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cancelled Transaction CIS (rationalised) 2.16.840.1.113883.3.1937.777.28.4.230

Data Set PRSB Record structure and content 2.16.840.1.113883.3.1937.777.28.1.1

Name Id
cancelled CIS (rationalised) (0.1) 2.16.840.1.113883.3.1937.777.28.4.230
Version / effective date Expiration date
2021‑02‑02 15:48:07
Description
Name Details [‑]
folder draft Person demographics 1 … 1 Mandatory
prsb03-dataelement-10868
Id prsb03-dataelement-10868 (2019‑03‑27 19:02:25)
Cardinality 1 … 1 Mandatory
Context The mandatory information in this section is person’s name, date of birth and address. There can be multiple addresses associated with a person including temporary and correspondence addresses. These are stored on the PDS.

Note that the Individual requirements section includes specific elements for accessible information requirements to support communication. It is recognised that some of the elements in this section are currently shared in a more granular way than currently defined in this information model. PRSB intends to address this in a later release of the information model.
Description The person's details and contact information.
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft Person name 1 … 1 Mandatory
prsb03-dataelement-10869
Id prsb03-dataelement-10869 (2019‑03‑27 19:05:18) 1
Cardinality 1 … 1 Mandatory
Description Details of the person's name
Relationship
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Person first name 1 … * Mandatory
prsb03-dataelement-13799
Id prsb03-dataelement-13799 (2020‑11‑09 16:09:39)
Cardinality 1 … * Mandatory
Description The first name(s) of the person. This includes middle names.
Rationale Patient.name.given
Operationalization NHS data dictionary :- Person given name
Value Domain
Property
max length
35
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Person family name 1 … * Mandatory
prsb03-dataelement-13800
Id prsb03-dataelement-13800 (2020‑11‑09 16:43:41)
Cardinality 1 … * Mandatory
Description The family name or surname of the person
Rationale Patient.name.family
Operationalization NHS data dictionary : - Person family name

Value Domain
Property
max length
35
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Person preferred name 0 … 1
prsb03-dataelement-10870
Id prsb03-dataelement-10870 (2019‑03‑27 19:06:43)
Cardinality 0 … 1
Description The name by which a person wishes to be addressed. The preferred name volunteered by the person or a preferred name given by PDS that the person has asked to be called by.
Relationship
Rationale Patient.name
Operationalization NHS data dictionary: - Person full name
Value Domain
Property
max length
70
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Title 0 … 1
prsb03-dataelement-13089
Id prsb03-dataelement-13089 (2020‑06‑04 17:22:32) 0.1
Cardinality 0 … 1
Description Person's title
Rationale Patient.name.prefix
Operationalization NHS data dictionary: - Person title
Value Domain
Property
max length
35
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Person name suffix 0 … *
prsb03-dataelement-13798
Id prsb03-dataelement-13798 (2020‑11‑08 22:52:48)
Cardinality 0 … *
Description A textual suffix that may be added to the end of a PERSON's name, for example, OBE, MBE, BSc, JP, GM
Rationale Patient.name.suffix
Operationalization NHS data dictionary: - Person suffix
Value Domain
Property
max length
35
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Person full name 0 … 1
prsb03-dataelement-13801
Id prsb03-dataelement-13801 (2020‑11‑09 17:03:29)
Cardinality 0 … 1
Description The full name of the person in text representation.
Rationale Patient.name.text
Operationalization NHS data dictionary :- Patient full name
Value Domain
Property
max length
70
target Used by 2 transactions, 0 templates, inherited 4 times
 
draft Date of birth 1 … 1 Mandatory
prsb03-dataelement-10871
Id prsb03-dataelement-10871 (2019‑03‑27 19:08:01) 1
Cardinality 1 … 1 Mandatory
Description The date of birth of the person.

Properties

FHIR Patient.birthDate
Relationship
Rationale Patient.birthdate
Source NHS NSS : - https://www.ndc.scot.nhs.uk/Dictionary-A-Z/Definitions/index.asp?Search=D&ID=186&Title=Date%20of%20Birth
Operationalization NHS data dictionary:- Person birth date
Value Domain
Property
Timestamp precision
day, month and year
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Gender 0 … 1
prsb03-dataelement-10872
Id prsb03-dataelement-10872 (2019‑03‑27 19:08:52) 1
Cardinality 0 … 1
Description The person's stated gender.

Properties

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

Value Domain
Property
max length
1
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Ethnicity 0 … 1
prsb03-dataelement-10874
Id prsb03-dataelement-10874 (2019‑03‑27 19:11:37) 1
Cardinality 0 … 1
Description The ethnicity of the person as specified by the person.
Relationship
Rationale Patient.extension(ethnicCategory)
Source NHS_Wales: https://fhir.standards.wales/CodeSystem/DataStandardsWales-Ethnicity

NHS_NSS: https://www.ndc.scot.nhs.uk/Dictionary-A-Z/Definitions/index.asp?Search=E&ID=243&Title=Ethnic%20Group
Operationalization NHS data dictionary :- Ethnic category
Value Domain
Property
max length
2
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Religion 0 … 1
prsb03-dataelement-10876
Id prsb03-dataelement-10876 (2019‑03‑27 19:15:05) 1
Cardinality 0 … 1
Description The religious affiliation as specified by the person.
Relationship
Rationale Patient.extension(religiousAffiliation)
Source NHS NSS: - https://www.ndc.scot.nhs.uk/Dictionary-A-Z/Definitions/index.asp?Search=R&ID=795&Title=Religion
Operationalization
SNOMED_CT:- Religion

Value Domain
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Sex 0 … 1
prsb03-dataelement-10877
Id prsb03-dataelement-10877 (2019‑03‑27 19:15:45) 1
Cardinality 0 … 1
notice There is an open issue with this item:
Description The person’s phenotypic sex. Determines how the person will be treated clinically.
Relationship
Operationalization NHS data dictionary: - person phenotypic sex
Value Domain
Property
max length
1
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft NHS number 0 … 1
prsb03-dataelement-10879
Id prsb03-dataelement-10879 (2019‑03‑27 19:16:57) 1
Cardinality 0 … 1
Description The unique identifier for a person within the NHS in England and Wales.

Properties

FHIR Patient.identifier.nhsnumber
Relationship
Rationale Patient.identifier(nhsnumber)
Operationalization NHS data dictionary:- NHS number
Value Domain
Property
max length
10
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft NHS number status indicator 0 … 1
prsb03-dataelement-13297
Id prsb03-dataelement-13297 (2020‑08‑06 12:08:33)
Cardinality 0 … 1
Description Provides an indication of the reliability of an NHS Number.
Rationale Patient.identifier(nhsnumber).extension(nhsverificationstatus)
Operationalization NHS data dictionary :- NHS number status indicator
Value Domain
Property
max length
2
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Other identifier 0 … *
prsb03-dataelement-10880
Id prsb03-dataelement-10880 (2019‑03‑27 19:18:59)
Cardinality 0 … *
Description Country specific or local identifier, e.g. Community Health Index (CHI) in Scotland.
Relationship
Rationale Patient.identifier
Operationalization
Value Domain
Property
max length
20
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft 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.

Properties

FHIR Patient.Address
Relationship
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Address line 1 1 … 1 Mandatory
prsb03-dataelement-13082
Id prsb03-dataelement-13082 (2020‑05‑29 15:28:51)
Cardinality 1 … 1 Mandatory
Description Person's first line of address.
Rationale Patient.address.line
Operationalization
NHS data dictionary :-  Address line 1

Value Domain
Property
max length
35
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Address line 2 0 … 1
prsb03-dataelement-13083
Id prsb03-dataelement-13083 (2020‑05‑29 15:32:41)
Cardinality 0 … 1
Description Person's second line of address.
Rationale Patient.address.city
Operationalization
NHS data dictionary :- Address line 2

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

Value Domain
Property
max length
35
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Address line 5 0 … 1
prsb03-dataelement-13086
Id prsb03-dataelement-13086 (2020‑06‑01 11:32:10)
Cardinality 0 … 1
Description Person's fifth line of address.
Rationale Patient.address.country
Operationalization NHS data dictionary : - Address line 5

Value Domain
Property
max length
35
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Postcode 0 … 1
prsb03-dataelement-13087
Id prsb03-dataelement-13087 (2020‑06‑01 11:40:09)
Cardinality 0 … 1
Description The person's postcode.
Rationale Patient.address.postalcode
Operationalization NHS data dictionary :- Postcode of usual address

Value Domain
Property
max length
8
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Address type 0 … 1
prsb03-dataelement-13221
Id prsb03-dataelement-13221 (2020‑07‑08 15:58:39)
Cardinality 0 … 1
Description The type of address e.g. Main address, Temp address
Rationale Patient.address.use
Operationalization NHS data dictionary : - Address association type
Value Domain
Property
max length
1
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft Person's contact details 0 … 1
prsb03-dataelement-13804
Id prsb03-dataelement-13804 (2020‑11‑25 18:32:36)
Cardinality 0 … 1
Description Details of the person's contact information.
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Preferred contact method 0 … 1
prsb03-dataelement-10886
Id prsb03-dataelement-10886 (2019‑03‑27 19:29:17)
Cardinality 0 … 1
Description Preferred contact method, e.g. email, letter, phone, text message etc.
Relationship
Operationalization NHS data dictionary :- Communication contact method
Value Domain
Property
max length
1
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft Person's telephone number details 0 … *
prsb03-dataelement-10883
Id prsb03-dataelement-10883 (2019‑03‑27 19:22:39)
Cardinality 0 … *
Description The person's telephone number details

Properties

FHIR Patient.telecom
Relationship
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Person's telephone number 0 … 1
prsb03-dataelement-13808
Id prsb03-dataelement-13808 (2020‑11‑26 16:51:24)
Cardinality 0 … 1
Description The person's telephone number
Rationale Patient.contact.telecon.value
Operationalization NHS data dictionary : - UK telephone number
Value Domain
Property
max length
35
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Person's telephone number type 0 … 1
prsb03-dataelement-13805
Id prsb03-dataelement-13805 (2020‑11‑25 18:37:54)
Cardinality 0 … 1
Description The contact type e.g. home, mobile
Rationale Patient.telecon.use
Operationalization FHIR value set: - Contact point use
Value Domain
Property
max length
6
Example Home
Example Mobile
Example Temp
Example Old
Example Work
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Preference of telephone number 0 … 1
prsb03-dataelement-13809
Id prsb03-dataelement-13809 (2020‑11‑26 16:55:09)
Cardinality 0 … 1
Description The preferred order of use for the telephone number
Rationale Patient.telecom.rank
Operationalization Preference of use 1-5, 1 being the highest.
Value Domain
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft Person's email address details 0 … *
prsb03-dataelement-13807
Id prsb03-dataelement-13807 (2020‑11‑26 16:29:22)
Cardinality 0 … *
Description Details of the person's email address
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Person's email address 0 … 1
prsb03-dataelement-10882
Id prsb03-dataelement-10882 (2019‑03‑27 19:20:19)
Cardinality 0 … 1
Description Email address of the person.

Properties

FHIR Patient.telecom
Relationship
Rationale Patient.contact.telecon.value
Operationalization NHS data dictionary :- Contact email address
Value Domain
Property
max length
255
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Person's email address type 0 … 1
prsb03-dataelement-13811
Id prsb03-dataelement-13811 (2020‑11‑26 17:30:54)
Cardinality 0 … 1
Description The type of email address, home, work
Rationale Patient.telecon.use
Operationalization FHIR value set: - Contact point use
Value Domain
Property
max length
6
Example Home
Example Work
Example old
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Preference of email address 0 … 1
prsb03-dataelement-13810
Id prsb03-dataelement-13810 (2020‑11‑26 17:07:11)
Cardinality 0 … 1
Description The preferred order of use of email address
Rationale Patient.telecon.rank
Operationalization Preference of use 1-5, 1 being the highest.
Value Domain
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Other contact information 0 … 1
prsb03-dataelement-13806
Id prsb03-dataelement-13806 (2020‑11‑26 16:07:06)
Cardinality 0 … 1
Description Contact details via fax, sms, url
Rationale Patient.contact.telecon.value
Operationalization NHS data dictionary:- Communication contact string
Value Domain
Property
max length
255
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Photograph 0 … 1
prsb03-dataelement-13065
Id prsb03-dataelement-13065 (2020‑05‑15 16:50:49)
Cardinality 0 … 1
Description A photograph of the person for identification and to show what the person looks like normally.
Rationale Patient.photo
Operationalization Mulitmedia file
Value Domain
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Place of birth 0 … 1
prsb03-dataelement-10884
Id prsb03-dataelement-10884 (2019‑03‑27 19:25:07)
Cardinality 0 … 1
Description The country of birth of the person.
Relationship
Rationale Patient.extension(Birthplace)
Operationalization NHS data dictionary :- Country code (birth)
Value Domain
Property
max length
3
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Marital status 0 … 1
prsb03-dataelement-10885
Id prsb03-dataelement-10885 (2019‑03‑27 19:25:57)
Cardinality 0 … 1
Description An indicator to identify the legal marital status of the person.
Relationship
Rationale Patient.maritalstatus
Operationalization NHS data dictionary :- Person marital status
Value Domain
Property
max length
1
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft Immigration status 0 … 1
prsb03-dataelement-13293
Id prsb03-dataelement-13293 (2020‑08‑06 12:01:14)
Cardinality 0 … 1
Description Include details of the immigration status of the person, their permissions to live and receive care and support in the UK e.g. asylum seeker, indefinite leave to remain in the UK. Include start date, end date and any comments.
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Immigration status 0 … 1
prsb03-dataelement-13304
Id prsb03-dataelement-13304 (2020‑08‑06 13:06:19) 0.1
Cardinality 0 … 1
Description Details of the immigration status of the person, their permissions to live and receive care and support in the UK e.g. asylum seeker, indefinite leave to remain in the UK.
Operationalization Code :- 1: Asylum Seeker; 2: Exceptional leave to remain in UK; 3: Indefinite Leave to Remain in UK ;4: Limited Leave to Remain in UK; 5: No Recourse to Public Funds (NRPF); 6: Other Nationals; 7: Refugee; 8: Unaccompanied Asylum Seeker; 9 EU pre-settled status; 10: EU settled status
Value Domain
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Start date 0 … 1
prsb03-dataelement-13294
Id prsb03-dataelement-13294 (2020‑08‑06 12:02:54)
Cardinality 0 … 1
Description Start date of immigration status
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft End date 0 … 1
prsb03-dataelement-13295
Id prsb03-dataelement-13295 (2020‑08‑06 12:04:03)
Cardinality 0 … 1
Description End date of immigration status
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Comment 0 … 1
prsb03-dataelement-13296
Id prsb03-dataelement-13296 (2020‑08‑06 12:05:00)
Cardinality 0 … 1
Description Relevant comments about the person's immigration status
Operationalization Free text
Value Domain
Property
max length
150
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Organ and tissue donation 0 … 1
prsb03-dataelement-13847
Id prsb03-dataelement-13847 (2020‑12‑30 11:45:54)
Cardinality 0 … 1
Description Whether the person has given consent for organ and/or tissue donation or opted out of automatic donation where applicable. This is information provided by the national register.
Operationalization Flag: - Yes or No
Value Domain
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Overseas visitor status 0 … 1
prsb03-dataelement-10908
Id prsb03-dataelement-10908 (2019‑04‑02 13:22:04)
Cardinality 0 … 1
Description The charging category relating to an overseas visitor.
Rationale Patient.(extension(treatmentCategory)
Operationalization NHS data dictionary :- Overseas visitor charging catergory
Value Domain
Property
max length
1
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft GP practice 1 … 1 Mandatory
prsb03-dataelement-101
Id prsb03-dataelement-101 (2018‑10‑31)
Cardinality 1 … 1 Mandatory
Description Details of the person's GP practice.
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft GP practice record entry 0 … *
prsb03-dataelement-10643
Id prsb03-dataelement-10643 (2018‑11‑09 14:59:24)
Cardinality 0 … *
Description This is an GP practice record entry. There may be 0 to many record entries under a section. Each record entry is made up of a number of elements or data items
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft GP name 0 … 1
prsb03-dataelement-10003
Id prsb03-dataelement-10003 (2018‑10‑31)
Cardinality 0 … 1
Description The name of the person's GP. If the person is registered with a GP practice, their usual GP name will be something volunteered by the person or their representative.

Properties

FHIR Practitioner.name, where PractitionerRole.code=GP
Rationale Practitioner.name
Operationalization Free text
Value Domain
Property
max length
70
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft GP practice details 0 … 1
prsb03-dataelement-10002
Id prsb03-dataelement-10002 (2018‑10‑31)
Cardinality 0 … 1
Description Name and address of the person's registered GP practice Registered GP practice details are available from the Person Demographics Service (PDS), or volunteered from the person or their representative. Include details of the practice name and address.

Properties

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

PractitionerRole.organisation.telcom (0..*)

PractitionerRole.organisation.Address (0..*)
Operationalization Free text
Value Domain
Property
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft GP practice identifier 1 … 1 Mandatory
prsb03-dataelement-10001
Id prsb03-dataelement-10001 (2018‑10‑31)
Cardinality 1 … 1 Mandatory
Description The identifier of the registered GP practice.

