| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (1 … 1 Mandatory) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (1 … 1 Mandatory) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (1 … 1 Mandatory) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (1 … 1 Mandatory) in scenario Outpatient Letter
|
|
|
| Person first name 0 … 1
prsb03-dataelement-13799
|
|
|
| Id |
prsb03-dataelement-13799 (2020‑11‑09 16:09:39)
|
| Cardinality |
0 … 1 |
| Description |
The first name(s) of the person. This includes middle names. |
| Rationale |
Patient.name.given |
| Operationalization |
NHS data dictionary :-
Person given name
|
| Value Domain |
|
| Property |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (1 … * Mandatory) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (1 … * Mandatory) in scenario Outpatient Letter
|
|
|
| Person family name 0 … 1
prsb03-dataelement-13800
|
|
|
| Id |
prsb03-dataelement-13800 (2020‑11‑09 16:43:41)
|
| Cardinality |
0 … 1 |
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (1 … * Mandatory) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (1 … * Mandatory) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … *) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … *) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Date of birth 1 … 1 Mandatory
prsb03-dataelement-10871
|
|
|
|
|
| Gender 0 … 1
prsb03-dataelement-10872
|
|
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| NHS number status indicator 0 … 1
prsb03-dataelement-13297
|
|
|
| Id |
prsb03-dataelement-13297 (2020‑08‑06 12:08:33)
|
| Cardinality |
0 … 1 |
| Description |
Provides an indication of the reliability of an NHS Number. |
| Rationale |
Patient.identifier(nhsnumber).extension(nhsverificationstatus) |
| Operationalization |
NHS data dictionary :-
NHS number status indicator
|
| Value Domain |
|
| Property |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Other identifier 0 … 1
prsb03-dataelement-10880
|
|
|
| Id |
prsb03-dataelement-10880 (2019‑03‑27 19:18:59)
|
| Cardinality |
0 … 1 |
| Description |
Country specific or local identifier, e.g. Community Health Index (CHI) in Scotland. |
| Relationship |
|
| Operationalization |
|
| Value Domain |
|
| Property |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … *) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … *) in scenario Outpatient Letter
|
|
|
| Person's address 1 … * Mandatory
prsb03-dataelement-10881
|
|
|
| Id |
prsb03-dataelement-10881 (2019‑03‑27 19:19:27)
|
| Cardinality |
1 … * Mandatory |
| Description |
Person’s usual place of residence, and where relevant temporary and correspondence
addresses.
|
|
|
| Relationship |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (1 … * Mandatory) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (1 … * Mandatory) in scenario Outpatient Letter
|
|
|
| Address line 1 0 … 1
prsb03-dataelement-13082
|
|
|
| Id |
prsb03-dataelement-13082 (2020‑05‑29 15:28:51)
|
| Cardinality |
0 … 1 |
| Description |
Person's first line of address. |
| Rationale |
Patient.address.line |
| Operationalization |
|
| Value Domain |
|
| Property |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (1 … 1 Mandatory) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (1 … 1 Mandatory) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Postcode 0 … 1
prsb03-dataelement-13087
|
|
|
| Id |
prsb03-dataelement-13087 (2020‑06‑01 11:40:09)
|
| Cardinality |
0 … 1 |
| Description |
The person's postcode. |
| Rationale |
Patient.address.postalcode |
| Operationalization |
NHS data dictionary :-
Postcode of usual address
|
| Value Domain |
|
| Property |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Person's telephone number details 0 … *
prsb03-dataelement-10883
|
|
|
| Id |
prsb03-dataelement-10883 (2019‑03‑27 19:22:39)
|
| Cardinality |
0 … * |
| Description |
The person's telephone number details |
|
|
| Relationship |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … *) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … *) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Person's email address details 0 … *
prsb03-dataelement-13807
|
|
|
| Id |
prsb03-dataelement-13807 (2020‑11‑26 16:29:22)
|
| Cardinality |
0 … * |
| Description |
Details of the person's email address |
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … *) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … *) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Organ and tissue donation 0 … 1
prsb03-dataelement-13847
|
|
|
| Id |
prsb03-dataelement-13847 (2020‑12‑30 11:45:54)
|
| Cardinality |
0 … 1 |
| Description |
Whether the person has given consent for organ and/or tissue donation or opted out
of automatic donation where applicable. This is information provided by the national
register.
|
| Operationalization |
Flag: - Yes or No |
| Value Domain |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Educational establishment 0 … 1
prsb03-dataelement-10911
|
|
|
| Id |
prsb03-dataelement-10911 (2019‑04‑02 13:30:05)
|
| Cardinality |
0 … 1 |
| Concept inherits from |
prsb03-dataelement-10035 (2018‑10‑31)
|
| Description |
If the person is a child, name and address of where the child attends, eg play group,
nursery, school.
|
| Operationalization |
Free text or ODS code where available. |
| Value Domain |
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (1 … 1 Mandatory) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (1 … 1 Mandatory) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (1 … * Mandatory) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … *) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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 Person 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (1 … 1 Mandatory) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (1 … 1 Mandatory) in scenario Outpatient Letter
|
|
|
| Safeguarding 0 … 1
prsb03-dataelement-271
|
|
|
| Id |
prsb03-dataelement-271 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
The safeguarding details of the person. |
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Safeguarding concerns 0 … 1
prsb03-dataelement-10821
|
|
|
| Id |
prsb03-dataelement-10821 (2019‑03‑21 12:14:49)
|
| Cardinality |
0 … 1 |
| Description |
Details of safeguarding concerns |
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Safeguarding indicator 0 … 1
prsb03-dataelement-13428
|
|
|
| Id |
prsb03-dataelement-13428 (2020‑08‑12 15:01:11) 0.1
|
| Cardinality |
0 … 1 |
| Description |
Indicates whether or not the hospital considers that there are safeguarding issues
associated with the patient.
|
| Operationalization |
Flag: No =N: Yes = Y |
| Value Domain |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Safeguarding concerns date 0 … 1
prsb03-dataelement-10172
|
|
|
| Id |
prsb03-dataelement-10172 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
The date the safeguarding concerns were identified. |
| Operationalization |
Date and time |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year, hour and minute |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Safeguarding concerns end date 0 … 1
prsb03-dataelement-10766
|
|
|
| Id |
prsb03-dataelement-10766 (2019‑03‑18 17:51:29)
|
| Cardinality |
0 … 1 |
| Description |
The date safeguarding concerns ended. |
| Operationalization |
Date and time |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year, hour and minute |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Location 0 … 1
prsb03-dataelement-10173
|
|
|
| Id |
prsb03-dataelement-10173 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
The location where the safeguarding concerns were identified. |
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Coded value 0 … 1
prsb03-dataelement-13437
|
|
|
| Id |
prsb03-dataelement-13437 (2020‑08‑14 15:30:27)
|
| Cardinality |
0 … 1 |
| Description |
The coded value of location |
| Operationalization |
NHS data dictionary : -
Organisation code
|
| Value Domain |
|
| Property |
| min length |
max length |
| 3 |
9 |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Free text 0 … 1
prsb03-dataelement-13438
|
|
|
| Id |
prsb03-dataelement-13438 (2020‑08‑14 15:32:13)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Safeguarding concerns 0 … 1
prsb03-dataelement-10171
|
|
|
| Id |
prsb03-dataelement-10171 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
Identified safeguarding concerns. |
|
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Coded value 0 … 1
prsb03-dataelement-13756
|
|
|
| Id |
prsb03-dataelement-13756 (2020‑09‑29 12:22:26)
|
| Cardinality |
0 … 1 |
| Description |
The coded value for safeguarding concerns |
| Operationalization |
SNOMED CT : - 999002381000000108 | Safeguarding issues simple reference set (foundation
metadata concept) |
|
| Value Domain |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Free text 0 … 1
prsb03-dataelement-13757
|
|
|
| Id |
prsb03-dataelement-13757 (2020‑09‑29 12:23:18)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Performing professional 0 … 1
prsb03-dataelement-11358
|
|
|
| Id |
prsb03-dataelement-11358 (2019‑05‑30 13:51:50)
|
| Cardinality |
0 … 1 |
| Description |
The professional who identified the safeguarding concerns. |
| Relationship |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Name 0 … 1
prsb03-dataelement-11359
|
|
|
| Id |
prsb03-dataelement-11359 (2019‑05‑30 13:52:16)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Role 0 … 1
prsb03-dataelement-11360
|
|
|
| Id |
prsb03-dataelement-11360 (2019‑05‑30 13:52:16)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Grade 0 … 1
prsb03-dataelement-11361
|
|
|
| Id |
prsb03-dataelement-11361 (2019‑05‑30 13:52:16)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Speciality 0 … 1
prsb03-dataelement-11362
|
|
|
| Id |
prsb03-dataelement-11362 (2019‑05‑30 13:52:16)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Professional identifier 0 … 1
prsb03-dataelement-11363
|
|
|
| Id |
prsb03-dataelement-11363 (2019‑05‑30 13:52:16)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Organisation 0 … 1
prsb03-dataelement-11364
|
|
|
| Id |
prsb03-dataelement-11364 (2019‑05‑30 13:52:16)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Contact details 0 … 1
prsb03-dataelement-11365
|
|
|
| Id |
prsb03-dataelement-11365 (2019‑05‑30 13:52:16)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Person completing record 0 … 1
prsb03-dataelement-11366
|
|
|
| Id |
prsb03-dataelement-11366 (2019‑05‑30 13:53:06)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Name 0 … 1
prsb03-dataelement-11367
|
|
|
| Id |
prsb03-dataelement-11367 (2019‑05‑30 13:53:34)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Role 0 … 1
prsb03-dataelement-11368
|
|
|
| Id |
prsb03-dataelement-11368 (2019‑05‑30 13:53:34)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Grade 0 … 1
prsb03-dataelement-11369
|
|
|
| Id |
prsb03-dataelement-11369 (2019‑05‑30 13:53:34)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Specialty 0 … 1
prsb03-dataelement-11370
|
|
|
| Id |
prsb03-dataelement-11370 (2019‑05‑30 13:53:34)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Organisation 0 … 1
prsb03-dataelement-11371
|
|
|
| Id |
prsb03-dataelement-11371 (2019‑05‑30 13:53:34)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Professional identifier 0 … 1
prsb03-dataelement-11372
|
|
|
| Id |
prsb03-dataelement-11372 (2019‑05‑30 13:53:34)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Date completed 0 … 1
prsb03-dataelement-11373
|
|
|
| Id |
prsb03-dataelement-11373 (2019‑05‑30 13:53:34)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Contact details 0 … 1
prsb03-dataelement-11374
|
|
|
| Id |
prsb03-dataelement-11374 (2019‑05‑30 13:53:34)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Comment 0 … 1
prsb03-dataelement-10175
|
|
|
| Id |
prsb03-dataelement-10175 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
Further details on safeguarding concerns. |
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Referral details 0 … 1
prsb03-dataelement-105
|
|
|
| Id |
prsb03-dataelement-105 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
The details of the referral. |
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Referral details record entry 0 … *
prsb03-dataelement-10917
|
|
|
| Id |
prsb03-dataelement-10917 (2019‑04‑09 15:59:55)
|
| Cardinality |
0 … * |
| Description |
This is the referral details record entry. There may be 0 to many record entries under
a section. Each record entry is made up of a number of elements or data items.
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … *) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … *) in scenario Outpatient Letter
|
|
|
| Date 0 … 1
prsb03-dataelement-10006
|
|
|
| Id |
prsb03-dataelement-10006 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
The date of referral |
| Operationalization |
Date and time |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year, hour and minute |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Referrer details 0 … 1
prsb03-dataelement-10005
|
|
|
| Id |
prsb03-dataelement-10005 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
The details of the referrer that is making the transfer.
This could be the person, GP surgery, department, specialty, sub-specialty, educational
institution, mental health team, care home etc.
|
| FHIR |
Encounter.incomingreferral |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Name 0 … 1
prsb03-dataelement-10971
|
|
|
| Id |
prsb03-dataelement-10971 (2019‑05‑22 16:29:39)
|
| Cardinality |
0 … 1 |
| Description |
The name of the referrer. |
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Role 0 … 1
prsb03-dataelement-10972
|
|
|
| Id |
prsb03-dataelement-10972 (2019‑05‑22 16:30:25)
|
| Cardinality |
0 … 1 |
| Description |
Role of the referrer. |
| Operationalization |
FHIR value set : -
sdsjobrole
|
| Value Domain |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Grade 0 … 1
prsb03-dataelement-10973
|
|
|
| Id |
prsb03-dataelement-10973 (2019‑05‑22 16:31:10)
|
| Cardinality |
0 … 1 |
| Description |
The grade of the referrer. |
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Team 0 … 1
prsb03-dataelement-12409
|
|
|
| Id |
prsb03-dataelement-12409 (2019‑06‑05 18:11:50)
|
| Cardinality |
0 … 1 |
| Description |
The team or department of the referrer. |
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Specialty 0 … 1
prsb03-dataelement-12410
|
|
|
|
|
| Service 0 … 1
prsb03-dataelement-12411
|
|
|
| Id |
prsb03-dataelement-12411 (2019‑06‑05 18:20:01)
|
| Cardinality |
0 … 1 |
| Description |
The service of the referrer. |
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Coded value 0 … 1
prsb03-dataelement-13397
|
|
|
| Id |
prsb03-dataelement-13397 (2020‑08‑10 19:10:14)
|
| Cardinality |
0 … 1 |
| Description |
The coded value for service |
| Operationalization |
SNOMED CT: - 1127531000000102 |Services simple reference set (foundation metadata
concept)|
|
| Value Domain |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Free text 0 … 1
prsb03-dataelement-13398
|
|
|
| Id |
prsb03-dataelement-13398 (2020‑08‑10 19:11:12)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Organisation 0 … 1
prsb03-dataelement-10974
|
|
|
| Id |
prsb03-dataelement-10974 (2019‑05‑22 16:31:40)
|
| Cardinality |
0 … 1 |
| Description |
The organisation of the referrer. |
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Coded value 0 … 1
prsb03-dataelement-13399
|
|
|
| Id |
prsb03-dataelement-13399 (2020‑08‑10 19:14:38)
|
| Cardinality |
0 … 1 |
| Description |
The coded value for organisation code |
| Operationalization |
NHS data dictionary : -
Organisation data service
|
| Value Domain |
|
| Property |
| min length |
max length |
| 3 |
5 |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Free text 0 … 1
prsb03-dataelement-13400
|
|
|
| Id |
prsb03-dataelement-13400 (2020‑08‑10 19:17:07)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Contact details 0 … 1
prsb03-dataelement-10975
|
|
|
| Id |
prsb03-dataelement-10975 (2019‑05‑22 16:33:49)
|
| Cardinality |
0 … 1 |
| Description |
The contact details of the referrer. |
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Contacts with professionals 1 … 1 Mandatory
prsb03-dataelement-169
|
|
|
| Id |
prsb03-dataelement-169 (2018‑10‑31)
|
| Cardinality |
1 … 1 Mandatory |
| Description |
The details of the person’s contact with a professional. |
| Used by
|
2 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction Outpatient Letter (1 … 1 Mandatory) in scenario Outpatient Letter
|
|
|
| Contacts with professionals record entry 1 … * Mandatory
prsb03-dataelement-10718
|
|
|
| Id |
prsb03-dataelement-10718 (2019‑02‑08 13:49:22)
|
| Cardinality |
1 … * Mandatory |
| Description |
This is a contacts record entry. There may be 0 to many record entries under a section.
