Name |
Details [‑] |
|
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. |
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
Date of birth 1 … 1 Mandatory
prsb03-dataelement-10871
|
|
|
|
|
Gender 0 … 1
prsb03-dataelement-10872
|
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
Ethnicity 0 … 1
prsb03-dataelement-10874
|
|
|
|
|
Religion 0 … 1
prsb03-dataelement-10876
|
|
|
|
|
Sex 0 … 1
prsb03-dataelement-10877
|
|
|
Id |
prsb03-dataelement-10877 (2019‑03‑27 19:15:45) 1
|
Cardinality |
0 … 1 |
 |
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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. |
FHIR |
Patient.identifier.nhsnumber |
|
Relationship |
|
Rationale |
Patient.identifier(nhsnumber) |
Operationalization |
NHS data dictionary:-
NHS number
|
Value Domain |
|
Property |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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.
|
|
Relationship |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Value Domain |
|
Property |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Value Domain |
|
Property |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Value Domain |
|
Property |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Value Domain |
|
Property |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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. |
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Relationship |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Example |
Home |
Example |
Mobile |
Example |
Temp |
Example |
Old |
Example |
Work |
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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. |
|
Relationship |
|
Rationale |
Patient.contact.telecon.value |
Operationalization |
NHS data dictionary :-
Contact email address
|
Value Domain |
|
Property |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Example |
Home |
Example |
Work |
Example |
old |
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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. |
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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.
|
FHIR |
Practitioner.name, where PractitionerRole.code=GP |
|
Rationale |
Practitioner.name |
Operationalization |
Free text |
Value Domain |
|
Property |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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.
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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. |
FHIR |
Sliced into ODS and local identifier. PratitionerRole.organisation.identifier |
|
Rationale |
PratitionerRole.organisation.identifier |
Operationalization |
|
Value Domain |
|
Property |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
About me 0 … 1
prsb03-dataelement-466
|
|
|
Id |
prsb03-dataelement-466 (2018‑10‑31)
|
Cardinality |
0 … 1 |
Description |
About me |
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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.
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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)
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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.
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
Location 0 … 1
prsb03-dataelement-13246
|
|
|
Id |
prsb03-dataelement-13246 (2020‑07‑27 19:13:27)
|
Cardinality |
0 … 1 |
Concept inherits from |
prsb03-dataelement-10931 (2019‑04‑30 17:07:45)
|
Description |
The location the problem was identified. |
Relationship |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
Coded value 0 … 1
prsb03-dataelement-13247
|
|
|
|
|
Free text 0 … 1
prsb03-dataelement-13248
|
|
|
Id |
prsb03-dataelement-13248 (2020‑07‑27 19:14:31)
|
Cardinality |
0 … 1 |
Concept inherits from |
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited once |
|
|
|
|
Name 0 … 1
prsb03-dataelement-12151
|
|
|
Id |
prsb03-dataelement-12151 (2019‑05‑31 16:09:20)
|
Cardinality |
0 … 1 |
Concept inherits from |
prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
|
Description |
The name of the professional. |
Rationale |
Practitioner.name |
Operationalization |
Free text. |
Value Domain |
|
Property |
|
Used by
|
one transaction, 0 templates, inherited once |
|
This concept is inherited by concept
Name in dataset prsb03-dataelement-12977
|
|
|
Role 0 … 1
prsb03-dataelement-12152
|
|
|
Id |
prsb03-dataelement-12152 (2019‑05‑31 16:09:20)
|
Cardinality |
0 … 1 |
Concept inherits from |
prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
|
Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
Rationale |
Practitioner.PractitionerRole.code |
Operationalization |
FHIR value set :-
SDSjobroletype
|
Value Domain |
|
Used by
|
one transaction, 0 templates, inherited once |
|
This concept is inherited by concept
Role in dataset prsb03-dataelement-12978
|
|
|
Grade 0 … 1
prsb03-dataelement-12153
|
|
|
Id |
prsb03-dataelement-12153 (2019‑05‑31 16:09:20)
|
Cardinality |
0 … 1 |
Concept inherits from |
prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
|
Description |
The grade of the professional. |
Rationale |
PractitionerRole.code |
Operationalization |
Free text |
Value Domain |
|
Property |
|
Used by
|
one transaction, 0 templates, inherited once |
|
This concept is inherited by concept
Grade in dataset prsb03-dataelement-12979
|
|
|
Speciality 0 … 1
prsb03-dataelement-12154
|
|
|
Id |
prsb03-dataelement-12154 (2019‑05‑31 16:09:20)
|
Cardinality |
0 … 1 |
Concept inherits from |
prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
|
Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
Rationale |
PractitionerRole.speciality |
Operationalization |
NHS data dictionary -
Activity treatment function code
|
Value Domain |
|
Property |
|
Used by
|
one transaction, 0 templates, inherited once |
|
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-12980
|
|
|
Professional identifier 0 … 1
prsb03-dataelement-12155
|
|
|
Id |
prsb03-dataelement-12155 (2019‑05‑31 16:09:20)
|
Cardinality |
0 … 1 |
Concept inherits from |
prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
|
Description |
Professional identifier for the professional e.g. GMC number, HCPC number etc or the
personal identifier used by the local organisation.
