
Rationale Patient.telecon.use
Operationalization FHIR value set: - Contact point use
Value Domain
Property
max length
6
Example Home
Example Mobile
Example Temp
Example Old
Example Work
target Used by one transaction, 0 templates, inherited 0 times
 
draft Preference of telephone number 0 … 1
prsb03-dataelement-13809
Id prsb03-dataelement-13809 (2020‑11‑26 16:55:09)
Cardinality 0 … 1
Description The preferred order of use for the telephone number
Rationale Patient.telecom.rank
Operationalization Preference of use 1-5, 1 being the highest.
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Person's email address details 0 … 1
prsb03-dataelement-13807
Id prsb03-dataelement-13807 (2020‑11‑26 16:29:22)
Cardinality 0 … 1
Description Details of the person's email address
target Used by one transaction, 0 templates, inherited 0 times
 
draft Person's email address 0 … 1
prsb03-dataelement-10882
Id prsb03-dataelement-10882 (2019‑03‑27 19:20:19)
Cardinality 0 … 1
Description Email address of the person.

Properties

FHIR Patient.telecom
Relationship
Rationale Patient.contact.telecon.value
Operationalization NHS data dictionary :- Contact email address
Value Domain
Property
max length
255
target Used by one transaction, 0 templates, inherited 0 times
 
draft Person's email address type 0 … 1
prsb03-dataelement-13811
Id prsb03-dataelement-13811 (2020‑11‑26 17:30:54)
Cardinality 0 … 1
Description The type of email address, home, work
Rationale Patient.telecon.use
Operationalization FHIR value set: - Contact point use
Value Domain
Property
max length
6
Example Home
Example Work
Example old
target Used by one transaction, 0 templates, inherited 0 times
 
draft Preference of email address 0 … 1
prsb03-dataelement-13810
Id prsb03-dataelement-13810 (2020‑11‑26 17:07:11)
Cardinality 0 … 1
Description The preferred order of use of email address
Rationale Patient.telecon.rank
Operationalization Preference of use 1-5, 1 being the highest.
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Other contact information 0 … 1
prsb03-dataelement-13806
Id prsb03-dataelement-13806 (2020‑11‑26 16:07:06)
Cardinality 0 … 1
Description Contact details via fax, sms, url
Rationale Patient.contact.telecon.value
Operationalization NHS data dictionary:- Communication contact string
Value Domain
Property
max length
255
target Used by one transaction, 0 templates, inherited 0 times
 
draft Place of birth 0 … 1
prsb03-dataelement-10884
Id prsb03-dataelement-10884 (2019‑03‑27 19:25:07)
Cardinality 0 … 1
Description The country of birth of the person.
Relationship
Rationale Patient.extension(Birthplace)
Operationalization NHS data dictionary :- Country code (birth)
Value Domain
Property
max length
3
target Used by one transaction, 0 templates, inherited 0 times
 
draft Marital status 0 … 1
prsb03-dataelement-10885
Id prsb03-dataelement-10885 (2019‑03‑27 19:25:57)
Cardinality 0 … 1
Description An indicator to identify the legal marital status of the person.
Relationship
Rationale Patient.maritalstatus
Operationalization NHS data dictionary :- Person marital status
Value Domain
Property
max length
1
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft GP practice 1 … 1 Mandatory
prsb03-dataelement-101
Id prsb03-dataelement-101 (2018‑10‑31)
Cardinality 1 … 1 Mandatory
Description Details of the person's GP practice.
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft GP practice record entry 0 … *
prsb03-dataelement-10643
Id prsb03-dataelement-10643 (2018‑11‑09 14:59:24)
Cardinality 0 … *
Description This is an GP practice record entry. There may be 0 to many record entries under a section. Each record entry is made up of a number of elements or data items
target Used by one transaction, 0 templates, inherited 0 times
 
draft GP name 0 … 1
prsb03-dataelement-10003
Id prsb03-dataelement-10003 (2018‑10‑31)
Cardinality 0 … 1
Description The name of the person's GP. If the person is registered with a GP practice, their usual GP name will be something volunteered by the person or their representative.

Properties

FHIR Practitioner.name, where PractitionerRole.code=GP
Rationale Practitioner.name
Operationalization Free text
Value Domain
Property
max length
70
target Used by one transaction, 0 templates, inherited 0 times
 
draft GP practice details 0 … 1
prsb03-dataelement-10002
Id prsb03-dataelement-10002 (2018‑10‑31)
Cardinality 0 … 1
Description Name and address of the person's registered GP practice Registered GP practice details are available from the Patient Demographics Service (PDS), or volunteered from the person or their representative. Include details of the practice name and address.