Properties

FHIR Sliced into ODS and local identifier. PratitionerRole.organisation.identifier
Rationale PratitionerRole.organisation.identifier
Operationalization
Value Domain
Property
max length
6
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft GP opt out indicator 0 … 1
prsb03-dataelement-10004
Id prsb03-dataelement-10004 (2018‑10‑31)
Cardinality 0 … 1
Description Indication that the person has opted out of registering with a GP.
Operationalization SNOMED CT : - 1092961000000104 |Does not wish to register with an NHS general practitioner (finding)| OR 1092941000000100 |Family using private general practitioner (finding)|
Value Domain
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft About me 0 … 1
prsb03-dataelement-466
Id prsb03-dataelement-466 (2018‑10‑31)
Cardinality 0 … 1
Description About me
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft What is most important to me 0 … 1
prsb03-dataelement-12964
Id prsb03-dataelement-12964 (2020‑03‑30 10:50:29) 0.3
Cardinality 0 … 1
Description A description of what is most important to you.
Source SNOMED CT Tag : -  363882003 | Motivation (observable entity) |

target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft People who are important to me 0 … 1
prsb03-dataelement-13009
Id prsb03-dataelement-13009 (2020‑04‑27 11:23:17) 0.3
Cardinality 0 … 1
Description Details of who is important to you and why. 
Source SNOMED CT Tag: - 302160007 | Household, family and support network detail (observable entity) |

target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft How I communicate and how to communicate with me 0 … 1
prsb03-dataelement-13006
Id prsb03-dataelement-13006 (2020‑04‑24 11:48:24) 0.3
Cardinality 0 … 1
Description A description of how you communicate normally. 
Source SNOMED CT Tag : - 428330008 | Preferred mode of communication (observable entity) |
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft My wellness 0 … 1
prsb03-dataelement-13005
Id prsb03-dataelement-13005 (2020‑04‑24 11:45:53)
Cardinality 0 … 1
Synonym
0.3
Description A description covering what you are able to do, how you engage with others and how you feel on a typical day through to on a day when you are unwell or really unwell.
Source SNOMED CT Tag : - 363800008 | General wellbeing (observable entity) |
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft Please do and please don't 0 … 1
prsb03-dataelement-13008
Id prsb03-dataelement-13008 (2020‑04‑27 10:34:59) 0.3
Cardinality 0 … 1
Description A description of things you want someone supporting you to do (or not to do). 
Source SNOMED CT Tag : - 414642003 | Making considered choices (observable entity) |
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft How and when to support me 0 … 1
prsb03-dataelement-13007
Id prsb03-dataelement-13007 (2020‑04‑27 10:29:54) 0.3
Cardinality 0 … 1
Description A description of how and when you want someone caring for you to support you.
Source SNOMED CT Tag
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft Also worth knowing about me 0 … 1
prsb03-dataelement-13094
Id prsb03-dataelement-13094 (2020‑06‑22 11:30:09) 0.2
Cardinality 0 … 1
Description A description of what is also worth knowing about you for people caring or supporting you. 
Source SNOMED CT Tag: - 160476009 | Social / personal history observable (observable entity) |

target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Date 0 … 1
prsb03-dataelement-10367
Id prsb03-dataelement-10367 (2018‑10‑31)
Cardinality 0 … 1
Description This is a record of the date that this information was last updated.
Operationalization Date and Time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Supported to write this by 0 … 1
prsb03-dataelement-10368
Id prsb03-dataelement-10368 (2018‑10‑31)
Cardinality 0 … 1
Description Where relevant, this is a record of name, relationship/role and contact details of the individual who supported the person to write this section e.g. carer, family member, advocate, professional.
Operationalization Free text
Value Domain
Property
max length
150
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder cancelled 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.
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft Individual requirements 0 … 1
prsb03-dataelement-160
Id prsb03-dataelement-160 (2018‑10‑31)
Cardinality 0 … 1
Description The individual requirements of the person.
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft 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.
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft Reasonable adjustment record entry 0 … *
prsb03-dataelement-13061
Id prsb03-dataelement-13061 (2020‑05‑12 14:38:35)
Cardinality 0 … *
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
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft Location 0 … 1
prsb03-dataelement-13098
Id prsb03-dataelement-13098 (2020‑06‑24 11:17:33)
Cardinality 0 … 1
Description The location where the reasonable adjustment was identified.
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-13357
Id prsb03-dataelement-13357 (2020‑08‑06 17:41:52)
Cardinality 0 … 1
Description The coded value for location.
Operationalization NHS Data dictionary : - Organisation data service code
Value Domain
Property
min length max length
3 5
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13358
Id prsb03-dataelement-13358 (2020‑08‑06 17:44:19)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Reasonable adjustment flag 0 … 1
prsb03-dataelement-13874
Id prsb03-dataelement-13874 (2021‑01‑29 12:59:53)
Cardinality 0 … 1
Description

Under the Equality Act 2010, organisations have a legal duty to make changes in their approach or provision to ensure that services are as accessible to people with disabilities as they are for everybody else. These changes are called reasonable adjustments.

Reasonable adjustments can mean alterations to buildings by providing lifts, wide doors, ramps and tactile signage, but may also mean changes to policies, procedures and staff training to ensure that services work equally well for people with physical or sensory disabilities, learning disabilities or long-term conditions such as dementia.

Other adjustments include longer appointments, providing easy read materials or communications via a carer. This legal duty is anticipatory which means a service should know about a person’s need for adjustments when they are referred or present for care. For this to happen, and for optimum care to be delivered, adjustments need to be recorded and shared across the NHS.

Operationalization SNOMED CT: - 1108111000000107 |Requires reasonable adjustments for health and care access (Equality Act 2010) (finding)|
Value Domain
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft 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
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13506
Id prsb03-dataelement-13506 (2020‑09‑02 18:41:44)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Date 0 … 1
prsb03-dataelement-13020
Id prsb03-dataelement-13020 (2020‑04‑28 19:14:37)
Cardinality 0 … 1
Description The date the reasonable adjustment was identified.
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft 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.
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft Impairment record entry 0 … *
prsb03-dataelement-13062
Id prsb03-dataelement-13062 (2020‑05‑12 15:52:51)
Cardinality 0 … *
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
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft Location 0 … 1
prsb03-dataelement-13099
Id prsb03-dataelement-13099 (2020‑06‑24 11:19:59)
Cardinality 0 … 1
Description The location where the impairment was identified.
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-13429
Id prsb03-dataelement-13429 (2020‑08‑13 15:01:40)
Cardinality 0 … 1
Description The coded value for location.
Operationalization NHS data dictionary: - Organisation code service
Value Domain
Property
min length max length
3 5
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13430
Id prsb03-dataelement-13430 (2020‑08‑13 15:38:25)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft 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
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13508
Id prsb03-dataelement-13508 (2020‑09‑02 18:46:00)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Date 0 … 1
prsb03-dataelement-13024
Id prsb03-dataelement-13024 (2020‑04‑28 19:24:22)
Cardinality 0 … 1
Description The date the impairment was identified.
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft Cognition 0 … *
prsb03-dataelement-10066
Id prsb03-dataelement-10066 (2018‑10‑31)
Cardinality 0 … *
Description Details of the persons cognitive impairment.
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Date 0 … 1
prsb03-dataelement-11705
Id prsb03-dataelement-11705 (2019‑05‑31 13:05:51)
Cardinality 0 … 1
Description The date when the cognitive impairment was identified.
Relationship
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft Location 0 … 1
prsb03-dataelement-11706
Id prsb03-dataelement-11706 (2019‑05‑31 13:06:37)
Cardinality 0 … 1
Description The location where the cognitive impairment was identified.
Relationship
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-13431
Id prsb03-dataelement-13431 (2020‑08‑13 15:39:55)
Cardinality 0 … 1
Description The coded value for location.
Operationalization NHS data dictionary : - Organisation data service
Value Domain
Property
min length max length
3 5
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13432
Id prsb03-dataelement-13432 (2020‑08‑13 15:41:10)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft 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
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft Mobility 0 … *
prsb03-dataelement-10067
Id prsb03-dataelement-10067 (2018‑10‑31)
Cardinality 0 … *
Description Details of the person's mobility needs.
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Date 0 … 1
prsb03-dataelement-11707
Id prsb03-dataelement-11707 (2019‑05‑31 13:08:03)
Cardinality 0 … 1
Description The date when the mobility needs were identified.
Relationship
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft Location 0 … 1
prsb03-dataelement-11710
Id prsb03-dataelement-11710 (2019‑05‑31 13:11:14)
Cardinality 0 … 1
Description The location where the mobility needs were identified.
Relationship
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-13433
Id prsb03-dataelement-13433 (2020‑08‑13 15:42:39)
Cardinality 0 … 1
Description The coded value for location.
Operationalization NHS data dictionary : - Organisation data service
Value Domain
Property
min length max length
3 5
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13434
Id prsb03-dataelement-13434 (2020‑08‑13 15:44:10)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13223 (2020‑07‑08 17:40:09)
Description Free text field to be used if no coded text available
Value Domain
Property
max length
150
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft 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.
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13672
Id prsb03-dataelement-13672 (2020‑09‑08 22:47:50)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft 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
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Date 0 … 1
prsb03-dataelement-11711
Id prsb03-dataelement-11711 (2019‑05‑31 13:12:01)
Cardinality 0 … 1
Description The date when the other individual requirements were identified.
Relationship
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft Location 0 … 1
prsb03-dataelement-11712
Id prsb03-dataelement-11712 (2019‑05‑31 13:12:31)
Cardinality 0 … 1
Description The location where the other individual requirements were identified.
Relationship
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-13435
Id prsb03-dataelement-13435 (2020‑08‑13 15:46:58)
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
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13436
Id prsb03-dataelement-13436 (2020‑08‑13 15:48:03)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13223 (2020‑07‑08 17:40:09)
Description Free text field to be used if no coded text available
Value Domain
Property
max length
150
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft 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
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft Alerts 0 … 1
prsb03-dataelement-10741
Id prsb03-dataelement-10741 (2019‑03‑06 17:55:12)
Cardinality 0 … 1
Description Details of alerts.
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft Alerts record entry 0 … *
prsb03-dataelement-10916
Id prsb03-dataelement-10916 (2019‑04‑09 12:53:12)
Cardinality 0 … *
Description This is an alerts record entry. There may be 0 to many record entries under a section. Each record entry is made up of a number of elements or data items
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft 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.
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft 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
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Date 0 … 1
prsb03-dataelement-11713
Id prsb03-dataelement-11713 (2019‑05‑31 13:15:18)
Cardinality 0 … 1
Description The date when the consent was given
Relationship
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft Location 0 … 1
prsb03-dataelement-11714
Id prsb03-dataelement-11714 (2019‑05‑31 13:15:54)
Cardinality 0 … 1
Description The location where the consent was taken.
Relationship
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-13451
Id prsb03-dataelement-13451 (2020‑08‑27 16:51:03)
Cardinality 0 … 1
Description The coded value for location.
Operationalization NHS data dictionary : - Organisation data service code
Value Domain
Property
min length max length
3 5
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13452
Id prsb03-dataelement-13452 (2020‑08‑27 16:52:16)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft 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
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Reason for consent not given 0 … 1
prsb03-dataelement-13778
Id prsb03-dataelement-13778 (2020‑10‑16 16:34:53)
Cardinality 0 … 1
Description Reason not given for consent
Operationalization Free text
Value Domain
Property
max length
150
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft 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
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Date 0 … 1
prsb03-dataelement-11732
Id prsb03-dataelement-11732 (2019‑05‑31 13:21:58)
Cardinality 0 … 1
Description The date when the person with responsibility for the child was identified.
Relationship
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft Location 0 … 1
prsb03-dataelement-11733
Id prsb03-dataelement-11733 (2019‑05‑31 13:22:27)
Cardinality 0 … 1
Description The location where the person with responsibility for the child was identified.
Relationship
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-13674
Id prsb03-dataelement-13674 (2020‑09‑08 23:44:15)
Cardinality 0 … 1
Description The coded value for location
Operationalization NHS data dictionary : - Organisation data service
Value Domain
Property
min length max length
3 5
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13675
Id prsb03-dataelement-13675 (2020‑09‑08 23:45:35)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13223 (2020‑07‑08 17:40:09)
Description Free text field to be used if no coded text available
Value Domain
Property
max length
150
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft 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
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft Mental capacity assessment 0 … *
prsb03-dataelement-10424
Id prsb03-dataelement-10424 (2018‑10‑31)
Cardinality 0 … *
Description Details of the persons mental capacity assessment
target Used by 3 transactions, 0 templates, inherited 2 times
 
draft Date 0 … 1
prsb03-dataelement-11688
Id prsb03-dataelement-11688 (2019‑05‑31 11:50:22)
Cardinality 0 … 1
Description The date when the mental capacity assessment was made.
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by 2 transactions, 0 templates, inherited 3 times
 
folder draft Location 0 … 1
prsb03-dataelement-11689
Id prsb03-dataelement-11689 (2019‑05‑31 11:51:04)
Cardinality 0 … 1
Description The location where the mental capacity assessment was made.
target Used by 2 transactions, 0 templates, inherited 3 times
 
draft Coded value 0 … 1
prsb03-dataelement-13449
Id prsb03-dataelement-13449 (2020‑08‑27 16:43:20)
Cardinality 0 … 1
Description The coded value for location
Operationalization
NHS data dictionary : - Organisation code

Value Domain
Property
min length max length
3 5
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13450
Id prsb03-dataelement-13450 (2020‑08‑27 16:43:57)
Cardinality 0 … 1
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 2 transactions, 0 templates, inherited 3 times
 
draft Mental capacity assessment 0 … 1
prsb03-dataelement-13724
Id prsb03-dataelement-13724 (2020‑09‑16 11:32:28)
Cardinality 0 … 1
Description Whether an assessment of the mental capacity of the (adult) person has been undertaken, if so, what capacity the decision relates to and the outcome of the assessment. Also record best interests decision if person lacks capacity.
Operationalization Free text
Value Domain
Property
max length
150
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Location of document 0 … 1
prsb03-dataelement-13779
Id prsb03-dataelement-13779 (2020‑10‑16 16:40:41)
Cardinality 0 … 1
Description The location of the mental capacity assessment information.
Relationship
Operationalization Free text or URL
Value Domain
Property
max length
150
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft 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
target Used by 3 transactions, 0 templates, inherited once
 
draft Date 0 … 1
prsb03-dataelement-13630
Id prsb03-dataelement-13630 (2020‑09‑08 20:03:11)
Cardinality 0 … 1
Description The date the LPA was recorded
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft Location 0 … 1
prsb03-dataelement-13631
Id prsb03-dataelement-13631 (2020‑09‑08 20:04:28)
Cardinality 0 … 1
Description The location where the LPA was given
Relationship
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-13632
Id prsb03-dataelement-13632 (2020‑09‑08 20:05:20)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13453 (2020‑08‑27 16:54:58)
Description The coded value for location
Operationalization NHS data dictionary : - Organisation code



Value Domain
Property
min length max length
3 9
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13633
Id prsb03-dataelement-13633 (2020‑09‑08 20:05:20)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13454 (2020‑08‑27 16:56:28)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft 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.
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-13636
Id prsb03-dataelement-13636 (2020‑09‑08 20:10:08)
Cardinality 0 … 1
Description The coded value for the LPA
Operationalization SNOMED CT: - ^999001951000000107 |Personal welfare lasting power of attorney findings simple reference set (foundation metadata concept)|
Value Domain
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Location of document 0 … 1
prsb03-dataelement-13776
Id prsb03-dataelement-13776 (2020‑10‑12 13:50:45)
Cardinality 0 … 1
Description The location of the LPA information
Operationalization Free text or URL
Value Domain
Property
max length
150
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Name of LPA 0 … 1
prsb03-dataelement-13635
Id prsb03-dataelement-13635 (2020‑09‑08 20:08:39)
Cardinality 0 … 1
Description The names of any appointed people or deputies
Operationalization Free text
Value Domain
Property
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Contact details 0 … 1
prsb03-dataelement-13637
Id prsb03-dataelement-13637 (2020‑09‑08 20:11:29)
Cardinality 0 … 1
Description The contact details of the LPA
Operationalization NHS data dictionary:- UK telephone number
Value Domain
Property
max length
35
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft Deprivation of Liberty Safeguards or equivalent 0 … 1
prsb03-dataelement-10426
Id prsb03-dataelement-10426 (2018‑10‑31)
Cardinality 0 … 1
Description Details of the person's Deprivation of Liberty Safeguards (DoLS) or equivalent
target Used by 3 transactions, 0 templates, inherited once
 
draft Application date 0 … 1
prsb03-dataelement-13068
Id prsb03-dataelement-13068 (2020‑05‑21 18:04:27)
Cardinality 0 … 1
Description The date the application was made
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Application status 0 … 1
prsb03-dataelement-13069
Id prsb03-dataelement-13069 (2020‑05‑21 18:05:36)
Cardinality 0 … 1
Description The status of the DOLs application.
Operationalization Free text : - Requested or authorised
Value Domain
Property
max length
10
Example Requested
Example Authorised
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Deprivation of liberty safeguards or equivalent 0 … 1
prsb03-dataelement-13626
Id prsb03-dataelement-13626 (2020‑09‑08 19:49:07)
Cardinality 0 … 1
Description Record of Deprivation of Liberty Safeguards (DoLS) or equivalent, including the reason for this.
Operationalization Free text
Value Domain
Property
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Start date of authorisation 0 … 1
prsb03-dataelement-13071
Id prsb03-dataelement-13071 (2020‑05‑21 18:16:32)
Cardinality 0 … 1
Description The date the DOLs was authorised.
Operationalization Data and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Planned or actual end date of authorisation 0 … 1
prsb03-dataelement-13072
Id prsb03-dataelement-13072 (2020‑05‑21 18:18:19)
Cardinality 0 … 1
Description The planned or actual end date of authorisation.
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft Performing professional 0 … 1
prsb03-dataelement-13073
Id prsb03-dataelement-13073 (2020‑05‑21 18:20:41)
Cardinality 0 … 1
Description The professional who applied for the DOLs.
Relationship
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Name 0 … 1
prsb03-dataelement-13074
Id prsb03-dataelement-13074 (2020‑05‑21 18:21:29)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
Description The name of the professional.
Rationale Practitioner.name
Operationalization Free text.
Value Domain
Property
max length
70
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Role 0 … 1
prsb03-dataelement-13075
Id prsb03-dataelement-13075 (2020‑05‑21 18:21:29)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
Description The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etc
Rationale Practitioner.PractitionerRole.code
Operationalization FHIR value set :- SDSjobroletype
Value Domain
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Grade 0 … 1
prsb03-dataelement-13076
Id prsb03-dataelement-13076 (2020‑05‑21 18:21:29)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
Description The grade of the professional.
Rationale PractitionerRole.code
Operationalization Free text
Value Domain
Property
max length
150
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Speciality 0 … 1
prsb03-dataelement-13077
Id prsb03-dataelement-13077 (2020‑05‑21 18:21:29)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
Description The specialty of the professional e.g. physiotherapy, oncology, mental health etc
Rationale PractitionerRole.speciality
Operationalization NHS data dictionary - Activity treatment function code
Value Domain
Property
max length
3
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Professional identifier 0 … 1
prsb03-dataelement-13078
Id prsb03-dataelement-13078 (2020‑05‑21 18:21:29)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
Description Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.
Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
Operationalization NHS data dictionary : - Professional registration identifier
Value Domain
Property
max length
32
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft Organisation 0 … 1
prsb03-dataelement-13079
Id prsb03-dataelement-13079 (2020‑05‑21 18:21:29)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
Description The name of the organisation the professional works for.
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Contact details 0 … 1
prsb03-dataelement-13080
Id prsb03-dataelement-13080 (2020‑05‑21 18:21:29)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
Description Contact details of the professional
Rationale Practitioner.telecom

PractitionerRole.telecom

Organisation.telcom
Operationalization NHS data dictionary - UK phone number
Value Domain
Property
max length
35
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft 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
target Used by 3 transactions, 0 templates, inherited once
 
draft Section start date 0 … 1
prsb03-dataelement-10920
Id prsb03-dataelement-10920 (2019‑04‑26 14:17:19)
Cardinality 0 … 1
Description The date the person was detained.
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Section end date 0 … 1
prsb03-dataelement-10921
Id prsb03-dataelement-10921 (2019‑04‑26 14:19:05)
Cardinality 0 … 1
Description The date the person was no longer detained.
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft Location 0 … 1
prsb03-dataelement-11692
Id prsb03-dataelement-11692 (2019‑05‑31 12:51:56)
Cardinality 0 … 1
Description The location where the decision to detain the person was made under the mental health act.
Relationship
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft Mental health act or equivalent status 0 … 1
prsb03-dataelement-13627
Id prsb03-dataelement-13627 (2020‑09‑08 19:52:25)
Cardinality 0 … 1
Description Record where a person diagnosed with a mental disorder is formally detained under the Mental health act or equivalent, including the section number. If person subject to Community Treatment Order or Conditional Discharge (or equivalent) record here.
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-13628
Id prsb03-dataelement-13628 (2020‑09‑08 19:57:06)
Cardinality 0 … 1
Description The coded value for mental health act
Operationalization NHS data dictionary: - Mental health act legal status classification code
Value Domain
Property
max length
2
Example Formally detained under Mental Health Act Section 2
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13629
Id prsb03-dataelement-13629 (2020‑09‑08 19:58:49)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Supporting information 0 … 1
prsb03-dataelement-13755
Id prsb03-dataelement-13755 (2020‑09‑29 11:48:32)
Cardinality 0 … 1
Description If person subject to Community Treatment Order or Conditional Discharge (or equivalent) record here.
Operationalization NHS data dictionary : - Community treatment order
Value Domain
Property
max length
150
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft 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.
target Used by 3 transactions, 0 templates, inherited once
 
draft Date 0 … 1
prsb03-dataelement-13479
Id prsb03-dataelement-13479 (2020‑09‑02 16:59:59)
Cardinality 0 … 1
Description The date the ADRT was recorded.
Operationalization Date
Value Domain
Property
Timestamp precision
at least day, month and year
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft Location 0 … 1
prsb03-dataelement-13480
Id prsb03-dataelement-13480 (2020‑09‑02 17:01:08)
Cardinality 0 … 1
Description The location where the ADRT was recorded.
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-13481
Id prsb03-dataelement-13481 (2020‑09‑02 17:01:48)
Cardinality 0 … 1
Description The coded value of location
Operationalization NHS data dictionary : - Organisation data service
Value Domain
Property
min length max length
3 5
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13482
Id prsb03-dataelement-13482 (2020‑09‑02 17:03:31)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13223 (2020‑07‑08 17:40:09)
Description Free text field to be used if no coded text available
Value Domain
Property
max length
150
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft 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.
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13504
Id prsb03-dataelement-13504 (2020‑09‑02 17:48:38)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft Safeguarding 0 … 1
prsb03-dataelement-271
Id prsb03-dataelement-271 (2018‑10‑31)
Cardinality 0 … 1
Description The safeguarding details of the person.
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft Safeguarding concerns 0 … *
prsb03-dataelement-10821
Id prsb03-dataelement-10821 (2019‑03‑21 12:14:49)
Cardinality 0 … *
Description Details of safeguarding concerns
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Safeguarding indicator 0 … 1
prsb03-dataelement-13428
Id prsb03-dataelement-13428 (2020‑08‑12 15:01:11) 0.1
Cardinality 0 … 1
Description Indicates whether or not the hospital considers that there are safeguarding issues associated with the patient.
Operationalization Flag: No =N: Yes = Y
Value Domain
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Safeguarding concerns date 0 … 1
prsb03-dataelement-10172
Id prsb03-dataelement-10172 (2018‑10‑31)
Cardinality 0 … 1
Description The date the safeguarding concerns were identified.
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Safeguarding concerns end date 0 … 1
prsb03-dataelement-10766
Id prsb03-dataelement-10766 (2019‑03‑18 17:51:29)
Cardinality 0 … 1
Description The date safeguarding concerns ended.
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft Location 0 … 1
prsb03-dataelement-10173
Id prsb03-dataelement-10173 (2018‑10‑31)
Cardinality 0 … 1
Description The location where the safeguarding concerns were identified.
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-13437
Id prsb03-dataelement-13437 (2020‑08‑14 15:30:27)
Cardinality 0 … 1
Description The coded value of location
Operationalization NHS data dictionary : - Organisation code

Value Domain
Property
min length max length
3 9
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13438
Id prsb03-dataelement-13438 (2020‑08‑14 15:32:13)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft Safeguarding concerns 0 … 1
prsb03-dataelement-10171
Id prsb03-dataelement-10171 (2018‑10‑31)
Cardinality 0 … 1
Description Identified safeguarding concerns.