|
Rationale |
Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier
(for local role identifiers)
|
Operationalization |
NHS data dictionary : -
Professional registration identifier
|
Value Domain |
|
Property |
|
Used by
|
one transaction, 0 templates, inherited once |
|
|
|
|
Organisation 0 … 1
prsb03-dataelement-12156
|
|
|
Id |
prsb03-dataelement-12156 (2019‑05‑31 16:09:20)
|
Cardinality |
0 … 1 |
Concept inherits from |
prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
|
Description |
The name of the organisation the professional works for. |
Used by
|
one transaction, 0 templates, inherited once |
|
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-12982
|
|
|
Contact details 0 … 1
prsb03-dataelement-12157
|
|
|
Id |
prsb03-dataelement-12157 (2019‑05‑31 16:09:20)
|
Cardinality |
0 … 1 |
Concept inherits from |
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 |
|
Used by
|
one transaction, 0 templates, inherited once |
|
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-12983
|
|
|
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.
|
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
Free text 0 … 1
prsb03-dataelement-13250
|
|
|
Id |
prsb03-dataelement-13250 (2020‑07‑27 19:40:38)
|
Cardinality |
0 … 1 |
Concept inherits from |
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
Person completing record 0 … 1
prsb03-dataelement-12158
|
|
|
Id |
prsb03-dataelement-12158 (2019‑05‑31 16:09:35)
|
Cardinality |
0 … 1 |
Concept inherits from |
prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
|
Description |
Details of the person completing the record. |
Relationship |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
Name 0 … 1
prsb03-dataelement-12159
|
|
|
Id |
prsb03-dataelement-12159 (2019‑05‑31 16:10:02)
|
Cardinality |
0 … 1 |
Concept inherits from |
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
Role 0 … 1
prsb03-dataelement-12160
|
|
|
Id |
prsb03-dataelement-12160 (2019‑05‑31 16:10:02)
|
Cardinality |
0 … 1 |
Concept inherits from |
prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
|
Description |
The organisational role of the person completing record. |
FHIR |
PractitionerRole.code of the practitioner completing the record |
|
Relationship |
|
Rationale |
Composition.author.Practitioner.PractitionerRole.code |
Operationalization |
FHIR value set :-
SDSjobrole
|
Value Domain |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
Grade 0 … 1
prsb03-dataelement-12161
|
|
|
Id |
prsb03-dataelement-12161 (2019‑05‑31 16:10:02)
|
Cardinality |
0 … 1 |
Concept inherits from |
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
Specialty 0 … 1
prsb03-dataelement-12162
|
|
|
Id |
prsb03-dataelement-12162 (2019‑05‑31 16:10:02)
|
Cardinality |
0 … 1 |
Concept inherits from |
prsb03-dataelement-11293 (2019‑05‑30 12:25:39)
|
Description |
The main specialty of the person completing the record. |
FHIR |
PractitionerRole.specialty |
|
Relationship |
|
Rationale |
PractitionerRole.speciality |
Operationalization |
NHS data dictionary :-
Activity treatment function code
|
Value Domain |
|
Property |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
Organisation 0 … 1
prsb03-dataelement-12163
|
|
|
Id |
prsb03-dataelement-12163 (2019‑05‑31 16:10:02)
|
Cardinality |
0 … 1 |
Concept inherits from |
prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
|
Description |
The organisation the person completing the record works for. |
Relationship |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
Professional identifier 0 … 1
prsb03-dataelement-12164
|
|
|
Id |
prsb03-dataelement-12164 (2019‑05‑31 16:10:02)
|
Cardinality |
0 … 1 |
Concept inherits from |
prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
|
Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
Relationship |
|
Rationale |
Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier
(for local role identifiers)
|
Operationalization |
NHS data dictionary :-
Professional registration identifier
|
Value Domain |
|
Property |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
Date completed 0 … 1
prsb03-dataelement-12165
|
|
|
Id |
prsb03-dataelement-12165 (2019‑05‑31 16:10:02)
|
Cardinality |
0 … 1 |
Concept inherits from |
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
Contact details 0 … 1
prsb03-dataelement-12166
|
|
|
Id |
prsb03-dataelement-12166 (2019‑05‑31 16:10:02)
|
Cardinality |
0 … 1 |
Concept inherits from |
prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
|
Description |
Contact details of the person completing the record.
|
FHIR |
PractitionerRole.telecom |
|
Relationship |
|
Rationale |
Practitioner.telecom
PractitionerRole.telecom
Organisation.telcom
|
Operationalization |
NHS data dictionary : -
UK telephone number
|
Value Domain |
|
Property |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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.
|
|
Operationalization |
Free text |
Value Domain |
|
Property |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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. |
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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.
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
Free text 0 … 1
prsb03-dataelement-13573
|
|
|
Id |
prsb03-dataelement-13573 (2020‑09‑07 15:44:39)
|
Cardinality |
0 … 1 |
Concept inherits from |
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
Name 0 … 1
prsb03-dataelement-11672
|
|
|
Id |
prsb03-dataelement-11672 (2019‑05‑30 20:49:34)
|
Cardinality |
0 … 1 |
Concept inherits from |
prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
|
Description |
The name of the professional. |
Rationale |
Practitioner.name |
Operationalization |
Free text. |
Value Domain |
|
Property |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
Role 0 … 1
prsb03-dataelement-11673
|
|
|
Id |
prsb03-dataelement-11673 (2019‑05‑30 20:49:34)
|
Cardinality |
0 … 1 |
Concept inherits from |
prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
|
Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
Rationale |
Practitioner.PractitionerRole.code |
Operationalization |
FHIR value set :-
SDSjobroletype
|
Value Domain |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
Grade 0 … 1
prsb03-dataelement-11674
|
|
|
Id |
prsb03-dataelement-11674 (2019‑05‑30 20:49:34)
|
Cardinality |
0 … 1 |
Concept inherits from |
prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
|
Description |
The grade of the professional. |
Rationale |
PractitionerRole.code |
Operationalization |
Free text |
Value Domain |
|
Property |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
Speciality 0 … 1
prsb03-dataelement-11675
|
|
|
Id |
prsb03-dataelement-11675 (2019‑05‑30 20:49:34)
|
Cardinality |
0 … 1 |
Concept inherits from |
prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
|
Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
Rationale |
PractitionerRole.speciality |
Operationalization |
NHS data dictionary -
Activity treatment function code
|
Value Domain |
|
Property |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
Professional identifier 0 … 1
prsb03-dataelement-11676
|
|
|
Id |
prsb03-dataelement-11676 (2019‑05‑30 20:49:34)
|
Cardinality |
0 … 1 |
Concept inherits from |
prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
|
Description |
Professional identifier for the professional e.g. GMC number, HCPC number etc or the
personal identifier used by the local organisation.