Properties

FHIR PractitionerRole.organisation.Name (0..1) PractitionerRole.organisation.telcom (0..*) PractitionerRole.organisation.Address (0..*)
Rationale PractitionerRole.organisation.Name (0..1)

PractitionerRole.organisation.telcom (0..*)

PractitionerRole.organisation.Address (0..*)
Operationalization Free text
Value Domain
Property
max length
150
target Used by one transaction, 0 templates, inherited 0 times
 
draft GP practice identifier 1 … 1 Mandatory
prsb03-dataelement-10001
Id prsb03-dataelement-10001 (2018‑10‑31)
Cardinality 1 … 1 Mandatory
Description The identifier of the registered GP practice.

Properties

FHIR Sliced into ODS and local identifier. PratitionerRole.organisation.identifier
Rationale PratitionerRole.organisation.identifier
Operationalization
Value Domain
Property
max length
6
target Used by one transaction, 0 templates, inherited 0 times
 
draft GP opt out indicator 0 … 1
prsb03-dataelement-10004
Id prsb03-dataelement-10004 (2018‑10‑31)
Cardinality 0 … 1
Description Indication that the person has opted out of registering with a GP.
Operationalization SNOMED CT : - 1092961000000104 |Does not wish to register with an NHS general practitioner (finding)| OR 1092941000000100 |Family using private general practitioner (finding)|
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft About me 0 … 1
prsb03-dataelement-466
Id prsb03-dataelement-466 (2018‑10‑31)
Cardinality 0 … 1
Description About me
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft About me 0 … 1
prsb03-dataelement-10366
Id prsb03-dataelement-10366 (2018‑10‑31)
Cardinality 0 … 1
Description This is a record of the things that a person feels it is important to communicate about their needs, strengths, values, concerns and preferences to others providing support and care.
target Used by one transaction, 0 templates, inherited 0 times
 
draft What is most important to me 0 … 1
prsb03-dataelement-12964
Id prsb03-dataelement-12964 (2020‑03‑30 10:50:29) 0.3
Cardinality 0 … 1
Description A description of what is most important to you
Emergency Information : - Include any essential information that any professional in health and social care should know about the you in any situation, including emergencies.
Other Information : -This could include : - Values, Spirituality/religion, Ethnicity, Culture, Pets, Goals and aspirations, Meaningful activities including leisure activities, visiting places, sport and exercise, listening to music, employment, education, volunteering
Operationalization Free text or multimedia file
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft People who are important to me 0 … 1
prsb03-dataelement-13009
Id prsb03-dataelement-13009 (2020‑04‑27 11:23:17) 0.3
Cardinality 0 … 1
Description  Details of who is important to you and why. They could be family members, carers, friends, members of staff etc. Include how you want the people important to you to be engaged and involved in your care and support in both emergency and normal situations. Include how you stay connected to the people important to you. Who should not be contacted or consulted about your care and support and why, if you wish to say
Operationalization Free text or multimedia file
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft How I communicate and how to communicate with me 0 … 1
prsb03-dataelement-13006
Id prsb03-dataelement-13006 (2020‑04‑24 11:48:24) 0.3
Cardinality 0 … 1
Description

A description of how you communicate normally including any communication aids you use, for example a hearing aid.

  • Include your preferred language of communication, if your first language is not English.
  • Include how you would communicate when you are in pain or distress.
  • Include how you communicate choices.
  • Include how you give feedback or raise a concern.
  • Include how you like to receive information

Describe how you would like others to engage and communicate with you, including how you would like to be addressed.

Operationalization Free text or multimedia file
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft My wellness 0 … 1
prsb03-dataelement-13005
Id prsb03-dataelement-13005 (2020‑04‑24 11:45:53)
Cardinality 0 … 1
Synonym
0.3
Description

A description covering what you are able to do, how you engage with others and how you feel on a typical day through to on a day when you are unwell or really unwell.

  • Include any causes that might result in you becoming unwell and strategies for avoiding or addressing the causes. For example, not drinking enough water could cause constipation.
  • Include any signs that indicate you might be becoming unwell.
  • On a bad day describe what is different about what you are able to do, how you engage with others and how you feel.
  • Include how your everyday life is affected by any medical conditions e.g. dementia and any symptoms e.g. itchiness, cough, pain and how you manage those conditions.
  • Include past health issues or experiences that need to be considered
  • Include your wellbeing and lifestyle goals and aspirations
Operationalization Free text or multimedia file
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Please do and please don't 0 … 1
prsb03-dataelement-13008
Id prsb03-dataelement-13008 (2020‑04‑27 10:34:59) 0.3
Cardinality 0 … 1
Description

A description of things you want someone supporting you to do or not to do.

For example, this might include: - Talk to me not to my carer, remind me to take my medication, encourage me to wash my hands regularly, explain to me what is happening and why, respond to my communication.