Each record entry is made up of a number of elements or data items.
|
| Used by
|
2 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction Outpatient Letter (0 … *) in scenario Outpatient Letter
|
|
|
| Date of contact 1 … 1 Mandatory
prsb03-dataelement-10069
|
|
|
| Id |
prsb03-dataelement-10069 (2018‑10‑31)
|
| Cardinality |
1 … 1 Mandatory |
| Description |
Date and time of the contact. |
|
|
| Operationalization |
Date and time. |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year, hour and minute |
|
| Used by
|
2 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction Outpatient Letter (1 … 1 Mandatory) in scenario Outpatient Letter
|
|
|
| Discharge details 1 … 1
prsb03-dataelement-191
|
|
|
| Id |
prsb03-dataelement-191 (2018‑10‑31)
|
| Cardinality |
1 … 1 |
| Description |
Discharge details |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
|
|
|
| Discharge details record entry 0 … *
prsb03-dataelement-10919
|
|
|
| Id |
prsb03-dataelement-10919 (2019‑04‑09 16:31:23)
|
| Cardinality |
0 … * |
| Description |
This is the discharge details record entry. There may be 0 to many record entries
under a section. Each record entry is made up of a number of elements or data items.
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … *) in scenario E-discharge summary
|
|
|
| Date of discharge 1 … 1 Mandatory
prsb03-dataelement-10096
|
|
|
| Id |
prsb03-dataelement-10096 (2018‑10‑31)
|
| Cardinality |
1 … 1 Mandatory |
| Description |
The date and time of discharge |
|
|
| Operationalization |
Date and time |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year, hour and minute |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
|
|
|
| Discharge destination 1 … 1 Mandatory
prsb03-dataelement-10091
|
|
|
| Id |
prsb03-dataelement-10091 (2018‑10‑31)
|
| Cardinality |
1 … 1 Mandatory |
| Description |
The destination of the person on discharge. Sent as per the ECDS Emergency Care Discharge
Destination code set (SNOMED CT).
|
| FHIR |
Encounter.hospitalisation.dischargedisposition |
|
| Operationalization |
SNOMED CT |
| Value Domain |
|
| Property |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Discharge status 1 … 1 Mandatory
prsb03-dataelement-10092
|
|
|
| Id |
prsb03-dataelement-10092 (2018‑10‑31)
|
| Cardinality |
1 … 1 Mandatory |
| Description |
Patient status on discharge from emergency care. Sent as per the ECDS Emergency Care
DischargeStatus code set (SNOMED CT)
|
| FHIR |
Encounter,Subject.Observation |
|
| Operationalization |
SNOMED CT |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Presenting complaints or issues 1 … 1 Mandatory
prsb03-dataelement-210
|
|
|
| Id |
prsb03-dataelement-210 (2018‑10‑31)
|
| Cardinality |
1 … 1 Mandatory |
| Description |
Presenting complaints or issues |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Presenting complaint or issue 1 … 1 Mandatory
prsb03-dataelement-10110
|
|
|
| Id |
prsb03-dataelement-10110 (2018‑10‑31)
|
| Cardinality |
1 … 1 Mandatory |
| Description |
The health problem or issue experienced by the patient resulting in their attendance.
This may include disease state, medical condition, response and reactions to therapies.
E.g., blackout, dizziness, chest pain, follow up from admission, falls, a specific
procedure, investigation or treatment.
|
|
|
| Operationalization |
Only ONE (chief complaint) sent as per the ECDS Emergency Care Chief Complaint code
set (SNOMED CT).
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Problem list 1 … 1 Mandatory
prsb03-dataelement-10927
|
|
|
| Id |
prsb03-dataelement-10927 (2019‑04‑30 17:00:00)
|
| Cardinality |
1 … 1 Mandatory |
| Description |
A summary of the problems that require investigation or treatment. |
| Used by
|
4 transactions, 0 templates, inherited once |
| |
This concept is used in transaction E-discharge summary (1 … 1 Mandatory) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (1 … 1 Mandatory) in scenario Outpatient Letter
This concept is inherited by concept
Problem list in dataset prsb03-dataelement-12617
|
|
|
| Problem list record entry 0 … *
prsb03-dataelement-10928
|
|
|
| Id |
prsb03-dataelement-10928 (2019‑04‑30 17:01:01)
|
| Cardinality |
0 … * |
| Description |
This is a problem list record entry.
There may be 0 to many record entries under problem list.
Each record entry is made up of a number of elements or data items.
|
| Used by
|
4 transactions, 0 templates, inherited once |
| |
This concept is used in transaction E-discharge summary (0 … *) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … *) in scenario Outpatient Letter
|
|
|
| Date 0 … 1
prsb03-dataelement-10929
|
|
|
| Id |
prsb03-dataelement-10929 (2019‑04‑30 17:04:55)
|
| Cardinality |
0 … 1 |
| Description |
The date the problem was identified. |
| Relationship |
|
| Operationalization |
Date and time |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year, hour and minute |
|
| Used by
|
4 transactions, 0 templates, inherited once |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
This concept is inherited by concept
Date in dataset prsb03-dataelement-12619
|
|
|
| Performing professional 0 … 1
prsb03-dataelement-12133
|
|
|
| Id |
prsb03-dataelement-12133 (2019‑05‑31 16:03:47)
|
| Cardinality |
0 … 1 |
| Description |
The professional who identified the problem. |
| Relationship |
|
| Used by
|
4 transactions, 0 templates, inherited once |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Name 0 … 1
prsb03-dataelement-12134
|
|
|
| Id |
prsb03-dataelement-12134 (2019‑05‑31 16:04:17)
|
| 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
|
4 transactions, 0 templates, inherited once |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
This concept is inherited by concept
Name in dataset prsb03-dataelement-12622
|
|
|
| Role 0 … 1
prsb03-dataelement-12135
|
|
|
| Id |
prsb03-dataelement-12135 (2019‑05‑31 16:04:17)
|
| 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
|
4 transactions, 0 templates, inherited once |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
This concept is inherited by concept
Role in dataset prsb03-dataelement-12623
|
|
|
| Grade 0 … 1
prsb03-dataelement-12136
|
|
|
| Id |
prsb03-dataelement-12136 (2019‑05‑31 16:04:17)
|
| 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
|
4 transactions, 0 templates, inherited once |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
This concept is inherited by concept
Grade in dataset prsb03-dataelement-12624
|
|
|
| Speciality 0 … 1
prsb03-dataelement-12137
|
|
|
| Id |
prsb03-dataelement-12137 (2019‑05‑31 16:04:17)
|
| 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
|
4 transactions, 0 templates, inherited once |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-12625
|
|
|
| Professional identifier 0 … 1
prsb03-dataelement-12138
|
|
|
| Id |
prsb03-dataelement-12138 (2019‑05‑31 16:04:17)
|
| 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
|
4 transactions, 0 templates, inherited once |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Organisation 0 … 1
prsb03-dataelement-12139
|
|
|
| Id |
prsb03-dataelement-12139 (2019‑05‑31 16:04:17)
|
| 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
|
4 transactions, 0 templates, inherited once |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-12627
|
|
|
| Contact details 0 … 1
prsb03-dataelement-12140
|
|
|
| Id |
prsb03-dataelement-12140 (2019‑05‑31 16:04:17)
|
| 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
|
4 transactions, 0 templates, inherited once |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-12628
|
|
|
| Location 0 … 1
prsb03-dataelement-10931
|
|
|
| Id |
prsb03-dataelement-10931 (2019‑04‑30 17:07:45)
|
| Cardinality |
0 … 1 |
| Description |
The location the problem was identified. |
| Relationship |
|
| Used by
|
4 transactions, 0 templates, inherited 2 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
This concept is inherited by concept
Location in dataset prsb03-dataelement-12629
This concept is inherited by concept
Location in dataset prsb03-dataelement-13246
|
|
|
| Coded value 0 … 1
prsb03-dataelement-13242
|
|
|
| Id |
prsb03-dataelement-13242 (2020‑07‑27 18:27:08)
|
| Cardinality |
0 … 1 |
| Description |
The coded value for location. |
| Operationalization |
NHS data dictionary : -
Organisation data service code
|
| Value Domain |
|
| Property |
| min length |
max length |
| 3 |
5 |
|
| Used by
|
4 transactions, 0 templates, inherited 4 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
This concept is inherited by concept
Coded value in dataset prsb03-dataelement-13460
This concept is inherited by concept
Coded value in dataset prsb03-dataelement-13247
This concept is inherited by concept
Coded value in dataset prsb03-dataelement-13310
This concept is inherited by concept
Coded value in dataset prsb03-dataelement-13272
|
|
|
| Free text 0 … 1
prsb03-dataelement-13243
|
|
|
| Id |
prsb03-dataelement-13243 (2020‑07‑27 18:31:13)
|
| 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
|
4 transactions, 0 templates, inherited 4 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
This concept is inherited by concept
Free text in dataset prsb03-dataelement-13461
This concept is inherited by concept
Free text in dataset prsb03-dataelement-13248
This concept is inherited by concept
Free text in dataset prsb03-dataelement-13311
This concept is inherited by concept
Free text in dataset prsb03-dataelement-13273
|
|
|
| Problem 1 … 1 Mandatory
prsb03-dataelement-10932
|
|
|
| Id |
prsb03-dataelement-10932 (2019‑04‑30 17:08:40)
|
| Cardinality |
1 … 1 Mandatory |
| Description |
A condition which needs addressing and so is important for every professional to know
about when seeing the person.
Problems may include diagnoses, symptoms, disabilities and social or behavioural issues,
and comprise the ‘Problem list’
|
| Relationship |
|
| Used by
|
4 transactions, 0 templates, inherited 2 times |
| |
This concept is used in transaction E-discharge summary (1 … 1 Mandatory) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (1 … 1 Mandatory) in scenario Outpatient Letter
This concept is inherited by concept
Problem in dataset prsb03-dataelement-12630
This concept is inherited by concept
Problem in dataset prsb03-dataelement-12645
|
|
|
| Coded value 0 … 1
prsb03-dataelement-13244
|
|
|
|
|
| Free text 0 … 1
prsb03-dataelement-13245
|
|
|
| Id |
prsb03-dataelement-13245 (2020‑07‑27 18:46:30)
|
| 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
|
4 transactions, 0 templates, inherited once |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
This concept is inherited by concept
Free text in dataset prsb03-dataelement-14264
|
|
|
| Onset date 0 … 1
prsb03-dataelement-10933
|
|
|
| Id |
prsb03-dataelement-10933 (2019‑04‑30 17:10:25)
|
| Cardinality |
0 … 1 |
| Description |
A date or estimated date that the problem began |
| Relationship |
|
| Operationalization |
Date and time |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least month and year |
|
| Used by
|
4 transactions, 0 templates, inherited once |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
This concept is inherited by concept
Onset date in dataset prsb03-dataelement-12631
|
|
|
| End Date 0 … 1
prsb03-dataelement-10934
|
|
|
| Id |
prsb03-dataelement-10934 (2019‑04‑30 17:10:59)
|
| Cardinality |
0 … 1 |
| Description |
The date or estimated date the problem was resolved. |
| Relationship |
|
| Operationalization |
Date and time. |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year, hour and minute |
|
| Used by
|
4 transactions, 0 templates, inherited once |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
This concept is inherited by concept
End Date in dataset prsb03-dataelement-12632
|
|
|
| Problem on discharge 0 … 1
prsb03-dataelement-14262
|
|
|
| Id |
prsb03-dataelement-14262 (2021‑03‑10 15:51:43)
|
| Cardinality |
0 … 1 |
| Description |
PLACEHOLDER: The main problem or diagnosis on discharge.