|
Rationale |
Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier
(for local role identifiers)
|
Operationalization |
NHS data dictionary : -
Professional registration identifier
|
Value Domain |
|
Property |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
Organisation 0 … 1
prsb03-dataelement-11677
|
|
|
Id |
prsb03-dataelement-11677 (2019‑05‑30 20:49:34)
|
Cardinality |
0 … 1 |
Concept inherits from |
prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
|
Description |
The name of the organisation the professional works for. |
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
Contact details 0 … 1
prsb03-dataelement-11678
|
|
|
Id |
prsb03-dataelement-11678 (2019‑05‑30 20:49:34)
|
Cardinality |
0 … 1 |
Concept inherits from |
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
Formulation 0 … 1
prsb03-dataelement-11668
|
|
|
Id |
prsb03-dataelement-11668 (2019‑05‑30 20:46:15)
|
Cardinality |
0 … 1 |
Concept inherits from |
prsb03-dataelement-10148 (2018‑10‑31)
|
Description |
An account, shared by a therapist and person, of the personal meaning and origins
of a person’s difficulties. This is viewed in the context of multiple factors including
relationships, social circumstances and life events and will indicate the most helpful
way forward.
|
Operationalization |
Free text |
Value Domain |
|
Property |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
Person completing record 0 … 1
prsb03-dataelement-11679
|
|
|
Id |
prsb03-dataelement-11679 (2019‑05‑30 20:49:49)
|
Cardinality |
0 … 1 |
Concept inherits from |
prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
|
Description |
Details of the person completing the record. |
Relationship |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
Name 0 … 1
prsb03-dataelement-11680
|
|
|
Id |
prsb03-dataelement-11680 (2019‑05‑30 20:50:13)
|
Cardinality |
0 … 1 |
Concept inherits from |
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
Role 0 … 1
prsb03-dataelement-11681
|
|
|
Id |
prsb03-dataelement-11681 (2019‑05‑30 20:50:13)
|
Cardinality |
0 … 1 |
Concept inherits from |
prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
|
Description |
The organisational role of the person completing record. |
FHIR |
PractitionerRole.code of the practitioner completing the record |
|
Relationship |
|
Rationale |
Composition.author.Practitioner.PractitionerRole.code |
Operationalization |
FHIR value set :-
SDSjobrole
|
Value Domain |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
Grade 0 … 1
prsb03-dataelement-11682
|
|
|
Id |
prsb03-dataelement-11682 (2019‑05‑30 20:50:13)
|
Cardinality |
0 … 1 |
Concept inherits from |
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
Specialty 0 … 1
prsb03-dataelement-11683
|
|
|
Id |
prsb03-dataelement-11683 (2019‑05‑30 20:50:13)
|
Cardinality |
0 … 1 |
Concept inherits from |
prsb03-dataelement-11293 (2019‑05‑30 12:25:39)
|
Description |
The main specialty of the person completing the record. |
FHIR |
PractitionerRole.specialty |
|
Relationship |
|
Rationale |
PractitionerRole.speciality |
Operationalization |
NHS data dictionary :-
Activity treatment function code
|
Value Domain |
|
Property |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
Organisation 0 … 1
prsb03-dataelement-11684
|
|
|
Id |
prsb03-dataelement-11684 (2019‑05‑30 20:50:13)
|
Cardinality |
0 … 1 |
Concept inherits from |
prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
|
Description |
The organisation the person completing the record works for. |
Relationship |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
Professional identifier 0 … 1
prsb03-dataelement-11685
|
|
|
Id |
prsb03-dataelement-11685 (2019‑05‑30 20:50:13)
|
Cardinality |
0 … 1 |
Concept inherits from |
prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
|
Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
Relationship |
|
Rationale |
Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier
(for local role identifiers)
|
Operationalization |
NHS data dictionary :-
Professional registration identifier
|
Value Domain |
|
Property |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
Date completed 0 … 1
prsb03-dataelement-11686
|
|
|
Id |
prsb03-dataelement-11686 (2019‑05‑30 20:50:13)
|
Cardinality |
0 … 1 |
Concept inherits from |
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
Contact details 0 … 1
prsb03-dataelement-11687
|
|
|
Id |
prsb03-dataelement-11687 (2019‑05‑30 20:50:13)
|
Cardinality |
0 … 1 |
Concept inherits from |
prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
|
Description |
Contact details of the person completing the record.
|
FHIR |
PractitionerRole.telecom |
|
Relationship |
|
Rationale |
Practitioner.telecom
PractitionerRole.telecom
Organisation.telcom
|
Operationalization |
NHS data dictionary : -
UK telephone number
|
Value Domain |
|
Property |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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.