A description of things you do not want someone supporting for you to do. For example, this might include: - Discussing or asking questions about certain topics, making assumptions about something, providing support when it is not wanted, talking to you in a certain way.

Operationalization Free text or multimedia file
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft How and when to support me 0 … 1
prsb03-dataelement-13007
Id prsb03-dataelement-13007 (2020‑04‑27 10:29:54) 0.3
Cardinality 0 … 1
Description

A description of how and when you want someone caring for you to support you.

This could include support needs in an emergency situation (for example taking blood)

This could include support you need to maintain important routines or to carry out particular activities, for example: - Personal care routines, Eating and drinking, Bedtime routines, Taking medications, Moving and transitioning

This could also include support needed with:- wearing glasses/hearing aids/false teeth etc, making informed choices or understanding dangers and risks, managing your emotions, moods and behaviours, memory or confusion.

Include how your support needs change in different environments. Include any triggers that might result in you needing further support and strategies for avoiding or addressing the triggers. Include how you want the support to be provided.

Operationalization Free text or multimedia file
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Also worth knowing about me 0 … 1
prsb03-dataelement-13094
Id prsb03-dataelement-13094 (2020‑06‑22 11:30:09) 0.2
Cardinality 0 … 1
Description

A description of what is also worth knowing about you for people caring or supporting you.

This could include a short history of your life (where you have worked, where you lived, important events in your life, important people in your past life).

This could include a short profile of your current life:- your work / study, your aspirations, your skills, your networks, things you like e.g. particular foods, places, a football team and things you like to talk about, things you dislike

This could also include any care and support preferences that have not been included elsewhere.

Operationalization Free text or multimedia file
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Date 0 … 1
prsb03-dataelement-10367
Id prsb03-dataelement-10367 (2018‑10‑31)
Cardinality 0 … 1
Description This is a record of the date that this information was last updated.
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 Supported to write this by 0 … 1
prsb03-dataelement-10368
Id prsb03-dataelement-10368 (2018‑10‑31)
Cardinality 0 … 1
Description Where relevant, this is a record of name, relationship/role and contact details of the individual who supported the person to write this section e.g. carer, family member, advocate, professional.
Operationalization Free text
Value Domain
Property
max length
150
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Procedures and therapies 0 … 1
prsb03-dataelement-238
Id prsb03-dataelement-238 (2018‑10‑31)
Cardinality 0 … 1
Description The details of any procedures performed. Includes both psychological and medical therapies and procedures (e.g. cognitive behaviour therapy, hip replacement)
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Procedure record entry 0 … *
prsb03-dataelement-10652
Id prsb03-dataelement-10652 (2018‑11‑13 12:02:22)
Cardinality 0 … *
Description This is a procedure record entry. There may be 0 to many record entries under a section. Each record entry is made up of a number of elements or data items.
target Used by one transaction, 0 templates, inherited 0 times
 
draft Date 0 … 1
prsb03-dataelement-10138
Id prsb03-dataelement-10138 (2018‑10‑31)
Cardinality 0 … 1
Description The date the procedure was performed.
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-13246
Id prsb03-dataelement-13246 (2020‑07‑27 19:13:27)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-10931 (2019‑04‑30 17:07:45)
Description The location the problem was identified.
Relationship
target Used by one transaction, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-13247
Id prsb03-dataelement-13247 (2020‑07‑27 19:14:31)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13242 (2020‑07‑27 18:27:08)
Description The coded value for location.
Operationalization NHS data dictionary : - Organisation data service 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-13248
Id prsb03-dataelement-13248 (2020‑07‑27 19:14:31)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13243 (2020‑07‑27 18:31:13)
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-12150
Id prsb03-dataelement-12150 (2019‑05‑31 16:08:40)
Cardinality 0 … 1
Description The professional who performed the procedure.
Relationship
target Used by one transaction, 0 templates, inherited once
 
draft Name 0 … 1
prsb03-dataelement-12151
Id prsb03-dataelement-12151 (2019‑05‑31 16:09:20)
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 once
 
draft Role 0 … 1
prsb03-dataelement-12152
Id prsb03-dataelement-12152 (2019‑05‑31 16:09:20)
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 once
 
draft Grade 0 … 1
prsb03-dataelement-12153
Id prsb03-dataelement-12153 (2019‑05‑31 16:09:20)
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 once
 
draft Speciality 0 … 1
prsb03-dataelement-12154
Id prsb03-dataelement-12154 (2019‑05‑31 16:09:20)
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 once
 
draft Professional identifier 0 … 1
prsb03-dataelement-12155
Id prsb03-dataelement-12155 (2019‑05‑31 16:09:20)
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 once
 
folder draft Organisation 0 … 1
prsb03-dataelement-12156
Id prsb03-dataelement-12156 (2019‑05‑31 16:09:20)
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 once
 
draft Contact details 0 … 1
prsb03-dataelement-12157
Id prsb03-dataelement-12157 (2019‑05‑31 16:09:20)
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 once
 
folder draft Procedure 1 … 1 Mandatory
prsb03-dataelement-10141
Id prsb03-dataelement-10141 (2018‑10‑31)
Cardinality 1 … 1 Mandatory
Description The therapeutic or diagnostic procedure performed. Includes both psychological and medical therapies and procedures (e.g. cognitive behaviour therapy, or follow-up interventions as a result of physical health checks). Complementary or alternative procedures and therapies should be recorded here.