Properties

FHIR Composition.text
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-13756
Id prsb03-dataelement-13756 (2020‑09‑29 12:22:26)
Cardinality 0 … 1
Description The coded value for safeguarding concerns
Operationalization SNOMED CT : - ^999002381000000108 | Safeguarding issues simple reference set (foundation metadata concept) |
Value Domain
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13757
Id prsb03-dataelement-13757 (2020‑09‑29 12:23:18)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft 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
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft 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
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Looked after child start date 0 … 1
prsb03-dataelement-10746
Id prsb03-dataelement-10746 (2019‑03‑07 11:47:56)
Cardinality 0 … 1
Description The date the child became a looked after child.
Relationship
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Looked after child end date 0 … 1
prsb03-dataelement-10761
Id prsb03-dataelement-10761 (2019‑03‑08 18:36:16)
Cardinality 0 … 1
Description The date the child ceased to be a looked after child.
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft Local authority 0 … 1
prsb03-dataelement-10799
Id prsb03-dataelement-10799 (2019‑03‑20 13:14:32)
Cardinality 0 … 1
Description The named local authority.
Relationship
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-13614
Id prsb03-dataelement-13614 (2020‑09‑08 18:19:46)
Cardinality 0 … 1
Description The coded value for local authority
Operationalization NHS data dictionary : - Organisation data service
Value Domain
Property
min length max length
3 5
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13615
Id prsb03-dataelement-13615 (2020‑09‑08 18:21:36)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft 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
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Child protection plan start date 0 … 1
prsb03-dataelement-10747
Id prsb03-dataelement-10747 (2019‑03‑07 11:48:25)
Cardinality 0 … 1
Description The start date of the child protection plan
Relationship
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Child protection plan end date 0 … 1
prsb03-dataelement-10762
Id prsb03-dataelement-10762 (2019‑03‑08 18:36:48)
Cardinality 0 … 1
Description The end date of the child protection plan
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft Local authority 0 … 1
prsb03-dataelement-10748
Id prsb03-dataelement-10748 (2019‑03‑07 11:48:45)
Cardinality 0 … 1
Description The named local authority.
Relationship
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-13616
Id prsb03-dataelement-13616 (2020‑09‑08 18:37:54)
Cardinality 0 … 1
Description The coded value for a local authority
Operationalization NHS data dictionary : - organisation data service
Value Domain
Property
min length max length
3 5
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13617
Id prsb03-dataelement-13617 (2020‑09‑08 18:39:19)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft 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.
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Unborn child protection plan start date 0 … 1
prsb03-dataelement-10924
Id prsb03-dataelement-10924 (2019‑04‑26 17:55:45)
Cardinality 0 … 1
Description Start date of the unborn child protection plan.
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Unborn child protection plan end date 0 … 1
prsb03-dataelement-10925
Id prsb03-dataelement-10925 (2019‑04‑26 17:56:43)
Cardinality 0 … 1
Description End date of the unborn child protection plan.
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft Local authority 0 … 1
prsb03-dataelement-10926
Id prsb03-dataelement-10926 (2019‑04‑26 17:58:25)
Cardinality 0 … 1
Description The named local authority.
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-13618
Id prsb03-dataelement-13618 (2020‑09‑08 18:41:51)
Cardinality 0 … 1
Description The coded value for local authority
Operationalization NHS data dictionary: - Organisation data service
Value Domain
Property
min length max length
3 5
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13619
Id prsb03-dataelement-13619 (2020‑09‑08 18:43:11)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft 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.
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft Professional contacts record entry 0 … *
prsb03-dataelement-10767
Id prsb03-dataelement-10767 (2019‑03‑18 18:07:16)
Cardinality 0 … *
Description This is a professional contacts record entry. There may be 0 to many record entries under a section. Each record entry is made up of a number of elements or data items.
target Used by 3 transactions, 0 templates, inherited 2 times
 
draft Name 0 … 1
prsb03-dataelement-10352
Id prsb03-dataelement-10352 (2018‑10‑31)
Cardinality 0 … 1
Description The name of the professional with responsibility for the care of the person.
Operationalization Free text
Value Domain
Property
max length
70
target Used by 3 transactions, 0 templates, inherited 6 times
 
draft 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
target Used by 3 transactions, 0 templates, inherited 6 times
 
draft Key worker 0 … 1
prsb03-dataelement-12973
Id prsb03-dataelement-12973 (2020‑04‑06 20:02:00)
Cardinality 0 … 1
Description A flag that identifies the personal contact is the key worker assigned to the person.
Operationalization Flag : - Yes or No
Value Domain
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Speciality 0 … 1
prsb03-dataelement-10354
Id prsb03-dataelement-10354 (2018‑10‑31)
Cardinality 0 … 1
Description The specialty of the professional e.g. physiotherapy, oncology, mental health etc
Operationalization NHS data dictionary : - Activity treatment function code
Value Domain
Property
max length
3
target Used by 3 transactions, 0 templates, inherited 2 times
 
draft Team 0 … 1
prsb03-dataelement-10355
Id prsb03-dataelement-10355 (2018‑10‑31)
Cardinality 0 … 1
Description The name of the team.
Operationalization Free text
Value Domain
Property
max length
35
target Used by 3 transactions, 0 templates, inherited 3 times
 
folder draft Organisation 0 … 1
prsb03-dataelement-10356
Id prsb03-dataelement-10356 (2018‑10‑31)
Cardinality 0 … 1
Description The name of the organisation.
target Used by 3 transactions, 0 templates, inherited 2 times
 
draft Contact details 0 … 1
prsb03-dataelement-10357
Id prsb03-dataelement-10357 (2018‑10‑31)
Cardinality 0 … 1
Description Contact details of the professional (e.g. telephone number, email address etc.).
Operationalization Free text
Value Domain
Property
max length
35
target Used by 3 transactions, 0 templates, inherited 6 times
 
draft 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
target Used by 3 transactions, 0 templates, inherited 2 times
 
draft 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
target Used by 3 transactions, 0 templates, inherited 2 times
 
folder draft 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.
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft Personal contacts record entry 0 … *
prsb03-dataelement-10768
Id prsb03-dataelement-10768 (2019‑03‑19 13:05:13)
Cardinality 0 … *
Description This is personal contacts record entry. There may be 0 to many record entries under a section. Each record entry is made up of a number of elements or data items.
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
max length
70
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Relationship 0 … 1
prsb03-dataelement-10346
Id prsb03-dataelement-10346 (2018‑10‑31)
Cardinality 0 … 1
Description The relationship the personal contact has to the person, e.g. father, grandmother, family friend etc.
Operationalization FHIR value set : - Related person
Value Domain
Property
default
10
target Used by 3 transactions, 0 templates, inherited 2 times
 
draft Relationship type 0 … 1
prsb03-dataelement-12968
Id prsb03-dataelement-12968 (2020‑04‑06 13:13:10)
Cardinality 0 … 1
Description Additional roles the person performs on behalf of the other (e.g. Carer, Next of Kin, Emergency Contact, Dependent, etc.)
Operationalization Free text
Value Domain
Property
max length
150
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Contact details 0 … 1
prsb03-dataelement-10350
Id prsb03-dataelement-10350 (2018‑10‑31)
Cardinality 0 … 1
Description Contact details of the personal contact (e.g. telephone number, email address etc.)
Operationalization Free Text
Value Domain
Property
max length
70
target Used by 3 transactions, 0 templates, inherited once
 
draft Comments 0 … 1
prsb03-dataelement-10937
Id prsb03-dataelement-10937 (2019‑05‑02 17:15:44)
Cardinality 0 … 1
Description Notes on the significance of the personal contact to the person.
Operationalization Free text
Value Domain
Property
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft Participation in research 0 … 1
prsb03-dataelement-168
Id prsb03-dataelement-168 (2018‑10‑31)
Cardinality 0 … 1
Description Participation in research
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft 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.
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
max length
250
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
max length
20
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft Referral details 0 … 1
prsb03-dataelement-105
Id prsb03-dataelement-105 (2018‑10‑31)
Cardinality 0 … 1
Description The details of the referral.
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft Referral details record entry 0 … *
prsb03-dataelement-10917
Id prsb03-dataelement-10917 (2019‑04‑09 15:59:55)
Cardinality 0 … *
Description This is the referral details record entry. There may be 0 to many record entries under a section. Each record entry is made up of a number of elements or data items.
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Date 0 … 1
prsb03-dataelement-10006
Id prsb03-dataelement-10006 (2018‑10‑31)
Cardinality 0 … 1
Description The date of referral
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft Referrer details 0 … 1
prsb03-dataelement-10005
Id prsb03-dataelement-10005 (2018‑10‑31)
Cardinality 0 … 1
Description The details of the referrer 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.

Properties

FHIR Encounter.incomingreferral
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Name 0 … 1
prsb03-dataelement-10971
Id prsb03-dataelement-10971 (2019‑05‑22 16:29:39)
Cardinality 0 … 1
Description The name of the referrer.
Operationalization Free text
Value Domain
Property
max length
70
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Role 0 … 1
prsb03-dataelement-10972
Id prsb03-dataelement-10972 (2019‑05‑22 16:30:25)
Cardinality 0 … 1
Description Role of the referrer.
Operationalization FHIR value set : - sdsjobrole
Value Domain
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Grade 0 … 1
prsb03-dataelement-10973
Id prsb03-dataelement-10973 (2019‑05‑22 16:31:10)
Cardinality 0 … 1
Description The grade of the referrer.
Operationalization Free text
Value Domain
Property
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Team 0 … 1
prsb03-dataelement-12409
Id prsb03-dataelement-12409 (2019‑06‑05 18:11:50)
Cardinality 0 … 1
Description The team or department of the referrer.
Operationalization Free text
Value Domain
Property
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Specialty 0 … 1
prsb03-dataelement-12410
Id prsb03-dataelement-12410 (2019‑06‑05 18:12:15)
Cardinality 0 … 1
Description The specialty of the referrer.
Operationalization NHS data dictionary - Activity treatment function code
Value Domain
Property
max length
3
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft Service 0 … 1
prsb03-dataelement-12411
Id prsb03-dataelement-12411 (2019‑06‑05 18:20:01)
Cardinality 0 … 1
Description The service of the referrer.
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-13397
Id prsb03-dataelement-13397 (2020‑08‑10 19:10:14)
Cardinality 0 … 1
Description The coded value for service
Operationalization SNOMED CT: - 1127531000000102 |Services simple reference set (foundation metadata concept)|
Value Domain
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13398
Id prsb03-dataelement-13398 (2020‑08‑10 19:11:12)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft Organisation 0 … 1
prsb03-dataelement-10974
Id prsb03-dataelement-10974 (2019‑05‑22 16:31:40)
Cardinality 0 … 1
Description The organisation of the referrer.
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-13399
Id prsb03-dataelement-13399 (2020‑08‑10 19:14:38)
Cardinality 0 … 1
Description The coded value for organisation code
Operationalization NHS data dictionary : - Organisation data service
Value Domain
Property
min length max length
3 5
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13400
Id prsb03-dataelement-13400 (2020‑08‑10 19:17:07)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Contact details 0 … 1
prsb03-dataelement-10975
Id prsb03-dataelement-10975 (2019‑05‑22 16:33:49)
Cardinality 0 … 1
Description The contact details of the referrer.
Operationalization Free text
Value Domain
Property
max length
70
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
  1. Fax
  2. Phone
  3. Secure Messaging
  4. Secure Email
  5. Letter
  6. NHS E-Referral Service
  7. Self referral
Value Domain
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft Reason for referral 0 … 1
prsb03-dataelement-10011
Id prsb03-dataelement-10011 (2018‑10‑31)
Cardinality 0 … 1
Description The reason for the referral, e.g. diagnosis, treatment, transfer of care due to relocation, investigation, second opinion, management of the patient (e.g. palliative care), or carer's concerns.
Operationalization Free text
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13456
Id prsb03-dataelement-13456 (2020‑08‑27 18:18:45)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft 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
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
max length
150
target Used by 3 transactions, 0 templates, inherited once
 
folder draft Referral to 0 … 1
prsb03-dataelement-10008
Id prsb03-dataelement-10008 (2018‑10‑31)
Cardinality 0 … 1
Description Details of where the referral is to be sent.

If not an individual, this could be a service, e.g. GP surgery, department, specialty, subspecialty, educational institution, mental health etc.
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Name 0 … 1
prsb03-dataelement-10977
Id prsb03-dataelement-10977 (2019‑05‑22 17:56:22)
Cardinality 0 … 1
Description Name of person the referral is to be sent to.
Operationalization Free text
Value Domain
Property
max length
70
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Role 0 … 1
prsb03-dataelement-10978
Id prsb03-dataelement-10978 (2019‑05‑22 17:56:39)
Cardinality 0 … 1
Description Role of person where the referral is to be sent to.
Operationalization FHIR value set : - sdsjobrole
Value Domain
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Grade 0 … 1
prsb03-dataelement-10979
Id prsb03-dataelement-10979 (2019‑05‑22 17:56:51)
Cardinality 0 … 1
Description The grade of the person where the referral is sent to.
Operationalization Free text
Value Domain
Property
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Team 0 … 1
prsb03-dataelement-10982
Id prsb03-dataelement-10982 (2019‑05‑22 17:59:49)
Cardinality 0 … 1
Description The team or department of the person where the referral is being sent to
Operationalization Free text.
Value Domain
Property
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Specialty 0 … 1
prsb03-dataelement-10983
Id prsb03-dataelement-10983 (2019‑05‑22 18:00:28)
Cardinality 0 … 1
Description The specialty the referral is being sent to e.g. physiotherapy, oncology, mental health etc
Operationalization NHS data dictionary - Activity treatment function code
Value Domain
Property
max length
3
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft Service 0 … 1
prsb03-dataelement-12412
Id prsb03-dataelement-12412 (2019‑06‑05 18:20:52)
Cardinality 0 … 1
Description The service of where the referral is sent to.
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-13509
Id prsb03-dataelement-13509 (2020‑09‑03 17:50:24)
Cardinality 0 … 1
Description The coded value for service
Operationalization SNOMED CT: - 1127531000000102 |Services simple reference set (foundation metadata concept)|
Value Domain
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13510
Id prsb03-dataelement-13510 (2020‑09‑03 17:51:06)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft Organisation 0 … 1
prsb03-dataelement-10980
Id prsb03-dataelement-10980 (2019‑05‑22 17:57:10)
Cardinality 0 … 1
Description The organisation of where the referral is to be sent.
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-13511
Id prsb03-dataelement-13511 (2020‑09‑03 17:54:29)
Cardinality 0 … 1
Description The coded value for organisation
Operationalization NHS data dictionary :- Organisation data service
Value Domain
Property
min length max length
3 5
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13512
Id prsb03-dataelement-13512 (2020‑09‑03 17:55:57)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Contact details 0 … 1
prsb03-dataelement-10981
Id prsb03-dataelement-10981 (2019‑05‑22 17:57:26)
Cardinality 0 … 1
Description The contact details of where the referral is to be sent.
Operationalization Free text.
Value Domain
Property
max length
70
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
max length
70
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft 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.
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft 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.
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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.

Properties

FHIR Encounter.period
Operationalization Date and time.
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft 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.
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13514
Id prsb03-dataelement-13514 (2020‑09‑03 18:04:13)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 3 transactions, 0 templates, inherited once
 
folder draft Seen by 0 … 1
prsb03-dataelement-10077
Id prsb03-dataelement-10077 (2018‑10‑31)
Cardinality 0 … 1
Description The professional that saw the person.

Properties

FHIR Encounter.participant
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
max length
70
target Used by 3 transactions, 0 templates, inherited 0 times
 
cancelled 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 draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft 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).

Properties

FHIR Encounter.participant
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
max length
70
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
max length
3
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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

Properties

FHIR Encounter.type
Operationalization Free text
Value Domain
Property
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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

Properties

FHIR Handled as text in the transfer of care
Operationalization NHS data dictionary - Consultation medium
Value Domain
Property
max length
2
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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

Properties

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
max length
3
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Service 0 … 1
prsb03-dataelement-10074
Id prsb03-dataelement-10074 (2018‑10‑31)
Cardinality 0 … 1
Description The service that was provided.

Properties

FHIR Encounter.Appointment.servicetype
Operationalization SNOMED CT :- 1127531000000102 |Services simple reference set (foundation metadata concept)|



Value Domain
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft 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)

Properties

FHIR Encounter.participant
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
max length
70
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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.

Properties

FHIR Handled as text in the transfer of care
Operationalization
NHS data dictionary :- Attended or did not attend code
Value Domain
Property
max length
1
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft Admission details 0 … 1
prsb03-dataelement-181
Id prsb03-dataelement-181 (2018‑10‑31)
Cardinality 0 … 1
Description Admission details
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft 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.
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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.

