| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (1 … 1 Mandatory) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (1 … 1 Mandatory) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Date of birth 1 … 1 Mandatory
prsb03-dataelement-10871
|
|
|
|
|
| Gender 0 … 1
prsb03-dataelement-10872
|
|
|
|
|
| Person alias 0 … *
prsb03-dataelement-10873
|
|
|
| Id |
prsb03-dataelement-10873 (2019‑03‑27 19:10:48) 1
|
| Cardinality |
0 … * |
| Description |
Other name(s) associated with the person. |
| Relationship |
|
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Ethnicity 0 … 1
prsb03-dataelement-10874
|
|
|
|
|
| Religion 0 … 1
prsb03-dataelement-10876
|
|
|
|
|
| Sex 0 … 1
prsb03-dataelement-10877
|
|
|
| Id |
prsb03-dataelement-10877 (2019‑03‑27 19:15:45) 1
|
| Cardinality |
0 … 1 |
 |
There is an open issue with this item:
|
| Description |
The person’s phenotypic sex. Determines how the person will be treated clinically. |
| Relationship |
|
| Operationalization |
NHS data dictionary: -
person phenotypic sex
|
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Other identifier 0 … *
prsb03-dataelement-10880
|
|
|
| Id |
prsb03-dataelement-10880 (2019‑03‑27 19:18:59)
|
| Cardinality |
0 … * |
| Description |
Country specific or local identifier, e.g. Community Health Index (CHI) in Scotland. |
| Relationship |
|
| Rationale |
Patient.identifier |
| Operationalization |
|
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … *) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (1 … * Mandatory) in scenario Core information standard
|
|
|
| Address line 1 1 … 1 Mandatory
prsb03-dataelement-13082
|
|
|
| Id |
prsb03-dataelement-13082 (2020‑05‑29 15:28:51)
|
| Cardinality |
1 … 1 Mandatory |
| Description |
Person's first line of address. |
| Rationale |
Patient.address.line |
| Operationalization |
|
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (1 … 1 Mandatory) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Postcode 1 … 1 Mandatory
prsb03-dataelement-13087
|
|
|
| Id |
prsb03-dataelement-13087 (2020‑06‑01 11:40:09)
|
| Cardinality |
1 … 1 Mandatory |
| Description |
The person's postcode. |
| Rationale |
Patient.address.postalcode |
| Operationalization |
NHS data dictionary :-
Postcode of usual address
|
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Place of birth 0 … 1
prsb03-dataelement-10884
|
|
|
| Id |
prsb03-dataelement-10884 (2019‑03‑27 19:25:07)
|
| Cardinality |
0 … 1 |
| Description |
The country of birth of the person. |
| Relationship |
|
| Rationale |
Patient.extension(Birthplace) |
| Operationalization |
NHS data dictionary :-
Country code (birth)
|
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Marital status 0 … 1
prsb03-dataelement-10885
|
|
|
| Id |
prsb03-dataelement-10885 (2019‑03‑27 19:25:57)
|
| Cardinality |
0 … 1 |
| Description |
An indicator to identify the legal marital status of the person. |
| Relationship |
|
| Rationale |
Patient.maritalstatus |
| Operationalization |
NHS data dictionary :-
Person marital status
|
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
 Organ and tissue donation 0 … 1
prsb03-dataelement-10430
|
|
|
| Id |
prsb03-dataelement-10430 (2018‑10‑31) 0.1
|
| 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.
|
| Rationale |
Patient.extension(patient-cadavericDonor) |
| Operationalization |
Flag |
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (1 … 1 Mandatory) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … *) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (1 … 1 Mandatory) in scenario Core information standard
|
|
|
| GP opt out indicator 0 … 1
prsb03-dataelement-10004
|
|
|
| Id |
prsb03-dataelement-10004 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
Indication that the person has opted out of registering with a GP. |
| Operationalization |
SNOMED CT : - 1092961000000104 |Does not wish to register with an NHS general practitioner
(finding)| OR 1092941000000100 |Family using private general practitioner (finding)|
|
| Value Domain |
|
| Used by
|
2 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| About me 0 … 1
prsb03-dataelement-466
|
|
|
| Id |
prsb03-dataelement-466 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
About me |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| What is most important to me 0 … 1
prsb03-dataelement-12964
|
|
|
| Id |
prsb03-dataelement-12964 (2020‑03‑30 10:50:29) 0.3
|
| Cardinality |
0 … 1 |
| Description |
A description of what is most important to you.
|
| Source |
SNOMED CT Tag : - 363882003 | Motivation (observable entity) |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| People who are important to me 0 … 1
prsb03-dataelement-13009
|
|
|
| Id |
prsb03-dataelement-13009 (2020‑04‑27 11:23:17) 0.3
|
| Cardinality |
0 … 1 |
| Description |
Details of who is important to you and why. |
| Source |
SNOMED CT Tag: - 302160007 | Household, family and support network detail (observable
entity) |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| How I communicate and how to communicate with me 0 … 1
prsb03-dataelement-13006
|
|
|
| Id |
prsb03-dataelement-13006 (2020‑04‑24 11:48:24) 0.3
|
| Cardinality |
0 … 1 |
| Description |
A description of how you communicate normally. |
| Source |
SNOMED CT Tag : - 428330008 | Preferred mode of communication (observable entity)
|
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| My wellness 0 … 1
prsb03-dataelement-13005
|
|
|
| Id |
prsb03-dataelement-13005 (2020‑04‑24 11:45:53)
|
| Cardinality |
0 … 1 |
| Synonym |
0.3
|
| Description |
A description covering what you are able to do, how you engage with others and how
you feel on a typical day through to on a day when you are unwell or really unwell.
|
| Source |
SNOMED CT Tag : - 363800008 | General wellbeing (observable entity) | |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Please do and please don't 0 … 1
prsb03-dataelement-13008
|
|
|
| Id |
prsb03-dataelement-13008 (2020‑04‑27 10:34:59) 0.3
|
| Cardinality |
0 … 1 |
| Description |
A description of things you want someone supporting you to do (or not to do). |
| Source |
SNOMED CT Tag : - 414642003 | Making considered choices (observable entity) | |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| How and when to support me 0 … 1
prsb03-dataelement-13007
|
|
|
| Id |
prsb03-dataelement-13007 (2020‑04‑27 10:29:54) 0.3
|
| Cardinality |
0 … 1 |
| Description |
A description of how and when you want someone caring for you to support you. |
| Source |
SNOMED CT Tag |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Also worth knowing about me 0 … 1
prsb03-dataelement-13094
|
|
|
| Id |
prsb03-dataelement-13094 (2020‑06‑22 11:30:09) 0.2
|
| Cardinality |
0 … 1 |
| Description |
A description of what is also worth knowing about you for people caring or supporting
you.
|
| Source |
SNOMED CT Tag: - 160476009 | Social / personal history observable (observable entity)
|
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| About me 0 … 1
prsb03-dataelement-10366
|
|
|
| Id |
prsb03-dataelement-10366 (2018‑10‑31) 0.1
|
| Cardinality |
0 … 1 |
| Description |
This is a record of the things that a person feels it is important to communicate
about their needs, strengths, values, concerns and preferences to others providing
support and care.
|
| Used by
|
2 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Individual requirements 0 … 1
prsb03-dataelement-160
|
|
|
| Id |
prsb03-dataelement-160 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
The individual requirements of the person. |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Reasonable adjustment 0 … 1
prsb03-dataelement-12991
|
|
|
| Id |
prsb03-dataelement-12991 (2020‑04‑23 19:50:39)
|
| Cardinality |
0 … 1 |
| Description |
A record of reasonable adjustments that must be provided by the service to comply
with the Equality Act 2010.
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Reasonable adjustment record entry 0 … 1
prsb03-dataelement-13061
|
|
|
| Id |
prsb03-dataelement-13061 (2020‑05‑12 14:38:35)
|
| Cardinality |
0 … 1 |
| Description |
This is a reasonable adjustment 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 CIS (rationalised) (0 … *) in scenario Core information standard
|
|
|
| Reasonable adjustment 0 … 1
prsb03-dataelement-13017
|
|
|
| Id |
prsb03-dataelement-13017 (2020‑04‑28 18:57:15)
|
| Cardinality |
0 … 1 |
| Description |
The reasonable adjustment required e.g. requires specific contact method, requires
communication professional
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Coded value 0 … 1
prsb03-dataelement-13505
|
|
|
| Id |
prsb03-dataelement-13505 (2020‑09‑02 18:40:38)
|
| Cardinality |
0 … 1 |
| Description |
The coded value for reasonable adjustment |
| Operationalization |
SNOMED CT : - Accessible information standard
^999002121000000109 |Accessible information - communication support simple reference
set (foundation metadata concept)|
^999002151000000104 |Accessible information - requires communication professional
simple reference set (foundation metadata concept)|
^999002131000000106 |Accessible information - requires specific contact method simple
reference set (foundation metadata concept)|
^999002141000000102 |Accessible information - requires specific information format
simple reference set (foundation metadata concept)|
Refsets for other categories in development
|
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Free text 0 … 1
prsb03-dataelement-13506
|
|
|
| Id |
prsb03-dataelement-13506 (2020‑09‑02 18:41:44)
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Reasonable adjustment additional detail 0 … 1
prsb03-dataelement-13018
|
|
|
| Id |
prsb03-dataelement-13018 (2020‑04‑28 19:01:03)
|
| Cardinality |
0 … 1 |
| Description |
Further detail about the support required and the consequence of not providing it. |
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Impairment 0 … 1
prsb03-dataelement-13001
|
|
|
| Id |
prsb03-dataelement-13001 (2020‑04‑23 20:09:01)
|
| Cardinality |
0 … 1 |
| Description |
A record of any impairments for the person relating to reasonable adjustments. |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Impairment record entry 0 … 1
prsb03-dataelement-13062
|
|
|
| Id |
prsb03-dataelement-13062 (2020‑05‑12 15:52:51)
|
| Cardinality |
0 … 1 |
| Description |
This is an impairment 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 CIS (rationalised) (0 … *) in scenario Core information standard
|
|
|
| Impairment category 0 … 1
prsb03-dataelement-13022
|
|
|
| Id |
prsb03-dataelement-13022 (2020‑04‑28 19:21:25)
|
| Cardinality |
0 … 1 |
| Description |
The category of the impairment e.g. Autism, Dementia, Physical disability, Sensory
disability - such as sight or hearing, Long-term condition
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Coded value 0 … 1
prsb03-dataelement-13507
|
|
|
| Id |
prsb03-dataelement-13507 (2020‑09‑02 18:45:17)
|
| Cardinality |
0 … 1 |
| Description |
The coded value for impairment. |
| Operationalization |
SNOMED CT |
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Free text 0 … 1
prsb03-dataelement-13508
|
|
|
| Id |
prsb03-dataelement-13508 (2020‑09‑02 18:46:00)
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Impairment additional detail 0 … 1
prsb03-dataelement-13023
|
|
|
| Id |
prsb03-dataelement-13023 (2020‑04‑28 19:23:16)
|
| Cardinality |
0 … 1 |
| Description |
Description of what the person can do with the impairment, what they want to be able
to do and how they should be supported to do it and what the consequences are of not
providing the support.
Where there is a sensory disability include sensory processing difficulties (e.g.
affects to balance and movement, oversensitive, under-sensitive).
|
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Cognition 0 … *
prsb03-dataelement-10066
|
|
|
| Id |
prsb03-dataelement-10066 (2018‑10‑31)
|
| Cardinality |
0 … * |
| Description |
Details of the persons cognitive impairment. |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … *) in scenario Core information standard
|
|
|
| Cognition 0 … 1
prsb03-dataelement-13669
|
|
|
| Id |
prsb03-dataelement-13669 (2020‑09‑08 22:42:26)
|
| Cardinality |
0 … 1 |
| Description |
The cognitive impairment to be considered when communicating with the person, child
or their primary carer.
|
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Mobility 0 … *
prsb03-dataelement-10067
|
|
|
| Id |
prsb03-dataelement-10067 (2018‑10‑31)
|
| Cardinality |
0 … * |
| Description |
Details of the person's mobility needs. |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … *) in scenario Core information standard
|
|
|
| Mobility needs 0 … 1
prsb03-dataelement-13670
|
|
|
| Id |
prsb03-dataelement-13670 (2020‑09‑08 22:45:14)
|
| Cardinality |
0 … 1 |
| Description |
The mobility needs of the person that allows movement between two spaces and achieves
participation and a degree of independence.
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Coded value 0 … 1
prsb03-dataelement-13671
|
|
|
| Id |
prsb03-dataelement-13671 (2020‑09‑08 22:47:06)
|
| Cardinality |
0 … 1 |
| Description |
The coded value for mobility needs |
| Operationalization |
SNOMED CT: - ^999002551000000108 |Mobility findings simple reference set (foundation
metadata concept)|
|
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Free text 0 … 1
prsb03-dataelement-13672
|
|
|
| Id |
prsb03-dataelement-13672 (2020‑09‑08 22:47:50)
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Other individual requirements 0 … *
prsb03-dataelement-10835
|
|
|
| Id |
prsb03-dataelement-10835 (2019‑03‑22 16:24:41)
|
| Cardinality |
0 … * |
| Description |
Details of any other individual requirements the person may have |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … *) in scenario Core information standard
|
|
|
| Other individual requirement 0 … 1
prsb03-dataelement-13673
|
|
|
| Id |
prsb03-dataelement-13673 (2020‑09‑08 22:51:48)
|
| Cardinality |
0 … 1 |
| Description |
Other individual requirements that a person may have. |
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Alerts 0 … 1
prsb03-dataelement-10741
|
|
|
| Id |
prsb03-dataelement-10741 (2019‑03‑06 17:55:12)
|
| Cardinality |
0 … 1 |
| Description |
Details of alerts. |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Alerts record entry 0 … *
prsb03-dataelement-10916
|
|
|
| Id |
prsb03-dataelement-10916 (2019‑04‑09 12:53:12)
|
| Cardinality |
0 … * |
| Description |
This is an alerts record entry. There may be 0 to many record entries under a section.
Each record entry is made up of a number of elements or data items
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … *) in scenario Core information standard
|
|
|
| Alert 0 … 1
prsb03-dataelement-10742
|
|
|
| Id |
prsb03-dataelement-10742 (2019‑03‑06 18:10:58)
|
| Cardinality |
0 … 1 |
| Description |
Any significant information meriting a specific and highly visible warning to any
user (e.g. metallic implant, potential dangerous pet).
|
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Legal information 0 … 1
prsb03-dataelement-520
|
|
|
| Id |
prsb03-dataelement-520 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
The legal information relating to the person. |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Consent for information sharing 0 … 1
prsb03-dataelement-10421
|
|
|
| Id |
prsb03-dataelement-10421 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
Details of the person's consent for information sharing |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Consent for information sharing 0 … 1
prsb03-dataelement-13575
|
|
|
| Id |
prsb03-dataelement-13575 (2020‑09‑07 16:47:31)
|
| Cardinality |
0 … 1 |
| Description |
This is a record of consent for information sharing under the common law duty of confidentiality.
Where consent has not been obtained or sought, the reason why should be provided.
Include best interests decision where person lacks capacity. This is a placeholder
until the national guidance is published.
|
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Consent relating to child 0 … *
prsb03-dataelement-10422
|
|
|
| Id |
prsb03-dataelement-10422 (2018‑10‑31)
|
| Cardinality |
0 … * |
| Description |
Details of the person's consent relating to child |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … *) in scenario Core information standard
|
|
|
| Consent relating to child 0 … 1
prsb03-dataelement-13576
|
|
|
| Id |
prsb03-dataelement-13576 (2020‑09‑07 16:50:40)
|
| Cardinality |
0 … 1 |
| Description |
The person with parental responsibility or appointed guardian where a child lacks
competency. Consideration of age and competency, applying Gillick competency or Fraser
guidelines.
|
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Mental capacity assessment 0 … *
prsb03-dataelement-10424
|
|
|
| Id |
prsb03-dataelement-10424 (2018‑10‑31)
|
| Cardinality |
0 … * |
| Description |
Details of the persons mental capacity assessment |
| Used by
|
3 transactions, 0 templates, inherited 2 times |
| |
This concept is used in transaction CIS (rationalised) (0 … *) in scenario Core information standard
|
|
|
| Mental capacity assessment 0 … 1
prsb03-dataelement-13090
|
|
|
| Id |
prsb03-dataelement-13090 (2020‑06‑08 18:04:55) 0.1
|
| Cardinality |
0 … 1 |
| Description |
Record where a person diagnosed with a mental disorder is formally detained under
the Mental Health Act or equivalent, including the section number and start date,
start time and end date. If person subject to Community Treatment Order or Conditional
Discharge (or equivalent) record here.
|
| Operationalization |
NHS data dictionary : -
Mental health act legal status classification code
|
| Value Domain |
|
| Property |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Lasting power of attorney for health and welfare or court-appointed deputy (or equivalent)
0 … 1
prsb03-dataelement-10425
|
|
|
| Id |
prsb03-dataelement-10425 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
Details of the person's LPA record or equivalent |
| Used by
|
3 transactions, 0 templates, inherited once |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Lasting power of attorney for health and welfare or court appointed deputy (or equivalent)
0 … 1
prsb03-dataelement-13634
|
|
|
| Id |
prsb03-dataelement-13634 (2020‑09‑08 20:05:47)
|
| Cardinality |
0 … 1 |
| Description |
Record of one or more people who have been given power (LPA) by the person when they
had capacity to make decisions about their health and welfare should they lose capacity
to make those decisions. To be valid, an LPA must have been registered with the Court
of Protection. If life-sustaining treatment is being considered the LPA document must
state specifically that the attorney has been given power to consent to or refuse
life-sustaining treatment. Details of any person (deputy) appointed by the court to
make decisions about the person’s health and welfare. A deputy does not have the power
to refuse life-sustaining treatment.