Properties

FHIR Procedure.code
target Used by one transaction, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-13249
Id prsb03-dataelement-13249 (2020‑07‑27 19:35:09)
Cardinality 0 … 1
Description The procedure code.
Operationalization SNOMED CT : - << 71388002 |Procedure| OR << 129125009 |Procedure with explicit context|
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13250
Id prsb03-dataelement-13250 (2020‑07‑27 19:40:38)
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 Person completing record 0 … 1
prsb03-dataelement-12158
Id prsb03-dataelement-12158 (2019‑05‑31 16:09:35)
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-12159
Id prsb03-dataelement-12159 (2019‑05‑31 16:10:02)
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-12160
Id prsb03-dataelement-12160 (2019‑05‑31 16:10:02)
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-12161
Id prsb03-dataelement-12161 (2019‑05‑31 16:10:02)
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-12162
Id prsb03-dataelement-12162 (2019‑05‑31 16:10:02)
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-12163
Id prsb03-dataelement-12163 (2019‑05‑31 16:10:02)
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-12164
Id prsb03-dataelement-12164 (2019‑05‑31 16:10:02)
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-12165
Id prsb03-dataelement-12165 (2019‑05‑31 16:10:02)
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-12166
Id prsb03-dataelement-12166 (2019‑05‑31 16:10:02)
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-10146
Id prsb03-dataelement-10146 (2018‑10‑31)
Cardinality 0 … 1
Description Any further textual comment to clarify such as statement that information is partial or incomplete. Also indicate the outcome of the procedure.

Properties

FHIR Procedure.note
Operationalization Free text
Value Domain
Property
max length
150
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Formulation 0 … 1
prsb03-dataelement-11666
Id prsb03-dataelement-11666 (2019‑05‑30 20:43:07)
Cardinality 0 … 1
Description Details of the person's formulation.
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Formulation record entry 0 … 1
prsb03-dataelement-11667
Id prsb03-dataelement-11667 (2019‑05‑30 20:44:32)
Cardinality 0 … 1
Description This is the formulation record entry. There may be 0 to many record entry/entries under a section. Each record entry is made up of a number of elements or data items.
target Used by one transaction, 0 templates, inherited 0 times
 
draft Date 0 … 1
prsb03-dataelement-11669
Id prsb03-dataelement-11669 (2019‑05‑30 20:47:42)
Cardinality 0 … 1
Description The date of the formulation 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
 
folder draft Location 0 … 1
prsb03-dataelement-11670
Id prsb03-dataelement-11670 (2019‑05‑30 20:48:26)
Cardinality 0 … 1
Description The location where the formulation was made.
Operationalization NHS data dictionary: - Organisation data service
target Used by one transaction, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-13572
Id prsb03-dataelement-13572 (2020‑09‑07 15:43:58)
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-13573
Id prsb03-dataelement-13573 (2020‑09‑07 15:44:39)
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-11671
Id prsb03-dataelement-11671 (2019‑05‑30 20:49:15)
Cardinality 0 … 1
Description The professional who made the formulation.
Relationship
target Used by one transaction, 0 templates, inherited 0 times
 
draft Name 0 … 1
prsb03-dataelement-11672
Id prsb03-dataelement-11672 (2019‑05‑30 20:49:34)
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-11673
Id prsb03-dataelement-11673 (2019‑05‑30 20:49:34)
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-11674
Id prsb03-dataelement-11674 (2019‑05‑30 20:49:34)
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-11675
Id prsb03-dataelement-11675 (2019‑05‑30 20:49:34)
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-11676
Id prsb03-dataelement-11676 (2019‑05‑30 20:49:34)
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-11677
Id prsb03-dataelement-11677 (2019‑05‑30 20:49:34)
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-11678
Id prsb03-dataelement-11678 (2019‑05‑30 20:49:34)
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
 