Problems may include diagnoses, symptoms, disabilities and social or behavioural issues,
and comprise the ‘Problem list’
|
| Relationship |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
|
|
|
| Coded value 0 … 1
prsb03-dataelement-14263
|
|
|
|
|
| Free text 0 … 1
prsb03-dataelement-14264
|
|
|
| Id |
prsb03-dataelement-14264 (2021‑03‑10 15:53:09)
|
| Cardinality |
0 … 1 |
| Concept inherits from |
prsb03-dataelement-13245 (2020‑07‑27 18:46:30)
|
| Description |
Free text field to be used if no code is available |
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
|
|
|
| Stage of disease 0 … 1
prsb03-dataelement-10935
|
|
|
| Id |
prsb03-dataelement-10935 (2019‑04‑30 17:11:55)
|
| Cardinality |
0 … 1 |
| Description |
The stage of the disease where relevant. |
| Relationship |
|
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
4 transactions, 0 templates, inherited once |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
This concept is inherited by concept
Stage of disease in dataset prsb03-dataelement-12633
|
|
|
| Person completing record 0 … 1
prsb03-dataelement-12141
|
|
|
| Id |
prsb03-dataelement-12141 (2019‑05‑31 16:04:31)
|
| 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
|
4 transactions, 0 templates, inherited once |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Name 0 … 1
prsb03-dataelement-12142
|
|
|
| Id |
prsb03-dataelement-12142 (2019‑05‑31 16:04:53)
|
| 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
|
4 transactions, 0 templates, inherited once |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
This concept is inherited by concept
Name in dataset prsb03-dataelement-12635
|
|
|
| Role 0 … 1
prsb03-dataelement-12143
|
|
|
| Id |
prsb03-dataelement-12143 (2019‑05‑31 16:04:53)
|
| 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
|
4 transactions, 0 templates, inherited once |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
This concept is inherited by concept
Role in dataset prsb03-dataelement-12636
|
|
|
| Grade 0 … 1
prsb03-dataelement-12144
|
|
|
| Id |
prsb03-dataelement-12144 (2019‑05‑31 16:04:53)
|
| 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
|
4 transactions, 0 templates, inherited once |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
This concept is inherited by concept
Grade in dataset prsb03-dataelement-12637
|
|
|
| Specialty 0 … 1
prsb03-dataelement-12145
|
|
|
| Id |
prsb03-dataelement-12145 (2019‑05‑31 16:04:53)
|
| 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
|
4 transactions, 0 templates, inherited once |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
This concept is inherited by concept
Specialty in dataset prsb03-dataelement-12638
|
|
|
| Organisation 0 … 1
prsb03-dataelement-12146
|
|
|
| Id |
prsb03-dataelement-12146 (2019‑05‑31 16:04:53)
|
| 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
|
4 transactions, 0 templates, inherited once |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-12639
|
|
|
| Professional identifier 0 … 1
prsb03-dataelement-12147
|
|
|
| Id |
prsb03-dataelement-12147 (2019‑05‑31 16:04:53)
|
| 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
|
4 transactions, 0 templates, inherited once |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Date completed 0 … 1
prsb03-dataelement-12148
|
|
|
| Id |
prsb03-dataelement-12148 (2019‑05‑31 16:04:53)
|
| 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
|
4 transactions, 0 templates, inherited once |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
This concept is inherited by concept
Date completed in dataset prsb03-dataelement-12641
|
|
|
| Contact details 0 … 1
prsb03-dataelement-12149
|
|
|
| Id |
prsb03-dataelement-12149 (2019‑05‑31 16:04:53)
|
| 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
|
4 transactions, 0 templates, inherited once |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-12642
|
|
|
| Comment 0 … *
prsb03-dataelement-10936
|
|
|
| Id |
prsb03-dataelement-10936 (2019‑04‑30 17:13:22)
|
| Cardinality |
0 … * |
| Description |
Supporting text may be given covering the problem. |
| Relationship |
|
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
4 transactions, 0 templates, inherited once |
| |
This concept is used in transaction E-discharge summary (0 … *) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … *) in scenario Outpatient Letter
This concept is inherited by concept
Comment in dataset prsb03-dataelement-12644
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … *) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … *) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited once |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited once |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
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
|
4 transactions, 0 templates, inherited once |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
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
|
4 transactions, 0 templates, inherited once |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
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
|
4 transactions, 0 templates, inherited once |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
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
|
4 transactions, 0 templates, inherited once |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited once |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
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
|
4 transactions, 0 templates, inherited once |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (1 … 1 Mandatory) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (1 … 1 Mandatory) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Anatomical site 0 … 1
prsb03-dataelement-10142
|
|
|
| Id |
prsb03-dataelement-10142 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
The body site of the procedure |
|
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Coded value 0 … 1
prsb03-dataelement-13251
|
|
|
| Id |
prsb03-dataelement-13251 (2020‑07‑27 19:46:07)
|
| Cardinality |
0 … 1 |
| Description |
The coded value of the anatomical site. |
| Operationalization |
SNOMED CT :- <
123037004 |Body structure (body structure)|
|
| Value Domain |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Free text 0 … 1
prsb03-dataelement-13252
|
|
|
| Id |
prsb03-dataelement-13252 (2020‑07‑27 19:48:24)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Laterality 0 … 1
prsb03-dataelement-10143
|
|
|
| Id |
prsb03-dataelement-10143 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
Laterality of the procedure |
| FHIR |
??Procedure.Code as an EXPRESSION Procedure.bodySite |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Coded value 0 … 1
prsb03-dataelement-13253
|
|
|
| Id |
prsb03-dataelement-13253 (2020‑07‑27 19:50:39)
|
| Cardinality |
0 … 1 |
| Description |
The coded value for laterality. |
| Operationalization |
SNOMED CT:- <
182353008 |Side (qualifier value)|
|
| Value Domain |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Free text 0 … 1
prsb03-dataelement-13254
|
|
|
| Id |
prsb03-dataelement-13254 (2020‑07‑27 19:52:35)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Complications related to procedure 0 … 1
prsb03-dataelement-10144
|
|
|
| Id |
prsb03-dataelement-10144 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
Details of any intra-operative complications encountered during the procedure, arising
during the person’s stay in the recovery unit or directly attributable to the procedure.
|
| FHIR |
Procedure.complication Procedure.complicationDetail |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Coded value 0 … 1
prsb03-dataelement-13255
|
|
|
| Id |
prsb03-dataelement-13255 (2020‑07‑27 19:56:23)
|
| Cardinality |
0 … 1 |
| Description |
The coded value for complications relating to procedure. |
| Operationalization |
SNOMED CT : - <
404684003 |Clinical finding (finding)|
|
| Value Domain |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Free text 0 … 1
prsb03-dataelement-13256
|
|
|
| Id |
prsb03-dataelement-13256 (2020‑07‑27 19:58:17)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Specific anesthesia issues 0 … 1
prsb03-dataelement-10145
|
|
|
| Id |
prsb03-dataelement-10145 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
Details of any adverse reaction to any anesthetic agents including local anesthesia.
Problematic intubation, transfusion reaction, etc.
|
| FHIR |
Procedure. Procedure.AnestheticIssues |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Coded value 0 … 1
prsb03-dataelement-13257
|
|
|
| Id |
prsb03-dataelement-13257 (2020‑07‑27 20:00:25)
|
| Cardinality |
0 … 1 |
| Description |
The coded value for specific anesthesia issues. |
| Operationalization |
SNOMED CT |
| Value Domain |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Free text 0 … 1
prsb03-dataelement-13258
|
|
|
| Id |
prsb03-dataelement-13258 (2020‑07‑27 20:01:36)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Clinical Summary 1 … 1 Mandatory
prsb03-dataelement-247
|
|
|
| Id |
prsb03-dataelement-247 (2018‑10‑31)
|
| Cardinality |
1 … 1 Mandatory |
| Description |
Clinical Summary |
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (1 … 1 Mandatory) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (1 … 1 Mandatory) in scenario Outpatient Letter
|
|
|
| Clinical summary 1 … 1 Mandatory
prsb03-dataelement-10147
|
|
|
| Id |
prsb03-dataelement-10147 (2018‑10‑31)
|
| Cardinality |
1 … 1 Mandatory |
| Description |
Summary of the encounter. Where possible, very brief. This may include interpretation
of findings and results; differential diagnoses, opinion and specific action(s). Planned
actions will be recorded under ‘plan’.
|
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
4 transactions, 0 templates, inherited once |
| |
This concept is used in transaction E-discharge summary (1 … 1 Mandatory) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (1 … 1 Mandatory) in scenario Outpatient Letter
This concept is inherited by concept
Clinical summary in dataset prsb03-dataelement-10750
|
|
|
| Risks 0 … 1
prsb03-dataelement-276
|
|
|
| Id |
prsb03-dataelement-276 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
Details of any risks related to the person. |
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Risks to self 0 … *
prsb03-dataelement-10176
|
|
|
| Id |
prsb03-dataelement-10176 (2018‑10‑31)
|
| Cardinality |
0 … * |
| Description |
Details of the persons risk to self |
|
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … *) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … *) in scenario Outpatient Letter
|
|
|
| Start date of risk 0 … 1
prsb03-dataelement-11893
|
|
|
| Id |
prsb03-dataelement-11893 (2019‑05‑31 14:50:40)
|
| Cardinality |
0 … 1 |
| Concept inherits from |
prsb03-dataelement-10179 (2018‑10‑31)
|
| Description |
The start date of the risk. |
| Operationalization |
Date and time |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year, hour and minute |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| End date of risk 0 … 1
prsb03-dataelement-11894
|
|
|
| Id |
prsb03-dataelement-11894 (2019‑05‑31 14:51:05)
|
| Cardinality |
0 … 1 |
| Concept inherits from |
prsb03-dataelement-10801 (2019‑03‑20 14:20:23)
|
| Description |
The date the risk ended. |
| Operationalization |
Date and time |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year, hour and minute |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Risk to self 0 … 1
prsb03-dataelement-13579
|
|
|
| Id |
prsb03-dataelement-13579 (2020‑09‑08 11:10:38)
|
| Cardinality |
0 … 1 |
| Description |
Risks the person poses to themselves, e.g. suicide, overdose, self-harm, self-neglect. |
| Operationalization |
SNOMED CT: - <281694009 |Finding of at risk (finding)| |
| Value Domain |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Location 0 … 1
prsb03-dataelement-11895
|
|
|
| Id |
prsb03-dataelement-11895 (2019‑05‑31 14:51:50)
|
| Cardinality |
0 … 1 |
| Description |
The location where the risk was identified. |
| Relationship |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Coded value 0 … 1
prsb03-dataelement-13586
|
|
|
| Id |
prsb03-dataelement-13586 (2020‑09‑08 12:08:47)
|
| Cardinality |
0 … 1 |
| Description |
The coded value for location |
| Operationalization |
NHS data dictionary : -
Organisation service code
|
| Value Domain |
|
| Property |
| min length |
max length |
| 3 |
5 |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Free text 0 … 1
prsb03-dataelement-13587
|
|
|
| Id |
prsb03-dataelement-13587 (2020‑09‑08 12:09:57)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Performing professional 0 … 1
prsb03-dataelement-11896
|
|
|
| Id |
prsb03-dataelement-11896 (2019‑05‑31 14:52:35)
|
| Cardinality |
0 … 1 |
| Description |
The professional who identified the risk. |
| Relationship |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Name 0 … 1
prsb03-dataelement-11897
|
|
|
| Id |
prsb03-dataelement-11897 (2019‑05‑31 14:52:54)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Role 0 … 1
prsb03-dataelement-11898
|
|
|
| Id |
prsb03-dataelement-11898 (2019‑05‑31 14:52:54)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Grade 0 … 1
prsb03-dataelement-11899
|
|
|
| Id |
prsb03-dataelement-11899 (2019‑05‑31 14:52:54)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Speciality 0 … 1
prsb03-dataelement-11900
|
|
|
| Id |
prsb03-dataelement-11900 (2019‑05‑31 14:52:54)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Professional identifier 0 … 1
prsb03-dataelement-11901
|
|
|
| Id |
prsb03-dataelement-11901 (2019‑05‑31 14:52:54)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Organisation 0 … 1
prsb03-dataelement-11902
|
|
|
| Id |
prsb03-dataelement-11902 (2019‑05‑31 14:52:54)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Contact details 0 … 1
prsb03-dataelement-11903
|
|
|
| Id |
prsb03-dataelement-11903 (2019‑05‑31 14:52:54)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Person completing record 0 … 1
prsb03-dataelement-11904
|
|
|
| Id |
prsb03-dataelement-11904 (2019‑05‑31 14:53:05)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Name 0 … 1
prsb03-dataelement-11905
|
|
|
| Id |
prsb03-dataelement-11905 (2019‑05‑31 14:53:43)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Role 0 … 1
prsb03-dataelement-11906
|
|
|
| Id |
prsb03-dataelement-11906 (2019‑05‑31 14:53:43)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Grade 0 … 1