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Coded value 0 … 1
prsb03-dataelement-13636
|
|
|
| Id |
prsb03-dataelement-13636 (2020‑09‑08 20:10:08)
|
| Cardinality |
0 … 1 |
| Description |
The coded value for the LPA |
| Operationalization |
SNOMED CT: - ^999001951000000107 |Personal welfare lasting power of attorney findings
simple reference set (foundation metadata concept)|
|
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Name of LPA 0 … 1
prsb03-dataelement-13635
|
|
|
| Id |
prsb03-dataelement-13635 (2020‑09‑08 20:08:39)
|
| Cardinality |
0 … 1 |
| Description |
The names of any appointed people or deputies |
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Contact details 0 … 1
prsb03-dataelement-13637
|
|
|
| Id |
prsb03-dataelement-13637 (2020‑09‑08 20:11:29)
|
| Cardinality |
0 … 1 |
| Description |
The contact details of the LPA |
| Operationalization |
NHS data dictionary:-
UK telephone number
|
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Deprivation of Liberty Safeguards or equivalent 0 … 1
prsb03-dataelement-10426
|
|
|
| Id |
prsb03-dataelement-10426 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
Details of the person's Deprivation of Liberty Safeguards (DoLS) or equivalent |
| Used by
|
3 transactions, 0 templates, inherited once |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Application status 0 … 1
prsb03-dataelement-13069
|
|
|
| Id |
prsb03-dataelement-13069 (2020‑05‑21 18:05:36)
|
| Cardinality |
0 … 1 |
| Description |
The status of the DOLs application. |
| Operationalization |
Free text : - Requested or authorised |
| Value Domain |
|
| Property |
|
| Example |
Requested |
| Example |
Authorised |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Deprivation of liberty safeguards or equivalent 0 … 1
prsb03-dataelement-13626
|
|
|
| Id |
prsb03-dataelement-13626 (2020‑09‑08 19:49:07)
|
| Cardinality |
0 … 1 |
| Description |
Record of Deprivation of Liberty Safeguards (DoLS) or equivalent, including the reason
for this.
|
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Start date of authorisation 0 … 1
prsb03-dataelement-13071
|
|
|
| Id |
prsb03-dataelement-13071 (2020‑05‑21 18:16:32)
|
| Cardinality |
0 … 1 |
| Description |
The date the DOLs was authorised. |
| Operationalization |
Data and time |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year, hour and minute |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Mental health act or equivalent status 0 … *
prsb03-dataelement-10427
|
|
|
| Id |
prsb03-dataelement-10427 (2018‑10‑31)
|
| Cardinality |
0 … * |
| Description |
Details of the persons mental health act record |
| Used by
|
3 transactions, 0 templates, inherited once |
| |
This concept is used in transaction CIS (rationalised) (0 … *) in scenario Core information standard
|
|
|
| Mental health act or equivalent status 0 … 1
prsb03-dataelement-13627
|
|
|
| Id |
prsb03-dataelement-13627 (2020‑09‑08 19:52:25)
|
| Cardinality |
0 … 1 |
| Description |
Record where a person diagnosed with a mental disorder is formally detained under
the Mental health act or equivalent, including the section number. If person subject
to Community Treatment Order or Conditional Discharge (or equivalent) record here.
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Coded value 0 … 1
prsb03-dataelement-13628
|
|
|
|
|
| Free text 0 … 1
prsb03-dataelement-13629
|
|
|
| Id |
prsb03-dataelement-13629 (2020‑09‑08 19:58:49)
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Advance decision to refuse treatment (ADRT) 0 … 1
prsb03-dataelement-10428
|
|
|
| Id |
prsb03-dataelement-10428 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
Details of the person's ADRT status. |
| Used by
|
3 transactions, 0 templates, inherited once |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Advance decision to refuse treatment 0 … 1
prsb03-dataelement-13502
|
|
|
| Id |
prsb03-dataelement-13502 (2020‑09‑02 17:36:30)
|
| Cardinality |
0 … 1 |
| Description |
A record of an advance decision to refuse one or more specific types of future treatment,
made by a person who had capacity at the time of recording the decision. The decision
only applies when the person no longer has the capacity to consent to or refuse the
specific treatment being considered. An ADRT must be in writing, signed and witnessed.
If the ADRT is refusing life-sustaining treatment it must state specifically that
the treatment is refused even if the person’s life is at risk.
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Coded value 0 … 1
prsb03-dataelement-13503
|
|
|
| Id |
prsb03-dataelement-13503 (2020‑09‑02 17:46:53)
|
| Cardinality |
0 … 1 |
| Description |
The coded value for advance decision to refuse treatment. |
| Operationalization |
SNOMED CT:- ^
999002181000000105 |Advance decision to refuse treatment preference findings simple reference set (foundation
metadata concept)|
|
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Free text 0 … 1
prsb03-dataelement-13504
|
|
|
| Id |
prsb03-dataelement-13504 (2020‑09‑02 17:48:38)
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Safeguarding concerns 0 … *
prsb03-dataelement-10821
|
|
|
| Id |
prsb03-dataelement-10821 (2019‑03‑21 12:14:49)
|
| Cardinality |
0 … * |
| Description |
Details of safeguarding concerns |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … *) in scenario Core information standard
|
|
|
| Safeguarding concerns 0 … 1
prsb03-dataelement-10171
|
|
|
| Id |
prsb03-dataelement-10171 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
Identified safeguarding concerns. |
|
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Looked after child 0 … *
prsb03-dataelement-10797
|
|
|
| Id |
prsb03-dataelement-10797 (2019‑03‑20 13:08:45)
|
| Cardinality |
0 … * |
| Description |
Details of the looked after child |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … *) in scenario Core information standard
|
|
|
| Child protection plan 0 … *
prsb03-dataelement-10798
|
|
|
| Id |
prsb03-dataelement-10798 (2019‑03‑20 13:12:02)
|
| Cardinality |
0 … * |
| Description |
Details of the child protection plan |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … *) in scenario Core information standard
|
|
|
| Unborn child protection plan 0 … *
prsb03-dataelement-10923
|
|
|
| Id |
prsb03-dataelement-10923 (2019‑04‑26 17:54:37)
|
| Cardinality |
0 … * |
| Description |
Details of the unborn child protection plan. |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … *) in scenario Core information standard
|
|
|
| Professional contacts 0 … 1
prsb03-dataelement-452
|
|
|
| Id |
prsb03-dataelement-452 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
The details of the person’s professional contacts. |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Professional contacts record entry 0 … *
prsb03-dataelement-10767
|
|
|
| Id |
prsb03-dataelement-10767 (2019‑03‑18 18:07:16)
|
| Cardinality |
0 … * |
| Description |
This is a professional contacts record entry. There may be 0 to many record entries
under a section. Each record entry is made up of a number of elements or data items.
|
| Used by
|
3 transactions, 0 templates, inherited 2 times |
| |
This concept is used in transaction CIS (rationalised) (0 … *) in scenario Core information standard
|
|
|
| Name 0 … 1
prsb03-dataelement-10352
|
|
|
| Id |
prsb03-dataelement-10352 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
The name of the professional with responsibility for the care of the person. |
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 6 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
This concept is inherited by concept
Name in dataset prsb03-dataelement-11045
This concept is inherited by concept
Name in dataset prsb03-dataelement-11035
This concept is inherited by concept
Name in dataset prsb03-dataelement-14345
This concept is inherited by concept
Name in dataset prsb03-dataelement-14405
This concept is inherited by concept
Name in dataset prsb03-dataelement-14342
This concept is inherited by concept
Name in dataset prsb03-dataelement-14348
|
|
|
| Role 0 … 1
prsb03-dataelement-10353
|
|
|
| Id |
prsb03-dataelement-10353 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker, key worker, care home manager, care coordinator, LA
hospital liaison person, care home contact, hospital clinician, Independent Mental
Capacity Advocate (IMCA) etc
|
| Operationalization |
FHIR value set : -
SDSjobrole
|
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited 6 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
This concept is inherited by concept
Role in dataset prsb03-dataelement-11046
This concept is inherited by concept
Role in dataset prsb03-dataelement-11036
This concept is inherited by concept
Role in dataset prsb03-dataelement-14346
This concept is inherited by concept
Role in dataset prsb03-dataelement-14406
This concept is inherited by concept
Role in dataset prsb03-dataelement-14343
This concept is inherited by concept
Role in dataset prsb03-dataelement-14349
|
|
|
| Speciality 0 … 1
prsb03-dataelement-10354
|
|
|
| Id |
prsb03-dataelement-10354 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
The specialty of the professional e.g. physiotherapy, oncology, mental health etc |
| Operationalization |
NHS data dictionary : -
Activity treatment function code
|
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 2 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-11047
This concept is inherited by concept
Speciality in dataset prsb03-dataelement-11037
|
|
|
| Team 0 … 1
prsb03-dataelement-10355
|
|
|
| Id |
prsb03-dataelement-10355 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
The name of the team. |
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 3 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
This concept is inherited by concept
Team in dataset prsb03-dataelement-11048
This concept is inherited by concept
Team in dataset prsb03-dataelement-11038
This concept is inherited by concept
Team in dataset prsb03-dataelement-14395
|
|
|
| Organisation 0 … 1
prsb03-dataelement-10356
|
|
|
| Id |
prsb03-dataelement-10356 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
The name of the organisation. |
| Used by
|
3 transactions, 0 templates, inherited 2 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11049
This concept is inherited by concept
Organisation in dataset prsb03-dataelement-11039
|
|
|
| Contact details 0 … 1
prsb03-dataelement-10357
|
|
|
| Id |
prsb03-dataelement-10357 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
Contact details of the professional (e.g. telephone number, email address etc.). |
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 6 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11050
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-11040
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-14396
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-14347
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-14344
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-14350
|
|
|
| Start date 0 … 1
prsb03-dataelement-10358
|
|
|
| Id |
prsb03-dataelement-10358 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
The start date of the professional relationship with the person. |
| Operationalization |
Date and time |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year, hour and minute |
|
| Used by
|
3 transactions, 0 templates, inherited 2 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
This concept is inherited by concept
Start date in dataset prsb03-dataelement-11051
This concept is inherited by concept
Start date in dataset prsb03-dataelement-11041
|
|
|
| End date 0 … 1
prsb03-dataelement-10359
|
|
|
| Id |
prsb03-dataelement-10359 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
The end date of the professional relationship with the person. |
| Operationalization |
Date and time |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year, hour and minute |
|
| Used by
|
3 transactions, 0 templates, inherited 2 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
This concept is inherited by concept
End date in dataset prsb03-dataelement-11052
This concept is inherited by concept
End date in dataset prsb03-dataelement-11042
|
|
|
| Personal contacts 0 … 1
prsb03-dataelement-445
|
|
|
| Id |
prsb03-dataelement-445 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
The details of the individual's personal contacts. |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Personal contacts record entry 0 … *
prsb03-dataelement-10768
|
|
|
| Id |
prsb03-dataelement-10768 (2019‑03‑19 13:05:13)
|
| Cardinality |
0 … * |
| Description |
This is personal contacts record entry. There may be 0 to many record entries under
a section. Each record entry is made up of a number of elements or data items.
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … *) in scenario Core information standard
|
|
|
| Name 1 … 1 Mandatory
prsb03-dataelement-10345
|
|
|
| Id |
prsb03-dataelement-10345 (2018‑10‑31)
|
| Cardinality |
1 … 1 Mandatory |
| Description |
The name of the personal contact. |
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (1 … 1 Mandatory) in scenario Core information standard
|
|
|
| Relationship 0 … 1
prsb03-dataelement-10346
|
|
|
| Id |
prsb03-dataelement-10346 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
The relationship the personal contact has to the person, e.g. father, grandmother,
family friend etc.
|
| Operationalization |
FHIR value set : -
Related person
|
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 2 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
This concept is inherited by concept
Relationship in dataset prsb03-dataelement-14310
This concept is inherited by concept
Relationship in dataset prsb03-dataelement-14315
|
|
|
| Next of Kin 0 … 1
prsb03-dataelement-10349
|
|
|
| Id |
prsb03-dataelement-10349 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
A flag that identifies the personal contact is the next of kin |
| Operationalization |
Flag : - Yes or No |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Contact details 0 … 1
prsb03-dataelement-10350
|
|
|
| Id |
prsb03-dataelement-10350 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
Contact details of the personal contact (e.g. telephone number, email address etc.) |
| Operationalization |
Free Text |
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited once |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
This concept is inherited by concept
Contact details in dataset prsb03-dataelement-14407
|
|
|
| Comments 0 … 1
prsb03-dataelement-10937
|
|
|
| Id |
prsb03-dataelement-10937 (2019‑05‑02 17:15:44)
|
| Cardinality |
0 … 1 |
| Description |
Notes on the significance of the personal contact to the person. |
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Participation in research 0 … 1
prsb03-dataelement-168
|
|
|
| Id |
prsb03-dataelement-168 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
Participation in research |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Participation in research record entry 0 … *
prsb03-dataelement-10646
|
|
|
| Id |
prsb03-dataelement-10646 (2018‑11‑12 15:14:45)
|
| Cardinality |
0 … * |
| Description |
This is a Participation in research record entry. There may be 0 to many record entry/entries
under a section. Each record entry is made up of a number of elements or data items.
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … *) in scenario Core information standard
|
|
|
| Name of research study 0 … 1
prsb03-dataelement-10068
|
|
|
| Id |
prsb03-dataelement-10068 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
Name and details of the research study/trial and/or drug/intervention |
| Operationalization |
Free text or URL |
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Identification code 0 … 1
prsb03-dataelement-10739
|
|
|
| Id |
prsb03-dataelement-10739 (2019‑02‑12 17:27:10)
|
| Cardinality |
0 … 1 |
| Description |
Identification code of research study |
| Operationalization |
NHS data dictionary :-
Clinical trial identifier
|
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … *) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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 referral or 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Referral method 0 … 1
prsb03-dataelement-10007
|
|
|
| Id |
prsb03-dataelement-10007 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
The method in which a referral is sent and received. This may be a letter, email,
transcript of a telephone conversation, Choose and Book, in person (self-referral)
etc.
|
| Operationalization |
Allow National Codes only
- Fax
- Phone
- Secure Messaging
- Secure Email
- Letter
- NHS E-Referral Service
- Self referral
|
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Reason for referral 0 … 1
prsb03-dataelement-10011
|
|
|
| Id |
prsb03-dataelement-10011 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
The reason for the referral, e.g. diagnosis, treatment, transfer of care due to relocation,
investigation, second opinion, management of the patient (e.g. palliative care), or
carer's concerns.
|
| Operationalization |
Free text |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Coded value 0 … 1
prsb03-dataelement-13455
|
|
|
| Id |
prsb03-dataelement-13455 (2020‑08‑27 18:17:32)
|
| Cardinality |
0 … 1 |
| Description |
The coded value for reason for referral |
| Operationalization |
SNOMED CT :- ^1127581000000103 |Health issues simple reference set| |
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Free text 0 … 1
prsb03-dataelement-13456
|
|
|
| Id |
prsb03-dataelement-13456 (2020‑08‑27 18:18:45)
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Clinical urgency of referral 0 … 1
prsb03-dataelement-10010
|
|
|
| Id |
prsb03-dataelement-10010 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
The details of the clinical urgency of referral |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Reason for urgency of referral 0 … 1
prsb03-dataelement-10976
|
|
|
| Id |
prsb03-dataelement-10976 (2019‑05‑22 17:54:38)
|
| Cardinality |
0 … 1 |
| Description |
The reason for urgency of referral if not routine. |
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited once |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Referral to 0 … 1
prsb03-dataelement-10008
|
|
|
| Id |
prsb03-dataelement-10008 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
Details of where the referral is to be sent.
If not an individual, this could be a service, e.g. GP surgery, department, specialty,
subspecialty, educational institution, mental health etc.