draft Formulation 0 … 1
prsb03-dataelement-11668
Id prsb03-dataelement-11668 (2019‑05‑30 20:46:15)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-10148 (2018‑10‑31)
Description An account, shared by a therapist and person, of the personal meaning and origins of a person’s difficulties. This is viewed in the context of multiple factors including relationships, social circumstances and life events and will indicate the most helpful way forward.
Operationalization Free text
Value Domain
Property
max length
150
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Person completing record 0 … 1
prsb03-dataelement-11679
Id prsb03-dataelement-11679 (2019‑05‑30 20:49:49)
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-11680
Id prsb03-dataelement-11680 (2019‑05‑30 20:50:13)
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-11681
Id prsb03-dataelement-11681 (2019‑05‑30 20:50:13)
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-11682
Id prsb03-dataelement-11682 (2019‑05‑30 20:50:13)
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-11683
Id prsb03-dataelement-11683 (2019‑05‑30 20:50:13)
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-11684
Id prsb03-dataelement-11684 (2019‑05‑30 20:50:13)
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-11685
Id prsb03-dataelement-11685 (2019‑05‑30 20:50:13)
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-11686
Id prsb03-dataelement-11686 (2019‑05‑30 20:50:13)
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-11687
Id prsb03-dataelement-11687 (2019‑05‑30 20:50:13)
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 Care and support plan 0 … 1
prsb03-dataelement-508
Id prsb03-dataelement-508 (2018‑10‑31)
Cardinality 0 … 1
Description This records the decisions reached during conversation between the individual and health and care professional about future plans and also records progress.
target Used by one transaction, 0 templates, inherited 0 times
 
draft Strengths 0 … *
prsb03-dataelement-10419
Id prsb03-dataelement-10419 (2018‑10‑31)
Cardinality 0 … *
Description Any strengths and assets the person has relating to their goals and hopes about their health and well-being.
Operationalization Free text
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Needs, concerns or problems 0 … *
prsb03-dataelement-10414
Id prsb03-dataelement-10414 (2018‑10‑31)
Cardinality 0 … *
Description Needs, concerns or problems the person has that relating to their health and well-being. May be linked to the problem list from the person’s record to avoid duplication. May include biological, psychological and social needs, concerns or problems. May include (eg) financial concerns over debt.
Operationalization Free text
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Goals and hopes 0 … *
prsb03-dataelement-10413
Id prsb03-dataelement-10413 (2018‑10‑31)
Cardinality 0 … *
Description The overall goals, hopes, aims or targets that the person has. Including anything that the person wants to achieve that relates to their future health and wellbeing. Each goal may include a description of why it is important to the person. Goals may also be ranked in order of importance or priority to the person.
Operationalization Free text
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Actions and activities 0 … *
prsb03-dataelement-10408
Id prsb03-dataelement-10408 (2018‑10‑31)
Cardinality 0 … *
Description Actions or activities the person or others plan to take to achieve the person's goals and the resources required to do this.

target Used by one transaction, 0 templates, inherited 0 times
 
draft Stage goal 0 … 1
prsb03-dataelement-10674
Id prsb03-dataelement-10674 (2018‑11‑15 13:32:26)
Cardinality 0 … 1
Description A specific sub-goal that is related to the overall goal as agreed by the person in collaboration with a professional.
Operationalization Free text
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft What 0 … 1
prsb03-dataelement-10675
Id prsb03-dataelement-10675 (2018‑11‑15 13:33:22)
Cardinality 0 … 1
Description What the action is and how it is to be carried out?
Operationalization Free text.
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Who 0 … 1
prsb03-dataelement-10676
Id prsb03-dataelement-10676 (2018‑11‑15 13:34:04)
Cardinality 0 … 1
Description Name and role (e.g. person, carer, GP, OT, etc.) of the person, or a team, carrying out the proposed action, and, if relevant where action should take place.
Operationalization Free text.
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft When 0 … 1
prsb03-dataelement-10677
Id prsb03-dataelement-10677 (2018‑11‑15 13:34:38)
Cardinality 0 … 1
Description Planned date, time, or interval, as relevant
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 Suggested strategies 0 … 1
prsb03-dataelement-10678
Id prsb03-dataelement-10678 (2018‑11‑15 13:35:19)
Cardinality 0 … 1
Description Suggested strategies for potential problems.
Operationalization Free text.
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Status 0 … 1
prsb03-dataelement-10679
Id prsb03-dataelement-10679 (2018‑11‑15 13:35:57)
Cardinality 0 … 1
Description The status of the action or activity e.g. started, not started, completed, not applicable.
Operationalization Free text.
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Confidence 0 … 1
prsb03-dataelement-10680
Id prsb03-dataelement-10680 (2018‑11‑15 13:54:04)
Cardinality 0 … 1
Description How confident the person feels to carry it out
Operationalization Free text.
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Outcome 0 … 1
prsb03-dataelement-10681
Id prsb03-dataelement-10681 (2018‑11‑15 13:54:34)
Cardinality 0 … 1
Description The outcome of the stage goal
Operationalization Free text.
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Date last updated 0 … 1
prsb03-dataelement-10682
Id prsb03-dataelement-10682 (2018‑11‑15 13:55:05)
Cardinality 0 … 1
Description Date when action/activity record was last updated
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 Review date 0 … 1
prsb03-dataelement-10683
Id prsb03-dataelement-10683 (2018‑11‑15 13:55:47)
Cardinality 0 … 1
Description When the stage goal and action need to be reviewed.
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 Outcomes 0 … *
prsb03-dataelement-10416
Id prsb03-dataelement-10416 (2018‑10‑31)
Cardinality 0 … *
Description Outcomes of each of the person’s goals, aims and targets. Includes comments recorded by the person, date and status.
Operationalization Free text
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Agreed with person or legitimate representative 0 … 1
prsb03-dataelement-10409
Id prsb03-dataelement-10409 (2018‑10‑31)
Cardinality 0 … 1
Description Indicates whether the plan was discussed and agreed with the person or legitimate representative. A record of the agreement of the decisions made.
Operationalization Free text
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Care funding source 0 … 1
prsb03-dataelement-10410
Id prsb03-dataelement-10410 (2018‑10‑31)
Cardinality 0 … 1
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 once
 