Properties

FHIR Encounter.period
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft Admitted to 0 … 1
prsb03-dataelement-10090
Id prsb03-dataelement-10090 (2018‑10‑31)
Cardinality 0 … 1
notice There are open issues with this item:
Description The hospital the person was admitted to.
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13381
Id prsb03-dataelement-13381 (2020‑08‑10 18:03:47)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft 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)
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
max length
70
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft 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.

Properties

FHIR Encounter.reason
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13384
Id prsb03-dataelement-13384 (2020‑08‑10 18:18:25)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft 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.

Properties

FHIR Handled as text in the transfer of care
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
max length
2
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13387
Id prsb03-dataelement-13387 (2020‑08‑10 18:22:33)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Legal status on admission 0 … 1
prsb03-dataelement-10083
Id prsb03-dataelement-10083 (2018‑10‑31)
Cardinality 0 … 1
Description Whether the person was admitted as informal or formal/detained.

Properties

FHIR Encounter,Subject.Observation
Operationalization NHS data dictionary : - Mental health act legal status classification code
Value Domain
Property
max length
2
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft 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.

Properties

FHIR Encounter.hospitalisation.admitsource
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
max length fixed
2 an2
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13389
Id prsb03-dataelement-13389 (2020‑08‑10 18:27:00)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft 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.
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
max length
70
target Used by 3 transactions, 0 templates, inherited 0 times
 
cancelled 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
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft 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.
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13518
Id prsb03-dataelement-13518 (2020‑09‑04 12:31:40)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft 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
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-13390
Id prsb03-dataelement-13390 (2020‑08‑10 18:29:53)
Cardinality 0 … 1
Description The coded value for specialty
Operationalization NHS data dictionary :- Activity treatment function code
Value Domain
Property
max length
3
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13391
Id prsb03-dataelement-13391 (2020‑08‑10 18:31:31)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft Discharge details 0 … 1
prsb03-dataelement-191
Id prsb03-dataelement-191 (2018‑10‑31)
Cardinality 0 … 1
Description Discharge details
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft 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.
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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

Properties

FHIR Encounter.period
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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.

Properties

FHIR Encounter.location.name
Operationalization NHS data dictionary : - Organisation data service
Value Domain
Property
min length max length
3 5
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft 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.

Properties

FHIR Encounter.Prartitioner.PractitionerRole.identifier (local ID) Encounter.Prartitioner.PractitionerRole.code Encounter.Prartitioner.Practitioner.identifier Encounter.Prartitioner.PractitionerRole.Practitioner.name
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
max length
70
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft 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.

Properties

FHIR Handled as text in the transfer of care
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
max length
1
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13394
Id prsb03-dataelement-13394 (2020‑08‑10 18:55:25)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft 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.
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
max length
3
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13396
Id prsb03-dataelement-13396 (2020‑08‑10 18:59:31)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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.

Properties

FHIR Encounter,Subject.Observation
Operationalization NHS data dictionary : - Mental health act classification code
Value Domain
Property
max length
2
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft Discharge destination 0 … 1
prsb03-dataelement-10099
Id prsb03-dataelement-10099 (2018‑10‑31)
Cardinality 0 … 1

Properties

FHIR Encounter.hospitalisation.destination.location. Address
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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.

Properties

FHIR A code from the NHS Data Dictionary Discharge Destination
Operationalization NHS data dictionary - Discharge destination.
Value Domain
Property
max length
2
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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.

Properties

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
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft 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.
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft 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.
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft 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.
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13520
Id prsb03-dataelement-13520 (2020‑09‑04 13:25:24)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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.

Properties

FHIR Encounter.participant.individual.Practitioner.PractitionerRole.speciality (of the consultant responsible for the encounter)
Relationship
Operationalization
NHS data dictionary :- Activity treatment function code
Value Domain
Property
max length
3
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Service 0 … 1
prsb03-dataelement-10728
Id prsb03-dataelement-10728 (2019‑02‑08 16:11:32)
Cardinality 0 … 1
Description The service being provided.

Properties

FHIR Encounter.Appointment.servicetype
Relationship
Operationalization SNOMED CT: - 1127531000000102 |Services simple reference set (foundation metadata concept)|
Value Domain
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft 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.

Properties

FHIR Encounter.participant
Relationship
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
max length
70
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft Vaccinations 0 … 1
prsb03-dataelement-10685
Id prsb03-dataelement-10685 (2018‑12‑04 11:33:10)
Cardinality 0 … 1
Description Details of vaccinations.
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft 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.

target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Date 0 … 1
prsb03-dataelement-10695
Id prsb03-dataelement-10695 (2018‑12‑04 11:38:40)
Cardinality 0 … 1
Description The date on which the vaccination was administered or the reported/partial date on which it was reported.
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft Location 0 … 1
prsb03-dataelement-10759
Id prsb03-dataelement-10759 (2019‑03‑08 17:50:00)
Cardinality 0 … 1
Description The location where the vaccine was administered.
Relationship
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-13577
Id prsb03-dataelement-13577 (2020‑09‑07 17:08:23)
Cardinality 0 … 1
Description The coded value for location
Operationalization NHS data dictionary: - Organisation data service
Value Domain
Property
min length max length
3 5
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13578
Id prsb03-dataelement-13578 (2020‑09‑07 17:09:39)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft 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.
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13238
Id prsb03-dataelement-13238 (2020‑07‑21 16:45:32)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft Manufacturer 0 … 1
prsb03-dataelement-10698
Id prsb03-dataelement-10698 (2018‑12‑04 15:11:19)
Cardinality 0 … 1
Description Name of vaccine manufacturer.
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13240
Id prsb03-dataelement-13240 (2020‑07‑21 17:15:48)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft 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.
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
max length
150
target Used by 3 transactions, 0 templates, inherited 114 times
 
folder draft 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.
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-13222
Id prsb03-dataelement-13222 (2020‑07‑08 17:37:37)
Cardinality 0 … 1
Description The coded value for body site
Operationalization SNOMED CT : - ^ 1127941000000100 |Vaccine body site of administration simple reference set (foundation metadata concept)|
Value Domain
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13223
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
max length
150
target Used by 3 transactions, 0 templates, inherited 17 times
 
folder draft 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.
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-13224
Id prsb03-dataelement-13224 (2020‑07‑08 18:23:10)
Cardinality 0 … 1
Description The coded value for vaccination route
Operationalization SNOMED CT: - ^999000051000001100 |ePrescribing route of administration simple reference set (foundation metadata concept)|
Value Domain
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13225
Id prsb03-dataelement-13225 (2020‑07‑08 18:25:39)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13223 (2020‑07‑08 17:40:09)
Description Free text field to be used if no coded text available
Value Domain
Property
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft 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.
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13227
Id prsb03-dataelement-13227 (2020‑07‑14 17:08:12)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft 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.
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft 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
max length
150
target Used by 2 transactions, 0 templates, inherited once
 
draft 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
max include
1
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft 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
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
fixed
3
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft 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
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Reported 0 … 1
prsb03-dataelement-13849
Id prsb03-dataelement-13849 (2021‑01‑05 12:59:10)
Cardinality 0 … 1
Description A flag to indicate the information was reported to a professional
Operationalization Flag: - Yes or No
Value Domain
Property
default
3
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft 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
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft 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.
target Used by 3 transactions, 0 templates, inherited once
 
folder draft 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.
target Used by 3 transactions, 0 templates, inherited once
 
draft Date 0 … 1
prsb03-dataelement-10929
Id prsb03-dataelement-10929 (2019‑04‑30 17:04:55)
Cardinality 0 … 1
Description The date the problem was identified.
Relationship
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by 2 transactions, 0 templates, inherited once
 
folder draft Location 0 … 1
prsb03-dataelement-10931
Id prsb03-dataelement-10931 (2019‑04‑30 17:07:45)
Cardinality 0 … 1
Description The location the problem was identified.
Relationship
target Used by 2 transactions, 0 templates, inherited once
 
draft Coded value 0 … 1
prsb03-dataelement-13242
Id prsb03-dataelement-13242 (2020‑07‑27 18:27:08)
Cardinality 0 … 1
Description The coded value for location.
Operationalization NHS data dictionary : - Organisation data service code
Value Domain
Property
min length max length
3 5
target Used by 2 transactions, 0 templates, inherited 4 times
 
draft Free text 0 … 1
prsb03-dataelement-13243
Id prsb03-dataelement-13243 (2020‑07‑27 18:31:13)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 2 transactions, 0 templates, inherited 4 times
 
folder draft 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
target Used by 3 transactions, 0 templates, inherited 3 times
 
draft Coded value 0 … 1
prsb03-dataelement-13244
Id prsb03-dataelement-13244 (2020‑07‑27 18:43:32)
Cardinality 0 … 1
Description The coded value for the problem list.
Operationalization SNOMED CT : - ^1127581000000103 |Health issues simple reference set|
Value Domain
target Used by 3 transactions, 0 templates, inherited 2 times
 
draft Free text 0 … 1
prsb03-dataelement-13245
Id prsb03-dataelement-13245 (2020‑07‑27 18:46:30)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 3 transactions, 0 templates, inherited 2 times
 
draft 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
target Used by 3 transactions, 0 templates, inherited once
 
draft 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
target Used by 3 transactions, 0 templates, inherited once
 
draft 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
max length
150
target Used by 3 transactions, 0 templates, inherited once
 
draft 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
max length
150
target Used by 3 transactions, 0 templates, inherited once
 
folder draft Procedures and therapies 0 … 1
prsb03-dataelement-238
Id prsb03-dataelement-238 (2018‑10‑31)
Cardinality 0 … 1
Description The details of any procedures performed. Includes both psychological and medical therapies and procedures (e.g. cognitive behaviour therapy, hip replacement)
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft Procedure record entry 0 … *
prsb03-dataelement-10652
Id prsb03-dataelement-10652 (2018‑11‑13 12:02:22)
Cardinality 0 … *
Description This is a procedure record entry. There may be 0 to many record entries under a section. Each record entry is made up of a number of elements or data items.
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Date 0 … 1
prsb03-dataelement-10138
Id prsb03-dataelement-10138 (2018‑10‑31)
Cardinality 0 … 1
Description The date the procedure was performed.
Operationalization Date and time.
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft Location 0 … 1
prsb03-dataelement-13246
Id prsb03-dataelement-13246 (2020‑07‑27 19:13:27)
Cardinality 0 … 1
Description The location where the procedure was undertaken.
Relationship
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-13247
Id prsb03-dataelement-13247 (2020‑07‑27 19:14:31)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13242 (2020‑07‑27 18:27:08)
Description The coded value for location.
Operationalization NHS data dictionary : - Organisation data service code
Value Domain
Property
min length max length
3 5
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13248
Id prsb03-dataelement-13248 (2020‑07‑27 19:14:31)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13243 (2020‑07‑27 18:31:13)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft Procedure 1 … 1 Mandatory
prsb03-dataelement-10141
Id prsb03-dataelement-10141 (2018‑10‑31)
Cardinality 1 … 1 Mandatory
Description The therapeutic or diagnostic procedure performed. Includes both psychological and medical therapies and procedures (e.g. cognitive behaviour therapy, or follow-up interventions as a result of physical health checks). Complementary or alternative procedures and therapies should be recorded here.

Properties

FHIR Procedure.code
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-13249
Id prsb03-dataelement-13249 (2020‑07‑27 19:35:09)
Cardinality 0 … 1
Description The procedure code.
Operationalization SNOMED CT : - << 71388002 |Procedure| OR << 129125009 |Procedure with explicit context|
Value Domain
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13250
Id prsb03-dataelement-13250 (2020‑07‑27 19:40:38)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft Anatomical site 0 … 1
prsb03-dataelement-10142
Id prsb03-dataelement-10142 (2018‑10‑31)
Cardinality 0 … 1
Description The body site of the procedure

Properties

FHIR Procedure.bodySite
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13252
Id prsb03-dataelement-13252 (2020‑07‑27 19:48:24)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft Laterality 0 … 1
prsb03-dataelement-10143
Id prsb03-dataelement-10143 (2018‑10‑31)
Cardinality 0 … 1
Description Laterality of the procedure

Properties

FHIR ??Procedure.Code as an EXPRESSION Procedure.bodySite
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13254
Id prsb03-dataelement-13254 (2020‑07‑27 19:52:35)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft 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.

Properties

FHIR Procedure.complication Procedure.complicationDetail
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13256
Id prsb03-dataelement-13256 (2020‑07‑27 19:58:17)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft 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.

Properties

FHIR Procedure. Procedure.AnestheticIssues
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13258
Id prsb03-dataelement-13258 (2020‑07‑27 20:01:36)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Comment 0 … 1
prsb03-dataelement-10146
Id prsb03-dataelement-10146 (2018‑10‑31)
Cardinality 0 … 1
Description Any further textual comment to clarify such as statement that information is partial or incomplete. Also indicate the outcome of the procedure.

Properties

FHIR Procedure.note
Operationalization Free text
Value Domain
Property
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft 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.
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft 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.
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Date 0 … 1
prsb03-dataelement-11770
Id prsb03-dataelement-11770 (2019‑05‑31 14:13:42)
Cardinality 0 … 1
Description The date when the household composition was taken.
Relationship
Operationalization Date and time.
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft Location 0 … 1
prsb03-dataelement-13271
Id prsb03-dataelement-13271 (2020‑07‑28 14:07:57)
Cardinality 0 … 1
Description The location where the household composition was taken.
Relationship
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-13272
Id prsb03-dataelement-13272 (2020‑07‑28 14:09:11)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13242 (2020‑07‑27 18:27:08)
Description The coded value for location.
Operationalization NHS data dictionary : - Organisation data service code
Value Domain
Property
min length max length
3 5
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13273
Id prsb03-dataelement-13273 (2020‑07‑28 14:09:11)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13243 (2020‑07‑27 18:31:13)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft 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.
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13263
Id prsb03-dataelement-13263 (2020‑07‑28 12:20:28)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft 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.

Properties

FHIR Observation.category Observation.code Observation.valueCodeabelConcept Observation.subject
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Date 0 … 1
prsb03-dataelement-11772
Id prsb03-dataelement-11772 (2019‑05‑31 14:15:12)
Cardinality 0 … 1
Description The date when the occupational history was taken.
Relationship
Operationalization Date and time.
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft Location 0 … 1
prsb03-dataelement-11773
Id prsb03-dataelement-11773 (2019‑05‑31 14:15:38)
Cardinality 0 … 1
Description The location where the occupational history was taken.
Relationship
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-13274
Id prsb03-dataelement-13274 (2020‑07‑30 14:41:27)
Cardinality 0 … 1
Description The coded value for the location.
Operationalization NHS Data dictionary : - Organisation data service code
Value Domain
Property
min length max length
3 5
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13275
Id prsb03-dataelement-13275 (2020‑07‑30 14:44:58)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft 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.
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
target Used by 3 transactions, 0 templates, inherited once
 
draft Free text 0 … 1
prsb03-dataelement-13266
Id prsb03-dataelement-13266 (2020‑07‑28 12:29:14)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft 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.
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Date 0 … 1
prsb03-dataelement-11774
Id prsb03-dataelement-11774 (2019‑05‑31 14:16:22)
Cardinality 0 … 1
Description The date when the educational history was taken.
Relationship
Operationalization Date and time.
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft Location 0 … 1
prsb03-dataelement-11775
Id prsb03-dataelement-11775 (2019‑05‑31 14:16:57)
Cardinality 0 … 1
Description The location where the education history was taken.
Relationship
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-13276
Id prsb03-dataelement-13276 (2020‑07‑30 14:53:55)
Cardinality 0 … 1
Description The coded value for location.
Operationalization NHS Data dictionary : - Organisation data service code
Value Domain
Property
min length max length
3 5
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13277
Id prsb03-dataelement-13277 (2020‑07‑30 14:55:09)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Educational history 0 … 1
prsb03-dataelement-13840
Id prsb03-dataelement-13840 (2020‑12‑29 11:11:55)
Cardinality 0 … 1
Description The current and/or previous relevant educational history of the person.
Operationalization Free text
Value Domain
Property
max length
150
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft 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

Properties

FHIR Text only
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Date 0 … 1
prsb03-dataelement-11784
Id prsb03-dataelement-11784 (2019‑05‑31 14:18:12)
Cardinality 0 … 1
Description The date when the lifestyle choices were taken.
Relationship
Operationalization Date and time.
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft Location 0 … 1
prsb03-dataelement-11785
Id prsb03-dataelement-11785 (2019‑05‑31 14:18:40)
Cardinality 0 … 1
Description The location where the lifestyle choices were taken.
Relationship
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-13278
Id prsb03-dataelement-13278 (2020‑07‑30 14:58:15)
Cardinality 0 … 1
Description The coded value for location.
Operationalization NHS Data dictionary : - Organisation data service code
Value Domain
Property
min length max length
3 5
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13279
Id prsb03-dataelement-13279 (2020‑07‑30 14:59:21)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Lifestyle choices 0 … 1
prsb03-dataelement-13841
Id prsb03-dataelement-13841 (2020‑12‑29 11:26:28)
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
Value Domain
Property
max length
150
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft 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.