prsb03-dataelement-11907
|
|
|
| Id |
prsb03-dataelement-11907 (2019‑05‑31 14:53:43)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Specialty 0 … 1
prsb03-dataelement-11908
|
|
|
| Id |
prsb03-dataelement-11908 (2019‑05‑31 14:53:43)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Organisation 0 … 1
prsb03-dataelement-11909
|
|
|
| Id |
prsb03-dataelement-11909 (2019‑05‑31 14:53:43)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Professional identifier 0 … 1
prsb03-dataelement-11910
|
|
|
| Id |
prsb03-dataelement-11910 (2019‑05‑31 14:53:43)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Date completed 0 … 1
prsb03-dataelement-11911
|
|
|
| Id |
prsb03-dataelement-11911 (2019‑05‑31 14:53:43)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Contact details 0 … 1
prsb03-dataelement-11912
|
|
|
| Id |
prsb03-dataelement-11912 (2019‑05‑31 14:53:43)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Risks to others 0 … *
prsb03-dataelement-10177
|
|
|
| Id |
prsb03-dataelement-10177 (2018‑10‑31)
|
| Cardinality |
0 … * |
| Description |
Details of the person's risk to others |
|
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … *) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … *) in scenario Outpatient Letter
|
|
|
| Start date of risk 0 … 1
prsb03-dataelement-11913
|
|
|
| Id |
prsb03-dataelement-11913 (2019‑05‑31 14:54:14)
|
| Cardinality |
0 … 1 |
| Concept inherits from |
prsb03-dataelement-10179 (2018‑10‑31)
|
| Description |
The start date of the risk. |
| Operationalization |
Date and time |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year, hour and minute |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| End date of risk 0 … 1
prsb03-dataelement-11914
|
|
|
| Id |
prsb03-dataelement-11914 (2019‑05‑31 14:54:38)
|
| Cardinality |
0 … 1 |
| Concept inherits from |
prsb03-dataelement-10801 (2019‑03‑20 14:20:23)
|
| Description |
The date the risk ended. |
| Operationalization |
Date and time |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year, hour and minute |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Risks to others 0 … 1
prsb03-dataelement-13580
|
|
|
| Id |
prsb03-dataelement-13580 (2020‑09‑08 11:21:20)
|
| Cardinality |
0 … 1 |
| Description |
Risks to professionals or others. |
| Operationalization |
SNOMED CT: - <<391155006 |At risk of harming others (finding)| |
| Value Domain |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Location 0 … 1
prsb03-dataelement-11915
|
|
|
| Id |
prsb03-dataelement-11915 (2019‑05‑31 14:55:04)
|
| Cardinality |
0 … 1 |
| Description |
The location where the risk to others was identified. |
| Relationship |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Coded value 0 … 1
prsb03-dataelement-13588
|
|
|
| Id |
prsb03-dataelement-13588 (2020‑09‑08 12:15:45)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Free text 0 … 1
prsb03-dataelement-13589
|
|
|
| Id |
prsb03-dataelement-13589 (2020‑09‑08 12:17:17)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Performing professional 0 … 1
prsb03-dataelement-11916
|
|
|
| Id |
prsb03-dataelement-11916 (2019‑05‑31 14:55:39)
|
| Cardinality |
0 … 1 |
| Description |
The professional who identifies the risk to others. |
| Relationship |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Name 0 … 1
prsb03-dataelement-11917
|
|
|
| Id |
prsb03-dataelement-11917 (2019‑05‑31 14:55:55)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Role 0 … 1
prsb03-dataelement-11918
|
|
|
| Id |
prsb03-dataelement-11918 (2019‑05‑31 14:55:55)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Grade 0 … 1
prsb03-dataelement-11919
|
|
|
| Id |
prsb03-dataelement-11919 (2019‑05‑31 14:55:55)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Speciality 0 … 1
prsb03-dataelement-11920
|
|
|
| Id |
prsb03-dataelement-11920 (2019‑05‑31 14:55:55)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Professional identifier 0 … 1
prsb03-dataelement-11921
|
|
|
| Id |
prsb03-dataelement-11921 (2019‑05‑31 14:55:55)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Organisation 0 … 1
prsb03-dataelement-11922
|
|
|
| Id |
prsb03-dataelement-11922 (2019‑05‑31 14:55:55)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Contact details 0 … 1
prsb03-dataelement-11923
|
|
|
| Id |
prsb03-dataelement-11923 (2019‑05‑31 14:55:55)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Person completing record 0 … 1
prsb03-dataelement-11924
|
|
|
| Id |
prsb03-dataelement-11924 (2019‑05‑31 14:56:46)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Name 0 … 1
prsb03-dataelement-11925
|
|
|
| Id |
prsb03-dataelement-11925 (2019‑05‑31 14:57:11)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Role 0 … 1
prsb03-dataelement-11926
|
|
|
| Id |
prsb03-dataelement-11926 (2019‑05‑31 14:57:11)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Grade 0 … 1
prsb03-dataelement-11927
|
|
|
| Id |
prsb03-dataelement-11927 (2019‑05‑31 14:57:11)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Specialty 0 … 1
prsb03-dataelement-11928
|
|
|
| Id |
prsb03-dataelement-11928 (2019‑05‑31 14:57:11)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Organisation 0 … 1
prsb03-dataelement-11929
|
|
|
| Id |
prsb03-dataelement-11929 (2019‑05‑31 14:57:11)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Professional identifier 0 … 1
prsb03-dataelement-11930
|
|
|
| Id |
prsb03-dataelement-11930 (2019‑05‑31 14:57:11)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Date completed 0 … 1
prsb03-dataelement-11931
|
|
|
| Id |
prsb03-dataelement-11931 (2019‑05‑31 14:57:11)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Contact details 0 … 1
prsb03-dataelement-11932
|
|
|
| Id |
prsb03-dataelement-11932 (2019‑05‑31 14:57:11)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Risk from others 0 … *
prsb03-dataelement-10178
|
|
|
| Id |
prsb03-dataelement-10178 (2018‑10‑31)
|
| Cardinality |
0 … * |
| Description |
Risks to the person from an identified individual e.g. family member etc. |
|
|
| Operationalization |
Free Text. |
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … *) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … *) in scenario Outpatient Letter
|
|
|
| Start date of risk 0 … 1
prsb03-dataelement-11933
|
|
|
| Id |
prsb03-dataelement-11933 (2019‑05‑31 14:58:12)
|
| Cardinality |
0 … 1 |
| Concept inherits from |
prsb03-dataelement-10179 (2018‑10‑31)
|
| Description |
The start date of the risk. |
| Operationalization |
Date and time |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year, hour and minute |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| End date of risk 0 … 1
prsb03-dataelement-11934
|
|
|
| Id |
prsb03-dataelement-11934 (2019‑05‑31 14:58:38)
|
| Cardinality |
0 … 1 |
| Concept inherits from |
prsb03-dataelement-10801 (2019‑03‑20 14:20:23)
|
| Description |
The date the risk ended. |
| Operationalization |
Date and time |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year, hour and minute |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Risk from others 0 … 1
prsb03-dataelement-13581
|
|
|
| Id |
prsb03-dataelement-13581 (2020‑09‑08 11:37:50)
|
| Cardinality |
0 … 1 |
| Description |
Risks to the person from an identified individual e.g. family member etc. |
| Operationalization |
SNOMED CT: - <281694009 |Finding of at risk (finding)| |
| Value Domain |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Location 0 … 1
prsb03-dataelement-11935
|
|
|
| Id |
prsb03-dataelement-11935 (2019‑05‑31 14:59:06)
|
| Cardinality |
0 … 1 |
| Description |
The location where the risk from others was identified. |
| Relationship |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Coded value 0 … 1
prsb03-dataelement-13590
|
|
|
| Id |
prsb03-dataelement-13590 (2020‑09‑08 12:21:08)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Free text 0 … 1
prsb03-dataelement-13591
|
|
|
| Id |
prsb03-dataelement-13591 (2020‑09‑08 12:22:47)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Performing professional 0 … 1
prsb03-dataelement-11936
|
|
|
| Id |
prsb03-dataelement-11936 (2019‑05‑31 14:59:33)
|
| Cardinality |
0 … 1 |
| Description |
The professional who identified the risk from others. |
| Relationship |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Name 0 … 1
prsb03-dataelement-11937
|
|
|
| Id |
prsb03-dataelement-11937 (2019‑05‑31 14:59:53)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Role 0 … 1
prsb03-dataelement-11938
|
|
|
| Id |
prsb03-dataelement-11938 (2019‑05‑31 14:59:53)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Grade 0 … 1
prsb03-dataelement-11939
|
|
|
| Id |
prsb03-dataelement-11939 (2019‑05‑31 14:59:53)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Speciality 0 … 1
prsb03-dataelement-11940
|
|
|
| Id |
prsb03-dataelement-11940 (2019‑05‑31 14:59:53)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Professional identifier 0 … 1
prsb03-dataelement-11941
|
|
|
| Id |
prsb03-dataelement-11941 (2019‑05‑31 14:59:53)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Organisation 0 … 1
prsb03-dataelement-11942
|
|
|
| Id |
prsb03-dataelement-11942 (2019‑05‑31 14:59:53)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Contact details 0 … 1
prsb03-dataelement-11943
|
|
|
| Id |
prsb03-dataelement-11943 (2019‑05‑31 14:59:53)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Person completing record 0 … 1
prsb03-dataelement-11944
|
|
|
| Id |
prsb03-dataelement-11944 (2019‑05‑31 15:00:03)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Name 0 … 1
prsb03-dataelement-11945
|
|
|
| Id |
prsb03-dataelement-11945 (2019‑05‑31 15:00:27)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Role 0 … 1
prsb03-dataelement-11946
|
|
|
| Id |
prsb03-dataelement-11946 (2019‑05‑31 15:00:27)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Grade 0 … 1
prsb03-dataelement-11947
|
|
|
| Id |
prsb03-dataelement-11947 (2019‑05‑31 15:00:27)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Specialty 0 … 1
prsb03-dataelement-11948
|
|
|
| Id |
prsb03-dataelement-11948 (2019‑05‑31 15:00:27)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Organisation 0 … 1
prsb03-dataelement-11949
|
|
|
| Id |
prsb03-dataelement-11949 (2019‑05‑31 15:00:27)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Professional identifier 0 … 1
prsb03-dataelement-11950
|
|
|
| Id |
prsb03-dataelement-11950 (2019‑05‑31 15:00:27)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Date completed 0 … 1
prsb03-dataelement-11951
|
|
|
| Id |
prsb03-dataelement-11951 (2019‑05‑31 15:00:27)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Contact details 0 … 1
prsb03-dataelement-11952
|
|
|
| Id |
prsb03-dataelement-11952 (2019‑05‑31 15:00:27)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Risk of accidents 0 … *
prsb03-dataelement-10751
|
|
|
| Id |
prsb03-dataelement-10751 (2019‑03‑07 17:19:00)
|
| Cardinality |
0 … * |
| Description |
Details of the risks the person poses to themselves from accidents. |
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … *) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … *) in scenario Outpatient Letter
|
|
|
| Start date of risk 0 … 1
prsb03-dataelement-11953
|
|
|
| Id |
prsb03-dataelement-11953 (2019‑05‑31 15:00:58)
|
| Cardinality |
0 … 1 |
| Concept inherits from |
prsb03-dataelement-10179 (2018‑10‑31)
|
| Description |
The start date of the risk. |
| Operationalization |
Date and time |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year, hour and minute |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| End date of risk 0 … 1
prsb03-dataelement-11954
|
|
|
| Id |
prsb03-dataelement-11954 (2019‑05‑31 15:01:29)
|
| Cardinality |
0 … 1 |
| Concept inherits from |
prsb03-dataelement-10801 (2019‑03‑20 14:20:23)
|
| Description |
The date the risk ended. |
| Operationalization |
Date and time |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year, hour and minute |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Risk of accidents 0 … 1
prsb03-dataelement-13582
|
|
|
| Id |
prsb03-dataelement-13582 (2020‑09‑08 11:57:25)
|
| Cardinality |
0 … 1 |
| Description |
Risks the person poses to themselves from accidents. |
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Location 0 … 1
prsb03-dataelement-11955
|
|
|
| Id |
prsb03-dataelement-11955 (2019‑05‑31 15:01:51)
|
| Cardinality |
0 … 1 |
| Description |
The location where the risk of accidents was identified. |
| Relationship |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Coded value 0 … 1
prsb03-dataelement-13592
|
|
|
| Id |
prsb03-dataelement-13592 (2020‑09‑08 12:24:12)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Free text 0 … 1
prsb03-dataelement-13593
|
|
|
| Id |
prsb03-dataelement-13593 (2020‑09‑08 12:25:18)
|
| Cardinality |
0 … 1 |
| Concept inherits from |
prsb03-dataelement-13223 (2020‑07‑08 17:40:09)
|
| Description |
Free text field to be used if no coded text available |
| Value Domain |
|
| Property |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Performing professional 0 … 1
prsb03-dataelement-11956
|
|
|
| Id |
prsb03-dataelement-11956 (2019‑05‑31 15:02:24)
|
| Cardinality |
0 … 1 |
| Description |
The professional who identified the risk of accidents. |
| Relationship |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Name 0 … 1
prsb03-dataelement-11957
|
|
|
| Id |
prsb03-dataelement-11957 (2019‑05‑31 15:02:41)
|
| 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
|
4 transactions, 0 templates, inherited once |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
This concept is inherited by concept
Name in dataset prsb03-dataelement-13598
|
|
|
| Role 0 … 1
prsb03-dataelement-11958
|
|
|
| Id |
prsb03-dataelement-11958 (2019‑05‑31 15:02:41)
|
| 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
|
4 transactions, 0 templates, inherited once |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
This concept is inherited by concept
Role in dataset prsb03-dataelement-13599
|
|
|
| Grade 0 … 1
prsb03-dataelement-11959
|
|
|
| Id |
prsb03-dataelement-11959 (2019‑05‑31 15:02:41)
|
| 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
|
4 transactions, 0 templates, inherited once |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
This concept is inherited by concept
Grade in dataset prsb03-dataelement-13600
|
|
|
| Speciality 0 … 1
prsb03-dataelement-11960
|
|
|
| Id |
prsb03-dataelement-11960 (2019‑05‑31 15:02:41)
|
| 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
|