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Name 0 … 1
prsb03-dataelement-10977
|
|
|
| Id |
prsb03-dataelement-10977 (2019‑05‑22 17:56:22)
|
| Cardinality |
0 … 1 |
| Description |
Name of person the referral is to be sent to. |
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Role 0 … 1
prsb03-dataelement-10978
|
|
|
| Id |
prsb03-dataelement-10978 (2019‑05‑22 17:56:39)
|
| Cardinality |
0 … 1 |
| Description |
Role of person where the referral is to be sent to. |
| Operationalization |
FHIR value set : -
sdsjobrole
|
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Grade 0 … 1
prsb03-dataelement-10979
|
|
|
| Id |
prsb03-dataelement-10979 (2019‑05‑22 17:56:51)
|
| Cardinality |
0 … 1 |
| Description |
The grade of the person where the referral is sent to. |
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Team 0 … 1
prsb03-dataelement-10982
|
|
|
| Id |
prsb03-dataelement-10982 (2019‑05‑22 17:59:49)
|
| Cardinality |
0 … 1 |
| Description |
The team or department of the person where the referral is being sent to |
| Operationalization |
Free text. |
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Specialty 0 … 1
prsb03-dataelement-10983
|
|
|
| Id |
prsb03-dataelement-10983 (2019‑05‑22 18:00:28)
|
| Cardinality |
0 … 1 |
| Description |
The specialty the referral is being sent to e.g. physiotherapy, oncology, mental health
etc
|
| Operationalization |
NHS data dictionary -
Activity treatment function code
|
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Service 0 … 1
prsb03-dataelement-12412
|
|
|
| Id |
prsb03-dataelement-12412 (2019‑06‑05 18:20:52)
|
| Cardinality |
0 … 1 |
| Description |
The service of where the referral is sent to. |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Coded value 0 … 1
prsb03-dataelement-13509
|
|
|
| Id |
prsb03-dataelement-13509 (2020‑09‑03 17:50:24)
|
| Cardinality |
0 … 1 |
| Description |
The coded value for service |
| Operationalization |
SNOMED CT: - 1127531000000102 |Services simple reference set (foundation metadata
concept)|
|
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Free text 0 … 1
prsb03-dataelement-13510
|
|
|
| Id |
prsb03-dataelement-13510 (2020‑09‑03 17:51:06)
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Organisation 0 … 1
prsb03-dataelement-10980
|
|
|
| Id |
prsb03-dataelement-10980 (2019‑05‑22 17:57:10)
|
| Cardinality |
0 … 1 |
| Description |
The organisation of where the referral is to be sent. |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Coded value 0 … 1
prsb03-dataelement-13511
|
|
|
| Id |
prsb03-dataelement-13511 (2020‑09‑03 17:54:29)
|
| Cardinality |
0 … 1 |
| Description |
The coded value for organisation |
| Operationalization |
NHS data dictionary :-
Organisation data service
|
| Value Domain |
|
| Property |
| min length |
max length |
| 3 |
5 |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Free text 0 … 1
prsb03-dataelement-13512
|
|
|
| Id |
prsb03-dataelement-13512 (2020‑09‑03 17:55:57)
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Contact details 0 … 1
prsb03-dataelement-10981
|
|
|
| Id |
prsb03-dataelement-10981 (2019‑05‑22 17:57:26)
|
| Cardinality |
0 … 1 |
| Description |
The contact details of where the referral is to be sent. |
| Operationalization |
Free text. |
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Referral criteria 0 … 1
prsb03-dataelement-10014
|
|
|
| Id |
prsb03-dataelement-10014 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
Records whether specific criteria required for referral, to a particular service,
have been met (may be nationally or locally determined). This field is used to outline
which criteria have been met where a service has indicated specific criteria and to
explain the rationale for referral where criteria have not been met.
|
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Return response to 0 … 1
prsb03-dataelement-10015
|
|
|
| Id |
prsb03-dataelement-10015 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
Name of professional to be communicated with, if not the referrer |
| Operationalization |
Free text. |
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Contacts with professionals 0 … 1
prsb03-dataelement-169
|
|
|
| Id |
prsb03-dataelement-169 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
The details of the person’s contact with a professional. |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Contacts with professionals record entry 0 … *
prsb03-dataelement-10718
|
|
|
| Id |
prsb03-dataelement-10718 (2019‑02‑08 13:49:22)
|
| Cardinality |
0 … * |
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … *) in scenario Core information standard
|
|
|
| Date of contact 0 … 1
prsb03-dataelement-10069
|
|
|
| Id |
prsb03-dataelement-10069 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Location of contact 0 … 1
prsb03-dataelement-10075
|
|
|
| Id |
prsb03-dataelement-10075 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
The location where the contact took place. |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Coded value 0 … 1
prsb03-dataelement-13513
|
|
|
| Id |
prsb03-dataelement-13513 (2020‑09‑03 18:01:56)
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Free text 0 … 1
prsb03-dataelement-13514
|
|
|
| Id |
prsb03-dataelement-13514 (2020‑09‑03 18:04:13)
|
| 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
|
3 transactions, 0 templates, inherited once |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
This concept is inherited by concept
Free text in dataset prsb03-dataelement-13963
|
|
|
| Seen by 0 … 1
prsb03-dataelement-10077
|
|
|
| Id |
prsb03-dataelement-10077 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
The professional that saw the person. |
| FHIR |
Encounter.participant |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Name 0 … 1
prsb03-dataelement-13515
|
|
|
| Id |
prsb03-dataelement-13515 (2020‑09‑03 18:13:01)
|
| Cardinality |
0 … 1 |
| Description |
The name of the professional that saw the person |
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Free text 0 … 1
prsb03-dataelement-13516
|
|
|
| Id |
prsb03-dataelement-13516 (2020‑09‑03 18:15:56) 0.1
|
| 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
|
2 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Responsible professional 0 … 1
prsb03-dataelement-10072
|
|
|
| Id |
prsb03-dataelement-10072 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
The name and role of the professional that had overall responsibility for the person
e.g. consultant, nurse consultant, midwife, allied health professional (may not have
actually seen the person).
|
| FHIR |
Encounter.participant |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Name 0 … 1
prsb03-dataelement-10988
|
|
|
| Id |
prsb03-dataelement-10988 (2019‑05‑23 18:36:10)
|
| Cardinality |
0 … 1 |
| Description |
The name of the responsible professional. |
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Role 0 … 1
prsb03-dataelement-10989
|
|
|
| Id |
prsb03-dataelement-10989 (2019‑05‑23 18:36:53)
|
| Cardinality |
0 … 1 |
| Description |
The role of the responsible professional |
| Operationalization |
FHIR value set : -
sdsjobrole
|
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Location type 0 … 1
prsb03-dataelement-10076
|
|
|
| Id |
prsb03-dataelement-10076 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
The type of location where the contact took place e.g. person's home |
| Operationalization |
NHS data dictionary -
Activity location type code
|
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Contact type 0 … 1
prsb03-dataelement-10070
|
|
|
| Id |
prsb03-dataelement-10070 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
Type of contact e.g. GP consultation, outpatient attendance |
|
|
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Consultation method 0 … 1
prsb03-dataelement-10071
|
|
|
| Id |
prsb03-dataelement-10071 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
Consultation method used e.g. face to face, telephone |
| FHIR |
Handled as text in the transfer of care |
|
| Operationalization |
NHS data dictionary -
Consultation medium
|
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Specialty 0 … 1
prsb03-dataelement-10073
|
|
|
| Id |
prsb03-dataelement-10073 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
The specialty e.g. physiotherapy, oncology, mental health etc |
| FHIR |
Encounter.participant.individual.Practitioner.PractitionerRole.speciality (of the
consultant responsible for the encounter)
|
|
| Operationalization |
NHS data dictionary -
Activity treatment function code
|
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Service 0 … 1
prsb03-dataelement-10074
|
|
|
| Id |
prsb03-dataelement-10074 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
The service that was provided. |
| FHIR |
Encounter.Appointment.servicetype |
|
| Operationalization |
SNOMED CT :- 1127531000000102 |Services simple reference set (foundation metadata
concept)|
|
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Professionals present 0 … *
prsb03-dataelement-10078
|
|
|
| Id |
prsb03-dataelement-10078 (2018‑10‑31)
|
| Cardinality |
0 … * |
| Description |
The name, role of the additional individuals or team members including consultant(s),
nurse consultant(s), allied health professional(s), social worker(s)
|
| FHIR |
Encounter.participant |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … *) in scenario Core information standard
|
|
|
| Name 0 … 1
prsb03-dataelement-10990
|
|
|
| Id |
prsb03-dataelement-10990 (2019‑05‑23 18:51:51)
|
| Cardinality |
0 … 1 |
| Description |
The name of the professional present |
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Role 0 … 1
prsb03-dataelement-10991
|
|
|
| Id |
prsb03-dataelement-10991 (2019‑05‑23 18:52:37)
|
| Cardinality |
0 … 1 |
| Description |
The role of the professional present. |
| Operationalization |
FHIR value set : -
sdsjobrole
|
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Outcome of contact 0 … 1
prsb03-dataelement-10080
|
|
|
| Id |
prsb03-dataelement-10080 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
This records the outcome of the contact. |
| FHIR |
Handled as text in the transfer of care |
|
| Operationalization |
|
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Admission details 0 … 1
prsb03-dataelement-181
|
|
|
| Id |
prsb03-dataelement-181 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
Admission details |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Admission details record entry 0 … *
prsb03-dataelement-10918
|
|
|
| Id |
prsb03-dataelement-10918 (2019‑04‑09 16:16:31)
|
| Cardinality |
0 … * |
| Description |
This is the admission details record entry. There may be 0 to many record entries
under a section. Each record entry is made up of a number of elements or data items.
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … *) in scenario Core information standard
|
|
|
| Date of admission 0 … 1
prsb03-dataelement-10085
|
|
|
| Id |
prsb03-dataelement-10085 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
Date and time the person was admitted to hospital. |
|
|
| 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 CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Admitted to 0 … 1
prsb03-dataelement-10090
|
|
|
| Id |
prsb03-dataelement-10090 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
|
There are open issues with this item:
|
| Description |
The hospital the person was admitted to. |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Coded value 0 … 1
prsb03-dataelement-13380
|
|
|
| Id |
prsb03-dataelement-13380 (2020‑08‑10 18:02:32)
|
| Cardinality |
0 … 1 |
| Description |
The coded value for admission to |
| Operationalization |
NHS data dictionary : -
Organisations code of provider
|
| Value Domain |
|
| Property |
| min length |
max length |
| 3 |
6 |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Free text 0 … 1
prsb03-dataelement-13381
|
|
|
| Id |
prsb03-dataelement-13381 (2020‑08‑10 18:03:47)
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Responsible care professional 0 … 1
prsb03-dataelement-10087
|
|
|
| Id |
prsb03-dataelement-10087 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
The care professional who has overall responsibility for the person (may not actually
see the person)
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Name 0 … 1
prsb03-dataelement-10992
|
|
|
| Id |
prsb03-dataelement-10992 (2019‑05‑23 23:16:09)
|
| Cardinality |
0 … 1 |
| Description |
The name of the responsible care professional. |
| Operationalization |
Free text. |
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Role 0 … 1
prsb03-dataelement-10993
|
|
|
| Id |
prsb03-dataelement-10993 (2019‑05‑23 23:17:05)
|
| Cardinality |
0 … 1 |
| Description |
The role of the responsible consultant. |
| Operationalization |
FHIR value set: -
sdsjobrole
|
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Reason for admission 0 … 1
prsb03-dataelement-10081
|
|
|
| Id |
prsb03-dataelement-10081 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
The health problems and issues experienced by the person that prompted the decision
to admit to hospital e.g. chest pain, mental health crisis, blackout, fall, a specific
procedure, intervention, investigation or treatment, non compliance with treatment.
|
|
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Coded value 0 … 1
prsb03-dataelement-13382
|
|
|
| Id |
prsb03-dataelement-13382 (2020‑08‑10 18:08:34)
|
| Cardinality |
0 … 1 |
| Description |
The coded value for reason for admission |
| Operationalization |
SNOMED CT: - ^1127581000000103 |Health issues simple reference set| |
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Free text 0 … 1
prsb03-dataelement-13384
|
|
|
| Id |
prsb03-dataelement-13384 (2020‑08‑10 18:18:25)
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Admission method 0 … 1
prsb03-dataelement-10082
|
|
|
| Id |
prsb03-dataelement-10082 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
How the person was admitted to hospital e.g. elective, emergency, maternity, transfer
etc.
|
| FHIR |
Handled as text in the transfer of care |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Coded value 0 … 1
prsb03-dataelement-13385
|
|
|
| Id |
prsb03-dataelement-13385 (2020‑08‑10 18:21:26)
|
| Cardinality |
0 … 1 |
| Description |
The coded value for admission method |
| Operationalization |
NHS data dictionary : -
Admission method
|
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Free text 0 … 1
prsb03-dataelement-13387
|
|
|
| Id |
prsb03-dataelement-13387 (2020‑08‑10 18:22:33)
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Legal status on admission 0 … 1
prsb03-dataelement-10083
|
|
|
|
|
| Source of admission 0 … 1
prsb03-dataelement-10084
|
|
|
| Id |
prsb03-dataelement-10084 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
Where the person was immediately prior to admission, e.g. usual place of residence,
temporary place of residence, penal establishment.
|
| FHIR |
Encounter.hospitalisation.admitsource |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Coded value 0 … 1
prsb03-dataelement-13388
|
|
|
| Id |
prsb03-dataelement-13388 (2020‑08‑10 18:25:26)
|
| Cardinality |
0 … 1 |
| Description |
The coded value of source of admission |
| Operationalization |
NHS data dictionary :-
Source of admission
|
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Free text 0 … 1
prsb03-dataelement-13389
|
|
|
| Id |
prsb03-dataelement-13389 (2020‑08‑10 18:27:00)
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Individual accompanying person 0 … 1
prsb03-dataelement-10088
|
|
|
| Id |
prsb03-dataelement-10088 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
Details of the accompanying individual and the extent to which they have provided
the information about the person.
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Name 0 … 1
prsb03-dataelement-10984
|
|
|
| Id |
prsb03-dataelement-10984 (2019‑05‑23 12:59:39)
|
| Cardinality |
0 … 1 |
| Description |
Name of individual accompanying person. |
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Role 0 … 1
prsb03-dataelement-10985
|
|
|
| Id |
prsb03-dataelement-10985 (2019‑05‑23 13:00:07) 0.1
|
| Cardinality |
0 … 1 |
| Description |
Role of the individual accompanying the person. |
| Operationalization |
NHS data dictionary : -
Care professional
|
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Relationship 0 … 1
prsb03-dataelement-10986
|
|
|
| Id |
prsb03-dataelement-10986 (2019‑05‑23 13:02:20)
|
| Cardinality |
0 … 1 |
| Description |
Relationship of individual accompanying the person. |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Coded value 0 … 1
prsb03-dataelement-13517
|
|
|
| Id |
prsb03-dataelement-13517 (2020‑09‑04 12:30:42)
|
| Cardinality |
0 … 1 |
| Description |
The coded value for relationship to person. |
| Operationalization |
FHIR value set: -
Relationship type
|
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Free text 0 … 1
prsb03-dataelement-13518
|
|
|
| Id |
prsb03-dataelement-13518 (2020‑09‑04 12:31:40)
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Comment 0 … 1
prsb03-dataelement-12447
|
|
|
| Id |
prsb03-dataelement-12447 (2019‑06‑17 14:41:14)
|
| Cardinality |
0 … 1 |
| Description |
Information about the extent to which the accompanying individual provided information
about the person.
|
| Operationalization |
Free text. |
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Specialty 0 … 1
prsb03-dataelement-10089
|
|
|
| Id |
prsb03-dataelement-10089 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
The specialty e.g. physiotherapy, oncology, mental health etc |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Coded value 0 … 1
prsb03-dataelement-13390
|
|
|
|
|
| Free text 0 … 1
prsb03-dataelement-13391
|
|
|
| Id |
prsb03-dataelement-13391 (2020‑08‑10 18:31:31)
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Discharge details 0 … 1
prsb03-dataelement-191
|
|
|
| Id |
prsb03-dataelement-191 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
Discharge details |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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 CIS (rationalised) (0 … *) in scenario Core information standard
|
|
|
| Date of discharge 0 … 1
prsb03-dataelement-10096
|
|
|
| Id |
prsb03-dataelement-10096 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| 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 CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Discharge location 0 … 1
prsb03-dataelement-10095
|
|
|
| Id |
prsb03-dataelement-10095 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
The hospital the person was discharged from. |
| FHIR |
Encounter.location.name |
|
| Operationalization |
NHS data dictionary : -
Organisation data service
|
| Value Domain |
|
| Property |
| min length |
max length |
| 3 |
5 |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Discharging consultant 0 … 1
prsb03-dataelement-10093
|
|
|
| Id |
prsb03-dataelement-10093 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
The consultant responsible for the person at time of discharge. |
| FHIR |
Encounter.Prartitioner.PractitionerRole.identifier (local ID) Encounter.Prartitioner.PractitionerRole.code
Encounter.Prartitioner.Practitioner.identifier Encounter.Prartitioner.PractitionerRole.Practitioner.name
|
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Name 0 … 1
prsb03-dataelement-10994
|
|
|
| Id |
prsb03-dataelement-10994 (2019‑05‑23 23:22:01)
|
| Cardinality |
0 … 1 |
| Description |
The name of the discharging consultant |
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Role 0 … 1
prsb03-dataelement-10995
|
|
|
| Id |
prsb03-dataelement-10995 (2019‑05‑23 23:22:48)
|
| Cardinality |
0 … 1 |
| Description |
The role of the discharging consultant |
| Operationalization |
FHIR value set : -
sdsjobrole
|
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Discharge method 0 … 1
prsb03-dataelement-10098
|
|
|
| Id |
prsb03-dataelement-10098 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
The method of discharge from hospital e.g. person discharged on clinical advice or
with clinical consent; person discharged him/herself or was discharged by a relative
or advocate.