Properties

FHIR Observation.category Observation.code Observation.valueCodeabelConcept Observation.subject
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Date 0 … 1
prsb03-dataelement-11794
Id prsb03-dataelement-11794 (2019‑05‑31 14:20:05)
Cardinality 0 … 1
Description The date when the smoking status was taken.
Relationship
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft Location 0 … 1
prsb03-dataelement-11795
Id prsb03-dataelement-11795 (2019‑05‑31 14:20:40)
Cardinality 0 … 1
Description The location where the smoking status was taken.
Relationship
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-13281
Id prsb03-dataelement-13281 (2020‑07‑30 15:03:12)
Cardinality 0 … 1
Description The coded value for location
Operationalization NHS data dictionary : - Organisation data service code
Value Domain
Property
min length max length
3 5
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13282
Id prsb03-dataelement-13282 (2020‑07‑30 15:04:27)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft 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.
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-13284
Id prsb03-dataelement-13284 (2020‑07‑30 17:14:44)
Cardinality 0 … 1
Description The smoking status of the person.
Operationalization SNOMED CT:- ^999000891000000102 |Smoking simple reference set (foundation metadata concept)|
Value Domain
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13285
Id prsb03-dataelement-13285 (2020‑07‑30 17:16:04)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft 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)
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft 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

Properties

FHIR Composition.text
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Date 0 … 1
prsb03-dataelement-11804
Id prsb03-dataelement-11804 (2019‑05‑31 14:23:05)
Cardinality 0 … 1
Description The date when the alcohol intake was noted.
Relationship
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft Location 0 … 1
prsb03-dataelement-11805
Id prsb03-dataelement-11805 (2019‑05‑31 14:23:38)
Cardinality 0 … 1
Description The location where the alcohol intake was noted.
Relationship
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-13332
Id prsb03-dataelement-13332 (2020‑08‑06 16:26:51)
Cardinality 0 … 1
Description The coded value for location.
Operationalization NHS Data dictionary : - Organisation data service code
Value Domain
Property
min length max length
3 5
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13333
Id prsb03-dataelement-13333 (2020‑08‑06 16:30:11)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft 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.
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13292
Id prsb03-dataelement-13292 (2020‑07‑31 17:11:04)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft 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.
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Date 0 … 1
prsb03-dataelement-11814
Id prsb03-dataelement-11814 (2019‑05‑31 14:24:49)
Cardinality 0 … 1
Description The date when the drug/substance use was noted.
Relationship
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft Location 0 … 1
prsb03-dataelement-11815
Id prsb03-dataelement-11815 (2019‑05‑31 14:25:16)
Cardinality 0 … 1
Description The location where the drug/substance use was noted.
Relationship
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-13334
Id prsb03-dataelement-13334 (2020‑08‑06 16:31:42)
Cardinality 0 … 1
Description The coded value for location.
Operationalization NHS Data dictionary : - Organisation data service code
Value Domain
Property
min length max length
3 5
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13335
Id prsb03-dataelement-13335 (2020‑08‑06 16:33:14)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft 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.
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13338
Id prsb03-dataelement-13338 (2020‑08‑06 16:45:44)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft Social circumstances 0 … 1
prsb03-dataelement-10043
Id prsb03-dataelement-10043 (2018‑10‑31)
Cardinality 0 … 1
Description Details of the persons social circumstances
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Date 0 … 1
prsb03-dataelement-11824
Id prsb03-dataelement-11824 (2019‑05‑31 14:26:31)
Cardinality 0 … 1
Description The date when the social circumstances were taken.
Relationship
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft Location 0 … 1
prsb03-dataelement-11825
Id prsb03-dataelement-11825 (2019‑05‑31 14:27:00)
Cardinality 0 … 1
Description The location where the social circumstances were taken.
Relationship
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-13339
Id prsb03-dataelement-13339 (2020‑08‑06 16:47:55)
Cardinality 0 … 1
Description The coded value for the location
Value Domain
Property
min length max length
3 5
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13340
Id prsb03-dataelement-13340 (2020‑08‑06 16:49:24)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft 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
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft Access 0 … 1
prsb03-dataelement-10045
Id prsb03-dataelement-10045 (2018‑10‑31)
Cardinality 0 … 1
Description Details of access for the person.
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Date 0 … 1
prsb03-dataelement-11844
Id prsb03-dataelement-11844 (2019‑05‑31 14:30:01)
Cardinality 0 … 1
Description The date when the special access requirements were taken.
Relationship
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft Location 0 … 1
prsb03-dataelement-11845
Id prsb03-dataelement-11845 (2019‑05‑31 14:30:30)
Cardinality 0 … 1
Description The location where the special access requirements were taken.
Relationship
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-13343
Id prsb03-dataelement-13343 (2020‑08‑06 17:01:07)
Cardinality 0 … 1
Description The coded value for location
Operationalization NHS Data dictionary : - Organisation data service code
Value Domain
Property
min length max length
3 5
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13344
Id prsb03-dataelement-13344 (2020‑08‑06 17:01:46)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13223 (2020‑07‑08 17:40:09)
Description Free text field to be used if no coded text available
Value Domain
Property
max length
150
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft 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
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft 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.
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Date 0 … 1
prsb03-dataelement-11854
Id prsb03-dataelement-11854 (2019‑05‑31 14:31:40)
Cardinality 0 … 1
Description The date when the dependents details were taken.
Relationship
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft Location 0 … 1
prsb03-dataelement-11855
Id prsb03-dataelement-11855 (2019‑05‑31 14:32:07)
Cardinality 0 … 1
Description The location where the dependents details were taken.
Relationship
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-13346
Id prsb03-dataelement-13346 (2020‑08‑06 17:07:12)
Cardinality 0 … 1
Description The coded value for location
Operationalization NHS Data dictionary : - Organisation data service code
Value Domain
Property
min length max length
3 5
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13347
Id prsb03-dataelement-13347 (2020‑08‑06 17:08:03)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft 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
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft 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.
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Date 0 … 1
prsb03-dataelement-11864
Id prsb03-dataelement-11864 (2019‑05‑31 14:33:22)
Cardinality 0 … 1
Description The date when the accommodation status was taken.
Relationship
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft Location 0 … 1
prsb03-dataelement-11865
Id prsb03-dataelement-11865 (2019‑05‑31 14:33:51)
Cardinality 0 … 1
Description The location where the accommodation was taken.
Relationship
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-13352
Id prsb03-dataelement-13352 (2020‑08‑06 17:23:01)
Cardinality 0 … 1
Description The coded value of location
Operationalization NHS Data dictionary : - Organisation data service code
Value Domain
Property
min length max length
3 5
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13353
Id prsb03-dataelement-13353 (2020‑08‑06 17:23:48)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft 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.
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
max length
4
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13350
Id prsb03-dataelement-13350 (2020‑08‑06 17:16:53)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft 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.
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Date 0 … 1
prsb03-dataelement-11883
Id prsb03-dataelement-11883 (2019‑05‑31 14:36:04)
Cardinality 0 … 1
Description The date when the household environment details were taken.
Relationship
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft Location 0 … 1
prsb03-dataelement-11884
Id prsb03-dataelement-11884 (2019‑05‑31 14:36:30)
Cardinality 0 … 1
Description The location where the household environment details were taken.
Relationship
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-13351
Id prsb03-dataelement-13351 (2020‑08‑06 17:19:22)
Cardinality 0 … 1
Description The coded value for location
Operationalization NHS Data dictionary : - Organisation data service code
Value Domain
Property
min length max length
3 5
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13354
Id prsb03-dataelement-13354 (2020‑08‑06 17:25:31)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Household environment 0 … 1
prsb03-dataelement-13842
Id prsb03-dataelement-13842 (2020‑12‑29 12:11:12)
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
Value Domain
Property
min length max length
3 5
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft Services and care 0 … 1
prsb03-dataelement-10044
Id prsb03-dataelement-10044 (2018‑10‑31)
Cardinality 0 … 1
Description The services and care provided for the person.
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft Services and care record entry 0 … *
prsb03-dataelement-12421
Id prsb03-dataelement-12421 (2019‑06‑11 16:55:24)
Cardinality 0 … *
Description This is a services and care record entry. There may be 0 to many record entries under a section. Each record entry is made up of a number of elements or data items.
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Social care package name 0 … 1
prsb03-dataelement-12965
Id prsb03-dataelement-12965 (2020‑04‑03 17:21:47)
Cardinality 0 … 1
Description Name of specific type of package being provided (e.g. Reablement, Home Based Care XYZ, etc)
Operationalization Free text
Value Domain
Property
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Social care package type 0 … 1
prsb03-dataelement-12966
Id prsb03-dataelement-12966 (2020‑04‑03 17:25:36)
Cardinality 0 … 1
Description Higher level categorisation of package type, e.g. Adults Home Support
Operationalization Free text
Value Domain
Property
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Service start date 0 … 1
prsb03-dataelement-11834
Id prsb03-dataelement-11834 (2019‑05‑31 14:28:13)
Cardinality 0 … 1
Description The date service started to be provided.
Relationship
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Service end date 0 … 1
prsb03-dataelement-12420
Id prsb03-dataelement-12420 (2019‑06‑07 19:30:52)
Cardinality 0 … 1
Description The date the service is planned to be ended or the actual end date.
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft Local authority 0 … 1
prsb03-dataelement-11835
Id prsb03-dataelement-11835 (2019‑05‑31 14:28:42)
Cardinality 0 … 1
Description The name of the local authority providing the care package.
Relationship
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-13566
Id prsb03-dataelement-13566 (2020‑09‑04 18:45:25)
Cardinality 0 … 1
Description The coded value for local authority
Operationalization NHS data dictionary: - Organisation data service
Value Domain
Property
min length max length
3 5
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13567
Id prsb03-dataelement-13567 (2020‑09‑04 18:46:37)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft Care funding source 0 … 1
prsb03-dataelement-13067
Id prsb03-dataelement-13067 (2020‑05‑21 13:41:46)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-10410 (2018‑10‑31)
Description A reference to the funding source and any conditions or limitations associated.
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft Primary support reason 0 … 1
prsb03-dataelement-12974
Id prsb03-dataelement-12974 (2020‑04‑06 20:09:53)
Cardinality 0 … 1
Description The primary support reason for social care.
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft Primary support reason record entry 0 … *
prsb03-dataelement-12975
Id prsb03-dataelement-12975 (2020‑04‑06 20:14:11)
Cardinality 0 … *
Description This is a primary support reason record entry. There may be 0 to many record entries under a section. Each record entry is made up of a number of elements or data items.
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Primary support reason 0 … 1
prsb03-dataelement-12976
Id prsb03-dataelement-12976 (2020‑04‑06 20:15:36)
Cardinality 0 … 1
Description The Primary Support Reason used to classify a person for National Reporting on Short and Long Term Services (SALT) e.g. Learning disability support, mental health support, physical support
Operationalization Free text
Value Domain
Property
max length
150
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Active 0 … 1
prsb03-dataelement-13305
Id prsb03-dataelement-13305 (2020‑08‑06 13:21:08)
Cardinality 0 … 1
Description Flag to indicate whether the primary support reason is currently active
Operationalization Flag: - Yes or No
Value Domain
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Start date 0 … 1
prsb03-dataelement-13306
Id prsb03-dataelement-13306 (2020‑08‑06 13:22:22)
Cardinality 0 … 1
Description The date a primary support reason was authorised as active.
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft End date 0 … 1
prsb03-dataelement-13307
Id prsb03-dataelement-13307 (2020‑08‑06 13:22:57)
Cardinality 0 … 1
Description The end date of authorisation.
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft Family history 0 … 1
prsb03-dataelement-251
Id prsb03-dataelement-251 (2018‑10‑31)
Cardinality 0 … 1
Description Family history
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft Family history record entry 0 … 1
prsb03-dataelement-10653
Id prsb03-dataelement-10653 (2018‑11‑13 12:07:47)
Cardinality 0 … 1
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.
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Date 0 … 1
prsb03-dataelement-10153
Id prsb03-dataelement-10153 (2018‑10‑31)
Cardinality 0 … 1
Description The date the family history was taken.
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft Location 0 … 1
prsb03-dataelement-10851
Id prsb03-dataelement-10851 (2019‑03‑27 17:17:04)
Cardinality 0 … 1
Description The location where the family history was taken.
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-13682
Id prsb03-dataelement-13682 (2020‑09‑09 12:51:27)
Cardinality 0 … 1
Description The coded value for location
Operationalization NHS data dictionary : - Organisation data service
Value Domain
Property
min length max length
3 5
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13683
Id prsb03-dataelement-13683 (2020‑09‑09 12:52:38)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft 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.
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13677
Id prsb03-dataelement-13677 (2020‑09‑09 12:29:29)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft 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.
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13679
Id prsb03-dataelement-13679 (2020‑09‑09 12:38:35)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13223 (2020‑07‑08 17:40:09)
Description Free text field to be used if no coded text available
Value Domain
Property
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder cancelled 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.
target Used by 2 transactions, 0 templates, inherited 0 times
 
cancelled 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
target Used by 2 transactions, 0 templates, inherited 0 times
 
cancelled 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 draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft 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
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft Investigation results 0 … 1
prsb03-dataelement-257
Id prsb03-dataelement-257 (2018‑10‑31)
Cardinality 0 … 1
Description Investigation results
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft 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.
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Date 0 … 1
prsb03-dataelement-10157
Id prsb03-dataelement-10157 (2018‑10‑31)
Cardinality 0 … 1
Description The date and time when the investigation was performed
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft Location 0 … 1
prsb03-dataelement-10159
Id prsb03-dataelement-10159 (2018‑10‑31)
Cardinality 0 … 1
Description The location where the investigation took place.
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Coded location 0 … 1
prsb03-dataelement-13725
Id prsb03-dataelement-13725 (2020‑09‑16 12:46:40)
Cardinality 0 … 1
Description The coded value for location
Operationalization NHS data dictionary : Organisation data service
Value Domain
Property
min length max length
3 5
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13726
Id prsb03-dataelement-13726 (2020‑09‑16 13:10:32)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft Investigation 1 … 1 Mandatory
prsb03-dataelement-10160
Id prsb03-dataelement-10160 (2018‑10‑31)
Cardinality 1 … 1 Mandatory
Description The investigation performed.
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13526
Id prsb03-dataelement-13526 (2020‑09‑04 14:22:43)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft 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.
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13528
Id prsb03-dataelement-13528 (2020‑09‑04 14:29:50)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft 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.
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
max length
10
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
max length
10
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft 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
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft 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.
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Date 0 … 1
prsb03-dataelement-10732
Id prsb03-dataelement-10732 (2019‑02‑08 16:21:40)
Cardinality 0 … 1
Description The date the investigation was requested.
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft Location 0 … 1
prsb03-dataelement-10736
Id prsb03-dataelement-10736 (2019‑02‑08 16:24:49)
Cardinality 0 … 1
Description The location where the investigation was requested.
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft 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)
target Used by 3 transactions, 0 templates, inherited once
 
draft 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
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13530
Id prsb03-dataelement-13530 (2020‑09‑04 15:14:59)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
max length
16
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
max length
10
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft Examination findings 0 … 1
prsb03-dataelement-557
Id prsb03-dataelement-557 (2018‑10‑31)
Cardinality 0 … 1
Description Examination findings
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft 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.
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Date 0 … 1
prsb03-dataelement-10462
Id prsb03-dataelement-10462 (2018‑10‑31)
Cardinality 0 … 1
Description The date the examination was performed.
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft Location 0 … 1
prsb03-dataelement-10461
Id prsb03-dataelement-10461 (2018‑10‑31)
Cardinality 0 … 1
Description The location where the examination was performed.
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-13445
Id prsb03-dataelement-13445 (2020‑08‑27 15:31:49)
Cardinality 0 … 1
Description The coded value for location
Operationalization NHS data dictionary : - Organisation data service
Value Domain
Property
min length max length
3 5
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13446
Id prsb03-dataelement-13446 (2020‑08‑27 15:32:44)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft 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.
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13444
Id prsb03-dataelement-13444 (2020‑08‑27 15:18:28)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13223 (2020‑07‑08 17:40:09)
Description Free text field to be used if no coded text available
Value Domain
Property
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft 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.
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft Observations record entry 0 … *
prsb03-dataelement-13866
Id prsb03-dataelement-13866 (2021‑01‑27 18:14:05)
Cardinality 0 … *
Description This is an observations record entry. There may be 0 to many record entry/entries under a section. Each record entry is made up of a number of elements or data items.
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-13447
Id prsb03-dataelement-13447 (2020‑08‑27 16:08:42)
Cardinality 0 … 1
Description The coded value for observations
Operationalization SNOMED CT: - <363787002 | Observable entity (observable entity) |

Value Domain
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Value 0 … 1
prsb03-dataelement-13832
Id prsb03-dataelement-13832 (2020‑12‑23 15:22:16)
Cardinality 0 … 1
Description The measured value of the observations
Operationalization Enumerated value e.g. numeric, natural numbers, mild, moderate
Value Domain
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Units of measure 0 … 1
prsb03-dataelement-13833
Id prsb03-dataelement-13833 (2020‑12‑23 15:23:47)
Cardinality 0 … 1
Description The units of measure for the observation.
Relationship
Operationalization UCUM code
Value Domain
Property
max length
10
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Site 0 … 1
prsb03-dataelement-13848
Id prsb03-dataelement-13848 (2020‑12‑30 12:15:58)
Cardinality 0 … 1
Description The anatomical site at which the observation is taken
Operationalization SNOMED CT: - 442083009 | Anatomical or acquired body structure (body structure) |
Value Domain
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Interpretation 0 … 1
prsb03-dataelement-13843
Id prsb03-dataelement-13843 (2020‑12‑29 15:04:11)
Cardinality 0 … 1
Description The assessment made based on the result of the observation e.g high, low
Operationalization FHIR value set: - Interpretation
Value Domain
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13448
Id prsb03-dataelement-13448 (2020‑08‑27 16:09:58)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft 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.
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Date 0 … 1
prsb03-dataelement-10812
Id prsb03-dataelement-10812 (2019‑03‑20 18:44:37)
Cardinality 0 … 1
Description The date the observation was recorded
Relationship
hl7ips-dataelement-211 - 2017‑12‑31 12:55:02
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft Location 0 … 1
prsb03-dataelement-10855
Id prsb03-dataelement-10855 (2019‑03‑27 17:27:01)
Cardinality 0 … 1
Description The location where the pregnancy state details were recorded.
Relationship
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-13531
Id prsb03-dataelement-13531 (2020‑09‑04 16:13:24)
Cardinality 0 … 1
Description The coded value for location.
Operationalization NHS data dictionary: - Organisation data service
Value Domain
Property
min length max length
3 5
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13532
Id prsb03-dataelement-13532 (2020‑09‑04 16:14:54)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft 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
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft Assessments 0 … 1
prsb03-dataelement-262
Id prsb03-dataelement-262 (2018‑10‑31)
Cardinality 0 … 1
Description Details of the person's assessments
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft Assessments record entry 0 … *
prsb03-dataelement-11664
Id prsb03-dataelement-11664 (2019‑05‑30 19:29:51)
Cardinality 0 … *
Description This is the assessments record entry. There may be 0 to many record entry/entries under a section. Each record entry is made up of a number of elements or data items.
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Date 0 … 1
prsb03-dataelement-10763
Id prsb03-dataelement-10763 (2019‑03‑18 13:51:22)
Cardinality 0 … 1
Description The date the assessment was done.
Relationship
Operationalization Date and time.
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft Location 0 … 1
prsb03-dataelement-10764
Id prsb03-dataelement-10764 (2019‑03‑18 13:51:59)
Cardinality 0 … 1
Description The location where the assessment was done.
Relationship
Operationalization ODS code or free text.
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-13570
Id prsb03-dataelement-13570 (2020‑09‑07 15:40:22)
Cardinality 0 … 1
Description The coded value for location
Operationalization NHS data dictionary: - Organisation data service
Value Domain
Property
min length max length
3 5
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13571
Id prsb03-dataelement-13571 (2020‑09‑07 15:41:51)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Assessment type 0 … 1
prsb03-dataelement-10822
Id prsb03-dataelement-10822 (2019‑03‑21 12:55:22)
Cardinality 0 … 1
Description The type of the assessment e.g. social care needs assessment.
Operationalization Free text
Value Domain
Property
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Assessment summary 0 … 1
prsb03-dataelement-10754
Id prsb03-dataelement-10754 (2019‑03‑07 18:21:12)
Cardinality 0 … 1
Description The summary of the assessment
Operationalization Free text
Value Domain
Property
max length
250
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft Structured assessment 0 … 1
prsb03-dataelement-10655
Id prsb03-dataelement-10655 (2018‑11‑13 12:15:56)
Cardinality 0 … 1
Description Details of the structured assessment.
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Structured assessment name 0 … 1
prsb03-dataelement-11751
Id prsb03-dataelement-11751 (2019‑05‑31 13:52:26)
Cardinality 0 … 1
Description Structured assessment name e.g. New York Heart Failure, Glasgow Coma scale, Activities of Daily Living (ADL) etc.
Operationalization SNOMED CT
Value Domain
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Assessment score 0 … 1
prsb03-dataelement-10162
Id prsb03-dataelement-10162 (2018‑10‑31)
Cardinality 0 … 1
Description The structured assessment score.
Operationalization Free text.
Value Domain
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Assessment value 0 … 1
prsb03-dataelement-10163
Id prsb03-dataelement-10163 (2018‑10‑31)
Cardinality 0 … 1
Description The structured assessment value.
Operationalization Numeric
Value Domain
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Comment 0 … 1
prsb03-dataelement-10164
Id prsb03-dataelement-10164 (2018‑10‑31)
Cardinality 0 … 1
Description Supporting text may be given regarding the assessment.
Operationalization Free text
Value Domain
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft Formulation 0 … 1
prsb03-dataelement-11666
Id prsb03-dataelement-11666 (2019‑05‑30 20:43:07)
Cardinality 0 … 1
Description Details of the person's formulation.
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft 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.
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Date 0 … 1
prsb03-dataelement-11669
Id prsb03-dataelement-11669 (2019‑05‑30 20:47:42)
Cardinality 0 … 1
Description The date the formulation was made.
Operationalization Date and time.
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft Location 0 … 1
prsb03-dataelement-11670
Id prsb03-dataelement-11670 (2019‑05‑30 20:48:26)
Cardinality 0 … 1
Description The location where the formulation was made.
Operationalization NHS data dictionary: - Organisation data service
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-13572
Id prsb03-dataelement-13572 (2020‑09‑07 15:43:58)
Cardinality 0 … 1
Description The coded value for location
Operationalization NHS data dictionary: - Organisation data service
Value Domain
Property
min length max length
3 5
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13573
Id prsb03-dataelement-13573 (2020‑09‑07 15:44:39)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Formulation 1 … 1 Mandatory
prsb03-dataelement-11668
Id prsb03-dataelement-11668 (2019‑05‑30 20:46:15)
Cardinality 1 … 1 Mandatory
Concept inherits from draft prsb03-dataelement-10148 (2018‑10‑31)
Description An account, shared by a therapist and person, of the personal meaning and origins of a person’s difficulties. This is viewed in the context of multiple factors including relationships, social circumstances and life events and will indicate the most helpful way forward.
Operationalization Free text
Value Domain
Property
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft 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.
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft Risks to self 0 … *
prsb03-dataelement-10176
Id prsb03-dataelement-10176 (2018‑10‑31)
Cardinality 0 … *
Description Details of the persons risk to self