4 transactions, 0 templates, inherited once |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-13601
|
|
|
| Professional identifier 0 … 1
prsb03-dataelement-11961
|
|
|
| Id |
prsb03-dataelement-11961 (2019‑05‑31 15:02:41)
|
| 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
|
4 transactions, 0 templates, inherited once |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Organisation 0 … 1
prsb03-dataelement-11962
|
|
|
| Id |
prsb03-dataelement-11962 (2019‑05‑31 15:02:41)
|
| 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
|
4 transactions, 0 templates, inherited once |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-13603
|
|
|
| Contact details 0 … 1
prsb03-dataelement-11963
|
|
|
| Id |
prsb03-dataelement-11963 (2019‑05‑31 15:02:41)
|
| 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
|
4 transactions, 0 templates, inherited once |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-13604
|
|
|
| Person completing record 0 … 1
prsb03-dataelement-11964
|
|
|
| Id |
prsb03-dataelement-11964 (2019‑05‑31 15:02:51)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Name 0 … 1
prsb03-dataelement-11965
|
|
|
| Id |
prsb03-dataelement-11965 (2019‑05‑31 15:03:12)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Role 0 … 1
prsb03-dataelement-11966
|
|
|
| Id |
prsb03-dataelement-11966 (2019‑05‑31 15:03:12)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Grade 0 … 1
prsb03-dataelement-11967
|
|
|
| Id |
prsb03-dataelement-11967 (2019‑05‑31 15:03:12)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Specialty 0 … 1
prsb03-dataelement-11968
|
|
|
| Id |
prsb03-dataelement-11968 (2019‑05‑31 15:03:12)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Organisation 0 … 1
prsb03-dataelement-11969
|
|
|
| Id |
prsb03-dataelement-11969 (2019‑05‑31 15:03:12)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Professional identifier 0 … 1
prsb03-dataelement-11970
|
|
|
| Id |
prsb03-dataelement-11970 (2019‑05‑31 15:03:12)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Date completed 0 … 1
prsb03-dataelement-11971
|
|
|
| Id |
prsb03-dataelement-11971 (2019‑05‑31 15:03:12)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Contact details 0 … 1
prsb03-dataelement-11972
|
|
|
| Id |
prsb03-dataelement-11972 (2019‑05‑31 15:03:12)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Other risks 0 … *
prsb03-dataelement-10802
|
|
|
| Id |
prsb03-dataelement-10802 (2019‑03‑20 14:23:40)
|
| Cardinality |
0 … * |
| Description |
Details of other risks, factors or behaviours relating to the person. |
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … *) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … *) in scenario Outpatient Letter
|
|
|
| Start date of risk 0 … 1
prsb03-dataelement-11973
|
|
|
| Id |
prsb03-dataelement-11973 (2019‑05‑31 15:03:41)
|
| Cardinality |
0 … 1 |
| Concept inherits from |
prsb03-dataelement-10179 (2018‑10‑31)
|
| Description |
The start date of the risk. |
| Operationalization |
Date and time |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year, hour and minute |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| End date of risk 0 … 1
prsb03-dataelement-11974
|
|
|
| Id |
prsb03-dataelement-11974 (2019‑05‑31 15:04:10)
|
| Cardinality |
0 … 1 |
| Concept inherits from |
prsb03-dataelement-10801 (2019‑03‑20 14:20:23)
|
| Description |
The date the risk ended. |
| Operationalization |
Date and time |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year, hour and minute |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Other risks 0 … 1
prsb03-dataelement-13583
|
|
|
| Id |
prsb03-dataelement-13583 (2020‑09‑08 12:01:56)
|
| Cardinality |
0 … 1 |
| Description |
Other risks, factors or behaviours relating to the person. |
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Location 0 … 1
prsb03-dataelement-11975
|
|
|
| Id |
prsb03-dataelement-11975 (2019‑05‑31 15:04:35)
|
| Cardinality |
0 … 1 |
| Description |
The location where the other risks were identified. |
| Relationship |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Coded value 0 … 1
prsb03-dataelement-13594
|
|
|
| Id |
prsb03-dataelement-13594 (2020‑09‑08 12:26:43)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Free text 0 … 1
prsb03-dataelement-13595
|
|
|
| Id |
prsb03-dataelement-13595 (2020‑09‑08 12:27:58)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Performing professional 0 … 1
prsb03-dataelement-11976
|
|
|
| Id |
prsb03-dataelement-11976 (2019‑05‑31 15:05:03)
|
| Cardinality |
0 … 1 |
| Description |
The professional who identified the other risks. |
| Relationship |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Name 0 … 1
prsb03-dataelement-11977
|
|
|
| Id |
prsb03-dataelement-11977 (2019‑05‑31 15:05:19)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Role 0 … 1
prsb03-dataelement-11978
|
|
|
| Id |
prsb03-dataelement-11978 (2019‑05‑31 15:05:19)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Grade 0 … 1
prsb03-dataelement-11979
|
|
|
| Id |
prsb03-dataelement-11979 (2019‑05‑31 15:05:19)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Speciality 0 … 1
prsb03-dataelement-11980
|
|
|
| Id |
prsb03-dataelement-11980 (2019‑05‑31 15:05:19)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Professional identifier 0 … 1
prsb03-dataelement-11981
|
|
|
| Id |
prsb03-dataelement-11981 (2019‑05‑31 15:05:19)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Organisation 0 … 1
prsb03-dataelement-11982
|
|
|
| Id |
prsb03-dataelement-11982 (2019‑05‑31 15:05:19)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Contact details 0 … 1
prsb03-dataelement-11983
|
|
|
| Id |
prsb03-dataelement-11983 (2019‑05‑31 15:05:19)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Person completing record 0 … 1
prsb03-dataelement-11984
|
|
|
| Id |
prsb03-dataelement-11984 (2019‑05‑31 15:05:29)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Name 0 … 1
prsb03-dataelement-11985
|
|
|
| Id |
prsb03-dataelement-11985 (2019‑05‑31 15:05:47)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Role 0 … 1
prsb03-dataelement-11986
|
|
|
| Id |
prsb03-dataelement-11986 (2019‑05‑31 15:05:47)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Grade 0 … 1
prsb03-dataelement-11987
|
|
|
| Id |
prsb03-dataelement-11987 (2019‑05‑31 15:05:47)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Specialty 0 … 1
prsb03-dataelement-11988
|
|
|
| Id |
prsb03-dataelement-11988 (2019‑05‑31 15:05:47)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Organisation 0 … 1
prsb03-dataelement-11989
|
|
|
| Id |
prsb03-dataelement-11989 (2019‑05‑31 15:05:47)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Professional identifier 0 … 1
prsb03-dataelement-11990
|
|
|
| Id |
prsb03-dataelement-11990 (2019‑05‑31 15:05:47)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Date completed 0 … 1
prsb03-dataelement-11991
|
|
|
| Id |
prsb03-dataelement-11991 (2019‑05‑31 15:05:47)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Contact details 0 … 1
prsb03-dataelement-11992
|
|
|
| Id |
prsb03-dataelement-11992 (2019‑05‑31 15:05:47)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Allergies and adverse reactions 0 … 1
prsb03-dataelement-282
|
|
|
| Id |
prsb03-dataelement-282 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
Allergies and adverse reactions |
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Allergies and adverse reactions record entry 0 … *
prsb03-dataelement-10657
|
|
|
| Id |
prsb03-dataelement-10657 (2018‑11‑13 12:23:03)
|
| Cardinality |
0 … * |
| Description |
This is a allergies and adverse reactions record entry. There may be 1 to many record
entries under a section.
Each record entry is made up of a number of elements or data items.
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … *) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … *) in scenario Outpatient Letter
|
|
|
| Type of reaction 0 … 1
prsb03-dataelement-10186
|
|
|
| Id |
prsb03-dataelement-10186 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
The type of reaction experienced by the person (allergic, adverse, intolerance) |
| FHIR |
AllergyIntolerance.type |
|
| Rationale |
AllergyIntolerance.type |
| Operationalization |
FHIR value set :-
Allergy, Intolerance
|
| Value Domain |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Causative agent 1 … 1 Mandatory
prsb03-dataelement-10182
|
|
|
| Id |
prsb03-dataelement-10182 (2018‑10‑31)
|
| Cardinality |
1 … 1 Mandatory |
| Description |
The agent such as food, drug or substances that has caused or may cause an allergy,
intolerance or adverse reaction in this person Or “No known drug allergies or adverse
reactions” Or “Information not available”
|
| FHIR |
AllergyIntolerance.code |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (1 … 1 Mandatory) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (1 … 1 Mandatory) in scenario Outpatient Letter
|
|
|
| Coded value 0 … 1
prsb03-dataelement-13441
|
|
|
| Id |
prsb03-dataelement-13441 (2020‑08‑19 14:12:48)
|
| Cardinality |
0 … 1 |
| Description |
The coded value for causative agent |
| Rationale |
Allergyintolerance.code |
| Operationalization |
SNOMED CT : - <105590001 |Substance OR <373873005 |Pharmaceutical / biologic product|
OR <<716186003 |No known allergy| OR 196461000000101 |Transfer-degraded drug allergy|
OR 196471000000108 |Transfer-degraded non-drug allergy)
|
| Value Domain |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Free text 0 … 1
prsb03-dataelement-13442
|
|
|
| Id |
prsb03-dataelement-13442 (2020‑08‑19 15:33:40)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Reaction details cluster 0 … *
prsb03-dataelement-10658
|
|
|
| Id |
prsb03-dataelement-10658 (2018‑11‑13 12:29:25)
|
| Cardinality |
0 … * |
| Description |
Details of the reaction. |
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … *) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … *) in scenario Outpatient Letter
|
|
|
| Date 0 … 1
prsb03-dataelement-10190
|
|
|
| Id |
prsb03-dataelement-10190 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
The date that the reaction was identified. |
|
|
| Rationale |
Allergyintolerance.asserteddate |
| Operationalization |
Date and time |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year, hour and minute |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Location 0 … 1
prsb03-dataelement-10846
|
|
|
| Id |
prsb03-dataelement-10846 (2019‑03‑27 17:04:11)
|
| Cardinality |
0 … 1 |
| Description |
Details of where the allergy was identified. Linked to the date of the diagnosis by
the professional.
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Coded value 0 … 1
prsb03-dataelement-13439
|
|
|
| Id |
prsb03-dataelement-13439 (2020‑08‑19 13:58:37)
|
| Cardinality |
0 … 1 |
| Description |
The coded value for location. |
| Rationale |
Location.identifier |
| Operationalization |
NHS data dictionary : -
Organisation data service
|
| Value Domain |
|
| Property |
| min length |
max length |
| 3 |
5 |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Free text 0 … 1
prsb03-dataelement-13440
|
|
|
| Id |
prsb03-dataelement-13440 (2020‑08‑19 14:02:39)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Substance 0 … 1
prsb03-dataelement-11665
|
|
|
| Id |
prsb03-dataelement-11665 (2019‑05‑30 20:17:32)
|
| Cardinality |
0 … 1 |
| Description |
The substance, or a class of substances, that is considered to be responsible for
the adverse reaction.
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Coded value 0 … 1
prsb03-dataelement-13554
|
|
|
| Id |
prsb03-dataelement-13554 (2020‑09‑04 16:44:48)
|
| Cardinality |
0 … 1 |
| Description |
The coded value for substance |
| Rationale |
AllergyIntolerance. reaction.substance |
| Operationalization |
SNOMED CT : - <105590001 | Substance (substance) | or <373873005 | Pharmaceutical
/ biologic product (product) |
|
| Value Domain |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Free text 0 … 1
prsb03-dataelement-13555
|
|
|
| Id |
prsb03-dataelement-13555 (2020‑09‑04 16:45:54)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Description of reaction 0 … 1
prsb03-dataelement-10183
|
|
|
| Id |
prsb03-dataelement-10183 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
A description of the manifestation of the allergic or adverse reaction experienced
by the person. For example, skin rash.
|
| FHIR |
AllergyIntolerance.reaction.manifestation AllergyIntolerance.reaction.description |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Coded value 0 … 1
prsb03-dataelement-13556
|
|
|
| Id |
prsb03-dataelement-13556 (2020‑09‑04 16:48:37)
|
| Cardinality |
0 … 1 |
| Description |
The coded value for description of reaction. |
| Rationale |
AllergyIntolerance.reaction.manifestation |
| Operationalization |
SNOMED CT: - ^1127581000000103 |Health issues simple reference set| |
| Value Domain |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Free text 0 … 1
prsb03-dataelement-13557
|
|
|
| Id |
prsb03-dataelement-13557 (2020‑09‑04 16:51:03)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Onset date 0 … 1
prsb03-dataelement-13844
|
|
|
| Id |
prsb03-dataelement-13844 (2020‑12‑29 22:44:39)
|
| Cardinality |
0 … 1 |
| Description |
Date and time when manifestations showed e.g could be at home a few days earlier than
the contact
|
| Operationalization |
Date and time |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least year |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Severity 0 … 1
prsb03-dataelement-10184
|
|
|
| Id |
prsb03-dataelement-10184 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
A description of the severity of the reaction. |
| FHIR |
AllergyIntolerance.reaction.severity |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Coded value 0 … 1
prsb03-dataelement-13558
|
|
|
| Id |
prsb03-dataelement-13558 (2020‑09‑04 17:43:42)
|
| Cardinality |
0 … 1 |
| Description |
The coded value for severity |
| Rationale |
AllergyIntolerance.reaction.severity |
| Operationalization |
FHIR value set : -
Severity
|
| Value Domain |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Free text 0 … 1
prsb03-dataelement-13559
|
|
|
| Id |
prsb03-dataelement-13559 (2020‑09‑04 17:48:53)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Certainty 0 … 1
prsb03-dataelement-10185
|
|
|
| Id |
prsb03-dataelement-10185 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
A description of the certainty that the stated causative agent caused the allergic
or adverse reaction.