|
| FHIR |
Handled as text in the transfer of care |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Coded value 0 … 1
prsb03-dataelement-13393
|
|
|
| Id |
prsb03-dataelement-13393 (2020‑08‑10 18:53:34)
|
| Cardinality |
0 … 1 |
| Description |
The coded value for discharge method |
| Operationalization |
NHS data dictionary : -
Discharge method
|
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Free text 0 … 1
prsb03-dataelement-13394
|
|
|
| Id |
prsb03-dataelement-13394 (2020‑08‑10 18:55:25)
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Discharging specialty 0 … 1
prsb03-dataelement-10094
|
|
|
| Id |
prsb03-dataelement-10094 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
The specialty of the consultant responsible for the person at the time of discharge. |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Coded value 0 … 1
prsb03-dataelement-13395
|
|
|
| Id |
prsb03-dataelement-13395 (2020‑08‑10 18:57:49)
|
| Cardinality |
0 … 1 |
| Description |
The coded value for discharge speciality |
| Operationalization |
NHS data dictionary : -
Activity treatment function code
|
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Free text 0 … 1
prsb03-dataelement-13396
|
|
|
| Id |
prsb03-dataelement-13396 (2020‑08‑10 18:59:31)
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Discharging department 0 … 1
prsb03-dataelement-10987
|
|
|
| Id |
prsb03-dataelement-10987 (2019‑05‑23 13:21:24)
|
| Cardinality |
0 … 1 |
| Description |
The department from which the person is discharged. |
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Legal status on discharge 0 … 1
prsb03-dataelement-10097
|
|
|
| Id |
prsb03-dataelement-10097 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
Whether the person was discharged as informal or formal/detained. |
| FHIR |
Encounter,Subject.Observation |
|
| Operationalization |
NHS data dictionary : -
Mental health act classification code
|
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Discharge destination 0 … 1
prsb03-dataelement-10099
|
|
|
| Id |
prsb03-dataelement-10099 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| FHIR |
Encounter.hospitalisation.destination.location. Address |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Discharge destination 0 … 1
prsb03-dataelement-10100
|
|
|
| Id |
prsb03-dataelement-10100 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
The destination of the person on discharge from hospital e.g. usual place of residence,
NHS run care home.
|
| FHIR |
A code from the NHS Data Dictionary Discharge Destination |
|
| Operationalization |
NHS data dictionary -
Discharge destination.
|
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Discharge address 0 … 1
prsb03-dataelement-10101
|
|
|
| Id |
prsb03-dataelement-10101 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
Address to which the person is discharged if not the usual place of residence. |
| FHIR |
If the patient is discharged to their normal place of residence, no address is recorded
on the discharge summary. Otherwise, an address other than the patient's usual place
of residence may be provided by the patient or their representative.
|
|
| Operationalization |
NHS data dictionary :-
Address
|
| Value Domain |
|
| Property |
| min length |
max length |
| 35 |
175 |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Future appointments 0 … 1
prsb03-dataelement-10720
|
|
|
| Id |
prsb03-dataelement-10720 (2019‑02‑08 15:58:04)
|
| Cardinality |
0 … 1 |
| Description |
Details of future appointments. |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Future appointments record entry 0 … *
prsb03-dataelement-10721
|
|
|
| Id |
prsb03-dataelement-10721 (2019‑02‑08 15:58:39)
|
| Cardinality |
0 … * |
| Description |
This is the future appointments record entry. There may be 0 to many record entries
under a section. Each record entry is made up of a number of elements or data items.
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … *) in scenario Core information standard
|
|
|
| Date of appointment 0 … 1
prsb03-dataelement-10722
|
|
|
| Id |
prsb03-dataelement-10722 (2019‑02‑08 15:59:19)
|
| Cardinality |
0 … 1 |
| Description |
Date and time of future appointment. |
| Operationalization |
Date and time |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Appointment status 0 … 1
prsb03-dataelement-10723
|
|
|
| Id |
prsb03-dataelement-10723 (2019‑02‑08 16:00:39)
|
| Cardinality |
0 … 1 |
| Description |
The status of the appointment e.g. proposed, booked, confirmed, rejected. |
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Reason for appointment 0 … 1
prsb03-dataelement-10724
|
|
|
| Id |
prsb03-dataelement-10724 (2019‑02‑08 16:02:23)
|
| Cardinality |
0 … 1 |
| Description |
Reason this appointment is scheduled e.g. diagnosis, investigation, treatment or assessment |
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Location of future appointment 0 … 1
prsb03-dataelement-10726
|
|
|
| Id |
prsb03-dataelement-10726 (2019‑02‑08 16:05:14)
|
| Cardinality |
0 … 1 |
| Description |
The location of the appointment. |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Coded value 0 … 1
prsb03-dataelement-13519
|
|
|
| Id |
prsb03-dataelement-13519 (2020‑09‑04 13:23:38)
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Free text 0 … 1
prsb03-dataelement-13520
|
|
|
| Id |
prsb03-dataelement-13520 (2020‑09‑04 13:25:24)
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Specialty 0 … 1
prsb03-dataelement-10727
|
|
|
| Id |
prsb03-dataelement-10727 (2019‑02‑08 16:10:35)
|
| Cardinality |
0 … 1 |
| Description |
The specialty e.g. physiotherapy, oncology, mental health etc. |
| FHIR |
Encounter.participant.individual.Practitioner.PractitionerRole.speciality (of the
consultant responsible for the encounter)
|
|
| Relationship |
|
| Operationalization |
|
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Service 0 … 1
prsb03-dataelement-10728
|
|
|
| Id |
prsb03-dataelement-10728 (2019‑02‑08 16:11:32)
|
| Cardinality |
0 … 1 |
| Description |
The service being provided. |
| FHIR |
Encounter.Appointment.servicetype |
|
| Relationship |
|
| Operationalization |
SNOMED CT: - 1127531000000102 |Services simple reference set (foundation metadata
concept)|
|
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Professional to see the person 0 … 1
prsb03-dataelement-10729
|
|
|
| Id |
prsb03-dataelement-10729 (2019‑02‑08 16:12:10)
|
| Cardinality |
0 … 1 |
| Description |
The name and role of the professional e.g. consultant, care worker, nurse consultant. |
| FHIR |
Encounter.participant |
|
| Relationship |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Name 0 … 1
prsb03-dataelement-12413
|
|
|
| Id |
prsb03-dataelement-12413 (2019‑06‑05 18:59:13)
|
| Cardinality |
0 … 1 |
| Description |
The name of the professional seeing the person. |
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Role 0 … 1
prsb03-dataelement-12414
|
|
|
| Id |
prsb03-dataelement-12414 (2019‑06‑05 18:59:35)
|
| Cardinality |
0 … 1 |
| Description |
The role of the professional seeing the person. |
| Operationalization |
FHIR value set : -
sdsjobrole
|
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Vaccinations 0 … 1
prsb03-dataelement-10685
|
|
|
| Id |
prsb03-dataelement-10685 (2018‑12‑04 11:33:10)
|
| Cardinality |
0 … 1 |
| Description |
Details of vaccinations. |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Vaccinations record entry 0 … *
prsb03-dataelement-10686
|
|
|
| Id |
prsb03-dataelement-10686 (2018‑12‑04 11:34:26) 0.1
|
| Cardinality |
0 … * |
| Description |
This is the vaccinations record entry.
There may be 0 to many record entries under a section.
Each record entry is made up of a number of elements or data items.
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … *) in scenario Core information standard
|
|
|
| Vaccine product 1 … 1 Mandatory
prsb03-dataelement-10687
|
|
|
| Id |
prsb03-dataelement-10687 (2018‑12‑04 11:36:00)
|
| Cardinality |
1 … 1 Mandatory |
| Description |
The vaccine product administered. |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (1 … 1 Mandatory) in scenario Core information standard
|
|
|
| Coded value 0 … 1
prsb03-dataelement-13237
|
|
|
| Id |
prsb03-dataelement-13237 (2020‑07‑21 16:44:15)
|
| Cardinality |
0 … 1 |
| Description |
The coded value for vaccine product. |
| Operationalization |
dm+d (SNOMED) Concept ID AMP (preferred) or VMP term for the vaccine product
|
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Free text 0 … 1
prsb03-dataelement-13238
|
|
|
| Id |
prsb03-dataelement-13238 (2020‑07‑21 16:45:32)
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Manufacturer 0 … 1
prsb03-dataelement-10698
|
|
|
| Id |
prsb03-dataelement-10698 (2018‑12‑04 15:11:19)
|
| Cardinality |
0 … 1 |
| Description |
Name of vaccine manufacturer. |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Coded value 0 … 1
prsb03-dataelement-13239
|
|
|
| Id |
prsb03-dataelement-13239 (2020‑07‑21 17:14:02)
|
| Cardinality |
0 … 1 |
| Description |
The coded value of the manufacturer. |
| Operationalization |
SNOMED CT: - DM+D or GS1 |
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Free text 0 … 1
prsb03-dataelement-13240
|
|
|
| Id |
prsb03-dataelement-13240 (2020‑07‑21 17:15:48)
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Vaccine procedure 1 … 1 Mandatory
prsb03-dataelement-10688
|
|
|
| Id |
prsb03-dataelement-10688 (2018‑12‑04 11:36:30)
|
| Cardinality |
1 … 1 Mandatory |
| Description |
The procedure which was used to administer the vaccine. |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (1 … 1 Mandatory) in scenario Core information standard
|
|
|
| Coded value 0 … 1
prsb03-dataelement-13219
|
|
|
| Id |
prsb03-dataelement-13219 (2020‑07‑08 12:29:41)
|
| Cardinality |
0 … 1 |
| Description |
The coded value for vaccine procedure |
| Operationalization |
SNOMED CT :- < 127785005 |Administration of substance to produce immunity, either
active or passive (procedure)| or << 1066171000000108 Seasonal influenza vaccination
given by midwife or << 713404003 Vaccination given (code and all its descendants)
|
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Free text 0 … 1
prsb03-dataelement-13220
|
|
|
| Id |
prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
|
| Cardinality |
0 … 1 |
| 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 114 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
This concept is inherited by concept
Free text in dataset prsb03-dataelement-13372
This concept is inherited by concept
Free text in dataset prsb03-dataelement-13361
This concept is inherited by concept
Free text in dataset prsb03-dataelement-13374
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Free text in dataset prsb03-dataelement-13364
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Free text in dataset prsb03-dataelement-13367
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Free text in dataset prsb03-dataelement-13370
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Free text in dataset prsb03-dataelement-13506
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Free text in dataset prsb03-dataelement-13430
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Free text in dataset prsb03-dataelement-13508
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Free text in dataset prsb03-dataelement-13432
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Free text in dataset prsb03-dataelement-13672
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Free text in dataset prsb03-dataelement-13569
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Free text in dataset prsb03-dataelement-13452
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Free text in dataset prsb03-dataelement-13522
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Free text in dataset prsb03-dataelement-13524
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Free text in dataset prsb03-dataelement-13454
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Free text in dataset prsb03-dataelement-13629
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Free text in dataset prsb03-dataelement-13504
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Free text in dataset prsb03-dataelement-13438
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Free text in dataset prsb03-dataelement-13757
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Free text in dataset prsb03-dataelement-13615
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Free text in dataset prsb03-dataelement-13619
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Free text in dataset prsb03-dataelement-13565
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Free text in dataset prsb03-dataelement-13398
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Free text in dataset prsb03-dataelement-13456
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Free text in dataset prsb03-dataelement-13510
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Free text in dataset prsb03-dataelement-13563
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Free text in dataset prsb03-dataelement-13514
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Free text in dataset prsb03-dataelement-13516
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Free text in dataset prsb03-dataelement-13381
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Free text in dataset prsb03-dataelement-13384
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Free text in dataset prsb03-dataelement-13387
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Free text in dataset prsb03-dataelement-13389
This concept is inherited by concept
Free text in dataset prsb03-dataelement-13518
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Free text in dataset prsb03-dataelement-13391
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Free text in dataset prsb03-dataelement-13394
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Free text in dataset prsb03-dataelement-13396
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Free text in dataset prsb03-dataelement-13520
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Free text in dataset prsb03-dataelement-13578
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Free text in dataset prsb03-dataelement-13238
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Free text in dataset prsb03-dataelement-13240
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Free text in dataset prsb03-dataelement-13234
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Free text in dataset prsb03-dataelement-13236
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Free text in dataset prsb03-dataelement-13227
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Free text in dataset prsb03-dataelement-13243
This concept is inherited by concept
Free text in dataset prsb03-dataelement-13245
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Free text in dataset prsb03-dataelement-13250
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Free text in dataset prsb03-dataelement-13252
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Free text in dataset prsb03-dataelement-13254
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Free text in dataset prsb03-dataelement-13256
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Free text in dataset prsb03-dataelement-13258
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Free text in dataset prsb03-dataelement-13260
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Free text in dataset prsb03-dataelement-13263
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Free text in dataset prsb03-dataelement-13275
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Free text in dataset prsb03-dataelement-13266
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Free text in dataset prsb03-dataelement-13277
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Free text in dataset prsb03-dataelement-13270
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Free text in dataset prsb03-dataelement-13292
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Free text in dataset prsb03-dataelement-13338
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Free text in dataset prsb03-dataelement-13340
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Free text in dataset prsb03-dataelement-13347
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Free text in dataset prsb03-dataelement-13353
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Free text in dataset prsb03-dataelement-13350
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Free text in dataset prsb03-dataelement-13354
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Free text in dataset prsb03-dataelement-13567
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Free text in dataset prsb03-dataelement-13683
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Free text in dataset prsb03-dataelement-13677
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Free text in dataset prsb03-dataelement-13681
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Free text in dataset prsb03-dataelement-13726
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Free text in dataset prsb03-dataelement-13526
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Free text in dataset prsb03-dataelement-13528
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Free text in dataset prsb03-dataelement-13530
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Free text in dataset prsb03-dataelement-13446
This concept is inherited by concept
Free text in dataset prsb03-dataelement-13448
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Free text in dataset prsb03-dataelement-13532
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Free text in dataset prsb03-dataelement-13571
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Free text in dataset prsb03-dataelement-13573
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Free text in dataset prsb03-dataelement-13587
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Free text in dataset prsb03-dataelement-13589
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Free text in dataset prsb03-dataelement-13585
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Free text in dataset prsb03-dataelement-13440
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Free text in dataset prsb03-dataelement-13685
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Free text in dataset prsb03-dataelement-13697
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Free text in dataset prsb03-dataelement-13688
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|
|
|
| Body site 0 … 1
prsb03-dataelement-10691
|
|
|
| Id |
prsb03-dataelement-10691 (2018‑12‑04 11:37:33)
|
| Cardinality |
0 … 1 |
| Description |
Body site vaccine was administered. |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Coded value 0 … 1
prsb03-dataelement-13222
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| Free text 0 … 1
prsb03-dataelement-13223
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| Id |
prsb03-dataelement-13223 (2020‑07‑08 17:40:09)
|
| Cardinality |
0 … 1 |
| Description |
Free text field to be used if no coded text available |
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 17 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
This concept is inherited by concept
Free text in dataset prsb03-dataelement-13434
This concept is inherited by concept
Free text in dataset prsb03-dataelement-13436
This concept is inherited by concept
Free text in dataset prsb03-dataelement-13675
This concept is inherited by concept
Free text in dataset prsb03-dataelement-13482
This concept is inherited by concept
Free text in dataset prsb03-dataelement-13225
This concept is inherited by concept
Free text in dataset prsb03-dataelement-13344
This concept is inherited by concept
Free text in dataset prsb03-dataelement-13679
This concept is inherited by concept
Free text in dataset prsb03-dataelement-13728
This concept is inherited by concept
Free text in dataset prsb03-dataelement-13444
This concept is inherited by concept
Free text in dataset prsb03-dataelement-13593
This concept is inherited by concept
Free text in dataset prsb03-dataelement-13858
This concept is inherited by concept
Free text in dataset prsb03-dataelement-13846
This concept is inherited by concept
Free text in dataset prsb03-dataelement-13666
This concept is inherited by concept
Free text in dataset prsb03-dataelement-13690
This concept is inherited by concept
Free text in dataset prsb03-dataelement-13704
This concept is inherited by concept
Free text in dataset prsb03-dataelement-13702
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Free text in dataset prsb03-dataelement-13709
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|
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| Route 0 … 1
prsb03-dataelement-10692
|
|
|
| Id |
prsb03-dataelement-10692 (2018‑12‑04 11:37:53)
|
| Cardinality |
0 … 1 |
| Description |
How the vaccine entered the body. |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
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| Coded value 0 … 1
prsb03-dataelement-13224
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| Free text 0 … 1
prsb03-dataelement-13225
|
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| Id |
prsb03-dataelement-13225 (2020‑07‑08 18:25:39)
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
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| Indication 0 … 1
prsb03-dataelement-10693
|
|
|
| Id |
prsb03-dataelement-10693 (2018‑12‑04 11:38:05)
|
| Cardinality |
0 … 1 |
| Description |
The clinical indication or reason for administering the vaccine. |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
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| Coded value 0 … 1
prsb03-dataelement-13226
|
|
|
| Id |
prsb03-dataelement-13226 (2020‑07‑14 17:03:18)
|
| Cardinality |
0 … 1 |
| Description |
The coded value for Indication. |
| Operationalization |
SNOMED CT:- ^1127601000000107 | Healthcare matters simple reference set (foundation
metadata concept) |
|
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
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|
| Free text 0 … 1
prsb03-dataelement-13227
|
|
|
| Id |
prsb03-dataelement-13227 (2020‑07‑14 17:08:12)
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Dose amount 0 … 1
prsb03-dataelement-10694
|
|
|
| Id |
prsb03-dataelement-10694 (2018‑12‑04 11:38:24) 0.1
|
| Cardinality |
0 … 1 |
| Description |
Amount of vaccine administered. |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
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| Coded value 0 … 1
prsb03-dataelement-13228
|
|
|
| Id |
prsb03-dataelement-13228 (2020‑07‑15 18:42:20)
|
| Cardinality |
0 … 1 |
| Description |
Amount of vaccine administered. |
| Operationalization |
SNOMED CT : - dm+d |
| Value Domain |
|
| Used by
|
2 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Free text 0 … 1
prsb03-dataelement-13229
|
|
|
| Id |
prsb03-dataelement-13229 (2020‑07‑15 19:30:33)
|
| Cardinality |
0 … 1 |
| Description |
Amount of vaccine administered. |
| Relationship |
|
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
2 transactions, 0 templates, inherited once |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
This concept is inherited by concept
Free text in dataset prsb03-dataelement-13660
|
|
|
| Dose sequence 0 … 1
prsb03-dataelement-10824
|
|
|
| Id |
prsb03-dataelement-10824 (2019‑03‑21 13:38:54)
|
| Cardinality |
0 … 1 |
| Description |
Nominal position in a series of vaccines. |
| Relationship |
|
| Operationalization |
Numeric value |
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Outcome status 0 … 1
prsb03-dataelement-10838
|
|
|
| Id |
prsb03-dataelement-10838 (2019‑03‑26 12:32:46)
|
| Cardinality |
0 … 1 |
| Description |
Whether the vaccine was administered or not, including the reason why |
| Relationship |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Not given flag 0 … 1
prsb03-dataelement-13230
|
|
|
| Id |
prsb03-dataelement-13230 (2020‑07‑16 14:54:34)
|
| Cardinality |
0 … 1 |
| Description |
Flag to indicate that the vaccination was NOT given at this time by a healthcare professional |
| Operationalization |
Flag: - Yes or No |
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Vaccination situation (not given reason) 0 … 1
prsb03-dataelement-13231
|
|
|
| Id |
prsb03-dataelement-13231 (2020‑07‑16 15:00:05)
|
| Cardinality |
0 … 1 |
| Description |
The reason why a vaccination was not administered. |
| Operationalization |
FHIR value set : -
Reason code
|
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Reported 0 … 1
prsb03-dataelement-10825
|
|
|
| Id |
prsb03-dataelement-10825 (2019‑03‑21 13:40:11)
|
| Cardinality |
0 … 1 |
| Description |
Details of the vaccination reported to the professional |
| Relationship |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Date 0 … 1
prsb03-dataelement-10837
|
|
|
| Id |
prsb03-dataelement-10837 (2019‑03‑26 12:29:22)
|
| Cardinality |
0 … 1 |
| Description |
The date or partial date that the reported vaccination was given in the opinion of
the person.