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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.
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited once |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited once |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
Name 0 … 1
prsb03-dataelement-12028
|
|
|
Id |
prsb03-dataelement-12028 (2019‑05‑31 15:30:50)
|
Cardinality |
0 … 1 |
Concept inherits from |
prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
|
Description |
The name of the professional. |
Rationale |
Practitioner.name |
Operationalization |
Free text. |
Value Domain |
|
Property |
|
Used by
|
one transaction, 0 templates, inherited 2 times |
|
This concept is inherited by concept
Name in dataset prsb03-dataelement-13045
This concept is inherited by concept
Name in dataset prsb03-dataelement-13182
|
|
|
Role 0 … 1
prsb03-dataelement-12029
|
|
|
Id |
prsb03-dataelement-12029 (2019‑05‑31 15:30:50)
|
Cardinality |
0 … 1 |
Concept inherits from |
prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
|
Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
Rationale |
Practitioner.PractitionerRole.code |
Operationalization |
FHIR value set :-
SDSjobroletype
|
Value Domain |
|
Used by
|
one transaction, 0 templates, inherited 2 times |
|
This concept is inherited by concept
Role in dataset prsb03-dataelement-13046
This concept is inherited by concept
Role in dataset prsb03-dataelement-13183
|
|
|
Grade 0 … 1
prsb03-dataelement-12030
|
|
|
Id |
prsb03-dataelement-12030 (2019‑05‑31 15:30:50)
|
Cardinality |
0 … 1 |
Concept inherits from |
prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
|
Description |
The grade of the professional. |
Rationale |
PractitionerRole.code |
Operationalization |
Free text |
Value Domain |
|
Property |
|
Used by
|
one transaction, 0 templates, inherited 2 times |
|
This concept is inherited by concept
Grade in dataset prsb03-dataelement-13047
This concept is inherited by concept
Grade in dataset prsb03-dataelement-13184
|
|
|
Speciality 0 … 1
prsb03-dataelement-12031
|
|
|
Id |
prsb03-dataelement-12031 (2019‑05‑31 15:30:50)
|
Cardinality |
0 … 1 |
Concept inherits from |
prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
|
Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
Rationale |
PractitionerRole.speciality |
Operationalization |
NHS data dictionary -
Activity treatment function code
|
Value Domain |
|
Property |
|
Used by
|
one transaction, 0 templates, inherited 2 times |
|
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-13048
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-13185
|
|
|
Professional identifier 0 … 1
prsb03-dataelement-12032
|
|
|
Id |
prsb03-dataelement-12032 (2019‑05‑31 15:30:50)
|
Cardinality |
0 … 1 |
Concept inherits from |
prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
|
Description |
Professional identifier for the professional e.g. GMC number, HCPC number etc or the
personal identifier used by the local organisation.