draft Date this plan was last updated 0 … 1
prsb03-dataelement-10412
Id prsb03-dataelement-10412 (2018‑10‑31)
Cardinality 0 … 1
Description This is a record of the date that this care and support plan was last updated.
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 once
 
draft Other care planning documents 0 … *
prsb03-dataelement-10415
Id prsb03-dataelement-10415 (2018‑10‑31)
Cardinality 0 … *
Description Reference other care planning documents, including the type, location and date.

This may include condition-specific plans, advance care plans, end of life care plan, etc.
Operationalization Free text.
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Planned review date/interval 0 … 1
prsb03-dataelement-10417
Id prsb03-dataelement-10417 (2018‑10‑31)
Cardinality 0 … 1
Description This is the date/interval when this information will next be reviewed.
Operationalization Date and time
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Responsibility for review 0 … 1
prsb03-dataelement-10418
Id prsb03-dataelement-10418 (2018‑10‑31)
Cardinality 0 … 1
Description This is a record of who has responsibility for arranging review of this information.

Should include their name, role and contact details.
Operationalization Free text.
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Location 0 … 1
prsb03-dataelement-12044
Id prsb03-dataelement-12044 (2019‑05‑31 15:32:03)
Cardinality 0 … 1
Description The location where the care and support plan was prepared.
Relationship
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Performing professional 0 … 1
prsb03-dataelement-12027
Id prsb03-dataelement-12027 (2019‑05‑31 15:30:22)
Cardinality 0 … 1
Description The professional who prepared the care and support plan.
Relationship
target Used by one transaction, 0 templates, inherited 0 times
 
draft Name 0 … 1
prsb03-dataelement-12028
Id prsb03-dataelement-12028 (2019‑05‑31 15:30:50)
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 2 times
 
draft Role 0 … 1
prsb03-dataelement-12029
Id prsb03-dataelement-12029 (2019‑05‑31 15:30:50)
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 2 times
 
draft Grade 0 … 1
prsb03-dataelement-12030
Id prsb03-dataelement-12030 (2019‑05‑31 15:30:50)
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 2 times
 
draft Speciality 0 … 1
prsb03-dataelement-12031
Id prsb03-dataelement-12031 (2019‑05‑31 15:30:50)
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 2 times
 
draft Professional identifier 0 … 1
prsb03-dataelement-12032
Id prsb03-dataelement-12032 (2019‑05‑31 15:30:50)
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 2 times
 
folder draft Organisation 0 … 1
prsb03-dataelement-12033
Id prsb03-dataelement-12033 (2019‑05‑31 15:30:50)
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 2 times
 
draft Contact details 0 … 1
prsb03-dataelement-12034
Id prsb03-dataelement-12034 (2019‑05‑31 15:30:50)
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 2 times
 
folder draft Person completing record 0 … *
prsb03-dataelement-12035
Id prsb03-dataelement-12035 (2019‑05‑31 15:31:01)
Cardinality 0 … *
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
 
folder draft Contingency plans 0 … 1
prsb03-dataelement-469
Id prsb03-dataelement-469 (2018‑10‑31)
Cardinality 0 … 1
Description Contingency plans.
target Used by one transaction, 0 templates, inherited 0 times
 
draft Agreed with person or legitimate representative 0 … 1
prsb03-dataelement-10369
Id prsb03-dataelement-10369 (2018‑10‑31)
Cardinality 0 … 1
Description Indicates whether the plan was discussed and agreed with the person or legitimate representative.
Operationalization Free text
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Anticipatory medicines/equipment 0 … *
prsb03-dataelement-10370
Id prsb03-dataelement-10370 (2018‑10‑31)
Cardinality 0 … *
Description Medicines or equipment available that may be required in specific situations and their location. A statement regarding the availability or location of the anticipatory medicines/equipment.
Operationalization Free text
Value Domain
Property
max length
150
target Used by one transaction, 0 templates, inherited once
 