|
| Operationalization |
Date/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 CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Report origin 0 … 1
prsb03-dataelement-13232
|
|
|
| Id |
prsb03-dataelement-13232 (2020‑07‑21 12:49:00)
|
| Cardinality |
0 … 1 |
| Description |
The source of the data when the report of the vaccination event is not based on information
from the person who administered the vaccine.
|
| Operationalization |
FHIR value set:- https://www.hl7.org/fhir/valueset-immunization-origin.html |
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Problem list 0 … 1
prsb03-dataelement-10927
|
|
|
| Id |
prsb03-dataelement-10927 (2019‑04‑30 17:00:00)
|
| Cardinality |
0 … 1 |
| Description |
A summary of the problems that require investigation or treatment. |
| Used by
|
3 transactions, 0 templates, inherited once |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
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
|
3 transactions, 0 templates, inherited once |
| |
This concept is used in transaction CIS (rationalised) (0 … *) in scenario Core information standard
|
|
|
| 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
|
| Relationship |
|
| Used by
|
3 transactions, 0 templates, inherited 3 times |
| |
This concept is used in transaction CIS (rationalised) (1 … 1 Mandatory) in scenario Core information standard
This concept is inherited by concept
Problem in dataset prsb03-dataelement-12630
This concept is inherited by concept
Problem in dataset prsb03-dataelement-12645
This concept is inherited by concept
Problem in dataset prsb03-dataelement-14408
|
|
|
| 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
|
3 transactions, 0 templates, inherited 2 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
This concept is inherited by concept
Free text in dataset prsb03-dataelement-14264
This concept is inherited by concept
Free text in dataset prsb03-dataelement-14410
|
|
|
| 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
|
3 transactions, 0 templates, inherited once |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
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
|
3 transactions, 0 templates, inherited once |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
This concept is inherited by concept
End Date in dataset prsb03-dataelement-12632
|
|
|
| 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
|
3 transactions, 0 templates, inherited once |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
This concept is inherited by concept
Stage of disease in dataset prsb03-dataelement-12633
|
|
|
| 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
|
3 transactions, 0 templates, inherited once |
| |
This concept is used in transaction CIS (rationalised) (0 … *) in scenario Core information standard
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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … *) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (1 … 1 Mandatory) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Social context 0 … 1
prsb03-dataelement-136
|
|
|
| Id |
prsb03-dataelement-136 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
The social setting in which the person lives, such as their household, occupational
history, and lifestyle factors.
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Household composition 0 … 1
prsb03-dataelement-10036
|
|
|
| Id |
prsb03-dataelement-10036 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
Details of the person's household composition. |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Household composition 0 … 1
prsb03-dataelement-13261
|
|
|
| Id |
prsb03-dataelement-13261 (2020‑07‑28 12:00:25)
|
| Cardinality |
0 … 1 |
| Description |
Description of the household composition e.g. lives alone, lives with family, lives
with partner, etc.
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Coded value 0 … 1
prsb03-dataelement-13262
|
|
|
| Id |
prsb03-dataelement-13262 (2020‑07‑28 12:15:50)
|
| Cardinality |
0 … 1 |
| Description |
The coded value of household composition |
| Operationalization |
SNOMED CT: - 1027891000000106 | Household composition findings simple reference set
(foundation metadata concept) |
|
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Free text 0 … 1
prsb03-dataelement-13263
|
|
|
| Id |
prsb03-dataelement-13263 (2020‑07‑28 12:20:28)
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Occupational history 0 … 1
prsb03-dataelement-10037
|
|
|
| Id |
prsb03-dataelement-10037 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
The current and/or previous occupation(s) of the person. |
| FHIR |
Observation.category Observation.code Observation.valueCodeabelConcept Observation.subject |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Occupational history 0 … 1
prsb03-dataelement-13264
|
|
|
| Id |
prsb03-dataelement-13264 (2020‑07‑28 12:26:39)
|
| Cardinality |
0 … 1 |
| Description |
The current and/or previous occupation(s) of the person. |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Coded value 0 … 1
prsb03-dataelement-13265
|
|
|
| Id |
prsb03-dataelement-13265 (2020‑07‑28 12:27:26)
|
| Cardinality |
0 … 1 |
| Description |
The coded value for occupational history |
| Operationalization |
SNOMED CT : - ^
999001571000000109 | Occupation simple reference set (foundation metadata concept)
|
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited once |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
This concept is inherited by concept
Coded value in dataset prsb03-dataelement-13280
|
|
|
| Free text 0 … 1
prsb03-dataelement-13266
|
|
|
| Id |
prsb03-dataelement-13266 (2020‑07‑28 12:29:14)
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Educational history 0 … 1
prsb03-dataelement-10038
|
|
|
| Id |
prsb03-dataelement-10038 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
Details of the person's educational history. |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Educational history 0 … 1
prsb03-dataelement-13267
|
|
|
| Id |
prsb03-dataelement-13267 (2020‑07‑28 13:20:32) 0.1
|
| Cardinality |
0 … 1 |
| Description |
The current and/or previous relevant educational history of the person. |
| Operationalization |
Free text |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Lifestyle choices 0 … 1
prsb03-dataelement-10039
|
|
|
| Id |
prsb03-dataelement-10039 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
The lifestyle choices made by the person which are pertinent to his or her health
and well-being, e.g. physical activity level, pets, hobbies and sexual habits
|
|
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Lifestyle choices 0 … 1
prsb03-dataelement-13268
|
|
|
| Id |
prsb03-dataelement-13268 (2020‑07‑28 13:29:22) 0.1
|
| Cardinality |
0 … 1 |
| Description |
The lifestyle choices made by the person which are pertinent to his or her health
and well-being, e.g. physical activity level, pets, hobbies and sexual preferences.
|
| Operationalization |
Free text |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Coded value 0 … 1
prsb03-dataelement-13269
|
|
|
| Id |
prsb03-dataelement-13269 (2020‑07‑28 13:30:20) 0.1
|
| Cardinality |
0 … 1 |
| Description |
The coded value of the person's lifestyle choice. |
| Operationalization |
SNOMED CT |
| Value Domain |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Free text 0 … 1
prsb03-dataelement-13270
|
|
|
| Id |
prsb03-dataelement-13270 (2020‑07‑28 13:31:11) 0.1
|
| Cardinality |
0 … 1 |
| Concept inherits from |
prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
|
| Description |
Free text field to be used if no code is available |
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Smoking status 0 … 1
prsb03-dataelement-10040
|
|
|
| Id |
prsb03-dataelement-10040 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
Details of the person's smoking status. |
| FHIR |
Observation.category Observation.code Observation.valueCodeabelConcept Observation.subject |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Smoking status 0 … 1
prsb03-dataelement-13283
|
|
|
| Id |
prsb03-dataelement-13283 (2020‑07‑30 17:12:22)
|
| Cardinality |
0 … 1 |
| Description |
Record of any smoking use by the person.
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Coded value 0 … 1
prsb03-dataelement-13284
|
|
|
|
|
| Free text 0 … 1
prsb03-dataelement-13285
|
|
|
| Id |
prsb03-dataelement-13285 (2020‑07‑30 17:16:04)
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Smoking status - details 0 … 1
prsb03-dataelement-13286
|
|
|
| Id |
prsb03-dataelement-13286 (2020‑07‑31 15:58:03)
|
| Cardinality |
0 … 1 |
| Description |
Further details recorded about the smoking status of the person |
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Date stopped smoking 0 … 1
prsb03-dataelement-13287
|
|
|
| Id |
prsb03-dataelement-13287 (2020‑07‑31 16:00:37)
|
| Cardinality |
0 … 1 |
| Description |
The date the person stopped smoking (if known) |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Coded value 0 … 1
prsb03-dataelement-13288
|
|
|
| Id |
prsb03-dataelement-13288 (2020‑07‑31 16:01:49)
|
| Cardinality |
0 … 1 |
| Description |
The coded value for date stopped smoking. |
| Operationalization |
SNOMED CT:-
160625004 |Date ceased smoking (observable entity)|
|
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Date 0 … 1
prsb03-dataelement-13289
|
|
|
| Id |
prsb03-dataelement-13289 (2020‑07‑31 16:06:38)
|
| Cardinality |
0 … 1 |
| Description |
The date the person stopped smoking. |
| 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 CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Alcohol intake 0 … 1
prsb03-dataelement-10041
|
|
|
| Id |
prsb03-dataelement-10041 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
Details of the person's alcohol intake |
|
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Alcohol intake 0 … 1
prsb03-dataelement-13290
|
|
|
| Id |
prsb03-dataelement-13290 (2020‑07‑31 17:02:46)
|
| Cardinality |
0 … 1 |
| Description |
Latest or current alcohol consumption. |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Coded value 0 … 1
prsb03-dataelement-13291
|
|
|
| Id |
prsb03-dataelement-13291 (2020‑07‑31 17:04:14)
|
| Cardinality |
0 … 1 |
| Description |
The coded value of the person alcohol intake |
| Operationalization |
SNOMED CT :- 219006 |Current drinker of alcohol (finding)| OR 105542008 |Current non-drinker
of alcohol (finding)| OR 228274009 |Lifetime non-drinker (finding)| OR 1104551000000109
|Declined to provide information about alcohol use (situation)| OR 371434005 |History
of alcohol abuse (situation)|
|
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Free text 0 … 1
prsb03-dataelement-13292
|
|
|
| Id |
prsb03-dataelement-13292 (2020‑07‑31 17:11:04)
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Drug/substance use 0 … 1
prsb03-dataelement-10042
|
|
|
| Id |
prsb03-dataelement-10042 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
Details of the person's drug and substance use. |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Drug/substance use 0 … 1
prsb03-dataelement-13336
|
|
|
| Id |
prsb03-dataelement-13336 (2020‑08‑06 16:36:01)
|
| Cardinality |
0 … 1 |
| Description |
Latest or current drug/substance use. |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Coded value 0 … 1
prsb03-dataelement-13337
|
|
|
| Id |
prsb03-dataelement-13337 (2020‑08‑06 16:44:34)
|
| Cardinality |
0 … 1 |
| Description |
The coded value for drug and substance misuse. |
| Operationalization |
SNOMED CT:- 361055000 |Misuses drugs (finding)| OR 371422002 |History of substance
abuse (situation)| OR 228368007 |Has never misused drugs (situation)| OR 783241000000102
|Declined to give substance misuse history (finding)|
|
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Free text 0 … 1
prsb03-dataelement-13338
|
|
|
| Id |
prsb03-dataelement-13338 (2020‑08‑06 16:45:44)
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Social circumstances 0 … 1
prsb03-dataelement-10043
|
|
|
| Id |
prsb03-dataelement-10043 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
Details of the persons social circumstances |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Social circumstances 0 … 1
prsb03-dataelement-13341
|
|
|
| Id |
prsb03-dataelement-13341 (2020‑08‑06 16:51:45)
|
| Cardinality |
0 … 1 |
| Description |
A person’s social background, network and personal circumstances, e.g. housing. This
should include whether the person is a carer.
|
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Access 0 … 1
prsb03-dataelement-10045
|
|
|
| Id |
prsb03-dataelement-10045 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
Details of access for the person. |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Access 0 … 1
prsb03-dataelement-13342
|
|
|
| Id |
prsb03-dataelement-13342 (2020‑08‑06 16:54:43)
|
| Cardinality |
0 … 1 |
| Description |
Special access requirements e.g. key safe, coded lock, which door to use, stretcher
access, etc.
|
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Dependants 0 … 1
prsb03-dataelement-10046
|
|
|
| Id |
prsb03-dataelement-10046 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
Details of any responsibility the person has for dependants. |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Dependants 0 … 1
prsb03-dataelement-13345
|
|
|
| Id |
prsb03-dataelement-13345 (2020‑08‑06 17:05:40)
|
| Cardinality |
0 … 1 |
| Description |
Provide details of any responsibility the person has for dependants. In the case of
children provide date of birth of the child.
|
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Accommodation status 0 … 1
prsb03-dataelement-10047
|
|
|
| Id |
prsb03-dataelement-10047 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
Details of the type of accommodation where the person lives. |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Accommodation status 0 … 1
prsb03-dataelement-13348
|
|
|
| Id |
prsb03-dataelement-13348 (2020‑08‑06 17:12:04)
|
| Cardinality |
0 … 1 |
| Description |
An indication of the type of accommodation where the person lives.