|
| FHIR |
AllergyIntolerance.verificationStatus |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Coded value 0 … 1
prsb03-dataelement-13560
|
|
|
| Id |
prsb03-dataelement-13560 (2020‑09‑04 17:52:26)
|
| Cardinality |
0 … 1 |
| Description |
The coded value for certainty. |
| Rationale |
AllergyIntolerance.verificationStatus |
| Operationalization |
FHIR value set : -
Certainty
|
| Value Domain |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Free text 0 … 1
prsb03-dataelement-13561
|
|
|
| Id |
prsb03-dataelement-13561 (2020‑09‑04 17:55:21)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Route of exposure 0 … 1
prsb03-dataelement-13856
|
|
|
| Id |
prsb03-dataelement-13856 (2021‑01‑18 18:45:19)
|
| Cardinality |
0 … 1 |
| Description |
The route the person was exposed to the substance |
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Coded value 0 … 1
prsb03-dataelement-13857
|
|
|
| Id |
prsb03-dataelement-13857 (2021‑01‑18 18:50:12)
|
| Cardinality |
0 … 1 |
| Description |
The coded value for route of exposure |
| Rationale |
AllergyIntolerance.exposureroute |
| Operationalization |
SNOMED CT: - ^999000051000001100 |ePrescribing route of administration simple reference
set|
|
| Value Domain |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Free text 0 … 1
prsb03-dataelement-13858
|
|
|
| Id |
prsb03-dataelement-13858 (2021‑01‑18 18:55:02)
|
| Cardinality |
0 … 1 |
| Concept inherits from |
prsb03-dataelement-13223 (2020‑07‑08 17:40:09)
|
| Description |
Free text field to be used if no coded text available |
| Value Domain |
|
| Property |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Comment 0 … 1
prsb03-dataelement-10189
|
|
|
| Id |
prsb03-dataelement-10189 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
Any additional comment or clarification about the adverse reaction. |
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Evidence 0 … 1
prsb03-dataelement-10187
|
|
|
| Id |
prsb03-dataelement-10187 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
Results of investigations that confirmed the certainty of the diagnosis. Examples
might include results of skin prick allergy tests
|
| FHIR |
AllergyIntolerance.extension.evidence |
|
| Rationale |
AllergyIntolerance.extension.evidence |
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Date first experienced 0 … 1
prsb03-dataelement-10188
|
|
|
| Id |
prsb03-dataelement-10188 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
When the reaction was first experienced i.e this may not be the first this has happened.
May be a date or partial date (e.g. year) or text (e.g. during childhood)
|
| FHIR |
AllergyIntolerance.onset[x] |
|
| Rationale |
AllergyIntolerance.onset |
| Operationalization |
Date and time |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least year |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Allergy end date 0 … 1
prsb03-dataelement-14253
|
|
|
| Id |
prsb03-dataelement-14253 (2021‑03‑04 13:29:34)
|
| Cardinality |
0 … 1 |
| Description |
The date the allergy was diagnosed as ended |
| Operationalization |
Date and time |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least year |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Comment 0 … 1
prsb03-dataelement-14273
|
|
|
| Id |
prsb03-dataelement-14273 (2021‑04‑09 11:01:11)
|
| Cardinality |
0 … 1 |
| Description |
Any further comments on the person's allergies or adverse reactions. |
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Performing professional 0 … 1
prsb03-dataelement-12010
|
|
|
| Id |
prsb03-dataelement-12010 (2019‑05‑31 15:23:59)
|
| Cardinality |
0 … 1 |
| Description |
The professional who identified the reaction. |
| Relationship |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Name 0 … 1
prsb03-dataelement-12011
|
|
|
| Id |
prsb03-dataelement-12011 (2019‑05‑31 15:24:24)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Role 0 … 1
prsb03-dataelement-12012
|
|
|
| Id |
prsb03-dataelement-12012 (2019‑05‑31 15:24:24)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Grade 0 … 1
prsb03-dataelement-12013
|
|
|
| Id |
prsb03-dataelement-12013 (2019‑05‑31 15:24:24)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Speciality 0 … 1
prsb03-dataelement-12014
|
|
|
| Id |
prsb03-dataelement-12014 (2019‑05‑31 15:24:24)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Professional identifier 0 … 1
prsb03-dataelement-12015
|
|
|
| Id |
prsb03-dataelement-12015 (2019‑05‑31 15:24:24)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Organisation 0 … 1
prsb03-dataelement-12016
|
|
|
| Id |
prsb03-dataelement-12016 (2019‑05‑31 15:24:24)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Contact details 0 … 1
prsb03-dataelement-12017
|
|
|
| Id |
prsb03-dataelement-12017 (2019‑05‑31 15:24:24)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Person completing record 0 … 1
prsb03-dataelement-12018
|
|
|
| Id |
prsb03-dataelement-12018 (2019‑05‑31 15:24:36)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Name 0 … 1
prsb03-dataelement-12019
|
|
|
| Id |
prsb03-dataelement-12019 (2019‑05‑31 15:24:56)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Role 0 … 1
prsb03-dataelement-12020
|
|
|
| Id |
prsb03-dataelement-12020 (2019‑05‑31 15:24:56)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Grade 0 … 1
prsb03-dataelement-12021
|
|
|
| Id |
prsb03-dataelement-12021 (2019‑05‑31 15:24:56)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Specialty 0 … 1
prsb03-dataelement-12022
|
|
|
| Id |
prsb03-dataelement-12022 (2019‑05‑31 15:24:56)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Organisation 0 … 1
prsb03-dataelement-12023
|
|
|
| Id |
prsb03-dataelement-12023 (2019‑05‑31 15:24:56)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Professional identifier 0 … 1
prsb03-dataelement-12024
|
|
|
| Id |
prsb03-dataelement-12024 (2019‑05‑31 15:24:56)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Date completed 0 … 1
prsb03-dataelement-12025
|
|
|
| Id |
prsb03-dataelement-12025 (2019‑05‑31 15:24:56)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Contact details 0 … 1
prsb03-dataelement-12026
|
|
|
| Id |
prsb03-dataelement-12026 (2019‑05‑31 15:24:56)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Medications and medical devices 0 … 1
prsb03-dataelement-636
|
|
|
| Id |
prsb03-dataelement-636 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
Medications and medical devices |
| Used by
|
4 transactions, 0 templates, inherited once |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Medication item entry 0 … *
prsb03-dataelement-10663
|
|
|
| Id |
prsb03-dataelement-10663 (2018‑11‑13 15:56:21)
|
| Cardinality |
0 … * |
| Description |
All medications and devices that can be prescribed to be entered via this Medication
item entry. Handles details of continuation / addition / amendment of admission medications.
|
| Used by
|
4 transactions, 0 templates, inherited 2 times |
| |
This concept is used in transaction E-discharge summary (0 … *) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … *) in scenario Outpatient Letter
|
|
|
| Medication item cluster 0 … *
prsb03-dataelement-10664
|
|
|
| Id |
prsb03-dataelement-10664 (2018‑11‑13 16:25:51)
|
| Cardinality |
0 … * |
| Description |
Medication item cluster |
| Used by
|
4 transactions, 0 templates, inherited 2 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Medication name 1 … 1 Mandatory
prsb03-dataelement-10536
|
|
|
| Id |
prsb03-dataelement-10536 (2018‑10‑31)
|
| Cardinality |
1 … 1 Mandatory |
| Description |
May be generic name or brand name. |
| FHIR |
MedicationStatement.medication[x].medicationCodableConcept MedicationStatement.medication[x].medicationReference
(see Medication) (Systems should send as much details as they can. dm+d code can be
sent as a simple code/description pair using CodeableConcept, or as a detailed medication
record)
|
|
| Used by
|
4 transactions, 0 templates, inherited 5 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
This concept is inherited by concept
Medication name in dataset prsb03-dataelement-12545
This concept is inherited by concept
Medication name in dataset prsb03-dataelement-12484
This concept is inherited by concept
Medication name in dataset prsb03-dataelement-13200
This concept is inherited by concept
Medication name in dataset prsb03-dataelement-13123
This concept is inherited by concept
Medication name in dataset prsb03-dataelement-12661
|
|
|
| Form 0 … 1
prsb03-dataelement-10537
|
|
|
| Id |
prsb03-dataelement-10537 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
The form of the medication e.g. capsule, drops, tablet, lotion etc. |
| FHIR |
MedicationStatement.medication[x].medicationReference.medication.form (i.e. form is
on the medication profile). Where VTM has form specified (coded) it goes here AMP
& VMP don't need seperate Form (it is optional to populate) For VTM the form could
be in MedicationStatement.dosage.text (as it would be part of a dosage string) i.e.
not a seperately specified code
|
|
| Used by
|
4 transactions, 0 templates, inherited 4 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
This concept is inherited by concept
Form in dataset prsb03-dataelement-12546
This concept is inherited by concept
Form in dataset prsb03-dataelement-13202
This concept is inherited by concept
Form in dataset prsb03-dataelement-13124
This concept is inherited by concept
Form in dataset prsb03-dataelement-12662
|
|
|
| Quantity supplied 0 … *
prsb03-dataelement-10539
|
|
|
| Id |
prsb03-dataelement-10539 (2018‑10‑31)
|
| Cardinality |
0 … * |
| Description |
The quantity of the medication (e.g. tablets, inhalers, etc.) provided to the person.
This may be dispensed by the pharmacy or on the ward. Record in a structured format
i.e. value and a unit
|
| FHIR |
MedicationStatement.quantityDispensed (Amount of medication to supply per dispense)
quantity (as a valueQuantity) - Mandatory quantityText (as a valueString) - Mandatory
|
|
| Operationalization |
Free text |
| Used by
|
one transaction, 0 templates, inherited 3 times |
| |
This concept is inherited by concept
Quantity supplied in dataset prsb03-dataelement-12547
This concept is inherited by concept
Quantity supplied in dataset prsb03-dataelement-13125
This concept is inherited by concept
Quantity supplied in dataset prsb03-dataelement-12663
|
|
|
| Route 0 … *
prsb03-dataelement-10538
|
|
|
| Id |
prsb03-dataelement-10538 (2018‑10‑31)
|
| Cardinality |
0 … * |
| Description |
The route by which the medication is administered e.g. oral, IM, IV |
| FHIR |
MedicationStatement.dosage.route |
|
| Used by
|
4 transactions, 0 templates, inherited 5 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
This concept is inherited by concept
Route in dataset prsb03-dataelement-12548
This concept is inherited by concept
Route in dataset prsb03-dataelement-12485
This concept is inherited by concept
Route in dataset prsb03-dataelement-13203
This concept is inherited by concept
Route in dataset prsb03-dataelement-13126
This concept is inherited by concept
Route in dataset prsb03-dataelement-12664
|
|
|
| Site 0 … 1
prsb03-dataelement-10540
|
|
|
| Id |
prsb03-dataelement-10540 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
The anatomical site at which the medication is to be administered. |
| FHIR |
MedicationStatement.dosage.site |
|
| Used by
|
4 transactions, 0 templates, inherited 4 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
This concept is inherited by concept
Site in dataset prsb03-dataelement-12549
This concept is inherited by concept
Site in dataset prsb03-dataelement-13871
This concept is inherited by concept
Site in dataset prsb03-dataelement-13127
This concept is inherited by concept
Site in dataset prsb03-dataelement-12665
|
|
|
| Method 0 … 1
prsb03-dataelement-10541
|
|
|
| Id |
prsb03-dataelement-10541 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
The technique or method by which the medication is to be administered. |
| FHIR |
MedicationStatement.dosage.method |
|
| Used by
|
4 transactions, 0 templates, inherited 3 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
This concept is inherited by concept
Method in dataset prsb03-dataelement-12550
This concept is inherited by concept
Method in dataset prsb03-dataelement-13128
This concept is inherited by concept
Method in dataset prsb03-dataelement-12666
|
|
|
| Dose directions description 0 … 1
prsb03-dataelement-10544
|
|
|
| Id |
prsb03-dataelement-10544 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
Describes the entire medication dosage and administration directions including dose
quantity and medication frequency and optionally duration e.g. “1 tablet at night"
or “2mg at 10pm”.
|
| FHIR |
MedicationStatement.dosage.text |
|
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
4 transactions, 0 templates, inherited 4 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Structured dose direction cluster 0 … *
prsb03-dataelement-11639
|
|
|
| Id |
prsb03-dataelement-11639 (2019‑05‑30 17:40:22)
|
| Cardinality |
0 … * |
| Description |
A structural representation of the elements carried by the dose syntax in 'parsable
dose strength / timing' i.e. dose strength, dose timing, dose duration and maximum
dose.
|
| Used by
|
4 transactions, 0 templates, inherited 3 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Structured dose amount 0 … *
prsb03-dataelement-10554
|
|
|
| Id |
prsb03-dataelement-10554 (2018‑10‑31)
|
| Cardinality |
0 … * |
| Description |
A structural representation of dose amount, e.g. 20mg or 2 tablets. This element will
generally only be used when persisting data within systems with 'parsable dose directions'
being used to exchange the same information between systems.
|
| Operationalization |
As per FHIR Dose Syntax Implementation Guidance (NHS Digital):
https://developer.nhs.uk/apis/dose-syntax-implementation-1-3-1-alpha/
|
| Value Domain |
|
| Used by
|
4 transactions, 0 templates, inherited 3 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Structured dose timing 0 … *
prsb03-dataelement-10555
|
|
|
| Id |
prsb03-dataelement-10555 (2018‑10‑31)
|
| Cardinality |
0 … * |
| Description |
A slot containing a structural, computable representation of dose timing and maximum
dose. This element will generally only be used when persisting data within systems
with 'parsable dose directions' being used to exchange the same information between
systems.