Properties

FHIR Composition.text
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Start date of risk 0 … 1
prsb03-dataelement-11893
Id prsb03-dataelement-11893 (2019‑05‑31 14:50:40)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-10179 (2018‑10‑31)
Description The start date of the risk.
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by one transaction, 0 templates, inherited once
 
draft End date of risk 0 … 1
prsb03-dataelement-11894
Id prsb03-dataelement-11894 (2019‑05‑31 14:51:05)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-10801 (2019‑03‑20 14:20:23)
Description The date the risk ended.
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by one transaction, 0 templates, inherited once
 
draft 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
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft Location 0 … 1
prsb03-dataelement-11895
Id prsb03-dataelement-11895 (2019‑05‑31 14:51:50)
Cardinality 0 … 1
Description The location where the risk was identified.
Relationship
target Used by one transaction, 0 templates, inherited once
 
draft Coded value 0 … 1
prsb03-dataelement-13586
Id prsb03-dataelement-13586 (2020‑09‑08 12:08:47)
Cardinality 0 … 1
Description The coded value for location
Operationalization NHS data dictionary : - Organisation service code
Value Domain
Property
min length max length
3 5
target Used by one transaction, 0 templates, inherited once
 
draft Free text 0 … 1
prsb03-dataelement-13587
Id prsb03-dataelement-13587 (2020‑09‑08 12:09:57)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by one transaction, 0 templates, inherited once
 
folder draft 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

Properties

FHIR Composition.text
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Start date of risk 0 … 1
prsb03-dataelement-11913
Id prsb03-dataelement-11913 (2019‑05‑31 14:54:14)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-10179 (2018‑10‑31)
Description The start date of the risk.
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by one transaction, 0 templates, inherited 0 times
 
draft End date of risk 0 … 1
prsb03-dataelement-11914
Id prsb03-dataelement-11914 (2019‑05‑31 14:54:38)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-10801 (2019‑03‑20 14:20:23)
Description The date the risk ended.
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by one transaction, 0 templates, inherited 0 times
 
draft 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
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft Location 0 … 1
prsb03-dataelement-11915
Id prsb03-dataelement-11915 (2019‑05‑31 14:55:04)
Cardinality 0 … 1
Description The location where the risk to others was identified.
Relationship
target Used by one transaction, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-13588
Id prsb03-dataelement-13588 (2020‑09‑08 12:15:45)
Cardinality 0 … 1
Description The coded value for location
Operationalization NHS data dictionary : - Organisation data service
Value Domain
Property
min length max length
3 5
target Used by one transaction, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13589
Id prsb03-dataelement-13589 (2020‑09‑08 12:17:17)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft 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.

Properties

FHIR Composition.text
Operationalization Free Text.
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Start date of risk 0 … 1
prsb03-dataelement-11933
Id prsb03-dataelement-11933 (2019‑05‑31 14:58:12)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-10179 (2018‑10‑31)
Description The start date of the risk.
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by one transaction, 0 templates, inherited 0 times
 
draft End date of risk 0 … 1
prsb03-dataelement-11934
Id prsb03-dataelement-11934 (2019‑05‑31 14:58:38)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-10801 (2019‑03‑20 14:20:23)
Description The date the risk ended.
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by one transaction, 0 templates, inherited 0 times
 
draft 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
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft Location 0 … 1
prsb03-dataelement-11935
Id prsb03-dataelement-11935 (2019‑05‑31 14:59:06)
Cardinality 0 … 1
Description The location where the risk from others was identified.
Relationship
target Used by one transaction, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-13590
Id prsb03-dataelement-13590 (2020‑09‑08 12:21:08)
Cardinality 0 … 1
Description The coded value for location
Operationalization NHS data dictionary : - Organisation data service
Value Domain
Property
min length max length
3 5
target Used by one transaction, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13591
Id prsb03-dataelement-13591 (2020‑09‑08 12:22:47)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft 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.
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Start date of risk 0 … 1
prsb03-dataelement-11953
Id prsb03-dataelement-11953 (2019‑05‑31 15:00:58)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-10179 (2018‑10‑31)
Description The start date of the risk.
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by one transaction, 0 templates, inherited 0 times
 
draft End date of risk 0 … 1
prsb03-dataelement-11954
Id prsb03-dataelement-11954 (2019‑05‑31 15:01:29)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-10801 (2019‑03‑20 14:20:23)
Description The date the risk ended.
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by one transaction, 0 templates, inherited 0 times
 
draft 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
max length
150
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft Location 0 … 1
prsb03-dataelement-11955
Id prsb03-dataelement-11955 (2019‑05‑31 15:01:51)
Cardinality 0 … 1
Description The location where the risk of accidents was identified.
Relationship
target Used by one transaction, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-13592
Id prsb03-dataelement-13592 (2020‑09‑08 12:24:12)
Cardinality 0 … 1
Description The coded value for location
Operationalization NHS data dictionary : - Organisation data service
Value Domain
Property
min length max length
3 5
target Used by one transaction, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13593
Id prsb03-dataelement-13593 (2020‑09‑08 12:25:18)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13223 (2020‑07‑08 17:40:09)
Description Free text field to be used if no coded text available
Value Domain
Property
max length
150
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft 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.
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Start date of risk 0 … 1
prsb03-dataelement-11973
Id prsb03-dataelement-11973 (2019‑05‑31 15:03:41)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-10179 (2018‑10‑31)
Description The start date of the risk.
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by one transaction, 0 templates, inherited 0 times
 
draft End date of risk 0 … 1
prsb03-dataelement-11974
Id prsb03-dataelement-11974 (2019‑05‑31 15:04:10)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-10801 (2019‑03‑20 14:20:23)
Description The date the risk ended.
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by one transaction, 0 templates, inherited 0 times
 
draft 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
max length
150
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft Location 0 … 1
prsb03-dataelement-11975
Id prsb03-dataelement-11975 (2019‑05‑31 15:04:35)
Cardinality 0 … 1
Description The location where the other risks were identified.
Relationship
target Used by one transaction, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-13594
Id prsb03-dataelement-13594 (2020‑09‑08 12:26:43)
Cardinality 0 … 1
Description The coded value for location
Operationalization NHS data dictionary : - Organisation data service
Value Domain
Property
min length max length
3 5
target Used by one transaction, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13595
Id prsb03-dataelement-13595 (2020‑09‑08 12:27:58)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Allergies and adverse reactions 0 … 1
prsb03-dataelement-282
Id prsb03-dataelement-282 (2018‑10‑31)
Cardinality 0 … 1
Description Allergies and adverse reactions
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft 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.
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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)

Properties

FHIR AllergyIntolerance.type
Rationale AllergyIntolerance.type
Operationalization FHIR value set :- Allergy, Intolerance
Value Domain
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft 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”

Properties

FHIR AllergyIntolerance.code
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13442
Id prsb03-dataelement-13442 (2020‑08‑19 15:33:40)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft 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.
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Date 0 … 1
prsb03-dataelement-10190
Id prsb03-dataelement-10190 (2018‑10‑31)
Cardinality 0 … 1
Description The date that the reaction was identified.

Properties

FHIR dateAsserted
Rationale Allergyintolerance.asserteddate
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft Location 0 … 1
prsb03-dataelement-10846
Id prsb03-dataelement-10846 (2019‑03‑27 17:04:11)
Cardinality 0 … 1
Description Details of where the allergy was identified. Linked to the date of the diagnosis by the professional.
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-13439
Id prsb03-dataelement-13439 (2020‑08‑19 13:58:37)
Cardinality 0 … 1
Description The coded value for location.
Rationale Location.identifier
Operationalization NHS data dictionary : - Organisation data service
Value Domain
Property
min length max length
3 5
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13440
Id prsb03-dataelement-13440 (2020‑08‑19 14:02:39)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft 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.
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13555
Id prsb03-dataelement-13555 (2020‑09‑04 16:45:54)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft 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.

Properties

FHIR AllergyIntolerance.reaction.manifestation AllergyIntolerance.reaction.description
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13557
Id prsb03-dataelement-13557 (2020‑09‑04 16:51:03)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Onset date 0 … 1
prsb03-dataelement-13844
Id prsb03-dataelement-13844 (2020‑12‑29 22:44:39)
Cardinality 0 … 1
Description Date and time when manifestations showed e.g could be at home a few days earlier than the contact
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least year
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft 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.

Properties

FHIR AllergyIntolerance.reaction.severity
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13559
Id prsb03-dataelement-13559 (2020‑09‑04 17:48:53)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft 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.

Properties

FHIR AllergyIntolerance.verificationStatus
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13561
Id prsb03-dataelement-13561 (2020‑09‑04 17:55:21)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft Route of exposure 0 … 1
prsb03-dataelement-13856
Id prsb03-dataelement-13856 (2021‑01‑18 18:45:19)
Cardinality 0 … 1
Description The route the person was exposed to the substance
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-13857
Id prsb03-dataelement-13857 (2021‑01‑18 18:50:12)
Cardinality 0 … 1
Description The coded value for route of exposure
Rationale AllergyIntolerance.exposureroute
Operationalization SNOMED CT: - ^999000051000001100 |ePrescribing route of administration simple reference set|
Value Domain
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13858
Id prsb03-dataelement-13858 (2021‑01‑18 18:55:02)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13223 (2020‑07‑08 17:40:09)
Description Free text field to be used if no coded text available
Value Domain
Property
max length
150
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft 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
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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

Properties

FHIR AllergyIntolerance.extension.evidence
Rationale AllergyIntolerance.extension.evidence
Operationalization Free text
Value Domain
Property
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft 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)

Properties

FHIR AllergyIntolerance.onset[x]
Rationale AllergyIntolerance.onset
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least year
target Used by 3 transactions, 0 templates, inherited 0 times
 
cancelled Probability of recurrence 0 … 1
prsb03-dataelement-10191
Id prsb03-dataelement-10191 (2018‑10‑31) 0.1
Cardinality 0 … 1
Description Probability of the reaction (allergic, adverse, intolerant) occurring.

Properties

FHIR AllergyIntolerance.extension.ProbabilityOfRecurrence
Rationale AllergyIntolerance.extension.ProbabilityOfRecurrence
Operationalization Free text
Value Domain
Property
max length
150
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Medications and medical devices 0 … 1
prsb03-dataelement-636
Id prsb03-dataelement-636 (2018‑10‑31)
Cardinality 0 … 1
Description Medications and medical devices
target Used by 3 transactions, 0 templates, inherited once
 
folder draft 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.
target Used by 3 transactions, 0 templates, inherited 2 times
 
folder draft 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
target Used by 3 transactions, 0 templates, inherited 2 times
 
draft Date 0 … 1
prsb03-dataelement-10843
Id prsb03-dataelement-10843 (2019‑03‑27 16:59:52)
Cardinality 0 … 1
Description The date on which the medication or medical device was prescribed.
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by 2 transactions, 0 templates, inherited 3 times
 
folder draft Location 0 … 1
prsb03-dataelement-10844
Id prsb03-dataelement-10844 (2019‑03‑27 17:01:20)
Cardinality 0 … 1
Description The location where the medication or the medical device was prescribed.
target Used by 2 transactions, 0 templates, inherited 3 times
 
draft Coded value 0 … 1
prsb03-dataelement-13620
Id prsb03-dataelement-13620 (2020‑09‑08 19:05:36)
Cardinality 0 … 1
Description The coded value for location
Operationalization NHS data dictionary : - Organisation data service
Value Domain
Property
min length max length
3 5
target Used by 2 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13621
Id prsb03-dataelement-13621 (2020‑09‑08 19:07:01)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 2 transactions, 0 templates, inherited 0 times
 
folder draft 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.

Properties

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)
target Used by 3 transactions, 0 templates, inherited 5 times
 
draft 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
target Used by 3 transactions, 0 templates, inherited once
 
draft Free text 0 … 1
prsb03-dataelement-13623
Id prsb03-dataelement-13623 (2020‑09‑08 19:17:39)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 3 transactions, 0 templates, inherited once
 
folder draft 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.

Properties

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
target Used by 3 transactions, 0 templates, inherited 4 times
 
draft 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
target Used by 3 transactions, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13625
Id prsb03-dataelement-13625 (2020‑09‑08 19:33:34)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft 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

Properties

FHIR MedicationStatement.dosage.route
target Used by 3 transactions, 0 templates, inherited 5 times
 
draft 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
target Used by 3 transactions, 0 templates, inherited once
 
draft Free text 0 … 1
prsb03-dataelement-13656
Id prsb03-dataelement-13656 (2020‑09‑08 20:31:40)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by 3 transactions, 0 templates, inherited once
 
folder draft 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.

Properties

FHIR MedicationStatement.dosage.site
target Used by 3 transactions, 0 templates, inherited 3 times
 
draft 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
target Used by 3 transactions, 0 templates, inherited 2 times
 
draft 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
max length
150
target Used by 3 transactions, 0 templates, inherited 3 times
 
folder draft 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.

Properties

FHIR MedicationStatement.dosage.method
target Used by 3 transactions, 0 templates, inherited 3 times
 
draft 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
target Used by 3 transactions, 0 templates, inherited 0 times
 
folder draft 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.
target Used by 3 transactions, 0 templates, inherited 3 times
 
folder draft 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
target Used by 3 transactions, 0 templates, inherited 3 times
 
draft 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
target Used by 3 transactions, 0 templates, inherited 3 times
 
draft 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

Properties

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
target Used by 3 transactions, 0 templates, inherited 3 times
 
draft 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”.

Properties

FHIR MedicationStatement.dosage.text
Rationale MedicationStatement.dosage.text
Operationalization Free text
Value Domain
Property
max length
150
target Used by 3 transactions, 0 templates, inherited 4 times
 
draft 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.

Properties

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
target Used by 3 transactions, 0 templates, inherited 3 times
 
folder draft 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.
target Used by 3 transactions, 0 templates, inherited 3 times
 
draft 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
    target Used by 3 transactions, 0 templates, inherited 3 times
     
    draft Indication 0 … 1
    prsb03-dataelement-10546
    Id prsb03-dataelement-10546 (2018‑10‑31)
    Cardinality 0 … 1
    Description Reason for medication being prescribed, where known.

    Properties

    FHIR MedicationStatement.reasonCode
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    target Used by 3 transactions, 0 templates, inherited 3 times
     
    draft 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
    target Used by 3 transactions, 0 templates, inherited 3 times
     
    draft 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
    target Used by 3 transactions, 0 templates, inherited 3 times
     
    draft 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
    max length
    150
    target Used by 3 transactions, 0 templates, inherited 3 times
     
    draft 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

    Properties

    FHIR [JH] This will be dropped from the PRSB information model, as conflicts with description above
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    target Used by 3 transactions, 0 templates, inherited 3 times
     
    folder draft 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.
    target Used by 3 transactions, 0 templates, inherited 3 times
     
    draft 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
      target Used by 3 transactions, 0 templates, inherited 3 times
       
      draft 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
      target Used by 3 transactions, 0 templates, inherited 3 times
       
      draft 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
      target Used by 3 transactions, 0 templates, inherited 3 times
       
      draft 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
      max length
      150
      target Used by 3 transactions, 0 templates, inherited 3 times
       
      draft 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
      target Used by 2 transactions, 0 templates, inherited 3 times
       
      folder draft Medical devices entry 0 … *
      prsb03-dataelement-10583
      Id prsb03-dataelement-10583 (2018‑10‑31)
      Cardinality 0 … *
      Description Medical devices
      target Used by 3 transactions, 0 templates, inherited 2 times
       
      draft 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
      max length
      150
      target Used by 3 transactions, 0 templates, inherited 2 times
       
      draft 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
      max length
      150
      target Used by 3 transactions, 0 templates, inherited 2 times
       
      folder draft Medication discontinued entry 0 … *
      prsb03-dataelement-10576
      Id prsb03-dataelement-10576 (2018‑10‑31)
      Cardinality 0 … *
      Description Medication discontinued entry
      target Used by 3 transactions, 0 templates, inherited 2 times
       
      folder draft 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
      target Used by 3 transactions, 0 templates, inherited 2 times
       
      draft 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
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      draft Free text 0 … 1
      prsb03-dataelement-13660
      Id prsb03-dataelement-13660 (2020‑09‑08 20:58:40)
      Cardinality 0 … 1
      Concept inherits from draft prsb03-dataelement-13229 (2020‑07‑15 19:30:33)
      Description Amount of vaccine administered.
      Relationship
      Operationalization Free text
      Value Domain
      Property
      max length
      150
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      draft 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
      target Used by 3 transactions, 0 templates, inherited 2 times
       
      draft 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
      target Used by 3 transactions, 0 templates, inherited 3 times
       
      draft 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
      target Used by 3 transactions, 0 templates, inherited 2 times
       
      draft 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
      max length
      150
      target Used by 3 transactions, 0 templates, inherited 2 times
       