This should be based on the main or permanent residence.
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Coded value 0 … 1
prsb03-dataelement-13349
|
|
|
| Id |
prsb03-dataelement-13349 (2020‑08‑06 17:13:26)
|
| Cardinality |
0 … 1 |
| Description |
The coded value for accommodation status |
| Operationalization |
NHS data dictionary :-
Accommodation status
|
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Free text 0 … 1
prsb03-dataelement-13350
|
|
|
| Id |
prsb03-dataelement-13350 (2020‑08‑06 17:16:53)
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Household environment 0 … 1
prsb03-dataelement-10051
|
|
|
| Id |
prsb03-dataelement-10051 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
Details of the person's household environment. |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Household environment 0 … 1
prsb03-dataelement-13355
|
|
|
| Id |
prsb03-dataelement-13355 (2020‑08‑06 17:27:04) 0.1
|
| Cardinality |
0 … 1 |
| Description |
Factors in the household which impact the person's health and wellbeing, to include
smoking in the home, alcohol/substance use etc.
|
| Operationalization |
Free text |
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Services and care 0 … 1
prsb03-dataelement-10044
|
|
|
| Id |
prsb03-dataelement-10044 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
The services and care provided for the person. |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Services and care record entry 0 … *
prsb03-dataelement-12421
|
|
|
| Id |
prsb03-dataelement-12421 (2019‑06‑11 16:55:24)
|
| Cardinality |
0 … * |
| Description |
This is a services and care record entry. There may be 0 to many record entries under
a section. Each record entry is made up of a number of elements or data items.
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … *) in scenario Core information standard
|
|
|
| Social care package name 0 … 1
prsb03-dataelement-12965
|
|
|
| Id |
prsb03-dataelement-12965 (2020‑04‑03 17:21:47)
|
| Cardinality |
0 … 1 |
| Description |
Name of specific type of package being provided (e.g. Reablement, Home Based Care
XYZ, etc)
|
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Social care package type 0 … 1
prsb03-dataelement-12966
|
|
|
| Id |
prsb03-dataelement-12966 (2020‑04‑03 17:25:36)
|
| Cardinality |
0 … 1 |
| Description |
Higher level categorisation of package type, e.g. Adults Home Support |
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Local authority 0 … 1
prsb03-dataelement-11835
|
|
|
| Id |
prsb03-dataelement-11835 (2019‑05‑31 14:28:42)
|
| Cardinality |
0 … 1 |
| Description |
The name of the local authority providing the care package. |
| Relationship |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Coded value 0 … 1
prsb03-dataelement-13566
|
|
|
| Id |
prsb03-dataelement-13566 (2020‑09‑04 18:45:25)
|
| Cardinality |
0 … 1 |
| Description |
The coded value for local authority |
| Operationalization |
NHS data dictionary: -
Organisation data service
|
| Value Domain |
|
| Property |
| min length |
max length |
| 3 |
5 |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Free text 0 … 1
prsb03-dataelement-13567
|
|
|
| Id |
prsb03-dataelement-13567 (2020‑09‑04 18:46:37)
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Care funding source 0 … 1
prsb03-dataelement-13067
|
|
|
| Id |
prsb03-dataelement-13067 (2020‑05‑21 13:41:46)
|
| Cardinality |
0 … 1 |
| Concept inherits from |
prsb03-dataelement-10410 (2018‑10‑31)
|
| Description |
A reference to the funding source and any conditions or limitations associated. |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Family history 0 … 1
prsb03-dataelement-251
|
|
|
| Id |
prsb03-dataelement-251 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
Family history |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Family history record entry 0 … *
prsb03-dataelement-10653
|
|
|
| Id |
prsb03-dataelement-10653 (2018‑11‑13 12:07:47)
|
| Cardinality |
0 … * |
| Description |
This is a family history record entry. There may be 0 to many record entry/entries
under a section. Each record entry is made up of a number of elements or data items.
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Relationship to person 0 … 1
prsb03-dataelement-10155
|
|
|
| Id |
prsb03-dataelement-10155 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
The relationship of the family member with the condition to the person. |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Coded value 0 … 1
prsb03-dataelement-13676
|
|
|
| Id |
prsb03-dataelement-13676 (2020‑09‑09 12:28:47)
|
| Cardinality |
0 … 1 |
| Description |
The coded value for relationship to person |
| Operationalization |
SNOMED CT: - <303071001 |Person in the family (person)|
|
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Free text 0 … 1
prsb03-dataelement-13677
|
|
|
| Id |
prsb03-dataelement-13677 (2020‑09‑09 12:29:29)
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Family history 0 … 1
prsb03-dataelement-10151
|
|
|
| Id |
prsb03-dataelement-10151 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
The record of relevant illness in family relations deemed to be significant to the
care or health of the person, including mental illness and suicide, genetic information
etc.
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Coded value 0 … 1
prsb03-dataelement-13678
|
|
|
| Id |
prsb03-dataelement-13678 (2020‑09‑09 12:35:18)
|
| Cardinality |
0 … 1 |
| Description |
The coded value for family history |
| Operationalization |
SNOMED CT:- <404684003 |Clinical finding (finding)| OR <243796009 |Situation with
explicit context (situation)|
|
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Free text 0 … 1
prsb03-dataelement-13679
|
|
|
| Id |
prsb03-dataelement-13679 (2020‑09‑09 12:38:35)
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Condition or diagnosis 0 … 1
prsb03-dataelement-10152
|
|
|
| Id |
prsb03-dataelement-10152 (2018‑10‑31) 0.1
|
| Cardinality |
0 … 1 |
| Description |
The condition or diagnosis of the family member deemed to be significant to the care
or health of the person.
|
| Used by
|
2 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Coded value 0 … 1
prsb03-dataelement-13680
|
|
|
| Id |
prsb03-dataelement-13680 (2020‑09‑09 12:45:15) 0.1
|
| Cardinality |
0 … 1 |
| Description |
The coded value for condition or diagnosis |
| Operationalization |
SNOMED CT: - 999000771000000106 | Family history simple reference set (foundation
metadata concept) |
|
| Value Domain |
|
| Used by
|
2 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Free text 0 … 1
prsb03-dataelement-13681
|
|
|
| Id |
prsb03-dataelement-13681 (2020‑09‑09 12:48:08) 0.1
|
| 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
|
2 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Comment 0 … 1
prsb03-dataelement-10156
|
|
|
| Id |
prsb03-dataelement-10156 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
Any further textual comment. |
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Investigation results 0 … 1
prsb03-dataelement-257
|
|
|
| Id |
prsb03-dataelement-257 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
Investigation results |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Investigation results record entry 0 … *
prsb03-dataelement-10654
|
|
|
| Id |
prsb03-dataelement-10654 (2018‑11‑13 12:10:48)
|
| Cardinality |
0 … * |
| Description |
This is a investigation result record entry. There may be 0 to many record entries
under a section. Each record entry is made up of a number of elements or data items.
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … *) in scenario Core information standard
|
|
|
| Investigation 1 … 1 Mandatory
prsb03-dataelement-10160
|
|
|
| Id |
prsb03-dataelement-10160 (2018‑10‑31)
|
| Cardinality |
1 … 1 Mandatory |
| Description |
The investigation performed. |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (1 … 1 Mandatory) in scenario Core information standard
|
|
|
| Coded value 0 … 1
prsb03-dataelement-13525
|
|
|
| Id |
prsb03-dataelement-13525 (2020‑09‑04 14:11:36)
|
| Cardinality |
0 … 1 |
| Description |
The coded value for investigation |
| Operationalization |
SNOMED CT: - <71388002 |Procedure (procedure)|
|
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Free text 0 … 1
prsb03-dataelement-13526
|
|
|
| Id |
prsb03-dataelement-13526 (2020‑09‑04 14:22:43)
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Investigation result 0 … 1
prsb03-dataelement-10161
|
|
|
| Id |
prsb03-dataelement-10161 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
For each investigation, the result of the investigation. This can include a report
which may have results for multiple tests.
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Coded value 0 … 1
prsb03-dataelement-13527
|
|
|
| Id |
prsb03-dataelement-13527 (2020‑09‑04 14:25:41)
|
| Cardinality |
0 … 1 |
| Description |
The coded value for investigation results |
| Operationalization |
SNOMED CT:- <404684003 |Clinical finding (finding)| OR <243796009 |Situation with
explicit context (situation)|
|
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Free text 0 … 1
prsb03-dataelement-13528
|
|
|
| Id |
prsb03-dataelement-13528 (2020‑09‑04 14:29:50)
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Structured investigation result 0 … 1
prsb03-dataelement-12415
|
|
|
| Id |
prsb03-dataelement-12415 (2019‑06‑07 16:21:34)
|
| Cardinality |
0 … 1 |
| Description |
A structured set of information for each investigation result. |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Value 0 … 1
prsb03-dataelement-12416
|
|
|
| Id |
prsb03-dataelement-12416 (2019‑06‑07 16:22:08)
|
| Cardinality |
0 … 1 |
| Description |
The value of the investigation result. |
| Operationalization |
Numeric |
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Units of measure 0 … 1
prsb03-dataelement-12417
|
|
|
| Id |
prsb03-dataelement-12417 (2019‑06‑07 16:23:50)
|
| Cardinality |
0 … 1 |
| Description |
The units of the investigation result. |
| Operationalization |
UCUM code |
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Reference ranges 0 … 1
prsb03-dataelement-12418
|
|
|
| Id |
prsb03-dataelement-12418 (2019‑06‑07 16:24:48)
|
| Cardinality |
0 … 1 |
| Description |
The reference range for the investigation result. |
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Abnormal indicator 0 … 1
prsb03-dataelement-12419
|
|
|
| Id |
prsb03-dataelement-12419 (2019‑06‑07 16:26:00)
|
| Cardinality |
0 … 1 |
| Description |
Indicator if the investigation is abnormal. |
| Operationalization |
Abnormal or Normal |
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Investigations requested 0 … 1
prsb03-dataelement-10730
|
|
|
| Id |
prsb03-dataelement-10730 (2019‑02‑08 16:17:16)
|
| Cardinality |
0 … 1 |
| Description |
Details of any investigations requested |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Investigations requested record entry 0 … *
prsb03-dataelement-10731
|
|
|
| Id |
prsb03-dataelement-10731 (2019‑02‑08 16:19:05)
|
| Cardinality |
0 … * |
| Description |
This is an investigation requested record entry. There may be 0 to many record entries
under a section. Each record entry is made up of a number of elements or data items.
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … *) in scenario Core information standard
|
|
|
| Investigation requested 1 … 1
prsb03-dataelement-10733
|
|
|
| Id |
prsb03-dataelement-10733 (2019‑02‑08 16:22:42)
|
| Cardinality |
1 … 1 |
| Description |
The investigation that is requested. The investigation may refer to an individual
test or a group of related tests or broader investigation required (so the investigator
can determine the appropriate tests)
|
| Used by
|
3 transactions, 0 templates, inherited once |
| |
This concept is used in transaction CIS (rationalised) (1 … 1) in scenario Core information standard
|
|
|
| Coded value 0 … 1
prsb03-dataelement-13529
|
|
|
| Id |
prsb03-dataelement-13529 (2020‑09‑04 15:10:24)
|
| Cardinality |
0 … 1 |
| Description |
The coded value for Investigation requested |
| Operationalization |
SNOMED CT: - <71388002 |Procedure (procedure)| |
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Free text 0 … 1
prsb03-dataelement-13530
|
|
|
| Id |
prsb03-dataelement-13530 (2020‑09‑04 15:14:59)
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Status of request 0 … 1
prsb03-dataelement-10734
|
|
|
| Id |
prsb03-dataelement-10734 (2019‑02‑08 16:23:21)
|
| Cardinality |
0 … 1 |
| Description |
The status of the investigation request. |
| Operationalization |
Code : - draft | active | suspended | completed | entered-in-error | cancelled |
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Reason for request 0 … 1
prsb03-dataelement-10737
|
|
|
| Id |
prsb03-dataelement-10737 (2019‑02‑08 16:25:36)
|
| Cardinality |
0 … 1 |
| Description |
An explanation or justification for why this investigation is being requested. |
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Request priority 0 … 1
prsb03-dataelement-10738
|
|
|
| Id |
prsb03-dataelement-10738 (2019‑02‑08 16:26:22)
|
| Cardinality |
0 … 1 |
| Description |
The urgency of the investigation requested. |
| Operationalization |
Code : - routine | urgent | asap | stat |
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Examination findings 0 … 1
prsb03-dataelement-557
|
|
|
| Id |
prsb03-dataelement-557 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
Examination findings |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Examination findings record entry 0 … *
prsb03-dataelement-10662
|
|
|
| Id |
prsb03-dataelement-10662 (2018‑11‑13 13:47:29)
|
| Cardinality |
0 … * |
| Description |
This is a examination findings record entry. There may be 0 to many record entry/entries
under a section. Each record entry is made up of a number of elements or data items.
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … *) in scenario Core information standard
|
|
|
| Examination findings 0 … 1
prsb03-dataelement-10458
|
|
|
| Id |
prsb03-dataelement-10458 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
The record of findings from the examinations performed. |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Coded value 0 … 1
prsb03-dataelement-13443
|
|
|
| Id |
prsb03-dataelement-13443 (2020‑08‑27 11:58:27)
|
| Cardinality |
0 … 1 |
| Description |
The coded value for examination findings |
| Operationalization |
SNOMED CT : - ^1127601000000107 |Healthcare matters simple reference set (foundation
metadata concept)|
|
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Free text 0 … 1
prsb03-dataelement-13444
|
|
|
| Id |
prsb03-dataelement-13444 (2020‑08‑27 15:18:28)
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Observations 0 … 1
prsb03-dataelement-10464
|
|
|
| Id |
prsb03-dataelement-10464 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
The record of essential physiological measurements, e.g., heart rate, blood pressure,
temperature, pulse, height, weight, respiratory rate, oxygen saturation.
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Comments 0 … 1
prsb03-dataelement-10476
|
|
|
| Id |
prsb03-dataelement-10476 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
Any further comments relating to the examination. |
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
one transaction, 0 templates, inherited 0 times |
| |
|
|
|
| Pregnancy status 0 … 1
prsb03-dataelement-10814
|
|
|
| Id |
prsb03-dataelement-10814 (2019‑03‑20 18:49:35)
|
| Cardinality |
0 … 1 |
| Description |
Pregnancy status of the person. |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Pregnancy state 0 … 1
prsb03-dataelement-10815
|
|
|
| Id |
prsb03-dataelement-10815 (2019‑03‑20 18:51:02)
|
| Cardinality |
0 … 1 |
| Description |
A flag that indicates whether the person is pregnant. |
| Relationship |
hl7ips-dataelement-212 - 2017‑12‑31 12:55:33
|
| Comment |
Pregnancy state |
| Operationalization |
Flag : - Yes or No |
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Expected delivery date 0 … 1
prsb03-dataelement-10813
|
|
|
| Id |
prsb03-dataelement-10813 (2019‑03‑20 18:45:38)
|
| Cardinality |
0 … 1 |
| Description |
The expected delivery date of the person. |
| Relationship |
hl7ips-dataelement-213 - 2017‑12‑31 12:56:56
|
| Source |
SNOMED CT: - 161714006 |Estimated date of delivery (observable entity)|
|
| Operationalization |
Date and time |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Assessments 0 … 1
prsb03-dataelement-262
|
|
|
| Id |
prsb03-dataelement-262 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
Details of the person's assessments |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Assessments record entry 0 … *
prsb03-dataelement-11664
|
|
|
| Id |
prsb03-dataelement-11664 (2019‑05‑30 19:29:51)
|
| Cardinality |
0 … * |
| Description |
This is the assessments record entry. There may be 0 to many record entry/entries
under a section. Each record entry is made up of a number of elements or data items.