|
| Operationalization |
As per FHIR Dose Syntax Implementation Guidance (NHS Digital):
https://developer.nhs.uk/apis/dose-syntax-implementation-1-3-1-alpha/
|
| Value Domain |
|
| Used by
|
4 transactions, 0 templates, inherited 3 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Dose direction duration 0 … *
prsb03-dataelement-10548
|
|
|
| Id |
prsb03-dataelement-10548 (2018‑10‑31)
|
| Cardinality |
0 … * |
| Description |
Recommendation of the time period for which the medication should be continued, including
direction not to discontinue.
|
| FHIR |
For coded information use MedicationStatement.dosage.additionalInstruction If no codes
exist use MedicationStatement.dosage.additionalInstruction CodeableConcept.text Duration
goes in MedicationStatement.effective[x].effectivePeriod 12/01/2018 MS.dosage.timing.bounds
create another option "boundsCodeableConcept" to hold Continue Indef; Do not disconue;
Stop When course complete MS.dosage.timing.bounds.duration to hold the duration For
primary care always in dosage string
|
|
| Operationalization |
As per FHIR Dose Syntax Implementation Guidance (NHS Digital):
https://developer.nhs.uk/apis/dose-syntax-implementation-1-3-1-alpha/
|
| Value Domain |
|
| Used by
|
4 transactions, 0 templates, inherited 3 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Additional instructions 0 … *
prsb03-dataelement-10545
|
|
|
| Id |
prsb03-dataelement-10545 (2018‑10‑31)
|
| Cardinality |
0 … * |
| Description |
Allows for: requirements for adherence support, e.g. compliance aids, prompts and
packaging requirements, additional information about specific medicines e.g. where
specific brand required, person requirements, e.g. unable to swallow tablets.
|
| FHIR |
Specific patient instruction use MedicationStatement.dosage.patientInstruction For
narrative instructions (e.g. monitoring, pain, prevention) use MedicationStatement.note
For dispensing instructions (EPS narrative) use MedicationRequest.note (intent "order"
or "plan")
|
|
| Operationalization |
FHIR value set : -
Additional instruction
|
| Value Domain |
|
| Used by
|
4 transactions, 0 templates, inherited 3 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Course details cluster 0 … 1
prsb03-dataelement-10561
|
|
|
| Id |
prsb03-dataelement-10561 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
Details of the overall course of medication. |
| Used by
|
4 transactions, 0 templates, inherited 3 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Course status 0 … 1
prsb03-dataelement-10666
|
|
|
| Id |
prsb03-dataelement-10666 (2018‑11‑13 16:47:55)
|
| Cardinality |
0 … 1 |
| Description |
The status of this prescription. |
| Operationalization |
FHIR value set : -
Medication status
|
| Value Domain |
|
| Used by
|
4 transactions, 0 templates, inherited 3 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
This concept is inherited by concept
Course status in dataset prsb03-dataelement-12564
This concept is inherited by concept
Course status in dataset prsb03-dataelement-13142
This concept is inherited by concept
Course status in dataset prsb03-dataelement-12680
|
|
|
| Indication 0 … 1
prsb03-dataelement-10546
|
|
|
| Id |
prsb03-dataelement-10546 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
Reason for medication being prescribed, where known. |
| FHIR |
MedicationStatement.reasonCode |
|
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
4 transactions, 0 templates, inherited 3 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
This concept is inherited by concept
Indication in dataset prsb03-dataelement-12565
This concept is inherited by concept
Indication in dataset prsb03-dataelement-13143
This concept is inherited by concept
Indication in dataset prsb03-dataelement-12681
|
|
|
| Start date/time 0 … 1
prsb03-dataelement-10667
|
|
|
| Id |
prsb03-dataelement-10667 (2018‑11‑13 16:49:22)
|
| Cardinality |
0 … 1 |
| Description |
The date and/or time that the medication course should begin. |
| Operationalization |
Date and time |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year, hour and minute |
|
| Used by
|
4 transactions, 0 templates, inherited 3 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
This concept is inherited by concept
Start date/time in dataset prsb03-dataelement-12566
This concept is inherited by concept
Start date/time in dataset prsb03-dataelement-13144
This concept is inherited by concept
Start date/time in dataset prsb03-dataelement-12682
|
|
|
| End date/time 0 … 1
prsb03-dataelement-10557
|
|
|
| Id |
prsb03-dataelement-10557 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
The date and/or time that the medication course should finish. |
| Operationalization |
Date and time |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year, hour and minute |
|
| Used by
|
4 transactions, 0 templates, inherited 3 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
This concept is inherited by concept
End date/time in dataset prsb03-dataelement-12567
This concept is inherited by concept
End date/time in dataset prsb03-dataelement-13145
This concept is inherited by concept
End date/time in dataset prsb03-dataelement-12683
|
|
|
| Link to indication record 0 … 1
prsb03-dataelement-10668
|
|
|
| Id |
prsb03-dataelement-10668 (2018‑11‑13 16:59:09)
|
| Cardinality |
0 … 1 |
| Description |
A link to the record which contains the indication for this medication order. |
| Operationalization |
Free text with URL |
| Value Domain |
|
| Property |
|
| Used by
|
4 transactions, 0 templates, inherited 3 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Comment/recommendation 0 … 1
prsb03-dataelement-10547
|
|
|
| Id |
prsb03-dataelement-10547 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
Suggestions about duration and/or review, ongoing monitoring requirements, advice
on starting, discontinuing or changing medication. Additional comment or recommendation
about the medication course e.g. 'Patient named supply', 'unlicensed medication',
'Foreign brand' or monitoring recommendations
|
| FHIR |
[JH] This will be dropped from the PRSB information model, as conflicts with description
above
|
|
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
4 transactions, 0 templates, inherited 3 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Medication change summary cluster 0 … 1
prsb03-dataelement-10568
|
|
|
| Id |
prsb03-dataelement-10568 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
Records the changes made to medication. |
| Used by
|
4 transactions, 0 templates, inherited 3 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Status 0 … 1
prsb03-dataelement-10669
|
|
|
| Id |
prsb03-dataelement-10669 (2018‑11‑13 17:00:50)
|
| Cardinality |
0 … 1 |
| Description |
The nature of any change made to the medication. |
| Operationalization |
FHIR value set :
Medication status
|
| Value Domain |
|
| Used by
|
4 transactions, 0 templates, inherited 3 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
This concept is inherited by concept
Status in dataset prsb03-dataelement-12571
This concept is inherited by concept
Status in dataset prsb03-dataelement-13149
This concept is inherited by concept
Status in dataset prsb03-dataelement-12687
|
|
|
| Indication 0 … 1
prsb03-dataelement-10670
|
|
|
| Id |
prsb03-dataelement-10670 (2018‑11‑13 17:02:07)
|
| Cardinality |
0 … 1 |
| Description |
Reason for change in medication, e.g. sub-therapeutic dose, person intolerant. |
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
4 transactions, 0 templates, inherited 3 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
This concept is inherited by concept
Indication in dataset prsb03-dataelement-12572
This concept is inherited by concept
Indication in dataset prsb03-dataelement-13150
This concept is inherited by concept
Indication in dataset prsb03-dataelement-12688
|
|
|
| Date of change 0 … 1
prsb03-dataelement-10671
|
|
|
| Id |
prsb03-dataelement-10671 (2018‑11‑13 17:03:03)
|
| Cardinality |
0 … 1 |
| Description |
The date of the change - addition, or amendment |
| Operationalization |
Date and time |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year, hour and minute |
|
| Used by
|
4 transactions, 0 templates, inherited 3 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
This concept is inherited by concept
Date of change in dataset prsb03-dataelement-12573
This concept is inherited by concept
Date of change in dataset prsb03-dataelement-13151
This concept is inherited by concept
Date of change in dataset prsb03-dataelement-12689
|
|
|
| Description of amendment 0 … 1
prsb03-dataelement-10672
|
|
|
| Id |
prsb03-dataelement-10672 (2018‑11‑13 17:03:42)
|
| Cardinality |
0 … 1 |
| Description |
Where a change is made to the medication i.e. one drug stopped and another started
or eg dose, frequency or route is changed.
|
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
4 transactions, 0 templates, inherited 3 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Total dose daily quantity 0 … 1
prsb03-dataelement-10665
|
|
|
| Id |
prsb03-dataelement-10665 (2018‑11‑13 16:44:41)
|
| Cardinality |
0 … 1 |
| Description |
The total daily dose of this medication. This is helpful for estimating optimal adherence
to dosing guidance. It may be computed from product/dose strength and frequency or
entered manually.
|
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
4 transactions, 0 templates, inherited 3 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Medical devices entry 0 … *
prsb03-dataelement-10583
|
|
|
| Id |
prsb03-dataelement-10583 (2018‑10‑31)
|
| Cardinality |
0 … * |
| Description |
Medical devices |
| Used by
|
4 transactions, 0 templates, inherited 2 times |
| |
This concept is used in transaction E-discharge summary (0 … *) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … *) in scenario Outpatient Letter
|
|
|
| Medical device 0 … *
prsb03-dataelement-10673
|
|
|
| Id |
prsb03-dataelement-10673 (2018‑11‑13 17:10:15)
|
| Cardinality |
0 … * |
| Description |
Any medical device that isn't prescribed. |
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
4 transactions, 0 templates, inherited 2 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
This concept is inherited by concept
Medical device in dataset prsb03-dataelement-12594
This concept is inherited by concept
Medical device in dataset prsb03-dataelement-13172
|
|
|
| Comments 0 … *
prsb03-dataelement-11280
|
|
|
| Id |
prsb03-dataelement-11280 (2019‑05‑29 17:47:02)
|
| Cardinality |
0 … * |
| Description |
Any information regarding the medical device. |
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
4 transactions, 0 templates, inherited 2 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
This concept is inherited by concept
Comments in dataset prsb03-dataelement-12595
This concept is inherited by concept
Comments in dataset prsb03-dataelement-13173
|
|
|
| Medication discontinued entry 0 … *
prsb03-dataelement-10576
|
|
|
| Id |
prsb03-dataelement-10576 (2018‑10‑31)
|
| Cardinality |
0 … * |
| Description |
Medication discontinued entry |
| Used by
|
4 transactions, 0 templates, inherited 2 times |
| |
This concept is used in transaction E-discharge summary (0 … *) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … *) in scenario Outpatient Letter
|
|
|
| Name of discontinued medication 1 … 1 Mandatory
prsb03-dataelement-10577
|
|
|
| Id |
prsb03-dataelement-10577 (2018‑10‑31)
|
| Cardinality |
1 … 1 Mandatory |
| Description |
The name of the medication or medical device being discontinued |
| Used by
|
4 transactions, 0 templates, inherited 2 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Status 1 … 1 Mandatory
prsb03-dataelement-12472
|
|
|
| Id |
prsb03-dataelement-12472 (2019‑06‑25 11:42:23)
|
| Cardinality |
1 … 1 Mandatory |
| Description |
The status of any change made to the medication. MUST CONTAIN STOPPED. |
| Operationalization |
FHIR value set: -
Medication status
|
| Value Domain |
|
| Used by
|
4 transactions, 0 templates, inherited 2 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
This concept is inherited by concept
Status in dataset prsb03-dataelement-12587
This concept is inherited by concept
Status in dataset prsb03-dataelement-13165
|
|
|
| Indication 0 … 1
prsb03-dataelement-10579
|
|
|
| Id |
prsb03-dataelement-10579 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
The clinical indication for any changes in medication status |
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
4 transactions, 0 templates, inherited 3 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
This concept is inherited by concept
Indication in dataset prsb03-dataelement-12589
This concept is inherited by concept
Indication in dataset prsb03-dataelement-13167
This concept is inherited by concept
Indication in dataset prsb03-dataelement-12705
|
|
|
| Date of change 0 … 1
prsb03-dataelement-10580
|
|
|
| Id |
prsb03-dataelement-10580 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
The date of the discontinuation |
| Operationalization |
Date and time |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year, hour and minute |
|
| Used by
|
4 transactions, 0 templates, inherited 2 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
This concept is inherited by concept
Date of change in dataset prsb03-dataelement-12590
This concept is inherited by concept
Date of change in dataset prsb03-dataelement-13168
|
|
|
| Description of amendment 0 … 1
prsb03-dataelement-10581
|
|
|
| Id |
prsb03-dataelement-10581 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
A description of any amendment |
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
one transaction, 0 templates, inherited 2 times |
| |
|
|
|
| Comment 0 … 1
prsb03-dataelement-10582
|
|
|
| Id |
prsb03-dataelement-10582 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
Any additional comment about the discontinuation or amendment. |
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
4 transactions, 0 templates, inherited 2 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
This concept is inherited by concept
Comment in dataset prsb03-dataelement-12592
This concept is inherited by concept
Comment in dataset prsb03-dataelement-13170
|
|
|
| Information and advice given 1 … 1 Mandatory
prsb03-dataelement-315
|
|
|
| Id |
prsb03-dataelement-315 (2018‑10‑31)
|
| Cardinality |
1 … 1 Mandatory |
| Description |
Information and advice given |
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Information and advice given 1 … 1 Mandatory
prsb03-dataelement-10215
|
|
|
| Id |
prsb03-dataelement-10215 (2018‑10‑31)
|
| Cardinality |
1 … 1 Mandatory |
 |
There is an open issue with this item:
|
| Description |
The oral or written information or advice given to the patient, carer, other authorised
representative, care professional or other third party. May include advice about actions
related to medicines or other ongoing care activities on an ‘information prescription'.
State here if there are concerns about the extent to which the patient and/or carer
understand the information provided about diagnosis, prognosis and treatment.
|
|
|
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Contact for further information 1 … 1 Mandatory
prsb03-dataelement-329
|
|
|
| Id |
prsb03-dataelement-329 (2018‑10‑31)
|
| Cardinality |
1 … 1 Mandatory |
| Description |
Contact for further information |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact for further information record entry 0 … *
prsb03-dataelement-10659
|
|
|
| Id |
prsb03-dataelement-10659 (2018‑11‑13 13:14:13)
|
| Cardinality |
0 … * |
| Description |
This is a Contact for further information record entry. There may be 1 to many record
entries under a section. Each record entry is made up of a number of elements or data
items.