|
Rationale |
Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier
(for local role identifiers)
|
Operationalization |
NHS data dictionary : -
Professional registration identifier
|
Value Domain |
|
Property |
|
Used by
|
one transaction, 0 templates, inherited 2 times |
|
|
|
|
Organisation 0 … 1
prsb03-dataelement-12033
|
|
|
Id |
prsb03-dataelement-12033 (2019‑05‑31 15:30:50)
|
Cardinality |
0 … 1 |
Concept inherits from |
prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
|
Description |
The name of the organisation the professional works for. |
Used by
|
one transaction, 0 templates, inherited 2 times |
|
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-13050
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-13187
|
|
|
Contact details 0 … 1
prsb03-dataelement-12034
|
|
|
Id |
prsb03-dataelement-12034 (2019‑05‑31 15:30:50)
|
Cardinality |
0 … 1 |
Concept inherits from |
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 |
|
Used by
|
one transaction, 0 templates, inherited 2 times |
|
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-13051
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-13188
|
|
|
Person completing record 0 … *
prsb03-dataelement-12035
|
|
|
Id |
prsb03-dataelement-12035 (2019‑05‑31 15:31:01)
|
Cardinality |
0 … * |
Concept inherits from |
prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
|
Description |
Details of the person completing the record. |
Relationship |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
Contingency plans 0 … 1
prsb03-dataelement-469
|
|
|
Id |
prsb03-dataelement-469 (2018‑10‑31)
|
Cardinality |
0 … 1 |
Description |
Contingency plans. |
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited once |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
Free text 0 … 1
prsb03-dataelement-13699
|
|
|
Id |
prsb03-dataelement-13699 (2020‑09‑09 17:16:21)
|
Cardinality |
0 … 1 |
Concept inherits from |
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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. |
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
Free text 0 … 1
prsb03-dataelement-13697
|
|
|
Id |
prsb03-dataelement-13697 (2020‑09‑09 17:10:48)
|
Cardinality |
0 … 1 |
Concept inherits from |
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
Name 0 … 1
prsb03-dataelement-12270
|
|
|
Id |
prsb03-dataelement-12270 (2019‑05‑31 16:41:01)
|
Cardinality |
0 … 1 |
Concept inherits from |
prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
|
Description |
The name of the professional. |
Rationale |
Practitioner.name |
Operationalization |
Free text. |
Value Domain |
|
Property |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
Role 0 … 1
prsb03-dataelement-12271
|
|
|
Id |
prsb03-dataelement-12271 (2019‑05‑31 16:41:01)
|
Cardinality |
0 … 1 |
Concept inherits from |
prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
|
Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etc
|
Rationale |
Practitioner.PractitionerRole.code |
Operationalization |
FHIR value set :-
SDSjobroletype
|
Value Domain |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
Grade 0 … 1
prsb03-dataelement-12272
|
|
|
Id |
prsb03-dataelement-12272 (2019‑05‑31 16:41:01)
|
Cardinality |
0 … 1 |
Concept inherits from |
prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
|
Description |
The grade of the professional. |
Rationale |
PractitionerRole.code |
Operationalization |
Free text |
Value Domain |
|
Property |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
Speciality 0 … 1
prsb03-dataelement-12273
|
|
|
Id |
prsb03-dataelement-12273 (2019‑05‑31 16:41:01)
|
Cardinality |
0 … 1 |
Concept inherits from |
prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
|
Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
Rationale |
PractitionerRole.speciality |
Operationalization |
NHS data dictionary -
Activity treatment function code
|
Value Domain |
|
Property |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
Professional identifier 0 … 1
prsb03-dataelement-12274
|
|
|
Id |
prsb03-dataelement-12274 (2019‑05‑31 16:41:01)
|
Cardinality |
0 … 1 |
Concept inherits from |
prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
|
Description |
Professional identifier for the professional e.g. GMC number, HCPC number etc or the
personal identifier used by the local organisation.
|
Rationale |
Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier
(for local role identifiers)
|
Operationalization |
NHS data dictionary : -
Professional registration identifier
|
Value Domain |
|
Property |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
Organisation 0 … 1
prsb03-dataelement-12275
|
|
|
Id |
prsb03-dataelement-12275 (2019‑05‑31 16:41:01)
|
Cardinality |
0 … 1 |
Concept inherits from |
prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
|
Description |
The name of the organisation the professional works for. |
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
Contact details 0 … 1
prsb03-dataelement-12276
|
|
|
Id |
prsb03-dataelement-12276 (2019‑05‑31 16:41:01)
|
Cardinality |
0 … 1 |
Concept inherits from |
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
Person completing record 0 … 1