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … *) in scenario Core information standard
|
|
|
| Assessment type 0 … 1
prsb03-dataelement-10822
|
|
|
| Id |
prsb03-dataelement-10822 (2019‑03‑21 12:55:22)
|
| Cardinality |
0 … 1 |
| Description |
The type of the assessment e.g. social care needs assessment. |
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Assessment summary 0 … 1
prsb03-dataelement-10754
|
|
|
| Id |
prsb03-dataelement-10754 (2019‑03‑07 18:21:12)
|
| Cardinality |
0 … 1 |
| Description |
The summary of the assessment |
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Structured assessment 0 … 1
prsb03-dataelement-10655
|
|
|
| Id |
prsb03-dataelement-10655 (2018‑11‑13 12:15:56)
|
| Cardinality |
0 … 1 |
| Description |
Details of the structured assessment. |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Structured assessment name 0 … 1
prsb03-dataelement-11751
|
|
|
| Id |
prsb03-dataelement-11751 (2019‑05‑31 13:52:26)
|
| Cardinality |
0 … 1 |
| Description |
Structured assessment name e.g. New York Heart Failure, Glasgow Coma scale, Activities
of Daily Living (ADL) etc.
|
| Operationalization |
SNOMED CT |
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Assessment score 0 … 1
prsb03-dataelement-10162
|
|
|
| Id |
prsb03-dataelement-10162 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
The structured assessment score. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Assessment value 0 … 1
prsb03-dataelement-10163
|
|
|
| Id |
prsb03-dataelement-10163 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
The structured assessment value. |
| Operationalization |
Numeric |
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Subscale score 0 … *
prsb03-dataelement-10169
|
|
|
| Id |
prsb03-dataelement-10169 (2018‑10‑31)
|
| Cardinality |
0 … * |
| Description |
The subscale score of the structured assessment. |
| Operationalization |
Free text. |
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … *) in scenario Core information standard
|
|
|
| Subscale value 0 … *
prsb03-dataelement-10170
|
|
|
| Id |
prsb03-dataelement-10170 (2018‑10‑31)
|
| Cardinality |
0 … * |
| Description |
The subscale value of the structured assessment. |
| Operationalization |
Numeric |
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … *) in scenario Core information standard
|
|
|
| Comment 0 … 1
prsb03-dataelement-10164
|
|
|
| Id |
prsb03-dataelement-10164 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
Supporting text may be given regarding the assessment. |
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Formulation 0 … 1
prsb03-dataelement-11666
|
|
|
| Id |
prsb03-dataelement-11666 (2019‑05‑30 20:43:07)
|
| Cardinality |
0 … 1 |
| Description |
Details of the person's formulation. |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Formulation record entry 0 … *
prsb03-dataelement-11667
|
|
|
| Id |
prsb03-dataelement-11667 (2019‑05‑30 20:44:32)
|
| Cardinality |
0 … * |
| Description |
This is the formulation record entry. There may be 0 to many record entry/entries
under a section. Each record entry is made up of a number of elements or data items.
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … *) in scenario Core information standard
|
|
|
| Formulation 1 … 1 Mandatory
prsb03-dataelement-11668
|
|
|
| Id |
prsb03-dataelement-11668 (2019‑05‑30 20:46:15)
|
| Cardinality |
1 … 1 Mandatory |
| Concept inherits from |
prsb03-dataelement-10148 (2018‑10‑31)
|
| Description |
An account, shared by a therapist and person, of the personal meaning and origins
of a person’s difficulties. This is viewed in the context of multiple factors including
relationships, social circumstances and life events and will indicate the most helpful
way forward.
|
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (1 … 1 Mandatory) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
2 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … *) in scenario Core information standard
|
|
|
| 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
|
2 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
2 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … *) in scenario Core information standard
|
|
|
| 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
|
2 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
2 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … *) in scenario Core information standard
|
|
|
| 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
|
2 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
2 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … *) in scenario Core information standard
|
|
|
| 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
|
2 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
2 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … *) in scenario Core information standard
|
|
|
| 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
|
2 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … *) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Causative agent 1 … 1
prsb03-dataelement-10182
|
|
|
| Id |
prsb03-dataelement-10182 (2018‑10‑31)
|
| Cardinality |
1 … 1 |
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (1 … 1) in scenario Core information standard
|
|
|
| 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 |
dm+d:- any code from the VTM, VMP, AMP, VMPP, AMPP and ingredient concept classes
|
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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Reaction details cluster 0 … 1
prsb03-dataelement-10658
|
|
|
| Id |
prsb03-dataelement-10658 (2018‑11‑13 12:29:25)
|
| Cardinality |
0 … 1 |
| Description |
Details of the reaction. |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited once |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 2 times |
| |
This concept is used in transaction CIS (rationalised) (0 … *) in scenario Core information standard
|
|
|
| Medication item cluster 0 … 1
prsb03-dataelement-10664
|
|
|
| Id |
prsb03-dataelement-10664 (2018‑11‑13 16:25:51)
|
| Cardinality |
0 … 1 |
| Description |
Medication item cluster |
| Used by
|
3 transactions, 0 templates, inherited 2 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Medication name 0 … 1
prsb03-dataelement-10536
|
|
|
| Id |
prsb03-dataelement-10536 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| 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
|
3 transactions, 0 templates, inherited 5 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
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
|
|
|
| Coded value 0 … 1
prsb03-dataelement-13622
|
|
|
| Id |
prsb03-dataelement-13622 (2020‑09‑08 19:15:21)
|
| Cardinality |
0 … 1 |
| Description |
The coded value for medication name |
| Rationale |
MedicationStatement.medication[x].medicationCodableConcept
|
| Operationalization |
dm+d:- any code from the VTM, VMP, AMP, VMPP and AMPP concept classes |
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited once |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
This concept is inherited by concept
Coded value in dataset prsb03-dataelement-13663
|
|
|
| Free text 0 … 1
prsb03-dataelement-13623
|
|
|
| Id |
prsb03-dataelement-13623 (2020‑09‑08 19:17:39)
|
| 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
|
3 transactions, 0 templates, inherited once |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
This concept is inherited by concept
Free text in dataset prsb03-dataelement-13664
|
|
|
| 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
|
3 transactions, 0 templates, inherited 4 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
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
|
|
|
| Coded value 0 … 1
prsb03-dataelement-13624
|
|
|
| Id |
prsb03-dataelement-13624 (2020‑09‑08 19:32:29)
|
| Cardinality |
0 … 1 |
| Description |
The coded value for form. |
| Operationalization |
SNOMED CT: - ^999000781000001107 | National Health Service dictionary of medicines
and devices dose form simple reference set (foundation metadata concept) |
|
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Free text 0 … 1
prsb03-dataelement-13625
|
|
|
| Id |
prsb03-dataelement-13625 (2020‑09‑08 19:33:34)
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Route 0 … 1
prsb03-dataelement-10538
|
|
|
| Id |
prsb03-dataelement-10538 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
The route by which the medication is administered e.g. oral, IM, IV |
| FHIR |
MedicationStatement.dosage.route |
|
| Used by
|
3 transactions, 0 templates, inherited 5 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
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
|
|
|
| Coded value 0 … 1
prsb03-dataelement-13655
|
|
|
| Id |
prsb03-dataelement-13655 (2020‑09‑08 20:30:38)
|
| Cardinality |
0 … 1 |
| Description |
The coded value for route |
| Rationale |
MedicationStatement.dosage.route
|
| Operationalization |
SNOMED CT: - ^999000051000001100 |ePrescribing route of administration simple reference
set (foundation metadata concept)|
|
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited once |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
This concept is inherited by concept
Coded value in dataset prsb03-dataelement-13661
|
|
|
| Free text 0 … 1
prsb03-dataelement-13656
|
|
|
| Id |
prsb03-dataelement-13656 (2020‑09‑08 20:31:40)
|
| 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
|
3 transactions, 0 templates, inherited once |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
This concept is inherited by concept
Free text in dataset prsb03-dataelement-13662
|
|
|
| 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
|
3 transactions, 0 templates, inherited 3 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
This concept is inherited by concept
Site in dataset prsb03-dataelement-12549
This concept is inherited by concept
Site in dataset prsb03-dataelement-13127
This concept is inherited by concept
Site in dataset prsb03-dataelement-12665
|
|
|
| Coded value 0 … 1
prsb03-dataelement-13657
|
|
|
| Id |
prsb03-dataelement-13657 (2020‑09‑08 20:33:18)
|
| Cardinality |
0 … 1 |
| Description |
The coded value for site |
| Rationale |
MedicationStatement.dosage.site |
| Operationalization |
SNOMED CT: - <442083009 | Anatomical or acquired body structure (body structure) |
|
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited 2 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
This concept is inherited by concept
Coded value in dataset prsb03-dataelement-13830
This concept is inherited by concept
Coded value in dataset prsb03-dataelement-13872
|
|
|
| Free text 0 … 1
prsb03-dataelement-13658
|
|
|
| Id |
prsb03-dataelement-13658 (2020‑09‑08 20:35:42)
|
| Cardinality |
0 … 1 |
| Description |
Free text field to be used when code is not available |
| Relationship |
|
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 3 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
This concept is inherited by concept
Free text in dataset prsb03-dataelement-14424
This concept is inherited by concept
Free text in dataset prsb03-dataelement-13831
This concept is inherited by concept
Free text in dataset prsb03-dataelement-13873
|
|
|
| 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
|
3 transactions, 0 templates, inherited 3 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
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
|
|
|
| Over the counter medication flag 0 … 1
prsb03-dataelement-13379
|
|
|
| Id |
prsb03-dataelement-13379 (2020‑08‑10 16:51:27)
|
| Cardinality |
0 … 1 |
| Description |
Indicates if the medication or device is acquired without a prescription i.e. got
by the person over the counter
|
| Operationalization |
Flag : - Yes or No |
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Structured dose direction cluster 0 … 1
prsb03-dataelement-11639
|
|
|
| Id |
prsb03-dataelement-11639 (2019‑05‑30 17:40:22)
|
| Cardinality |
0 … 1 |
| 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
|
3 transactions, 0 templates, inherited 3 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Structured dose amount 0 … 1
prsb03-dataelement-10554
|
|
|
| Id |
prsb03-dataelement-10554 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| 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. As per FHIR Dose Syntax
Implementation Guidance (NHS Digital): https://simplifier.net/guide/DoseSyntaxImplementationGuidanceforFHIRR4/Home
|
| Used by
|
3 transactions, 0 templates, inherited 3 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Structured dose timing 0 … 1
prsb03-dataelement-10555
|
|
|
| Id |
prsb03-dataelement-10555 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| 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. As per FHIR Dose Syntax Implementation Guidance (NHS Digital): https://simplifier.net/guide/DoseSyntaxImplementationGuidanceforFHIRR4/Home
|
| Rationale |
MedicationStatement.dosage.timing |
| Operationalization |
Numeric |
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited 3 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Dose direction duration 0 … 1
prsb03-dataelement-10548
|
|
|
| Id |
prsb03-dataelement-10548 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
Recommendation of the time period for which the medication should be continued, including
direction not to discontinue. As per FHIR Dose Syntax Implementation Guidance (NHS
Digital): https://simplifier.net/guide/DoseSyntaxImplementationGuidanceforFHIRR4/Home
|
| 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 |
Numeric |
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited 3 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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 |
|
| Rationale |
MedicationStatement.dosage.text |
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 4 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Additional instructions 0 … 1
prsb03-dataelement-10545
|
|
|
| Id |
prsb03-dataelement-10545 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| 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")
|
|
| Rationale |
MedicationStatement.dosage.additionalInstruction |
| Operationalization |
FHIR value set : -
Additional instruction
|
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited 3 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 3 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 3 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
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
|
3 transactions, 0 templates, inherited 3 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
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
|
3 transactions, 0 templates, inherited 3 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
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
|
3 transactions, 0 templates, inherited 3 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
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
|
3 transactions, 0 templates, inherited 3 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 3 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 3 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 3 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
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 |
SNOMED CT:- ^1127601000000107 | Healthcare matters simple reference set (foundation
metadata concept) |
|
|
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited 3 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
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 |
| Rationale |
ExtensionUKCoreMedicationDosageLastChanged
|
| 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 3 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
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
|
3 transactions, 0 templates, inherited 3 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
2 transactions, 0 templates, inherited 3 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Medical devices entry 0 … *
prsb03-dataelement-10583
|
|
|
| Id |
prsb03-dataelement-10583 (2018‑10‑31)
|
| Cardinality |
0 … * |
| Description |
Medical devices |
| Used by
|
3 transactions, 0 templates, inherited 2 times |
| |
This concept is used in transaction CIS (rationalised) (0 … *) in scenario Core information standard
|
|
|
| Medical device 0 … 1
prsb03-dataelement-10673
|
|
|
| Id |
prsb03-dataelement-10673 (2018‑11‑13 17:10:15)
|
| Cardinality |
0 … 1 |
| Description |
Any medical device that isn't prescribed. |
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 2 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
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 … 1
prsb03-dataelement-11280
|
|
|
| Id |
prsb03-dataelement-11280 (2019‑05‑29 17:47:02)
|
| Cardinality |
0 … 1 |
| Context |
Implementation guidance |
| Description |
Any information regarding the medical device. |
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 2 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
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
|
3 transactions, 0 templates, inherited 2 times |
| |
This concept is used in transaction CIS (rationalised) (0 … *) in scenario Core information standard
|
|
|
| Name of discontinued medication 0 … 1
prsb03-dataelement-10577
|
|
|
| Id |
prsb03-dataelement-10577 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
The name of the medication or medical device being discontinued |
| Used by
|
3 transactions, 0 templates, inherited 2 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Coded value 0 … 1
prsb03-dataelement-13659
|
|
|
| Id |
prsb03-dataelement-13659 (2020‑09‑08 20:57:52)
|
| Cardinality |
0 … 1 |
| Description |
The coded value for medication name |
| Operationalization |
dm+d:- any code from the VTM, VMP, AMP, VMPP and AMPP concept classes
|
|
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Free text 0 … 1
prsb03-dataelement-13660
|
|
|
| Id |
prsb03-dataelement-13660 (2020‑09‑08 20:58:40)
|
| Cardinality |
0 … 1 |
| Concept inherits from |
prsb03-dataelement-13229 (2020‑07‑15 19:30:33)
|
| Description |
Amount of vaccine administered. |
| Relationship |
|
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Status 0 … 1
prsb03-dataelement-12472
|
|
|
| Id |
prsb03-dataelement-12472 (2019‑06‑25 11:42:23)
|
| Cardinality |
0 … 1 |
| Description |
The status of any change made to the medication. MUST CONTAIN STOPPED. |
| Operationalization |
FHIR value set: -
Medication status
|
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited 2 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
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 |
SNOMED CT:- ^1127601000000107 | Healthcare matters simple reference set (foundation
metadata concept) |
|
|
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited 3 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
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
|
3 transactions, 0 templates, inherited 2 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
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
|
|
|
| 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
|
3 transactions, 0 templates, inherited 2 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
This concept is inherited by concept
Comment in dataset prsb03-dataelement-12592
This concept is inherited by concept
Comment in dataset prsb03-dataelement-13170
|
|
|
| Plan and requested actions 0 … 1
prsb03-dataelement-535
|
|
|
| Id |
prsb03-dataelement-535 (2018‑10‑31)
|
| Cardinality |
0 … 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … *) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … *) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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.
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … *) in scenario Core information standard
|
|
|
| Needs, concerns or problems 0 … *
prsb03-dataelement-10414
|
|
|
| Id |
prsb03-dataelement-10414 (2018‑10‑31)
|
| Cardinality |
0 … * |
| Description |
Details of the person needs, concerns or problems
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … *) in scenario Core information standard
|
|
|
| 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.
|
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … *) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … *) in scenario Core information standard
|
|
|
| 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? |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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.
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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 month and year |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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. in progress, done, refused |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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 out the action associated to the goal. |
| Operationalization |
Numeric score 1 - 10 |
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Review date 0 … 1
prsb03-dataelement-10683
|
|
|
| Id |
prsb03-dataelement-10683 (2018‑11‑15 13:55:47)
|
| Cardinality |
0 … 1 |
| Description |
When the action evaluation needs to be reviewed. SNOMED CT tag : - 425268008 | Review
of care plan (procedure) |
|
| Operationalization |
Date and time. |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least month and year |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Stage goal 0 … 1
prsb03-dataelement-10674
|
|
|
| Id |
prsb03-dataelement-10674 (2018‑11‑15 13:32:26)
|
| Cardinality |
0 … 1 |
| Description |
Details of the person's stage goals |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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 |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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.
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … *) in scenario Core information standard
|
|
|
| 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.
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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. |
| Used by
|
3 transactions, 0 templates, inherited once |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited once |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … *) in scenario Core information standard
|
|
|
| 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. SNOMED CT tag
: - 425268008 | Review of care plan (procedure) |
|
| Operationalization |
Date and time |
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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.
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Contingency/safety plans 0 … *
prsb03-dataelement-469
|
|
|
| Id |
prsb03-dataelement-469 (2018‑10‑31)
|
| Cardinality |
0 … * |
| Description |
These are the things to do and people to contact, should an individual’s
health or other circumstances get worse for safety.
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … *) in scenario Core information standard
|
|
|
| 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
e.g. feeling agitated
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … *) in scenario Core information standard
|
|
|
| Contingency plan name 0 … 1
prsb03-dataelement-10371
|
|
|
| Id |
prsb03-dataelement-10371 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
When the action evaluation needs to be reviewed. |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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.
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … *) in scenario Core information standard
|
|
|
| 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.
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … *) in scenario Core information standard
|
|
|
| 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.
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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. SNOMED
CT tag : - 425268008 | Review of care plan (procedure) |
|
| 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 CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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.
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| 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.