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact for further information 1 … 1 Mandatory
prsb03-dataelement-10229
|
|
|
| Id |
prsb03-dataelement-10229 (2018‑10‑31)
|
| Cardinality |
1 … 1 Mandatory |
| Description |
The contact details of whom to contact for information regarding this attendance. |
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Plan and requested actions 1 … 1
prsb03-dataelement-535
|
|
|
| Id |
prsb03-dataelement-535 (2018‑10‑31)
|
| Cardinality |
1 … 1 |
| Description |
The details of planned investigations, procedures and treatment, and whether this
plan has been agreed with the person or their legitimate representative.
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Plan and requested actions record entry 0 … *
prsb03-dataelement-10661
|
|
|
| Id |
prsb03-dataelement-10661 (2018‑11‑13 13:38:58)
|
| Cardinality |
0 … * |
| Description |
This is a plan and requested actions record entry. There may be 0 to many record entries
under a section. Each record entry is made up of a number of elements or data items.
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … *) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … *) in scenario Outpatient Letter
|
|
|
| Date 0 … 1
prsb03-dataelement-10445
|
|
|
| Id |
prsb03-dataelement-10445 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
The date on which the plan and requested actions were prepared. |
| Operationalization |
Date and time |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year, hour and minute |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Performing professional 0 … 1
prsb03-dataelement-12167
|
|
|
| Id |
prsb03-dataelement-12167 (2019‑05‑31 16:13:42)
|
| Cardinality |
0 … 1 |
| Description |
The professional who prepared the plan and requested actions. |
| Relationship |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Name 0 … 1
prsb03-dataelement-12168
|
|
|
| Id |
prsb03-dataelement-12168 (2019‑05‑31 16:14:03)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Role 0 … 1
prsb03-dataelement-12169
|
|
|
| Id |
prsb03-dataelement-12169 (2019‑05‑31 16:14:03)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Grade 0 … 1
prsb03-dataelement-12170
|
|
|
| Id |
prsb03-dataelement-12170 (2019‑05‑31 16:14:03)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Speciality 0 … 1
prsb03-dataelement-12171
|
|
|
| Id |
prsb03-dataelement-12171 (2019‑05‑31 16:14:03)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Professional identifier 0 … 1
prsb03-dataelement-12172
|
|
|
| Id |
prsb03-dataelement-12172 (2019‑05‑31 16:14:03)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Organisation 0 … 1
prsb03-dataelement-12173
|
|
|
| Id |
prsb03-dataelement-12173 (2019‑05‑31 16:14:03)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Contact details 0 … 1
prsb03-dataelement-12174
|
|
|
| Id |
prsb03-dataelement-12174 (2019‑05‑31 16:14:03)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Location 0 … 1
prsb03-dataelement-10842
|
|
|
| Id |
prsb03-dataelement-10842 (2019‑03‑27 16:46:10)
|
| Cardinality |
0 … 1 |
| Description |
The location where the plan and requested actions were prepared. |
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Coded value 0 … 1
prsb03-dataelement-13684
|
|
|
| Id |
prsb03-dataelement-13684 (2020‑09‑09 13:11:31)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Free text 0 … 1
prsb03-dataelement-13685
|
|
|
| Id |
prsb03-dataelement-13685 (2020‑09‑09 13:12:37)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Actions for professionals 0 … 1
prsb03-dataelement-10436
|
|
|
| Id |
prsb03-dataelement-10436 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
Including planned investigations, procedures and treatment for a person's identified
conditions and priorities. For each action the following should be identified:outcome
expectations, including the person’s expectations. A record of the planned and requested
actions. May be structured (table), with actions, names, dates, status, location,
strategies.
|
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Actions for person or their carer 0 … 1
prsb03-dataelement-10437
|
|
|
| Id |
prsb03-dataelement-10437 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
For each action the following should be identified:outcome expectations, including
person’s expectations. A record of the planned and requested actions. May be structured
(table), with actions, names, dates, status, location, strategies.
|
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Agreed with the person or their legitimate representative 0 … 1
prsb03-dataelement-10438
|
|
|
| Id |
prsb03-dataelement-10438 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
Indicates whether the person or their legitimate representative has agreed the entire
plan or individual aspects of treatment, expected outcomes, risks and alternative
treatments. A record of the agreement of the decisions made.
|
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Outcome of plan and requested actions 0 … *
prsb03-dataelement-10950
|
|
|
| Id |
prsb03-dataelement-10950 (2019‑05‑16 17:36:54)
|
| Cardinality |
0 … * |
| Description |
The details of the outcome of the plan and requested actions. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … *) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … *) in scenario Outpatient Letter
|
|
|
| Person completing record 0 … 1
prsb03-dataelement-12175
|
|
|
| Id |
prsb03-dataelement-12175 (2019‑05‑31 16:15:12)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Name 0 … 1
prsb03-dataelement-12176
|
|
|
| Id |
prsb03-dataelement-12176 (2019‑05‑31 16:15:32)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Role 0 … 1
prsb03-dataelement-12177
|
|
|
| Id |
prsb03-dataelement-12177 (2019‑05‑31 16:15:32)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Grade 0 … 1
prsb03-dataelement-12178
|
|
|
| Id |
prsb03-dataelement-12178 (2019‑05‑31 16:15:32)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Specialty 0 … 1
prsb03-dataelement-12179
|
|
|
| Id |
prsb03-dataelement-12179 (2019‑05‑31 16:15:32)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Organisation 0 … 1
prsb03-dataelement-12180
|
|
|
| Id |
prsb03-dataelement-12180 (2019‑05‑31 16:15:32)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Professional identifier 0 … 1
prsb03-dataelement-12181
|
|
|
| Id |
prsb03-dataelement-12181 (2019‑05‑31 16:15:32)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Date completed 0 … 1
prsb03-dataelement-12182
|
|
|
| Id |
prsb03-dataelement-12182 (2019‑05‑31 16:15:32)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Contact details 0 … 1
prsb03-dataelement-12183
|
|
|
| Id |
prsb03-dataelement-12183 (2019‑05‑31 16:15:32)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Person completing record 1 … 1 Mandatory
prsb03-dataelement-12605
|
|
|
| Id |
prsb03-dataelement-12605 (2019‑11‑14 12:34:50)
|
| Cardinality |
1 … 1 Mandatory |
| Concept inherits from |
prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
|
| Description |
Details of the person completing the record. |
| Relationship |
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (1 … 1 Mandatory) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (1 … 1 Mandatory) in scenario Outpatient Letter
|
|
|
| Name 1 … 1 Mandatory
prsb03-dataelement-12606
|
|
|
| Id |
prsb03-dataelement-12606 (2019‑11‑14 12:35:42)
|
| Cardinality |
1 … 1 Mandatory |
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (1 … 1 Mandatory) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (1 … 1 Mandatory) in scenario Outpatient Letter
|
|
|
| Role 1 … 1 Mandatory
prsb03-dataelement-12607
|
|
|
| Id |
prsb03-dataelement-12607 (2019‑11‑14 12:35:42)
|
| Cardinality |
1 … 1 Mandatory |
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (1 … 1 Mandatory) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (1 … 1 Mandatory) in scenario Outpatient Letter
|
|
|
| Grade 0 … 1
prsb03-dataelement-12608
|
|
|
| Id |
prsb03-dataelement-12608 (2019‑11‑14 12:35:42)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Specialty 0 … 1
prsb03-dataelement-12609
|
|
|
| Id |
prsb03-dataelement-12609 (2019‑11‑14 12:35:42)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Organisation 1 … 1 Mandatory
prsb03-dataelement-12610
|
|
|
| Id |
prsb03-dataelement-12610 (2019‑11‑14 12:35:42)
|
| Cardinality |
1 … 1 Mandatory |
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (1 … 1 Mandatory) in scenario E-discharge summary
|
|
|
| Professional identifier 0 … 1
prsb03-dataelement-12611
|
|
|
| Id |
prsb03-dataelement-12611 (2019‑11‑14 12:35:42)
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (1 … 1 Mandatory) in scenario Outpatient Letter
|
|
|
| Date completed 1 … 1 Mandatory
prsb03-dataelement-12612
|
|
|
| Id |
prsb03-dataelement-12612 (2019‑11‑14 12:35:42)
|
| Cardinality |
1 … 1 Mandatory |
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (1 … 1 Mandatory) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (1 … 1 Mandatory) in scenario Outpatient Letter
|
|
|
| Contact details 0 … *
prsb03-dataelement-12613
|
|
|
| Id |
prsb03-dataelement-12613 (2019‑11‑14 12:35:42)
|
| Cardinality |
0 … * |
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … *) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Senior Reviewing Clinician 1 … 1 Mandatory
prsb03-dataelement-12614
|
|
|
| Id |
prsb03-dataelement-12614 (2019‑11‑14 17:14:10)
|
| Cardinality |
1 … 1 Mandatory |
| Concept inherits from |
prsb03-dataelement-327 (2018‑10‑31)
|
| Description |
Senior Reviewing Clinician |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name 1 … 1 Mandatory
prsb03-dataelement-12615
|
|
|
| Id |
prsb03-dataelement-12615 (2019‑11‑14 17:14:36)
|
| Cardinality |
1 … 1 Mandatory |
| Concept inherits from |
prsb03-dataelement-10227 (2018‑10‑31)
|
| Description |
The name of the senior clinician responsible for reviewing the patient treatment and
discharge plan.
|
| Operationalization |
The person name as held on the source system. Where possible this should be broken
down into its constituent parts (prefix, given name, family name, suffix).
|
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Role 0 … 1
prsb03-dataelement-14279
|
|
|
| Id |
prsb03-dataelement-14279 (2021‑05‑05 15:22:04)
|
| Cardinality |
0 … 1 |
| Concept inherits from |
prsb03-dataelement-12186 (2019‑05‑31 16:19:35)
|
| Description |
The role the professional has in relation to the person. |
| Relationship |
|
| Operationalization |
FHIR value set : -
sdsjobrole
|
| Value Domain |
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … *) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … *) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … *) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … *) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … *) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … *) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … *) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … *) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … *) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … *) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited once |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited once |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … *) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … *) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 2 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
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
|
4 transactions, 0 templates, inherited 2 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
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
|
4 transactions, 0 templates, inherited 2 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
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
|
4 transactions, 0 templates, inherited 2 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
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
|
4 transactions, 0 templates, inherited 2 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 2 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
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
|
4 transactions, 0 templates, inherited 2 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … *) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … *) in scenario Outpatient Letter
|
|
|
| Contingency plans 0 … 1
prsb03-dataelement-469
|
|
|
| Id |
prsb03-dataelement-469 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
These are the things to do and people to contact should an individual’s
health or other circumstances get worse
|
| Used by
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited once |
| |
This concept is used in transaction E-discharge summary (0 … *) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … *) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … *) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … *) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … *) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … *) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … *) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … *) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … *) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … *) in scenario Outpatient Letter
|
|
|
| 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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … *) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … *) in scenario Outpatient Letter
|
|
|
| Performing professional 0 … 1
prsb03-dataelement-12045
|
|
|
| Id |
prsb03-dataelement-12045 (2019‑05‑31 15:33:20)
|
| Cardinality |
0 … 1 |
| Description |
The professional who prepared the contingency plans. |
| Relationship |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Name 0 … 1
prsb03-dataelement-12046
|
|
|
| Id |
prsb03-dataelement-12046 (2019‑05‑31 15:33:38)
|
| 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-12047
|
|
|
| Id |
prsb03-dataelement-12047 (2019‑05‑31 15:33:38)
|
| 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-12048
|
|
|
| Id |
prsb03-dataelement-12048 (2019‑05‑31 15:33:38)
|
| 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-12049
|
|
|
| Id |
prsb03-dataelement-12049 (2019‑05‑31 15:33:38)
|
| 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-12050
|
|
|
| Id |
prsb03-dataelement-12050 (2019‑05‑31 15:33:38)
|
| 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-12051
|
|
|
| Id |
prsb03-dataelement-12051 (2019‑05‑31 15:33:38)
|
| 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-12052
|
|
|
| Id |
prsb03-dataelement-12052 (2019‑05‑31 15:33:38)
|
| 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-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
|
4 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction E-discharge summary (0 … 1) in scenario E-discharge summary
This concept is used in transaction Outpatient Letter (0 … 1) in scenario Outpatient Letter
|
|
|
| Name 0 … 1
prsb03-dataelement-12054
|
|
|
| Id |
prsb03-dataelement-12054 (2019‑05‑31 15:34:15)
|
| 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-12055
|
|
|
| Id |
prsb03-dataelement-12055 (2019‑05‑31 15:34:15)
|
| 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-12056
|
|
|
| Id |
prsb03-dataelement-12056 (2019‑05‑31 15:34:15)
|
| 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-12057
|
|
|
| Id |
prsb03-dataelement-12057 (2019‑05‑31 15:34:15)
|
| 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-12058
|
|
|
| Id |
prsb03-dataelement-12058 (2019‑05‑31 15:34:15)
|
| 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-12059
|
|
|
| Id |
prsb03-dataelement-12059 (2019‑05‑31 15:34:15)
|
| 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-12060
|
|
|
| Id |
prsb03-dataelement-12060 (2019‑05‑31 15:34:15)
|
| 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-12061
|
|
|
| Id |
prsb03-dataelement-12061 (2019‑05‑31 15:34:15)
|
| 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 |
| |
|
|
|