prsb03-dataelement-12277
|
|
|
Id |
prsb03-dataelement-12277 (2019‑05‑31 16:41:55)
|
Cardinality |
0 … 1 |
Concept inherits from |
prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
|
Description |
Details of the person completing the record. |
Relationship |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
Name 0 … 1
prsb03-dataelement-12278
|
|
|
Id |
prsb03-dataelement-12278 (2019‑05‑31 16:42:15)
|
Cardinality |
0 … 1 |
Concept inherits from |
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
Role 0 … 1
prsb03-dataelement-12279
|
|
|
Id |
prsb03-dataelement-12279 (2019‑05‑31 16:42:15)
|
Cardinality |
0 … 1 |
Concept inherits from |
prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
|
Description |
The organisational role of the person completing record. |
FHIR |
PractitionerRole.code of the practitioner completing the record |
|
Relationship |
|
Rationale |
Composition.author.Practitioner.PractitionerRole.code |
Operationalization |
FHIR value set :-
SDSjobrole
|
Value Domain |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
Grade 0 … 1
prsb03-dataelement-12280
|
|
|
Id |
prsb03-dataelement-12280 (2019‑05‑31 16:42:15)
|
Cardinality |
0 … 1 |
Concept inherits from |
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
Specialty 0 … 1
prsb03-dataelement-12281
|
|
|
Id |
prsb03-dataelement-12281 (2019‑05‑31 16:42:15)
|
Cardinality |
0 … 1 |
Concept inherits from |
prsb03-dataelement-11293 (2019‑05‑30 12:25:39)
|
Description |
The main specialty of the person completing the record. |
FHIR |
PractitionerRole.specialty |
|
Relationship |
|
Rationale |
PractitionerRole.speciality |
Operationalization |
NHS data dictionary :-
Activity treatment function code
|
Value Domain |
|
Property |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
Organisation 0 … 1
prsb03-dataelement-12282
|
|
|
Id |
prsb03-dataelement-12282 (2019‑05‑31 16:42:15)
|
Cardinality |
0 … 1 |
Concept inherits from |
prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
|
Description |
The organisation the person completing the record works for. |
Relationship |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
Professional identifier 0 … 1
prsb03-dataelement-12283
|
|
|
Id |
prsb03-dataelement-12283 (2019‑05‑31 16:42:15)
|
Cardinality |
0 … 1 |
Concept inherits from |
prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
|
Description |
Professional identifier for the person completing the record e.g. GMC number, HCPC
number etc, or the personal identifier used by the local organisation.
|
FHIR |
PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional) |
|
Relationship |
|
Rationale |
Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier
(for local role identifiers)
|
Operationalization |
NHS data dictionary :-
Professional registration identifier
|
Value Domain |
|
Property |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
Date completed 0 … 1
prsb03-dataelement-12284
|
|
|
Id |
prsb03-dataelement-12284 (2019‑05‑31 16:42:15)
|
Cardinality |
0 … 1 |
Concept inherits from |
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
Contact details 0 … 1
prsb03-dataelement-12285
|
|
|
Id |
prsb03-dataelement-12285 (2019‑05‑31 16:42:15)
|
Cardinality |
0 … 1 |
Concept inherits from |
prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
|
Description |
Contact details of the person completing the record.
|
FHIR |
PractitionerRole.telecom |
|
Relationship |
|
Rationale |
Practitioner.telecom
PractitionerRole.telecom
Organisation.telcom
|
Operationalization |
NHS data dictionary : -
UK telephone number
|
Value Domain |
|
Property |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
Coping strategies 0 … *
prsb03-dataelement-13850
|
|
|
Id |
prsb03-dataelement-13850 (2021‑01‑08 16:37:56)
|
Cardinality |
0 … * |
Description |
Details of coping strategies used |
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
Person completing record 0 … 1
prsb03-dataelement-12053
|
|
|
Id |
prsb03-dataelement-12053 (2019‑05‑31 15:33:49)
|
Cardinality |
0 … 1 |
Concept inherits from |
prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
|
Description |
Details of the person completing the record. |
Relationship |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
Additional support plans 0 … *
prsb03-dataelement-502
|
|
|
Id |
prsb03-dataelement-502 (2018‑10‑31)
|
Cardinality |
0 … * |
Description |
Additional support plans |
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
|
|
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 |
|
Used by
|
one transaction, 0 templates, inherited 0 times |
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|
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Person completing record 0 … 1
prsb03-dataelement-12070
|
|
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Id |
prsb03-dataelement-12070 (2019‑05‑31 15:36:49)
|
Cardinality |
0 … 1 |
Concept inherits from |
prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
|
Description |
Details of the person completing the record. |
Relationship |
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Used by
|
one transaction, 0 templates, inherited 0 times |
|
|
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