folder draft Advance statement 0 … 1
prsb03-dataelement-10777
Id prsb03-dataelement-10777 (2019‑03‑19 17:12:20)
Cardinality 0 … 1
Description Written requests and preferences made by a person with capacity conveying their wishes, beliefs and values for their future care should they lose capacity.
Relationship
target Used by one transaction, 0 templates, inherited 0 times
 
draft Date 0 … 1
prsb03-dataelement-12267
Id prsb03-dataelement-12267 (2019‑05‑31 16:39:20)
Cardinality 0 … 1
Description The date when the advanced statements was made.
Relationship
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Location 0 … 1
prsb03-dataelement-12268
Id prsb03-dataelement-12268 (2019‑05‑31 16:39:59)
Cardinality 0 … 1
Description The location where the advanced statement was made.
Relationship
target Used by one transaction, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-13698
Id prsb03-dataelement-13698 (2020‑09‑09 17:14:46)
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-13699
Id prsb03-dataelement-13699 (2020‑09‑09 17:16:21)
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 Advance statement 0 … 1
prsb03-dataelement-13695
Id prsb03-dataelement-13695 (2020‑09‑09 17:06:33)
Cardinality 0 … 1
Description Does the person have an advance statement.
target Used by one transaction, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-13696
Id prsb03-dataelement-13696 (2020‑09‑09 17:09:21)
Cardinality 0 … 1
Description The coded value for advance statement
Operationalization SNOMED CT: - 816281000000101 | Has advance statement (Mental Capacity Act 2005) (finding) |
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13697
Id prsb03-dataelement-13697 (2020‑09‑09 17:10:48)
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 Location of document 0 … 1
prsb03-dataelement-13760
Id prsb03-dataelement-13760 (2020‑09‑29 14:53:49)
Cardinality 0 … 1
Description The location of where the advanced statement is held.
Relationship
Operationalization Free text or URL
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Performing professional 0 … 1
prsb03-dataelement-12269
Id prsb03-dataelement-12269 (2019‑05‑31 16:40:44)
Cardinality 0 … 1
Description The professional who made the advance statement.
Relationship
target Used by one transaction, 0 templates, inherited 0 times
 
draft Name 0 … 1
prsb03-dataelement-12270
Id prsb03-dataelement-12270 (2019‑05‑31 16:41:01)
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-12271
Id prsb03-dataelement-12271 (2019‑05‑31 16:41:01)
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-12272
Id prsb03-dataelement-12272 (2019‑05‑31 16:41:01)
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-12273
Id prsb03-dataelement-12273 (2019‑05‑31 16:41:01)
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-12274
Id prsb03-dataelement-12274 (2019‑05‑31 16:41:01)
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-12275
Id prsb03-dataelement-12275 (2019‑05‑31 16:41:01)
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-12276
Id prsb03-dataelement-12276 (2019‑05‑31 16:41:01)
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-12277
Id prsb03-dataelement-12277 (2019‑05‑31 16:41:55)
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-12278
Id prsb03-dataelement-12278 (2019‑05‑31 16:42:15)
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-12279
Id prsb03-dataelement-12279 (2019‑05‑31 16:42:15)
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-12280
Id prsb03-dataelement-12280 (2019‑05‑31 16:42:15)
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-12281
Id prsb03-dataelement-12281 (2019‑05‑31 16:42:15)
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-12282
Id prsb03-dataelement-12282 (2019‑05‑31 16:42:15)
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-12283
Id prsb03-dataelement-12283 (2019‑05‑31 16:42:15)
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-12284
Id prsb03-dataelement-12284 (2019‑05‑31 16:42:15)
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-12285
Id prsb03-dataelement-12285 (2019‑05‑31 16:42:15)
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 Contingency plan name 0 … 1
prsb03-dataelement-10371
Id prsb03-dataelement-10371 (2018‑10‑31)
Cardinality 0 … 1
Description Name of the contingency plan – what condition or circumstances it is addressing.
Operationalization Free text
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Date this plan was last updated 0 … 1
prsb03-dataelement-10372
Id prsb03-dataelement-10372 (2018‑10‑31)
Cardinality 0 … 1
Description The date that this contingency plan was last updated.
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 Planned review date/interval 0 … 1
prsb03-dataelement-10373
Id prsb03-dataelement-10373 (2018‑10‑31)
Cardinality 0 … 1
Description This is the date/interval when this contingency plan will next be reviewed.
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 Responsibility for review 0 … 1
prsb03-dataelement-10374
Id prsb03-dataelement-10374 (2018‑10‑31)
Cardinality 0 … 1
Description This is who has responsibility for arranging review of this information.