      folder draft Equipment and adaptations 0 … 1
      prsb03-dataelement-12969
      Id prsb03-dataelement-12969 (2020‑04‑06 18:25:26)
      Cardinality 0 … 1
      Description Details of equipment/asset (or modifications) that the Local Authority has provided to the patient.
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      folder draft Equipment record entry 0 … 1
      prsb03-dataelement-12970
      Id prsb03-dataelement-12970 (2020‑04‑06 18:27:46)
      Cardinality 0 … 1
      Description This is a equipment record entry. There may be 1 to many record entries under a section.
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      folder draft Equipment name 0 … 1
      prsb03-dataelement-12971
      Id prsb03-dataelement-12971 (2020‑04‑06 19:22:47)
      Cardinality 0 … 1
      Description The name of the equipment (e.g. 'Keysafe', 'Handrail' 'Lifeline Alarm', etc.)
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      draft Coded value 0 … 1
      prsb03-dataelement-13780
      Id prsb03-dataelement-13780 (2020‑10‑21 16:01:39)
      Cardinality 0 … 1
      Description The coded value for equipment name
      Operationalization SNOMED CT
      Value Domain
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      draft Free text 0 … 1
      prsb03-dataelement-13782
      Id prsb03-dataelement-13782 (2020‑10‑21 16:08:03)
      Cardinality 0 … 1
      Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
      Description Free text field to be used if no code is available
      Operationalization Free text
      Value Domain
      Property
      max length
      150
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      draft Date 0 … 1
      prsb03-dataelement-13066
      Id prsb03-dataelement-13066 (2020‑05‑18 17:47:43)
      Cardinality 0 … 1
      Description
      The date the equipment was issued.
      Operationalization Date and time
      Value Domain
      Property
      Timestamp precision
      at least day, month and year, hour and minute
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      draft Comment 0 … 1
      prsb03-dataelement-12972
      Id prsb03-dataelement-12972 (2020‑04‑06 19:25:30)
      Cardinality 0 … 1
      Description Any further details about the equipment, e.g. position of handrail(s) within the person's home
      Operationalization Free text
      Value Domain
      Property
      max length
      150
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      folder draft 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.
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      folder draft 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.
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      draft Date 0 … 1
      prsb03-dataelement-10445
      Id prsb03-dataelement-10445 (2018‑10‑31)
      Cardinality 0 … 1
      Description The date on which the plan and requested actions were prepared.
      Operationalization Date and time
      Value Domain
      Property
      Timestamp precision
      at least day, month and year, hour and minute
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      folder draft Location 0 … 1
      prsb03-dataelement-10842
      Id prsb03-dataelement-10842 (2019‑03‑27 16:46:10)
      Cardinality 0 … 1
      Description The location where the plan and requested actions were prepared.
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      draft Coded value 0 … 1
      prsb03-dataelement-13684
      Id prsb03-dataelement-13684 (2020‑09‑09 13:11:31)
      Cardinality 0 … 1
      Description The coded value for location
      Operationalization NHS data dictionary : - Organisation data service
      Value Domain
      Property
      min length max length
      3 5
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      draft Free text 0 … 1
      prsb03-dataelement-13685
      Id prsb03-dataelement-13685 (2020‑09‑09 13:12:37)
      Cardinality 0 … 1
      Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
      Description Free text field to be used if no code is available
      Operationalization Free text
      Value Domain
      Property
      max length
      150
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      draft 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
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      draft 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
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      draft 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
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      draft 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
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      folder draft Care and support plan 0 … 1
      prsb03-dataelement-508
      Id prsb03-dataelement-508 (2018‑10‑31)
      Cardinality 0 … 1
      Description This records the decisions reached during conversation between the individual and health and care professional about future plans and also records progress.
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      folder draft Strengths 0 … *
      prsb03-dataelement-10419
      Id prsb03-dataelement-10419 (2018‑10‑31)
      Cardinality 0 … *
      Description Any strengths and assets the person has relating to their goals and hopes about their health and well-being.
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      folder draft Needs, concerns or problems 0 … *
      prsb03-dataelement-10414
      Id prsb03-dataelement-10414 (2018‑10‑31)
      Cardinality 0 … *
      Description Details of the person needs, concerns or problems
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      folder draft Goals and hopes 0 … *
      prsb03-dataelement-10413
      Id prsb03-dataelement-10413 (2018‑10‑31)
      Cardinality 0 … *
      Description
      The overall goals, hopes, aims or targets that the person has. Including anything that the person wants to achieve that relates to their future health and wellbeing. Each goal may include a description of why it is important to the person. Goals may also be ranked in order of importance or priority to the person.
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      folder draft Actions and activities 0 … *
      prsb03-dataelement-10408
      Id prsb03-dataelement-10408 (2018‑10‑31)
      Cardinality 0 … *
      Description Actions or activities the person or others plan to take to achieve the person's goals and the resources required to do this.

      target Used by 3 transactions, 0 templates, inherited 0 times
       
      folder draft What 0 … 1
      prsb03-dataelement-10675
      Id prsb03-dataelement-10675 (2018‑11‑15 13:33:22)
      Cardinality 0 … 1
      Description What the action is and how it is to be carried out?
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      folder draft Who 0 … 1
      prsb03-dataelement-10676
      Id prsb03-dataelement-10676 (2018‑11‑15 13:34:04)
      Cardinality 0 … 1
      Description Name and role (e.g. person, carer, GP, OT, etc.) of the person, or a team, carrying out the proposed action, and, if relevant where action should take place.
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      draft When 0 … 1
      prsb03-dataelement-10677
      Id prsb03-dataelement-10677 (2018‑11‑15 13:34:38)
      Cardinality 0 … 1
      Description Planned date, time, or interval, as relevant
      Operationalization Date and time
      Value Domain
      Property
      Timestamp precision
      at least month and year
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      draft Suggested strategies 0 … 1
      prsb03-dataelement-10678
      Id prsb03-dataelement-10678 (2018‑11‑15 13:35:19)
      Cardinality 0 … 1
      Description Suggested strategies for potential problems.
      Operationalization Free text.
      Value Domain
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      folder draft Status 0 … 1
      prsb03-dataelement-10679
      Id prsb03-dataelement-10679 (2018‑11‑15 13:35:57)
      Cardinality 0 … 1
      Description The status of the action or activity e.g. in progress, done, refused
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      draft Confidence 0 … 1
      prsb03-dataelement-10680
      Id prsb03-dataelement-10680 (2018‑11‑15 13:54:04)
      Cardinality 0 … 1
      Description How confident the person feels to carry out the action associated to the goal.
      Operationalization Numeric score 1 - 10
      Value Domain
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      draft Date last updated 0 … 1
      prsb03-dataelement-10682
      Id prsb03-dataelement-10682 (2018‑11‑15 13:55:05)
      Cardinality 0 … 1
      Description Date when action/activity record was last updated
      Operationalization Date and time
      Value Domain
      Property
      Timestamp precision
      at least day, month and year, hour and minute
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      draft Review date 0 … 1
      prsb03-dataelement-10683
      Id prsb03-dataelement-10683 (2018‑11‑15 13:55:47)
      Cardinality 0 … 1
      Description When the 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
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      folder draft 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
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      folder draft Outcome 0 … 1
      prsb03-dataelement-10681
      Id prsb03-dataelement-10681 (2018‑11‑15 13:54:34)
      Cardinality 0 … 1
      Description The outcome of the stage goal
      Operationalization



      target Used by 3 transactions, 0 templates, inherited 0 times
       
      folder draft Outcomes 0 … *
      prsb03-dataelement-10416
      Id prsb03-dataelement-10416 (2018‑10‑31)
      Cardinality 0 … *
      Description Outcomes of each of the person’s goals, aims and targets. Includes comments recorded by the person, date and status.
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      folder draft Agreed with person or legitimate representative 0 … 1
      prsb03-dataelement-10409
      Id prsb03-dataelement-10409 (2018‑10‑31)
      Cardinality 0 … 1
      Description Indicates whether the plan was discussed and agreed with the person or legitimate representative.
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      folder draft Care funding source 0 … 1
      prsb03-dataelement-10410
      Id prsb03-dataelement-10410 (2018‑10‑31)
      Cardinality 0 … 1
      Description A reference to the funding source and any conditions or limitations associated.
      target Used by 3 transactions, 0 templates, inherited once
       
      draft Date this plan was last updated 0 … 1
      prsb03-dataelement-10412
      Id prsb03-dataelement-10412 (2018‑10‑31)
      Cardinality 0 … 1
      Description This is a record of the date that this care and support plan was last updated.
      Operationalization Date and time
      Value Domain
      Property
      Timestamp precision
      at least day, month and year, hour and minute
      target Used by 3 transactions, 0 templates, inherited once
       
      draft Other care planning documents 0 … *
      prsb03-dataelement-10415
      Id prsb03-dataelement-10415 (2018‑10‑31)
      Cardinality 0 … *
      Description Reference other care planning documents, including the type, location and date.

      This may include condition-specific plans, advance care plans, end of life care plan, etc.
      Operationalization Free text.
      Value Domain
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      draft Planned review date/interval 0 … 1
      prsb03-dataelement-10417
      Id prsb03-dataelement-10417 (2018‑10‑31)
      Cardinality 0 … 1
      Description This is the date/interval when this information will next be reviewed. SNOMED CT tag : - 425268008 | Review of care plan (procedure) |
      Operationalization Date and time
      Value Domain
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      folder draft Responsibility for review 0 … 1
      prsb03-dataelement-10418
      Id prsb03-dataelement-10418 (2018‑10‑31)
      Cardinality 0 … 1
      Description This is a record of who has responsibility for arranging review of this information.
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      folder draft Location 0 … 1
      prsb03-dataelement-12044
      Id prsb03-dataelement-12044 (2019‑05‑31 15:32:03)
      Cardinality 0 … 1
      Description The location where the care and support plan was prepared.
      Relationship
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      draft Coded value 0 … 1
      prsb03-dataelement-13665
      Id prsb03-dataelement-13665 (2020‑09‑08 22:17:08)
      Cardinality 0 … 1
      Description The coded value for location
      Operationalization NHS data dictionary: - Organisation data service
      Value Domain
      Property
      min length max length
      3 5
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      draft Free text 0 … 1
      prsb03-dataelement-13666
      Id prsb03-dataelement-13666 (2020‑09‑08 22:18:17)
      Cardinality 0 … 1
      Concept inherits from draft prsb03-dataelement-13223 (2020‑07‑08 17:40:09)
      Description Free text field to be used if no coded text available
      Value Domain
      Property
      max length
      150
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      folder draft 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.
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      folder draft Trigger factors 0 … *
      prsb03-dataelement-10375
      Id prsb03-dataelement-10375 (2018‑10‑31)
      Cardinality 0 … *
      Description Signs to watch out for that may indicate a significant change in health or other circumstances e.g. feeling agitated
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      folder draft 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. 
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      folder draft What should happen 0 … *
      prsb03-dataelement-10376
      Id prsb03-dataelement-10376 (2018‑10‑31)
      Cardinality 0 … *
      Description Guidance on specific actions or interventions that may be required or should be avoided in specific situations. This may include circumstances where action needs to be taken if a carer is unable to care for the person. A statement of suggested actions. Usually expressed as: in the event of X do Y.
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      folder draft Who should be contacted 0 … *
      prsb03-dataelement-10377
      Id prsb03-dataelement-10377 (2018‑10‑31)
      Cardinality 0 … *
      Description Who should be contacted in the event of significant problems or deterioration in health or wellbeing. e.g. name, role and contact details.
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      folder draft Agreed with person or legitimate representative 0 … 1
      prsb03-dataelement-10369
      Id prsb03-dataelement-10369 (2018‑10‑31)
      Cardinality 0 … 1
      Description Indicates whether the plan was discussed and agreed with the person or legitimate representative.
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      draft Date this plan was last updated 0 … 1
      prsb03-dataelement-10372
      Id prsb03-dataelement-10372 (2018‑10‑31)
      Cardinality 0 … 1
      Description The date that this contingency plan was last updated.
      Operationalization Date and time
      Value Domain
      Property
      Timestamp precision
      at least day, month and year, hour and minute
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      draft Planned review date/interval 0 … 1
      prsb03-dataelement-10373
      Id prsb03-dataelement-10373 (2018‑10‑31)
      Cardinality 0 … 1
      Description This is the date/interval when this contingency plan will next be reviewed. 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
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      folder draft Responsibility for review 0 … 1
      prsb03-dataelement-10374
      Id prsb03-dataelement-10374 (2018‑10‑31)
      Cardinality 0 … 1
      Description This is who has responsibility for arranging review of this information.
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      folder draft Coping strategies 0 … *
      prsb03-dataelement-13850
      Id prsb03-dataelement-13850 (2021‑01‑08 16:37:56)
      Cardinality 0 … *
      Description Details of coping strategies used
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      draft Coping strategy 0 … 1
      prsb03-dataelement-13851
      Id prsb03-dataelement-13851 (2021‑01‑08 16:45:37)
      Cardinality 0 … 1
      Description The coping strategies are defined as thoughts and behaviours that people use to manage the internal and external demands of situations that are appraised as stressful. This should also include a record of any tools used to carry out the coping strategy.
      Operationalization Free text
      Value Domain
      Property
      max length
      150
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      draft Start date 0 … 1
      prsb03-dataelement-13852
      Id prsb03-dataelement-13852 (2021‑01‑08 16:47:18)
      Cardinality 0 … 1
      Description The date when the coping strategy started
      Operationalization Date and time
      Value Domain
      Property
      Timestamp precision
      at least day, month and year, hour and minute
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      draft End date 0 … 1
      prsb03-dataelement-13853
      Id prsb03-dataelement-13853 (2021‑01‑08 16:48:58)
      Cardinality 0 … 1
      Description The date when the coping strategy ended
      Operationalization Date and time
      Value Domain
      Property
      Timestamp precision
      at least day, month and year, hour and minute
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      folder draft Relapse indicators / early warning signs 0 … *
      prsb03-dataelement-13854
      Id prsb03-dataelement-13854 (2021‑01‑08 16:49:59)
      Cardinality 0 … *
      Description Details of the relapse indicators for the person. These may also be called 'early warning signs'
      Operationalization

      target Used by 2 transactions, 0 templates, inherited 0 times
       
      folder draft Advance statement 0 … 1
      prsb03-dataelement-10777
      Id prsb03-dataelement-10777 (2019‑03‑19 17:12:20)
      Cardinality 0 … 1
      Description Written requests and preferences made by a person with capacity conveying their wishes, beliefs and values for their future care should they lose capacity.
      Relationship
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      draft Date 0 … 1
      prsb03-dataelement-12267
      Id prsb03-dataelement-12267 (2019‑05‑31 16:39:20)
      Cardinality 0 … 1
      Description The date when the advanced statements was made.
      Relationship
      Operationalization Date and time
      Value Domain
      Property
      Timestamp precision
      at least day, month and year, hour and minute
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      folder draft Location 0 … 1
      prsb03-dataelement-12268
      Id prsb03-dataelement-12268 (2019‑05‑31 16:39:59)
      Cardinality 0 … 1
      Description The location where the advanced statement was made.
      Relationship
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      draft Coded value 0 … 1
      prsb03-dataelement-13698
      Id prsb03-dataelement-13698 (2020‑09‑09 17:14:46)
      Cardinality 0 … 1
      Description The coded value for location
      Operationalization NHS data dictionary: - Organisation data service
      Value Domain
      Property
      min length max length
      3 5
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      draft Free text 0 … 1
      prsb03-dataelement-13699
      Id prsb03-dataelement-13699 (2020‑09‑09 17:16:21)
      Cardinality 0 … 1
      Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
      Description Free text field to be used if no code is available
      Operationalization Free text
      Value Domain
      Property
      max length
      150
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      folder draft Advance statement 0 … 1
      prsb03-dataelement-13695
      Id prsb03-dataelement-13695 (2020‑09‑09 17:06:33)
      Cardinality 0 … 1
      Description Does the person have an advance statement.
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      draft Coded value 0 … 1
      prsb03-dataelement-13696
      Id prsb03-dataelement-13696 (2020‑09‑09 17:09:21)
      Cardinality 0 … 1
      Description The coded value for advance statement
      Operationalization SNOMED CT: - 816281000000101 | Has advance statement (Mental Capacity Act 2005) (finding) |
      Value Domain
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      draft Free text 0 … 1
      prsb03-dataelement-13697
      Id prsb03-dataelement-13697 (2020‑09‑09 17:10:48)
      Cardinality 0 … 1
      Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
      Description Free text field to be used if no code is available
      Operationalization Free text
      Value Domain
      Property
      max length
      150
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      draft Location of document 0 … 1
      prsb03-dataelement-13760
      Id prsb03-dataelement-13760 (2020‑09‑29 14:53:49)
      Cardinality 0 … 1
      Description The location of where the advanced statement is held.
      Relationship
      Operationalization Free text or URL
      Value Domain
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      draft Anticipatory medicines/equipment 0 … *
      prsb03-dataelement-10370
      Id prsb03-dataelement-10370 (2018‑10‑31)
      Cardinality 0 … *
      Description Medicines or equipment available that may be required in specific situations and their location. A statement regarding the availability or location of the anticipatory medicines/equipment. SNOMED CT Tag : - 871021000000106 | Prescription of palliative care anticipatory medication (procedure) |
      Operationalization Free text
      Value Domain
      Property
      max length
      150
      target Used by 3 transactions, 0 templates, inherited once
       