SNOMED CT Tag : - 871021000000106 | Prescription of palliative care anticipatory medication
(procedure) |
|
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited once |
| |
This concept is used in transaction CIS (rationalised) (0 … *) in scenario Core information standard
|
|
|
| Additional support plans 0 … *
prsb03-dataelement-502
|
|
|
| Id |
prsb03-dataelement-502 (2018‑10‑31)
|
| Cardinality |
0 … * |
| Description |
Additional support plans |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … *) in scenario Core information standard
|
|
|
| Additional support plan name 0 … 1
prsb03-dataelement-10402
|
|
|
| Id |
prsb03-dataelement-10402 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
The name of the particular additional supporting plan, e.g. dieticians plan, wound
management plan, discharge management plan and behaviour support plan.
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Additional support plan content 0 … 1
prsb03-dataelement-10403
|
|
|
| Id |
prsb03-dataelement-10403 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
This is the content of any additional care and support plan which the person and/or
care professional consider should be shared with others providing care and support.
May be structured in different ways, e.g. tables, diagrams, images. This is the content
of any additional care and support plan which the individual and/or care professional
consider should be shared with others providing care and support. It should be structured
as recommended for the care and support plan and if contains additional detail, it
may be referenced here.
|
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Planned review date/interval 0 … 1
prsb03-dataelement-10405
|
|
|
| Id |
prsb03-dataelement-10405 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
This is the date/interval when this information will next be reviewed. SNOMED CT tag
: - 425268008 | Review of care plan (procedure) |
|
| Operationalization |
Date and time |
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Responsibility for review 0 … 1
prsb03-dataelement-10406
|
|
|
| Id |
prsb03-dataelement-10406 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
This is a record of who has responsibility for arranging review of this information.
Should include their name, role and contact details.
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Date this plan was last updated 0 … 1
prsb03-dataelement-10407
|
|
|
| Id |
prsb03-dataelement-10407 (2018‑10‑31)
|
| Cardinality |
0 … 1 |
| Description |
This is a record of the date that this information was last updated. |
| Operationalization |
Date and time |
| Value Domain |
|
| Property |
| Timestamp precision |
| at least day, month and year, hour and minute |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| End of life care 0 … 1
prsb03-dataelement-10743
|
|
|
| Id |
prsb03-dataelement-10743 (2019‑03‑07 11:06:43)
|
| Cardinality |
0 … 1 |
| Description |
Information relating to end of life care.
N.B. This is not an end of life care plan but contains information that would be found
in an end of life care plan.
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Cardio-pulmonary resuscitation (CPR) decision 0 … 1
prsb03-dataelement-10771
|
|
|
| Id |
prsb03-dataelement-10771 (2019‑03‑19 13:42:20)
|
| Cardinality |
0 … 1 |
| Description |
Whether a decision has been made, the decision, who made the decision, the date of
decision, date for review and location of documentation. Where the person or their
family member/carer have not been informed of the clinical decision please state the
reason why.
|
| Relationship |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Cardio-pulmonary resuscitation (CPR) decision 0 … 1
prsb03-dataelement-13686
|
|
|
| Id |
prsb03-dataelement-13686 (2020‑09‑09 16:35:43)
|
| Cardinality |
0 … 1 |
| Description |
The cardio-pulmonary resuscitation (CPR) decision. |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Coded value 0 … 1
prsb03-dataelement-13687
|
|
|
| Id |
prsb03-dataelement-13687 (2020‑09‑09 16:40:50)
|
| Cardinality |
0 … 1 |
| Description |
The coded value for CPR decision or DNACPR |
| Operationalization |
SNOMED CT: - 450475007 | For cardiopulmonary resuscitation (finding) |, 450476008
| Not for cardiopulmonary resuscitation (finding) |
|
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Free text 0 … 1
prsb03-dataelement-13688
|
|
|
| Id |
prsb03-dataelement-13688 (2020‑09‑09 16:45:48)
|
| 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
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Date for review 0 … 1
prsb03-dataelement-13705
|
|
|
| Id |
prsb03-dataelement-13705 (2020‑09‑10 12:10:08)
|
| Cardinality |
0 … 1 |
| Description |
The date for review of CPR decision. |
| 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 CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Location of document 0 … 1
prsb03-dataelement-13706
|
|
|
| Id |
prsb03-dataelement-13706 (2020‑09‑10 12:30:14)
|
| Cardinality |
0 … 1 |
| Description |
The location of the CPR decision document |
| Operationalization |
Free text or URL |
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Estimated prognosis 0 … 1
prsb03-dataelement-10745
|
|
|
| Id |
prsb03-dataelement-10745 (2019‑03‑07 11:10:45)
|
| Cardinality |
0 … 1 |
| Description |
Details of the persons estimated prognosis |
| Relationship |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Estimated prognosis 0 … 1
prsb03-dataelement-13691
|
|
|
| Id |
prsb03-dataelement-13691 (2020‑09‑09 16:49:55)
|
| Cardinality |
0 … 1 |
| Description |
Where a person is terminally ill this is a clinical judgment indicating the anticipated
period of time until death e.g. last days, weeks, months or year of life.
|
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Awareness of prognosis 0 … 1
prsb03-dataelement-10775
|
|
|
| Id |
prsb03-dataelement-10775 (2019‑03‑19 17:09:45)
|
| Cardinality |
0 … 1 |
| Description |
Details of the persons awareness of prognosis |
| Relationship |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Awareness of prognosis 0 … 1
prsb03-dataelement-13692
|
|
|
| Id |
prsb03-dataelement-13692 (2020‑09‑09 16:53:36)
|
| Cardinality |
0 … 1 |
| Description |
Description of the level of awareness the person and or their carer/family has regarding
their estimated prognosis.
|
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Anticipatory actions 0 … *
prsb03-dataelement-10786
|
|
|
| Id |
prsb03-dataelement-10786 (2019‑03‑19 17:23:36)
|
| Cardinality |
0 … * |
| Description |
Details of the person's anticipatory actions |
| Relationship |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … *) in scenario Core information standard
|
|
|
| Anticipatory actions 0 … *
prsb03-dataelement-13700
|
|
|
| Id |
prsb03-dataelement-13700 (2020‑09‑09 17:17:57)
|
| Cardinality |
0 … * |
| Description |
Guidance on specific interventions or actions that may be required or should be avoided
in specific situations. A statement of anticipatory actions. Usually expressed as:
in the event of X do Y.
|
| Operationalization |
Free text |
| Value Domain |
|
| Property |
| min length |
max length |
| 3 |
5 |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Anticipatory medicines/equipment 0 … *
prsb03-dataelement-10785
|
|
|
| Id |
prsb03-dataelement-10785 (2019‑03‑19 17:21:30)
|
| Cardinality |
0 … * |
| Description |
Details of the persons availability or location regarding their anticipatory medicines/equipment. |
| Relationship |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … *) in scenario Core information standard
|
|
|
| Anticipatory medicines/equipment 0 … 1
prsb03-dataelement-13707
|
|
|
| Id |
prsb03-dataelement-13707 (2020‑09‑10 15:27:00)
|
| Cardinality |
0 … 1 |
| Description |
A statement regarding the availability or location of the anticipatory medicines/equipment. |
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Preferred place of death 0 … 1
prsb03-dataelement-10780
|
|
|
| Id |
prsb03-dataelement-10780 (2019‑03‑19 17:14:33)
|
| Cardinality |
0 … 1 |
| Description |
Details of the person's preferred place of death |
| Relationship |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Preferred place of death 1st 0 … 1
prsb03-dataelement-13710
|
|
|
| Id |
prsb03-dataelement-13710 (2020‑09‑10 16:01:29)
|
| Cardinality |
0 … 1 |
| Description |
The preferences that a person has identified as their preferred place to die. |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Name of the place 0 … 1
prsb03-dataelement-13711
|
|
|
| Id |
prsb03-dataelement-13711 (2020‑09‑10 16:04:08)
|
| Cardinality |
0 … 1 |
| Description |
The name of the preferred place of death |
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited once |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
This concept is inherited by concept
Name of the place in dataset prsb03-dataelement-13717
|
|
|
| Type of place 0 … 1
prsb03-dataelement-13712
|
|
|
| Id |
prsb03-dataelement-13712 (2020‑09‑10 16:11:41)
|
| Cardinality |
0 … 1 |
| Description |
The type of preferred place of death |
| Operationalization |
SCC11580 code : - 10: Hospital (Acute/Community/Other)20: Private residence21: Patient's
own home22: Other private residence (eg relatives home, carers home)30: Hospice (inpatient
specialist palliative care)40: Care Home50: Other (free text eg secure and detained
settings)517111000000103, Preferred place of death: patient unable to express preference
517131000000106, Preferred place of death: discussion not appropriate766391000000108,
Preferred place of death: patient declined discussion517161000000101, Preferred place
of death: patient undecided
|
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited once |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
This concept is inherited by concept
Type of place in dataset prsb03-dataelement-13718
|
|
|
| Preferred place of death 2nd 0 … 1
prsb03-dataelement-13716
|
|
|
| Id |
prsb03-dataelement-13716 (2020‑09‑10 16:33:13)
|
| Cardinality |
0 … 1 |
| Description |
The preferences that a person has identified as their preferred place to die. |
| Relationship |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Name of the place 0 … 1
prsb03-dataelement-13717
|
|
|
| Id |
prsb03-dataelement-13717 (2020‑09‑10 16:33:46)
|
| Cardinality |
0 … 1 |
| Concept inherits from |
prsb03-dataelement-13711 (2020‑09‑10 16:04:08)
|
| Description |
The name of the preferred place of death |
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Type of place 0 … 1
prsb03-dataelement-13718
|
|
|
| Id |
prsb03-dataelement-13718 (2020‑09‑10 16:33:46)
|
| Cardinality |
0 … 1 |
| Concept inherits from |
prsb03-dataelement-13712 (2020‑09‑10 16:11:41)
|
| Description |
The type of preferred place of death |
| Operationalization |
SCC11580 code : - 10: Hospital (Acute/Community/Other)20: Private residence21: Patient's
own home22: Other private residence (eg relatives home, carers home)30: Hospice (inpatient
specialist palliative care)40: Care Home50: Other (free text eg secure and detained
settings)517111000000103, Preferred place of death: patient unable to express preference
517131000000106, Preferred place of death: discussion not appropriate766391000000108,
Preferred place of death: patient declined discussion517161000000101, Preferred place
of death: patient undecided
|
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Preferred place of care 0 … 1
prsb03-dataelement-10781
|
|
|
| Id |
prsb03-dataelement-10781 (2019‑03‑19 17:15:36)
|
| Cardinality |
0 … 1 |
| Description |
Details of the persons preferred place of care |
| Relationship |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Preferred place of care 0 … 1
prsb03-dataelement-13719
|
|
|
| Id |
prsb03-dataelement-13719 (2020‑09‑10 16:56:48)
|
| Cardinality |
0 … 1 |
| Description |
The preferences that the person has identified as their preferred place to receive
care.
|
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Documents (including correspondence, audio and images) 0 … 1
prsb03-dataelement-10820
|
|
|
| Id |
prsb03-dataelement-10820 (2019‑03‑20 19:07:55)
|
| Cardinality |
0 … 1 |
| Description |
Details about documents related to the person. |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Documents 0 … *
prsb03-dataelement-11259
|
|
|
| Id |
prsb03-dataelement-11259 (2019‑05‑29 13:34:07)
|
| Cardinality |
0 … * |
| Description |
This is the documents record entry. There may be 0 to many record entries under a
section. Each record entry is made up of a number of elements or data items.
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … *) in scenario Core information standard
|
|
|
| Documentation location 0 … 1
prsb03-dataelement-10946
|
|
|
| Id |
prsb03-dataelement-10946 (2019‑05‑16 16:01:41)
|
| Cardinality |
0 … 1 |
| Description |
The location of the document |
| Operationalization |
Free text or URL |
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Confidentiality 0 … 1
prsb03-dataelement-10942
|
|
|
| Id |
prsb03-dataelement-10942 (2019‑05‑16 15:32:23)
|
| Cardinality |
0 … 1 |
| Description |
The code specifying the level of confidentiality of the document. |
| Operationalization |
FHIR value set : -
Confidentiality
|
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Class 0 … 1
prsb03-dataelement-10940
|
|
|
| Id |
prsb03-dataelement-10940 (2019‑05‑16 15:29:15)
|
| Cardinality |
0 … 1 |
| Description |
The document type e.g. report, summary, images, treatment plan, patient preferences,
workflow
|
| Operationalization |
Free text. |
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Document title 0 … 1
prsb03-dataelement-10944
|
|
|
| Id |
prsb03-dataelement-10944 (2019‑05‑16 15:58:49)
|
| Cardinality |
0 … 1 |
| Description |
The title of the document. |
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Document name 0 … 1
prsb03-dataelement-10945
|
|
|
| Id |
prsb03-dataelement-10945 (2019‑05‑16 16:00:44)
|
| Cardinality |
0 … 1 |
| Description |
The name of the document. This should align to the PRSB document naming standard.
Where the document is a KOS document this field (designated typeCode) is used to carry
the DICOM Imaging procedure: This attribute shall be populated by the XDS-I Imaging
Document Source from a code in the Procedure Code Sequence (0008,1032) of the performed
procedure with which the document is associated. Values may be found in a suitable
DICOM browser
|
| Operationalization |
SNOMED CT: - As per the
https://theprsb.org/wp-content/uploads/2018/11/Clinical-document-indexing-standards_NHS-Scotland.pdf
|
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Document MIME type 0 … 1
prsb03-dataelement-10949
|
|
|
| Id |
prsb03-dataelement-10949 (2019‑05‑16 16:57:32)
|
| Cardinality |
0 … 1 |
| Description |
MIME type of the document e.g. application, pdf, audio, jpeg |
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Service 0 … 1
prsb03-dataelement-11163
|
|
|
| Id |
prsb03-dataelement-11163 (2019‑05‑28 11:31:34)
|
| Cardinality |
0 … 1 |
| Description |
The high level imaging speciality code e.g. (R-3027B, SRT, “Radiology”) |
| Operationalization |
SNOMED CT or free text 999000381000000107 |Correspondence care setting type simple
reference set (foundation metadata concept)|
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Comments 0 … 1
prsb03-dataelement-10941
|
|
|
| Id |
prsb03-dataelement-10941 (2019‑05‑16 15:31:26)
|
| Cardinality |
0 … 1 |
| Description |
Comments associated with the document. |
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Additional information required for images. 0 … 1
prsb03-dataelement-12449
|
|
|
| Id |
prsb03-dataelement-12449 (2019‑06‑19 15:45:51)
|
| Cardinality |
0 … 1 |
| Description |
Additional information required for images. |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Image procedure 0 … 1
prsb03-dataelement-12450
|
|
|
|
|
| Image procedure date 0 … 1
prsb03-dataelement-12451
|
|
|
| Id |
prsb03-dataelement-12451 (2019‑06‑19 15:53:41)
|
| Cardinality |
0 … 1 |
| Description |
The date and time the image procedure was performed. |
| 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 CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Images 0 … 1
prsb03-dataelement-11158
|
|
|
| Id |
prsb03-dataelement-11158 (2019‑05‑28 11:19:29)
|
| Cardinality |
0 … 1 |
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Image capture date 0 … 1
prsb03-dataelement-11159
|
|
|
| Id |
prsb03-dataelement-11159 (2019‑05‑28 11:20:13)
|
| Cardinality |
0 … 1 |
| Description |
The date and time when the image was captured. |
| 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 CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Image ID 0 … 1
prsb03-dataelement-12460
|
|
|
| Id |
prsb03-dataelement-12460 (2019‑06‑19 15:59:56)
|
| Cardinality |
0 … 1 |
| Description |
A unique image identifier generated by the system. |
| Operationalization |
Free text |
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Image location 0 … 1
prsb03-dataelement-12461
|
|
|
| Id |
prsb03-dataelement-12461 (2019‑06‑19 16:02:10)
|
| Cardinality |
0 … 1 |
| Description |
The URL for the image |
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Format code 0 … 1
prsb03-dataelement-11161
|
|
|
| Id |
prsb03-dataelement-11161 (2019‑05‑28 11:25:19)
|
| Cardinality |
0 … 1 |
| Description |
The format code of the document which provides information on how to display the document. |
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Event code list 0 … 1
prsb03-dataelement-11160
|
|
|
| Id |
prsb03-dataelement-11160 (2019‑05‑28 11:21:24)
|
| Cardinality |
0 … 1 |
| Description |
The type of image (acquisition modality) and the anatomical site imaged. |
| Operationalization |
DICOM code |
| Value Domain |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|
| Comments 0 … 1
prsb03-dataelement-12471
|
|
|
| Id |
prsb03-dataelement-12471 (2019‑06‑19 16:09:28)
|
| Cardinality |
0 … 1 |
| Description |
Comments associated with the imaging |
| Operationalization |
Free text |
| Value Domain |
|
| Property |
|
| Used by
|
3 transactions, 0 templates, inherited 0 times |
| |
This concept is used in transaction CIS (rationalised) (0 … 1) in scenario Core information standard
|
|
|