Should include their name, role and contact details.
Operationalization Free text.
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Trigger factors 0 … *
prsb03-dataelement-10375
Id prsb03-dataelement-10375 (2018‑10‑31)
Cardinality 0 … *
Description Signs to watch out for that may indicate a significant change in health or other circumstances. A statement of trigger factors.
Operationalization Free text
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Coping strategies 0 … *
prsb03-dataelement-13850
Id prsb03-dataelement-13850 (2021‑01‑08 16:37:56)
Cardinality 0 … *
Description Details of coping strategies used
target Used by one transaction, 0 templates, inherited 0 times
 
draft Coping strategy 0 … 1
prsb03-dataelement-13851
Id prsb03-dataelement-13851 (2021‑01‑08 16:45:37)
Cardinality 0 … 1
Description The coping strategies are defined as thoughts and behaviours that people use to manage the internal and external demands of situations that are appraised as stressful. This should also include a record of any tools used to carry out the coping strategy.
Operationalization Free text
Value Domain
Property
max length
150
target Used by one transaction, 0 templates, inherited 0 times
 
draft Start date 0 … 1
prsb03-dataelement-13852
Id prsb03-dataelement-13852 (2021‑01‑08 16:47:18)
Cardinality 0 … 1
Description The date when the coping strategy started
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-13853
Id prsb03-dataelement-13853 (2021‑01‑08 16:48:58)
Cardinality 0 … 1
Description The date when the coping strategy 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
 
draft Relapse indicators / early warning signs 0 … *
prsb03-dataelement-13854
Id prsb03-dataelement-13854 (2021‑01‑08 16:49:59)
Cardinality 0 … *
Description Details of the relapse indicators for the person. These may also be called 'early warning signs'
Operationalization Free text

Value Domain
Property
max length
150
target Used by one transaction, 0 templates, inherited 0 times
 
draft What should happen 0 … *
prsb03-dataelement-10376
Id prsb03-dataelement-10376 (2018‑10‑31)
Cardinality 0 … *
Description Guidance on specific actions or interventions that may be required or should be avoided in specific situations. This may include circumstances where action needs to be taken if a carer is unable to care for the person. A statement of suggested actions. Usually expressed as: in the event of X do Y.
Operationalization Free text
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Who should be contacted 0 … *
prsb03-dataelement-10377
Id prsb03-dataelement-10377 (2018‑10‑31)
Cardinality 0 … *
Description Who should be contacted in the event of significant problems or deterioration in health or wellbeing. E.g. name, role and contact details.
Operationalization Free text
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Person completing record 0 … 1
prsb03-dataelement-12053
Id prsb03-dataelement-12053 (2019‑05‑31 15:33:49)
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
 
folder draft Additional support plans 0 … *
prsb03-dataelement-502
Id prsb03-dataelement-502 (2018‑10‑31)
Cardinality 0 … *
Description Additional support plans
target Used by one transaction, 0 templates, inherited 0 times
 
draft Additional support plan name 0 … 1
prsb03-dataelement-10402
Id prsb03-dataelement-10402 (2018‑10‑31)
Cardinality 0 … 1
Description The name of the particular additional supporting plan, e.g. dieticians plan, wound management plan, discharge management plan and behaviour support plan.
Operationalization Free text
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Additional support plan content 0 … 1
prsb03-dataelement-10403
Id prsb03-dataelement-10403 (2018‑10‑31)
Cardinality 0 … 1
Description This is the content of any additional care and support plan which the person and/or care professional consider should be shared with others providing care and support. May be structured in different ways, e.g. tables, diagrams, images. This is the content of any additional care and support plan which the individual and/or care professional consider should be shared with others providing care and support. It should be structured as recommended for the care and support plan and if contains additional detail, it may be referenced here.
Operationalization Free text
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Planned review date/interval 0 … 1
prsb03-dataelement-10405
Id prsb03-dataelement-10405 (2018‑10‑31)
Cardinality 0 … 1
Description This is the date/interval when this information will next be reviewed.
Operationalization Date and time
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Responsibility for review 0 … 1
prsb03-dataelement-10406
Id prsb03-dataelement-10406 (2018‑10‑31)
Cardinality 0 … 1
Description This is a record of who has responsibility for arranging review of this information. Should include their name, role and contact details.
Operationalization Free text.
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Date this plan was last updated 0 … 1
prsb03-dataelement-10407
Id prsb03-dataelement-10407 (2018‑10‑31)
Cardinality 0 … 1
Description This is a record of the date that this information was last updated.
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 Person completing record 0 … 1
prsb03-dataelement-12070
Id prsb03-dataelement-12070 (2019‑05‑31 15:36:49)
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