      folder draft Location 0 … 1
      prsb03-dataelement-12079
      Id prsb03-dataelement-12079 (2019‑05‑31 15:39:45)
      Cardinality 0 … 1
      Description The location where the contingency plan was prepared.
      Relationship
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      draft Coded value 0 … 1
      prsb03-dataelement-13667
      Id prsb03-dataelement-13667 (2020‑09‑08 22:19:58)
      Cardinality 0 … 1
      Description The coded value for location
      Operationalization NHS data dictionary : - Organisation data service
      Value Domain
      Property
      min length max length
      3 5
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      draft Free text 0 … 1
      prsb03-dataelement-13668
      Id prsb03-dataelement-13668 (2020‑09‑08 22:21:39)
      Cardinality 0 … 1
      Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
      Description Free text field to be used if no code is available
      Operationalization Free text
      Value Domain
      Property
      max length
      150
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      folder draft Additional support plans 0 … *
      prsb03-dataelement-502
      Id prsb03-dataelement-502 (2018‑10‑31)
      Cardinality 0 … *
      Description Additional support plans
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      folder draft Additional support plan name 0 … 1
      prsb03-dataelement-10402
      Id prsb03-dataelement-10402 (2018‑10‑31)
      Cardinality 0 … 1
      Description The name of the particular additional supporting plan, e.g. dieticians plan, wound management plan, discharge management plan and behaviour support plan.
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      draft Additional support plan content 0 … 1
      prsb03-dataelement-10403
      Id prsb03-dataelement-10403 (2018‑10‑31)
      Cardinality 0 … 1
      Description This is the content of any additional care and support plan which the person and/or care professional consider should be shared with others providing care and support. May be structured in different ways, e.g. tables, diagrams, images. This is the content of any additional care and support plan which the individual and/or care professional consider should be shared with others providing care and support. It should be structured as recommended for the care and support plan and if contains additional detail, it may be referenced here.
      Operationalization Free text
      Value Domain
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      draft Planned review date/interval 0 … 1
      prsb03-dataelement-10405
      Id prsb03-dataelement-10405 (2018‑10‑31)
      Cardinality 0 … 1
      Description This is the date/interval when this information will next be reviewed. SNOMED CT tag : - 425268008 | Review of care plan (procedure) |
      Operationalization Date and time
      Value Domain
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      folder draft Responsibility for review 0 … 1
      prsb03-dataelement-10406
      Id prsb03-dataelement-10406 (2018‑10‑31)
      Cardinality 0 … 1
      Description This is a record of who has responsibility for arranging review of this information. Should include their name, role and contact details.
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      draft Date this plan was last updated 0 … 1
      prsb03-dataelement-10407
      Id prsb03-dataelement-10407 (2018‑10‑31)
      Cardinality 0 … 1
      Description This is a record of the date that this information was last updated.
      Operationalization Date and time
      Value Domain
      Property
      Timestamp precision
      at least day, month and year, hour and minute
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      folder draft Location 0 … 1
      prsb03-dataelement-12080
      Id prsb03-dataelement-12080 (2019‑05‑31 15:40:38)
      Cardinality 0 … 1
      Description The location where the additional support plan was prepared.
      Relationship
      Operationalization ODS code or free text
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      draft Coded value 0 … 1
      prsb03-dataelement-13722
      Id prsb03-dataelement-13722 (2020‑09‑14 13:50:06)
      Cardinality 0 … 1
      Description The coded value for location
      Operationalization NHS data dictionary:- Organisation data service
      Value Domain
      Property
      min length max length
      3 5
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      draft Free text 0 … 1
      prsb03-dataelement-13723
      Id prsb03-dataelement-13723 (2020‑09‑14 13:52:48)
      Cardinality 0 … 1
      Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
      Description Free text field to be used if no code is available
      Operationalization Free text
      Value Domain
      Property
      max length
      150
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      folder draft 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.
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      folder draft 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
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      draft Date 0 … 1
      prsb03-dataelement-12210
      Id prsb03-dataelement-12210 (2019‑05‑31 16:28:26)
      Cardinality 0 … 1
      Description The date when the cardio-pulmonary resuscitation decision was made.
      Relationship
      Operationalization Date and time.
      Value Domain
      Property
      Timestamp precision
      at least day, month and year, hour and minute
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      folder draft Location 0 … 1
      prsb03-dataelement-12211
      Id prsb03-dataelement-12211 (2019‑05‑31 16:29:12)
      Cardinality 0 … 1
      Description The location where the cardio-pulmonary resuscitation decision was made.
      Relationship
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      draft Coded value 0 … 1
      prsb03-dataelement-13689
      Id prsb03-dataelement-13689 (2020‑09‑09 16:47:10)
      Cardinality 0 … 1
      Description The coded value for location
      Operationalization NHS data dictionary: - Organisation data service
      Value Domain
      Property
      min length max length
      3 5
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      draft Free text 0 … 1
      prsb03-dataelement-13690
      Id prsb03-dataelement-13690 (2020‑09‑09 16:48:20)
      Cardinality 0 … 1
      Concept inherits from draft prsb03-dataelement-13223 (2020‑07‑08 17:40:09)
      Description Free text field to be used if no coded text available
      Value Domain
      Property
      max length
      150
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      folder draft 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.
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      draft 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
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      draft Free text 0 … 1
      prsb03-dataelement-13688
      Id prsb03-dataelement-13688 (2020‑09‑09 16:45:48)
      Cardinality 0 … 1
      Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
      Description Free text field to be used if no code is available
      Operationalization Free text
      Value Domain
      Property
      max length
      150
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      draft 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
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      draft 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
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      folder draft 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
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      draft Date 0 … 1
      prsb03-dataelement-12229
      Id prsb03-dataelement-12229 (2019‑05‑31 16:31:46)
      Cardinality 0 … 1
      Description The date when the estimated prognosis was made.
      Relationship
      Operationalization Date and time
      Value Domain
      Property
      Timestamp precision
      at least day, month and year, hour and minute
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      folder draft Location 0 … 1
      prsb03-dataelement-12230
      Id prsb03-dataelement-12230 (2019‑05‑31 16:32:37)
      Cardinality 0 … 1
      Description The location where the estimated prognosis was made.
      Relationship
      Operationalization ODS code or free text
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      draft Coded value 0 … 1
      prsb03-dataelement-13703
      Id prsb03-dataelement-13703 (2020‑09‑09 17:41:30)
      Cardinality 0 … 1
      Description The coded value for location
      Operationalization NHS data dictionary: - Organisation data service
      Value Domain
      Property
      min length max length
      3 5
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      draft Free text 0 … 1
      prsb03-dataelement-13704
      Id prsb03-dataelement-13704 (2020‑09‑09 17:42:40)
      Cardinality 0 … 1
      Concept inherits from draft prsb03-dataelement-13223 (2020‑07‑08 17:40:09)
      Description Free text field to be used if no coded text available
      Value Domain
      Property
      max length
      150
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      draft 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
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      folder draft 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
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      draft Date 0 … 1
      prsb03-dataelement-12248
      Id prsb03-dataelement-12248 (2019‑05‑31 16:35:21)
      Cardinality 0 … 1
      Description The date when the assessment of the level of awareness of the prognosis was made.
      Relationship
      Operationalization Date and time
      Value Domain
      Property
      Timestamp precision
      at least day, month and year, hour and minute
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      folder draft Location 0 … 1
      prsb03-dataelement-12249
      Id prsb03-dataelement-12249 (2019‑05‑31 16:36:50)
      Cardinality 0 … 1
      Description The location where the assessment of the level of awareness of the prognosis was made.
      Relationship
      Operationalization ODS code and free text
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      draft Coded value 0 … 1
      prsb03-dataelement-13693
      Id prsb03-dataelement-13693 (2020‑09‑09 16:57:59)
      Cardinality 0 … 1
      Description The coded value for location
      Operationalization NHS data dictionary: - Organisation data service
      Value Domain
      Property
      min length max length
      3 5
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      draft Free text 0 … 1
      prsb03-dataelement-13694
      Id prsb03-dataelement-13694 (2020‑09‑09 16:59:05)
      Cardinality 0 … 1
      Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
      Description Free text field to be used if no code is available
      Operationalization Free text
      Value Domain
      Property
      max length
      150
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      draft 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
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      draft Priorities of care 0 … *
      prsb03-dataelement-10201
      Id prsb03-dataelement-10201 (2018‑10‑31)
      Cardinality 0 … *
      Description The priorities agreed between the person and their health/care team, where the person has capacity: To get better; please consider all treatment to prolong life. To achieve a balance between getting better and ensuring good quality of life; please consider selected treatments. Comfort; please consider all treatments aimed at symptom control.
      Operationalization Free text
      Value Domain
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      folder draft 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
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      draft Date 0 … 1
      prsb03-dataelement-12286
      Id prsb03-dataelement-12286 (2019‑05‑31 16:48:34)
      Cardinality 0 … 1
      Description The date when the anticipatory actions were identified.
      Relationship
      Operationalization Date and time
      Value Domain
      Property
      Timestamp precision
      at least day, month and year, hour and minute
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      folder draft Location 0 … 1
      prsb03-dataelement-12287
      Id prsb03-dataelement-12287 (2019‑05‑31 16:49:03)
      Cardinality 0 … 1
      Description The location where the anticipatory actions were identified.
      Relationship
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      draft Coded value 0 … 1
      prsb03-dataelement-13701
      Id prsb03-dataelement-13701 (2020‑09‑09 17:23:10)
      Cardinality 0 … 1
      Description The coded value for location
      Operationalization NHS data dictionary: - Organisation data service
      Value Domain
      Property
      min length max length
      3 5
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      draft Free text 0 … 1
      prsb03-dataelement-13702
      Id prsb03-dataelement-13702 (2020‑09‑09 17:24:16)
      Cardinality 0 … 1
      Concept inherits from draft prsb03-dataelement-13223 (2020‑07‑08 17:40:09)
      Description Free text field to be used if no coded text available
      Value Domain
      Property
      max length
      150
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      draft Anticipatory actions 0 … 1
      prsb03-dataelement-13700
      Id prsb03-dataelement-13700 (2020‑09‑09 17:17:57)
      Cardinality 0 … 1
      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
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      folder draft 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
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      draft Date 0 … 1
      prsb03-dataelement-12305
      Id prsb03-dataelement-12305 (2019‑05‑31 16:52:30)
      Cardinality 0 … 1
      Description The date when the statement regarding anticipatory medicines/equipment was made.
      Relationship
      Operationalization Date and time
      Value Domain
      Property
      Timestamp precision
      at least day, month and year, hour and minute
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      folder draft Location 0 … 1
      prsb03-dataelement-12306
      Id prsb03-dataelement-12306 (2019‑05‑31 16:53:01)
      Cardinality 0 … 1
      Description The location where the statement regarding anticipatory medicines/equipment was made.
      Relationship
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      draft Coded value 0 … 1
      prsb03-dataelement-13708
      Id prsb03-dataelement-13708 (2020‑09‑10 15:57:43)
      Cardinality 0 … 1
      Description The coded value for location
      Operationalization NHS data dictionary: - Organisation data service
      Value Domain
      Property
      min length max length
      3 5
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      draft Free text 0 … 1
      prsb03-dataelement-13709
      Id prsb03-dataelement-13709 (2020‑09‑10 15:59:37)
      Cardinality 0 … 1
      Concept inherits from draft prsb03-dataelement-13223 (2020‑07‑08 17:40:09)
      Description Free text field to be used if no coded text available
      Value Domain
      Property
      max length
      150
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      draft 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
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      folder draft 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
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      draft Date 0 … 1
      prsb03-dataelement-12324
      Id prsb03-dataelement-12324 (2019‑05‑31 16:55:33)
      Cardinality 0 … 1
      Description The date when the preferred place of death was identified.
      Relationship
      Operationalization Date and time
      Value Domain
      Property
      Timestamp precision
      at least day, month and year, hour and minute
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      folder draft Location 0 … 1
      prsb03-dataelement-12325
      Id prsb03-dataelement-12325 (2019‑05‑31 16:56:07)
      Cardinality 0 … 1
      Description The location where the preferred place of death was identified.
      Relationship
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      draft Coded value 0 … 1
      prsb03-dataelement-13713
      Id prsb03-dataelement-13713 (2020‑09‑10 16:24:26)
      Cardinality 0 … 1
      Description The coded value for location
      Operationalization NHS data dictionary: - Organisation data service
      Value Domain
      Property
      min length max length
      3 5
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      draft Free text 0 … 1
      prsb03-dataelement-13714
      Id prsb03-dataelement-13714 (2020‑09‑10 16:25:48)
      Cardinality 0 … 1
      Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
      Description Free text field to be used if no code is available
      Operationalization Free text
      Value Domain
      Property
      max length
      150
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      folder draft 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.
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      draft 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
      target Used by 3 transactions, 0 templates, inherited once
       
      draft 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
      target Used by 3 transactions, 0 templates, inherited once
       
      folder draft 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
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      draft 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 draft prsb03-dataelement-13711 (2020‑09‑10 16:04:08)
      Description The name of the preferred place of death
      Operationalization Free text
      Value Domain
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      draft Type of place 0 … 1
      prsb03-dataelement-13718
      Id prsb03-dataelement-13718 (2020‑09‑10 16:33:46)
      Cardinality 0 … 1
      Concept inherits from draft 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
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      folder draft 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
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      draft Date 0 … 1
      prsb03-dataelement-12362
      Id prsb03-dataelement-12362 (2019‑05‑31 17:01:43)
      Cardinality 0 … 1
      Description The date when the preferred place of care was identified.
      Relationship
      Operationalization Date and time
      Value Domain
      Property
      Timestamp precision
      at least day, month and year, hour and minute
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      folder draft Location 0 … 1
      prsb03-dataelement-12363
      Id prsb03-dataelement-12363 (2019‑05‑31 17:02:33)
      Cardinality 0 … 1
      Description The location where the preferred place of care was identified.
      Relationship
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      draft Coded value 0 … 1
      prsb03-dataelement-13720
      Id prsb03-dataelement-13720 (2020‑09‑10 17:00:51)
      Cardinality 0 … 1
      Description The coded value for location
      Operationalization NHS data dictionary: - Organisation data service
      Value Domain
      Property
      min length max length
      3 5
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      draft Free text 0 … 1
      prsb03-dataelement-13721
      Id prsb03-dataelement-13721 (2020‑09‑10 17:02:59)
      Cardinality 0 … 1
      Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
      Description Free text field to be used if no code is available
      Operationalization Free text
      Value Domain
      Property
      max length
      150
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      draft 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
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      folder draft 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.
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      folder draft 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.
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      draft Date 0 … 1
      prsb03-dataelement-10943
      Id prsb03-dataelement-10943 (2019‑05‑16 15:34:53)
      Cardinality 0 … 1
      Description The date and time the document was created.
      Operationalization Date and time
      Value Domain
      Property
      Timestamp precision
      at least day, month and year, hour and minute
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      folder draft Performing professional 0 … 1
      prsb03-dataelement-12422
      Id prsb03-dataelement-12422 (2019‑06‑13 15:09:45)
      Cardinality 0 … 1
      Description The professional who authored the document.
      Relationship
      Operationalization Free text.
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      draft Name 0 … 1
      prsb03-dataelement-12423
      Id prsb03-dataelement-12423 (2019‑06‑13 15:10:21)
      Cardinality 0 … 1
      Concept inherits from draft prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
      Description The name of the professional.
      Rationale Practitioner.name
      Operationalization Free text.
      Value Domain
      Property
      max length
      70
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      draft Role 0 … 1
      prsb03-dataelement-12424
      Id prsb03-dataelement-12424 (2019‑06‑13 15:10:21)
      Cardinality 0 … 1
      Concept inherits from draft prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
      Description The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etc
      Rationale Practitioner.PractitionerRole.code
      Operationalization FHIR value set :- SDSjobroletype
      Value Domain
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      draft Grade 0 … 1
      prsb03-dataelement-12425
      Id prsb03-dataelement-12425 (2019‑06‑13 15:10:21)
      Cardinality 0 … 1
      Concept inherits from draft prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
      Description The grade of the professional.
      Rationale PractitionerRole.code
      Operationalization Free text
      Value Domain
      Property
      max length
      150
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      draft Speciality 0 … 1
      prsb03-dataelement-12426
      Id prsb03-dataelement-12426 (2019‑06‑13 15:10:21)
      Cardinality 0 … 1
      Concept inherits from draft prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
      Description The specialty of the professional e.g. physiotherapy, oncology, mental health etc
      Rationale PractitionerRole.speciality
      Operationalization NHS data dictionary - Activity treatment function code
      Value Domain
      Property
      max length
      3
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      draft Professional identifier 0 … 1
      prsb03-dataelement-12427
      Id prsb03-dataelement-12427 (2019‑06‑13 15:10:21)
      Cardinality 0 … 1
      Concept inherits from draft prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
      Description Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.
      Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
      Operationalization NHS data dictionary : - Professional registration identifier
      Value Domain
      Property
      max length
      32
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      folder draft Organisation 0 … 1
      prsb03-dataelement-12428
      Id prsb03-dataelement-12428 (2019‑06‑13 15:10:21)
      Cardinality 0 … 1
      Concept inherits from draft prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
      Description The name of the organisation the professional works for.
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      draft Contact details 0 … 1
      prsb03-dataelement-12429
      Id prsb03-dataelement-12429 (2019‑06‑13 15:10:21)
      Cardinality 0 … 1
      Concept inherits from draft prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
      Description Contact details of the professional
      Rationale Practitioner.telecom

      PractitionerRole.telecom

      Organisation.telcom
      Operationalization NHS data dictionary - UK phone number
      Value Domain
      Property
      max length
      35
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      draft 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
      max length
      150
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      draft 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
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      draft 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
      max length
      150
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      draft 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
      max length
      150
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      draft 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
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      draft 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
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      folder draft Person completing record 0 … 1
      prsb03-dataelement-12430
      Id prsb03-dataelement-12430 (2019‑06‑13 15:22:00)
      Cardinality 0 … 1
      Concept inherits from draft prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
      Description Details of the person completing the record.
      Relationship
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      draft Name 0 … 1
      prsb03-dataelement-12431
      Id prsb03-dataelement-12431 (2019‑06‑13 15:22:28)
      Cardinality 0 … 1
      Concept inherits from draft prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
      Description The name of the person completing the record.
      Relationship
      Rationale Composition.author.Practitioner.name
      Operationalization Free text.
      Value Domain
      Property
      max length
      70
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      draft Role 0 … 1
      prsb03-dataelement-12432
      Id prsb03-dataelement-12432 (2019‑06‑13 15:22:28)
      Cardinality 0 … 1
      Concept inherits from draft prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
      Description The organisational role of the person completing record.

      Properties

      FHIR PractitionerRole.code of the practitioner completing the record
      Relationship
      Rationale Composition.author.Practitioner.PractitionerRole.code
      Operationalization FHIR value set :- SDSjobrole
      Value Domain
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      draft Grade 0 … 1
      prsb03-dataelement-12433
      Id prsb03-dataelement-12433 (2019‑06‑13 15:22:28)
      Cardinality 0 … 1
      Concept inherits from draft prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
      Description The grade of the person completing the record.
      Relationship
      Rationale PractitionerRole.code
      Operationalization Free text.
      Value Domain
      Property
      max length
      150
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      draft Specialty 0 … 1
      prsb03-dataelement-12434
      Id prsb03-dataelement-12434 (2019‑06‑13 15:22:28)
      Cardinality 0 … 1
      Concept inherits from draft prsb03-dataelement-11293 (2019‑05‑30 12:25:39)
      Description The main specialty of the person completing the record.

      Properties

      FHIR PractitionerRole.specialty
      Relationship
      Rationale PractitionerRole.speciality
      Operationalization NHS data dictionary :- Activity treatment function code
      Value Domain
      Property
      max length
      3
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      folder draft Organisation 0 … 1
      prsb03-dataelement-12435
      Id prsb03-dataelement-12435 (2019‑06‑13 15:22:28)
      Cardinality 0 … 1
      Concept inherits from draft prsb03-dataelement-11294 (2019‑05‑30 12:25:39)
      Description The organisation the person completing the record works for.
      Relationship
      Operationalization NHS data dictionary : - Organisation data service
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      draft Professional identifier 0 … 1
      prsb03-dataelement-12436
      Id prsb03-dataelement-12436 (2019‑06‑13 15:22:28)
      Cardinality 0 … 1
      Concept inherits from draft prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
      Description Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.

      Properties

      FHIR PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional)
      Relationship
      Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
      Operationalization NHS data dictionary :- Professional registration identifier
      Value Domain
      Property
      max length
      32
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      draft Date completed 0 … 1
      prsb03-dataelement-12437
      Id prsb03-dataelement-12437 (2019‑06‑13 15:22:28)
      Cardinality 0 … 1
      Concept inherits from draft prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
      Description The date and time the record was completed.
      Relationship
      Rationale Composition.date
      Operationalization Date and time.
      Value Domain
      Property
      Timestamp precision
      at least day, month and year, hour and minute
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      draft Contact details 0 … 1
      prsb03-dataelement-12438
      Id prsb03-dataelement-12438 (2019‑06‑13 15:22:28)
      Cardinality 0 … 1
      Concept inherits from draft prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
      Description Contact details of the person completing the record.

      Properties

      FHIR PractitionerRole.telecom
      Relationship
      Rationale Practitioner.telecom

      PractitionerRole.telecom

      Organisation.telcom
      Operationalization NHS data dictionary : - UK telephone number
      Value Domain
      Property
      max length
      35
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      folder draft 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)|
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      draft Coded value 0 … 1
      prsb03-dataelement-13749
      Id prsb03-dataelement-13749 (2020‑09‑25 16:30:31)
      Cardinality 0 … 1
      Description The coded value for service
      Operationalization SNOMED CT :- 1127531000000102 |Services simple reference set (foundation metadata concept)|
      Value Domain
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      draft Free text 0 … 1
      prsb03-dataelement-13750
      Id prsb03-dataelement-13750 (2020‑09‑25 16:31:24)
      Cardinality 0 … 1
      Concept inherits from draft prsb03-dataelement-13450 (2020‑08‑27 16:43:57)
      Description Free text field to be used if no code is available
      Operationalization Free text
      Value Domain
      Property
      max length
      150
      target Used by 2 transactions, 0 templates, inherited 0 times
       
      draft 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
      max length
      150
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      folder draft 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.
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      draft Image procedure 0 … 1
      prsb03-dataelement-12450
      Id prsb03-dataelement-12450 (2019‑06‑19 15:48:03)
      Cardinality 0 … 1
      Description The procedure used to capture the image
      Operationalization Free text

      Using DICOM code set https://dicom.innolitics.com/ciods
      Value Domain
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      draft 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
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      folder draft Images 0 … 1
      prsb03-dataelement-11158
      Id prsb03-dataelement-11158 (2019‑05‑28 11:19:29)
      Cardinality 0 … 1
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      draft 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
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      draft 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
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      draft 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
      max length
      150
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      draft 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
      max length
      150
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      draft 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
      target Used by 3 transactions, 0 templates, inherited 0 times
       
      draft 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
      max length
      150
      target Used by 3 transactions, 0 templates, inherited 0 times